Canadian Psychiatric Association

Editorial Credits/ Crédits éditorials

Subscription Rates /Prix d'abonnements

Advertising Rates / Tarifs publicitaires (PDF)


Editorial
In This Issue
Quentin Rae-Grant
(PDF)


Original Research
Quality of Life in OCD: Differential Impact of Obsessions, Compulsions, and Depression Comorbidity

Mario Masellis, Neil A Rector, Margaret A Richter

(PDF)

A Pilot Study of a Parent-Education Group for Families Affected by Depression
Mark Sanford, Carolyn Byrne, Susan Williams, Sandy Atley, Ted Ridley, Jennifer Miller, Heather Allin

(PDF)

Differentiating Symptoms of Complicated Grief and Depression Among Psychiatric Outpatients
John S Ogrodniczuk, William E Piper, Anthony S Joyce, Rene Weideman, Mary McCallum, Hassan F Azim, John S Rosie

(PDF)

Filicidal Women: Jail or Psychiatric Ward?
Line Laporte, Bernard Poulin, Jacques Marleau, Renée Roy, Thierry Webanck

(PDF)

Phenomenology and Comorbidity of Dysthymic Disorder in 100 Consecutively Referred Children and Adolescents: Beyond DSM-IV
Gabriele Masi, Stefania Millepiedi, Maria Mucci, Rosa Rita Pascale, Giulio Perugi, Hagop S Akiskal

(PDF)

A Multicentre Prospective Controlled Study to Determine the Safety of Trazodone and Nefazodone Use During Pregnancy
Adrienne Einarson, Lori Bonari, Sharon Voyer-Lavigne, Antonio Addis, Doreen Matsui, Yvette Johnson, Gideon Koren

(PDF)


Brief Communication
Clozapine Treatment in Patients With Prior Substance Abuse

Deanna L Kelly, Elizabeth A Gale, Robert R Conley

(PDF)

The Effect of Peer Support on Postpartum Depression: A Pilot Randomized Controlled Trial
Cindy-Lee Dennis

(PDF)


Book Reviews
(PDF)

Psychological Aspects of Women’s Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology. 2nd Edition.
Reviewed by
Vera Lantos, MD, FRCPC

Introduction to Functional Magnetic Resonance Imaging: Principles and Techniques.
Reviewed by
Jimmy Jensen, PhD,
Shitij Kapur, MD, FRCPC, PhD

Planification et évaluation des besoins en santé mentale.
Revue par
Raymond Tempier, MD

Clinical Interaction and the Analysis of Meaning: A New Psychoanalytic Theory.
Reviewed by
Paul Ian Steinberg, MD, FRCPC

Evidence and Experience in Psychiatry. Volume 2: Schizophrenia.
Reviewed by
Mary V Seeman, MD

Schizophrenia Revealed: From Neurons to Social Interactions.
Reviewed by
Emmanuel Stip, MD

How’s Your Marriage? A Book for Men and Women.
Reviewed by
Karl M Tomm, MD FRCPC,
Cynthia A Beck, MD MASc FRCPC

L’extermination des malades mentaux dans l’allemagne nazie.
Revue par
Frédéric Grunberg, MD

Physicalism and Its Discontents.
Reviewed by
Dorian Deshauer, MD FRCP


Letters to the Editor
(PDF)

Zenker’s Diverticulum and Psychosis in the Elderly

Anorgasmia and Withdrawal Syndrome in a Woman Taking Gabapentin

Stage-Oriented Trauma Treatment Using Dialectical Behaviour Therapy

Sexual Sadism With Lust-Murder Proclivities in a Female?

Topiramate-Induced Suicidality

Bright-Light Therapy in Somatization Disorder

Venlafaxine-Induced Delirium

New Dosage-Reduction Regime to Avoid Paroxetine Discontinuation Syndrome

Risperidone-Induced Galactorrhoea: A Case Series

Gamma Hydroxybutyrate Withdrawal in an Orthopedic Trauma Patient

Version française de la Wender Utah Rating Scale (WURS)

Filicidal Women: Jail or Psychiatric Ward?


Results

Charges, Verdicts, and Sentences
Of the 32 women, 9 were granted bail prior to the trial procedure. Information about initial criminal charges was made available for 22 of the women, and 14 were initially charged with first-degree murder (Table 2). The charge at the actual time of the trial had changed; in fact, the court accused one-third of the women with first-degree murder and another one-third with second-degree murder. The trial outcome found 18 women guilty (18/32, 56%), and one-half received a verdict of manslaughter.

Table 2  Legal process of filicidal women

Initial charges (%)

Trial charges (%)

Verdicts
(%)

First-degree murder

64

32

0

Second-degree murder

18

29

13

Manslaughter

4.5

23

28

Infanticide

9

10

9

Criminal negligence

0

0

6

Others

4.5

6

0

Not guilty by reason of insanity

41

Total

22

31

32a

aOne woman remained unfit to stand trial

In our sample, 14 received a medical disposition (14/32, 44%). All except 1 of these women was found NGRI. The exception was a woman who remained unfit to stand trial because of severe neurological problems that related to the offence.

Table 3 displays court dispositions. Almost all women (94%) who were found guilty were sentenced to prison. The length of detention varied from 2 years minus 1 day of imprisonment to mandatory life sentences. Five women were sentenced to life imprisonment (5/18, 28%).

Table 3 Sentences of filicidal women

Probation (%)

6

Incarceration (%)

94

Incarceration

      2 years minus 1 day  (%)

16

      2 to 5 years  (%)

28

      5 to 10 years  (%)

16

      ³ 10 years  (%)

6

      Life  (%)

28

Comparison Between the 2 Subgroups

Significant differences were found for 6 variables. Socio-economic status differed between the subgroups (Note 2). Results indicate that women sentenced to prison had a lower socioeconomic status than those referred to psychiatric institutions (77% vs 39%; c2 = 4.43, df 1, P = 0.035). The criminal history differed among the subgroups; one-third of the women sentenced to prison had a prior criminal history, but this was not the case for any of the medically oriented women (c2 = 5.37, df 1, P = 0.020, Fisher’s P = 0.028). Similarly, those sentenced to prison had a more frequent substance abuse history than had medically oriented women (29% vs 0%; c2 = 3.94, df 1, P = 0.047, Fisher’s P = 0.125).

Significant differences were found in the psychiatric history: all the women who were medically oriented and 41% of the women who were found guilty (c2 = 11.47, df 1, P = 0.001, Fisher’s P = 0.001) had a previous psychiatric record. Most medically oriented women suffered from psychotic symptoms (62%). None who were found guilty presented with such symptoms (c2 = 13.60, df 1, P = 0.000, Fisher’s P = 0.000). With respect to the first orientation following the homicide, the subgroups did differ significantly. In fact, most who were medically oriented at the end of the legal process were initially taken care of by the health care system (71% vs 22%; c2 = 7.75, df 1, P = 0.005).

Discussion

Our results indicate that a slight majority of women received a penal disposition (56%). The most common verdict was manslaughter, as shown in other studies, but none received a verdict of first-degree murder (19,28). Some of the women in our study received a verdict of second-degree murder. This proportion is high, compared with results from other studies, wherein the percentage of women receiving a sentence for murder ranged from 0% to 2% (21,27–29). To our knowledge, the research done by Marks and Kumar in Scotland is the only study that identifies a high percentage of women who received a verdict of murder (15.4%, 2/13) (19). However, it is important to note that, in Scotland, there is no legal charge available for infanticide.

The percentage of women who received a medical disposition is lower than are other results collected in the literature on filicide (1,28,29). This discrepancy can be partly attributed to inclusion of probation orders with a condition of psychiatric treatment, which we consider to be mainly a legal disposition.

In our sample, 9 women killed a child under age 12 months, and 3 were found guilty of infanticide (33%). These results contrast with data from the UK and Hong Kong, where the percentage of women who are found guilty of infanticide is higher (28,29). Often, an infanticide charge is associated with postpartum depression. The major arguments against sentencing women who suffered from a postpartum depression at the time of the offence are as follows: 1) an illness beyond their control caused these women’s homicidal acts, 2) they have already suffered enough, 3) they have lost their offspring and have to live with the guilt related to their behaviour, and 4) they do not represent a threat to others as long as they do not have other children (32,33).

Data concerning the length of prison sentence indicate that most women (14/18, 78%) received a sentence that exceeded 2 years, and 5 women received a sentence of life imprisonment. These results differ from other studies, wherein fewer than 25% of women received a prison sentence or a sentence of life imprisonment (19,21,27–29). This suggests that the legal system in the province of Quebec treats maternal filicide more harshly than do other jurisdictions. One interesting consideration for further studies  would be how the legal system reacts in other parts of Canada toward the same type of offence.

Our data indicate that women who received a penal disposition had a lower socioeconomic status than did those who received a medical disposition. Similarly, other studies confirmed this result (29,34). Possibly, women of low socioeconomic status were judged more severely by the judicial system (35–37).

Variables such as the criminal and substance abuse history were more often present among women who received a penal disposition. Of women sent to prison, only a low percentage had a prior criminal record (1 or few criminal convictions). No medically oriented women had such a record. Holden and others showed that NGRI women more likely had a history of drug abuse than did criminally responsible women (30). They found, however, that criminal history did not differ significantly.

Our data indicate that, according to Canadian law, medically oriented women were more likely to have suffered from psychosis at the time of the offence than did women who received a penal disposition. In the same way, women in this subgroup showed more incidence of a psychiatric history. Other authors have found similar results for women who killed their children (30), for women or men who committed a homicide (38), and for women or men who threatened to kill (39).

Our subgroups did not differ in demographic characteristics; specifically, marital status, the number or age of the victims, and suicide attempts concomitant with the murder and methods used to kill their victims. The homicidal motivation does not differ when studied according to the prevalence of altruism, contrary to what Holden and others predicted (30).

Conclusion

Our results indicate that a higher percentage of women were sent to prison, compared with other samples from different studies. Those sent to prison in our legal system received harsher sentences, compared with results from Commonwealth countries. It is important to clearly understand why some women receive more severe sentences than do others and to look at what is the reality concerning filicidal fathers.

There were interesting results from this study. First, differences were found between the subgroups of women on several variables: socioeconomic status, criminal history, substance abuse history, psychiatric history, psychotic symptoms, and type of initial disposition. This suggests that these variables play an important role in the legal outcome of these women, whether they are medically or judicially oriented. Other variables might relate to the type of disposition. Possibly, the mother’s behaviour following the offence (presence or lack of remorse), the nature of the evaluation, the sex of the judge and lawyer, and the court proceedings could play a significant role. The interaction between these elements would be interesting to observe in future quantitative and qualitative studies.

These results suggest that the profiles of the 2 subgroups of women differ on many aspects. This supports the hypothesis put forward by some authors that 2 distinct subgroups of filicidal women exist. These statistical differences, however, do not necessarily discriminate these 2 subgroups in terms of clinical relevance, except for whether or not psychosis existed at the time of the offence and at the time of psychiatric history. For clinical intervention in filicidal prevention, classifying the women who are being assessed according to these subgroups does not seem to matter. Evaluating dangerousness will nevertheless be done according to whether or not delusions exist involving children, the age and number of children, the availability of weapons, and the possibility of having another responsible adult take care of the children until the crisis is resolved.


Notes

1. Our sample is from 1981 to 1991. The label “not criminally responsible on account of a mental disorder” has been used since 1992 but refers basically to the same status.

2. The socioeconomic status was inferred according to whether they were working or not, the level of scolarity, and the availability of social assistance or unemployment benefits.

References

1. Resnick PJ. Child murder by parents: a psychiatric review of filicide. Am J Psychiatry 1969;126:325–34.

2. Bourget D, Bradford JMW. Homicidal parents. Can J Psychiatry 1990;35:233–8.

3. Myers SA. Maternal filicide. American Journal of Disabled Child 1970;120:534–6.

4. Harder T. The psychopathology of infanticide. Acta Psychiatr Scand 1967;43: 196–245.

5. Marleau JD, Roy R, Laporte L, Webanck T, Poulin B. Homicide d’enfants commis par la mère. Can J Psychiatry 1995;40:142–9.

6. Lomis MJ. Maternal filicide: a preliminary examination of culture and victim sex. Int J Law Psychiatry 1986;9:503–6.

7. Browne WJ, Palmer AJ. A preliminary study of schizophrenic women who murdered their children. Hosp Community Psychiatry 1975;26:71–2.

8. Lewis CF, Baranoski MV, Buchanan JA, Benedek EP. Factors associated with weapon use in maternal filicide. J Forensic Sci 1998;43:613–8.

9. McKee R, Shea SJ. Maternal filicide: a cross national comparison. J Clin Psychol 1998;54:679–87.

10. Meszaros K, Fischer-Danzinger D. Extended suicide attempt: psychopathology, personality and risk factors. Psychopathology 2000;33:5–10.

11. Fedorowycz O. L’Homicide au Canada 1998. Juristat 1999;19:1–15.

12. Copeland AR. Homicide in childhood: the Metro-Dade country experience from 1956 to 1982. Am J Forensic Med Pathol 1985;6:21–4.

13. Kaplun D, Reich R. The murdered child and his killers. Am J Psychiatry 1976;133:809–13.

14. Jason J. Child homicide spectrum. American Journal of Disabled Child 1983;137:578–81.

15. Adelson L. Slaughter of the innocents: a study of forty-six homicides in which the victims were children. N Engl J Med 1961;64:1345–9.

16. Adelson L. Pedicide revisited: the slaughter continues. Am J Forensic Med Pathol 1991;12:16–26.

17. Fornes P, Druilhe L, Lecomte D. Childhood homicide in Paris, 1990–1993: a case report of 81 cases. J Forensic Sci 1995;40:201–4.

18. Krugman RD. Fatal child abuse: analysis of 24 cases. Pediatrician 1983-1985;12:68–72.

19. Marks MN, Kumar R. Infanticide in Scotland. Med Sci Law 1996;36:299–305.

20. Somander LH, Rammer LM. Intra- and extrafamilial child homicide in Sweden 1971–1980. Child Abuse Negl 1991;15:45–55.

21. Marks MN, Kumar R. Infanticide in England and Wales. Med Sci Law 1993;33:329–39.

22. Wright C, Leroux JP. Les enfants victimes d’actes criminels violents. Juristat 1991;11:1–13.

23. Myers SA. The child slayer: a 25-year survey of homicides involving preadolescent victims. Arch Gen Psychiatry 1967;17:211–3.

24. Goetting A. When parents kill their young children: Detroit 1982–1986. J Fam Violence 1988;3:339–46.

25. Mackay RD. The consequences of killing very young children. Crim Law Rev 1993;40:21–30.

26. Wilcynzski A. Child homicide. London: Greenwich Medical Media; 1997.

27. Wilcynzski A. Images of women who kill their infants: the mad and the bad. Women Crim Justice 1991;2:71–88.

28. Cheung PTK. Maternal filicide in Hong Kong, 1971–1985. Med Sci Law 1986;26:185–92.

29. d’Orban PT. Women who kill their children. Br J Psychiatry 1979;134:560–71.

30. Holden CE, Burland AS, Lemmen CA. Insanity and filicide: women who murder their children. New Dir Ment Health Serv 1996;69:25–34.

31. Laporte L. Le contrôle pénal et/ou thérapeutique des femmes filicides au Québec de 1981 à 1991. [Master’s thesis]. Université de Montréal; 1999.

32. Ewing CP. Fatal families. The dynamics of intrafamilial homicide. Thousand Oaks (CA): Sage Publications; 1997.

33. Pitt SE, Bale EM. Neonaticide, infanticide, and filicide: a review of the literature. Bull Am Acad Psychiatry Law 1995;23:375–86.

34. Roy S. Le genre comme fondement de la différenciation des formes de contrôle social : l’exemple de l’incarcération. Les cahiers du GRAPPP 1990;10.

35. Horwitz AV. The logic of social control. London: Plenum Press; 1990. p 277.

36. Black DJ. The behavior of law. London: Academic Press; 1976. p 143.

37. Landreville P. Normes sociales et normes pénales: notes pour une analyse socio-politique des normes. Les cahiers de l’école de criminologie. Montreal: Presses de l’Université de Montréal, 12, 1983; p 69.

38. Packer IK. Homicide and the insanity defense: a comparison of sane and insane murderers. Behav Sci Law 1987;5:25–35.

39. Barnes MT, Gordon WC, Hudson SM. The crime of threatening to kill. J Interpers Violence 2001;16:312–9.


Manuscript received March 2002, revised and accepted July 2002.

1. Criminologist, Institut Philippe-Pinel de Montréal, Montreal, Quebec.

2. Psychologist, Institut Philippe-Pinel de Montréal, Montreal, Quebec.

3. Anthropologist, Demographer, Research Center, Institut Philippe-Pinel de Montréal, Montreal, Quebec.

4. Psychiatrist, Institut Philippe-Pinel de Montréal, Montreal, Quebec.

5. Criminologist, Institut Philippe-Pinel de Montréal, Montreal, Quebec.

Address for correspondence: Ms L Laporte, Institut Philippe Pinel de Montréal, 10905 Henri-Bourassa Est, Montreal, QB H1C 1H1

e-mail: linelaporte@hotmail.com

1 | 2 | 3


CJP Archives in English | Archives RCP en français
Supplements and Position Paper Inserts |
Lignes directrices cliniques, énoncés de principe et communiqués
Author Index to 2002 | Index RCP des auteurs 2002
Subject Index to 2002 | Index RCP des sujets 2002
Information for Contributors | Information à l'intention des auteurs
Style Notes for Contributors
Subscription Rates | Prix d'abonnements
Advertising Rates | Tarifs publicitaires
CPA Home | Page d'accueil