因涉嫌杀害三个孩子而受审的林赛·克兰西（Lindsay Clancy）的案件，正将产后精神病这一罕见但严重的产妇精神疾病推向公众视野。1克兰西承认实施了杀害行为，其中受害者包括五岁的科拉（Cora）、三岁的道森（Dawson）和八个月大的卡兰（Callan），但她对谋杀指控不认罪，辩称自己患有产后精神病。1临床法医心理学家保罗·泽泽尔在法庭证言中指出，克兰西"无法使自己的行为符合法律规则，且对自己行为的违法性毫无认识"。1
产后精神病患者伤害或杀死儿童的概率为百分之一至百分之四。1然而，这一严重疾病目前未被列入《精神障碍诊断与统计手册》第五版（DSM-5），这一遗漏导致医学教科书未能涉及相关内容、医学生对其认识不足、保险覆盖也存在严重缺陷。1美根·克利弗尔（Meghan Cliffel）在2015年产后八个月时患上产后精神病，曾在精神卫生医院接受为期十二天的治疗。1
Lindsay Clancy is on trial for the deaths of her three children: Cora, age 5; Dawson, age 3; and Callan, 8 months old 1. While Clancy has admitted to carrying out the killings, she has pleaded not guilty to murder charges, with her defense team arguing that she was suffering from postpartum psychosis at the time 1. According to clinical forensic psychologist Paul Zeizel, who testified in the case, Clancy "was unable to conform her behaviour to the rule of law and she had no appreciation for the wrongfulness of her act" 1.
The rare but severe mental illness has gained renewed attention through this high-profile prosecution. Postpartum psychosis affects mothers in the period following childbirth and carries serious risks: between 1 and 4 percent of patients with the condition harm or kill their children 1. Despite its severity, the condition remains absent from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), creating significant gaps in medical education, clinical recognition, and insurance coverage 1. This diagnostic omission means that medical textbooks often do not address the condition, medical students may not learn about it, and insurance providers may not cover treatment 1.
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