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Yıl:2021; Cilt: 32; Sayı: 3>> Özet
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Türk Psikiyatri Dergisi; 2021;32(3):201-210
Kendi Bebeğini Öldürmek: Filisid Olgularına Psikodinamik Bakış ve Klinik Yaklaşım
D F Özdemir, Ş G Evinç
Hacettepe Üniversitesi, Ankara
Amaç: Bu makalede filisidin çok boyutlu ve karmaşık örüntüsünün son dönem yayınlar ışığında psikodinamik bakış açısıyla tartışılması amaçlandı. Ruh sağlığı uzmanlarında filisid olguları konusunda farkındalık yaratmak; olguların doğru değerlendirilmesi, filisidin eylem öncesinde tanınması ve müdahale edilmesi, önleyici mekanizmaların erken devreye sokulması açısından önemli katkılar sağlayacaktır. Yöntem: Google Akademik, EBSCHO-HOST, Science-Direct, PubMed ve Web of Science veri tabanlarında “filicide, infanticide, neonaticide, mother/ parent/maternal/paternal, psychodynamics” anahtar sözcükleri kullanılarak, Ocak 1960- Mart 2020 tarihleri arasında yayınlanan makaleler incelenmiştir. Bulgular: Filisid genel olarak çocuğun ebeveyni tarafından öldürülmesini ifade etmektedir. Çocuğa zarar veren kişilerin yabancılar olduğuna ilişkin yaygın kanının aksine, çocuk cinayetlerini büyük oranda ebeveynlerin işlediği, terk edilen çocukların ölümlerinin doğal ölüm olarak kabul edildiği, doğum sonrası ilk 24 saatte öldürülen bebeklerin 1/4’ünün ailesinin bulunamadığı, bu nedenle bebek ölümlerinin olduğundan çok az bildirildiği düşünülmektedir. Filisidin heterojen bir olay olduğu, biyo-psiko-sosyal, gelişimsel değişkenlerin yanı sıra toplumun, kültürel değerlerin ve inanç sistemlerinin etkisinde kaldığı bu nedenle çok boyutlu değerlendirilmesi gerektiği bilinmektedir. Literatürde filisid olgularının ortak bir profili olduğu, bu konuda klinisyenlerin eğitilmesinin önleme stratejileri açısından etkili olacağı belirtilmektedir. Sonuç: Ruh sağlığı uzmanlarının ‘suç’ olarak değerlendirdiği için mesafeli durduğu ve tartışmalı olan filisid kavramını; risk etkenleri, tetikleyiciler, altta yatan dinamikler, psikopatolojiler açısından tartışmak ve şiddetin oluşumunda psikodinamik etkilerin rolünü anlamak oldukça önemlidir.
Killing One’s Own Baby: A Psychodynamic Overview with Clinical Approach to Filicide Cases.
Objective: This review article discusses the multi-dimensional and complex pattern of filicide from a psychodynamic perspective with reference to the recent publications. Creating awareness to filicide among professionals will help to the correct assessment of the cases, recognition of and intervention on filicide before the act, and the development of preventive mechanisms. Method: Published articles between January 1960 and March 2020 were searched using the keywords ‘filicide, infanticide, neonaticide, mother/ parent/ maternal/ paternal, psychodynamics’ in the Google Scholar, EBSCHO-HOST, Science-Direct, PubMed and Web of Science databases. Results: The term filicide refers to the murder of the offspring by the parent. Although it is a common belief that the children are murdered boy strangers, the reported figures may not be representing the truth. No families are detected in one fourth of all murdered infants within the first 24 hours. The death of abondoned children are classified as ‘due to natural causes’. Some murders might not be reported properly and therefore, actual murders by own parents might have been missed on the records. It is known that filicide is a heterogeneous phenomenon requiring a multidimensional evaluation in being affected by cultural values, belief systems of the society as well as the bio-psycho-social and developmental variables. It is reported in the literature that filicide cases have a common profile and that training clinicians on this complex phenomenon would be effective on prevention strategies. Conclusion: The concept of filicide is controversial in many aspects and mental health professionals tend to distance themselves since the concept is associated with ‘crime’. However it is crucial to elucidate the psychodinamic background on violence and discuss the risk factors, triggers, background dynamics and psychopathologies underlying this phenomenon.

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