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Klinefelter's Syndrome and sexual homicide

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Klinefelter's Syndrome, a sex chromosomal abnormality and the most common cause of male hypogonadism, is characterized by cognitive and psychosexual dysfunction and abnormalities in physical maturation. It may be relatively common yet often undiagnosed and untreated among psychiatric patients. A case of undiagnosed Klinefelter's Syndrome associated with poor psychosocial functioning, an obsessive impulse to damage women'sgenitals and finally a sexual homicide, is presented. Precipitating factors for maladjustment were strongly cathected surgery of undescended testicles, violent and abusive parents, and a fantasy about the mother's being guilty for the patient's physically poor sexual development. Prevention of psychiatric sequelae of Klinefelter's Syndrome should be based on early diagnostics.
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Document Type: Case Report

Publication date: April 1, 2001

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