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Updated: May 4, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
Commentary: women, violence, and insanity
Susan Hatters Friedman1, Ryan C W Hall, Renée M Sorrentino
1Case Western Reserve, 11100 Euclid Avenue, Cleveland, OH 44106. susanhfmd@hotmail.com.
Research on female homicide offenders, particularly those found not guilty by reason of insanity (NGRI), is limited. Understanding factors like psychosis with religious delusions in this group can aid in preventing violence by mentally ill women.
Area of Science:
- Forensic Psychology
- Psychiatry
- Criminology
Background:
- Female-perpetrated violence, especially homicide, is under-researched compared to male offenders.
- Women are often stereotyped as less violent, leading to underestimated risks.
- Understanding violence among women with mental illness is crucial for public safety and targeted interventions.
Purpose of the Study:
- To explore common factors among female homicide offenders found not guilty by reason of insanity (NGRI).
- To identify potential links between mental illness, specific symptoms (e.g., religious delusions), and violent offending in women.
- To inform prevention strategies for severe violence perpetrated by women with mental illness.
Main Methods:
- Analysis of a subpopulation of female homicide offenders found NGRI.
- Examination of psychological profiles and potential contributing factors to their violent acts.
- Consideration of limitations, including potential gender bias in insanity defense findings.
Main Results:
- Psychosis with religious delusions identified as a potential factor in some female NGRI homicide cases.
- Acknowledges that non-psychotic motives (anger, jealousy, financial gain, self-defense) are also common in homicides committed by individuals with mental illness.
- Highlights the complexity of motives and the need for nuanced understanding beyond insanity defenses.
Conclusions:
- Studying female NGRI offenders offers insights into severe violence linked to mental illness, particularly psychosis with religious delusions.
- Recognizes that many homicides by individuals with mental illness have rational motives, not captured by NGRI studies.
- Emphasizes the need for caution regarding gender bias in legal and clinical assessments of insanity.
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