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Prim Care Companion J Clin Psychiatry
June 1999
Physician Assistant Programs at Western University of Health Sciences, Pomona, Calif., the Brooklyn Hospital Center/Long Island University, Brooklyn, and Touro College School of Health Sciences, Bayshore, N.Y.
Running amok is considered a rare culture-bound syndrome by current psychiatric classification systems, but there is evidence that it occurs frequently in modern industrialized societies. The historical origins of running amok as a psychiatric condition are reviewed in this article, and its relevance to modern day episodes of violent behavior is discussed. Psychotic illnesses, personality disorders, and mood disorders are all possible causes of amok, and the identification and treatment of patients who are at risk for manifesting violent behavior are discussed.
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