The concept of catathymic crisis is reviewed, beginning with its intro
duction in 1912. The term has been used differently by various authors
over the years, most attempting to explain several forms of extreme v
iolence and aggression without apparent motivation Catathymic crisis c
an include acute violent reactions triggered by an individual whom the
perpetrator has just met, or it may involve a more protracted and con
flict-ridden relationship. In all cases, it is believed, an underlying
unresolved emotional conflict creates an enormous amount of psycholog
ical tension, which is released through the violent act. In addition t
o reviewing the various conceptualizations of catathymic crisis, this
paper provides brief clinical illustrations that typical the acute as
well as the chronic form. A discussion of some forensic issues is also
included. Copyright (C) 1996 Elsevier Science Ltd