Extraordinary Disorders of Human Behavior

Clinicians have long been fascinated by the rare and exotic in med­ icine. Similarly, psychiatrists and mental health professionals have been intrigued by the uncommon and extraordinary syndromes which, despite their rarity, have much to teach us about th

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CRITICAL ISSUES IN PSYCHIATRY An Educational Series for Residents and Clinicians Series Editor: Sherwyn M. Woods, MD., PhD.

Universiryl of SOli them Cnlifomin School of Medicine Los Angeles, Cnlifomin

A RESIDENT'S GUIDE TO PSYCHIATRIC EDUCATION Edited by Michael G. G. Thompson, MD. STATES OF MIND: Analysis of Change in Psychotherapy Mardi J. Horowitz, MD. DRUG AND ALCOHOL ABUSE: A Clinical Guide to Diagnosis and Treatment Marc A. Schuckit, MD. THE INTERFACE BETWEEN THE PSYCHODYNAMIC AND BEHAVIORAL THERAPIES Edited by Judd Marmor, MD., and Sherwyn M. Woods, MD., Ph.D. LAW IN THE PRACTICE OF PSYCHIATRY Seymour L. Halleck, MD. NEUROPSYCHIATRIC FEATURES OF MEDICAL DISORDERS James W. Jefferson, MD., and John R. Marshall, MD. ADULT DEVELOPMENT: A New Dimension in Psychodynamic Theory and Pradice Calvin A. Colarusso, M.D., and Robert A. Nemiroff, M.D. SCHIZOPHRENIA John S. Strauss, MD., and William T. Carpenter, Jr., MD. EXTRAORDINARY DISORDERS OF HUMAN BEHAVIOR Edited by Claude T. H. Friedmann, MD., and Robert A. Faguet, MD. MARITAL THERAPY: A Combined Psychodynamic-Behavioral Approach Edited by R. Taylor Segraves, MD. TREATMENT INTERVENTIONS IN HUMAN SEXUALITY Edited by Carol C. Nadelson, MD., and David B. Marcotte, MD.

A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual shipment. For further information please contact the publisher.

Extraordinary Disorders of Human Behavior Edited by

CLAUDE T. H. FRIEDMANN, M. D.

University of California at Irvine Medical Center Orange, California and

ROBERT A. FAGUET, M. D.

Universihj of California III Los Angeles School of Medicine Los Angeles, Califonzia

PLENUM PRESS

.

NEW YORK AND LONDON

Library of Congress Cataloging in Publication Data Main entry under title: Extraordinary disorders of human behavior. (Critical issues in psychiatry) Bibliography: p. Includes index. 1. Psychology, Pathological-Addresses, essays, lectures. I. Friedmann, Claude T. H. II. Faguet, Robert Andrew. III. Series. [DNLM: 1. Mental disorders. WM 100 E965j RC454.4.E925 1982 616.89 82-12286

ISBN-13: 978-1-4615-9253-2 e-ISBN-13: 978-1-4615-9251-8 DOl: 10.1 007/978-1-4615-9251-8

© 1982 Plenum Press, New York Softcover reprint of the hardcover 1st edition 1982 A Division of Plenum Publishing Corporation 233 Spring Street, New York, N.Y. 10013 All rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher

Contributors

FARUK S. ABUZZAHAB, SR., M.D., Ph.D .• Associate Clinical Professor of Psychiatry, University of Minnesota, 606 South 24th Avenue, #818, Minneapolis MN 55454 RANSOM J. ARTHUR, M.D .• Dean, School of Medicine, The Oregon Health Sciences University 3181 S.W. Sam Jackson Park Road, Portland, OR 97201 DANIEL B. AUERBACH, M.D .• Adjunct Assistant Professor of Psychiat