Abstract
The multimedia PowerPoint presentation will initially summarize the history as of the 16th century of asphyxic treatments in medicine, erectile dysfunction and impotence proceeding to the emerging biochemistry, neurophysiology and psychodynamics behind the sexual practices of about 1% of the Western population with a fatality rate of 1/1 000 000 population/year.
The presentation of the Psychiatry of asphyxiophilia follows concentrating on sex offending by proxy of forensic polymorphous sex covering variants of auto-erotic death, erotophonophilia and necrophilia.
Two cases of individuals assessed by the presenter will be demonstrated; one person assessed in the Emergency Department feeling suicidal, the other in a forensic context charged with murder.
Specific aspects of risk assessment and management including threats, stalking and murder-suicide will be highlighted.
This must include questions about medical and neuro-psychiatric conditions of potential risk including compulsive behaviours and dissociative states like hemiplegic migraines, temporal lobe epilepsy and depression.