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Compulsive gambling

Partial Agonist Therapy in Schizophrenia: Relevance to Diminished Criminal Responsibility

July 8, 2010

Gavaudan G, Magalon D, Cohen J, Lançon C, Léonetti G, Pélissier-Alicot AL.
Service de Médecine Légale, Faculté de Médecine, Université de la Méditerranée, Marseille, France.
J Forensic Sci. 2010 Jun 23.

Pathological gambling (PG), classified in the DSM-IV among impulse control disorders, is defined as inappropriate, persistent gaming for money with serious personal, family, and social consequences. Offenses are frequently committed to obtain money for gambling. Pathological gambling, a planned and structured behavioral disorder, has often been described as a complication of dopamine agonist treatment in patients with Parkinson’s disease.

It has never been described in patients with schizophrenia receiving dopamine agonists. We present two patients with schizophrenia, previously treated with antipsychotic drugs without any suggestion of PG, who a short time after starting aripiprazole, a dopamine partial agonist, developed PG and criminal behavior, which totally resolved when aripiprazole was discontinued. Based on recent advances in research on PG and adverse drug reactions to dopamine agonists in Parkinson’s disease, we postulate a link between aripiprazole and PG in both our patients with schizophrenia and raise the question of criminal responsibility.

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‹ A model of suicidal behavior in war veterans with posttraumatic mood disorder › The contradictions and possibilities of suicide prevention programs in Hungary

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Research Papers

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Research News

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Interviews with eminent psychiatrists

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Ten Years Ago

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  • The 2003 SARS outbreak and suicide among older adults
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