ÖZETKişinin kendi annesini öldürmesi, üzerinde çok çalışılan bir konu olmasına karşın mekanizmaları ve güdülerinin ko laylıkla tespit edilemediği görülmektedir.Bu yazıda annesini öldüren, dört kişiyi yaralayan ve aya ğına ateş ederek parmaklarını kopardıktan sonra götürüldü ğü hastanede üçüncü kattan atlayarak intihar girişiminde bulunan ve DSM IV tanı ölçütlerine göre Paranoid Şizofreni tanısı almış bir olgu takdim edilmiştir.Yapılan matrisid çalışmalarının çoğunda, kişilerin olgu muzda olduğu gibi, ağır şiddet davranışı gösterdiği, en kü çük erkek evlat olduğu, annelerini kendi yatak odalarında öldürdüğü ve annelerine karşı çift cieğerlikli (ambivalan) bir bağlılık içinde bulundukları bildirilmiştir.Bu makalede, annesini öldürdüğü sırada psikotik bir tablo içinde bulunan, annesini hem kendi varlığına karşı bir tehdit olarak gören hem de aşırı sevgiye bağlı koruma ve kurtarma özellikleri bulunan bir olgu, matrisidal şizofrenik-lerin özellikleri bağlamında tartışılmıştır.A nahtar kelim eler: Matrisid, Şizofreni. SUMMARYAlthough murdering one's mother is a subject that has been discussed in many case reports, it is not easy to exp lain the mechanisms and motivations involved. In this case report we present a man diagnosed as paranoid schizoph renia acording to DSM-IV criteria who murdered his mother, injured four people and jumped from the window of the third floor after shoting his foot fingers.Most of the matricidal studies show common characte ristics of matricidal men. Matricidal men mostly use excessi ve violence and kill their mothers in their bedrooms. They are usually the youngest child and have ambivalant attach ment to their mothers like in our case. In this case report characteristics of matricidal schizoph renics is discussed in the ligth of a psychotic man who not only perceived his mother as a threat to his existence but al so had protection and rescue feelings for her because of ex cessive love.

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In this study views and attitudes of psychiatrists about some ethical dilemmas containing problems related with informed consent in psychiatry is surveyed A semi-structured questionarre was used which contains 67 questions asking to psychiatrists sociodemografic statues, questions about some ethical dilemmas and about theoretical, philosophical, psychiatric views. Of these questions three were fictive cases (vignettes) about recession of treatment of patient for the research purposes, one was about the view of psychiatrists whether they believe that the patients are informed and their consent are taken formally or not. Three questions were about theoretical-philosophical psychiatric views of psychiatrists. one question was about whether they find the education of ethics sufficient in psychiatry or not. Four questions were about sociodemographic statues of psychiatrists. Thus totally aforementioned 12 questions contained in this article and other questions are not related with the issue are not handled here and will be a subject of another investigation. Views and attidudes of psychiatrists are found to be significantly different according to their socidemographic variables and theoretical philosophical psychiatric views. Especially psychologically oriented psychiatrists are found to be paternalistic in attitudes as informed consent considered. Additionally as views of psychiatrsits about social etiology considered significant differences are found in attitudees about informed consent. Biologically oriented psychiatrists are found to be giving more importance to consent of the relatives rather than the patients' in schizophrenic cases. And women psychiatrists are found to be more conservative in deciding the recession of treatment of the bipolar patient case.

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