Chief Forensic Psychiatrist, Extended Treatment Program, North Texas State Hospital, Vernon Campus, Vernon, TX
Reid Meloy, J
Associate Clinical Professor, University of San Diego, San Diego, CA
Professor of Psychiatry, Veterans Administration Medical Center, Minneapolis, MN
Associate Professor, University of Texas Medical Branch, Galveston, TX
(Received 28 May 1999; accepted 5 August 1999)
A nonrandom sample of North American cases of sudden mass assault by a single individual (SMASI, n = 30) is compared with a nonrandom sample of Laotian amok cases (n = 18) and other amok studies. Perpetrators in both studies show evidence of social isolation, loss, depression, anger, pathological narcissism, and paranoia, often to a psychotic degree. The term “innovative perpetrator” is reintroduced and expanded upon. Similarities among samples far outweigh differences, leading the authors to conclude that SMASI and its appearance in different cultures is not a culture-bound syndrome.
Paper ID: JFS14732J