[CASE] Kleptomania or Malingering? A Case Report (original) (raw)
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Kleptomania or malingering? A case report
The essential feature for the diagnosis of kleptomania is a recurrent failure to resist impulses to steal items, even though those items are not needed for personal use or for their monetary value. The individual experiences an increasing sense of tension just prior to the theft and feels pleasure, gratification, or relief when committing the theft. These patients are usually referred to psychiatry for the evaluation of criminal liability by a court order. The content of the court file as well as the act defined by the subject and the presence of a mental disorder should be taken into account. In case of shoplifting, malingering must be ruled out first even if the subject has a previously confirmed diagnosis of kleptomania. Here we present a different case of a patient with kleptomania who was referred to us by a court order to determine her criminal liability for shoplifting. ÖZ Kleptomani tanısının konulabilmesi için esas nokta, kişisel kullanım için ya da parasal değeri nedeniyle olmadığı halde kişinin bir şeyleri çalma dürtüsüne tekrarlayan şekilde karşı koyamamasıdır. Kişi hırsızlık olayından hemen önce giderek artan bir gerginlik, olayı gerçekleştirirken ise rahatlama, haz yada mutluluk hisseder. Bu hastalar sıklıkla psikiyatriye mahkeme emri ile ceza sorumluluklarının değerlendirilmesi amacıyla yönlendirilirler. Bu durumlarda kişinin tanımladığı olay ve kişide bir ruhsal hastalık olması kadar mahkeme dosyasının içeriği de dikkate alınmalıdır. Eğer olgu bir aşırma olayı nedeni ile yönlendirilmişse, öncesinde kleptomani tanısı konulmuş olsa dahi temaruz olasılığı atlanmamalıdır. Burada aşırma sonrasında mahkeme emriyle ceza ehliyetinin değerlendirilmesi için yönlendirilmiş bir olgu sunulacaktır.
Kleptomania as a neglected disorder in psychiatry
International Review of Psychiatry, 2020
Kleptomania is an impulse control disorder characterized by the irresistible urge to steal not for monetary gain. Since its conceptualization, this categorical diagnosis has been conflated with common beliefs regarding the social class and gender such as the idea that women are intrinsically fragile and that people in the middle class were unlikely to commit theft. Also, its use has been controversial in the medical and forensic fields. This review of the literature will provide a historical excursus through the definitions of the syndrome and summarize the available pharmacological and psychotherapeutic options for its treatment. Currently, there is a lack of systematic studies regarding the clinical characteristics of kleptomania and its treatment options for practical standardized approaches.
Differential diagnosis and psychodynamic approach in kleptomania: a case report
Dusunen Adam: The Journal of Psychiatry and Neurological Sciences, 2015
Differential diagnosis and psychodynamic approach in kleptomania: a case report Kleptomania is the inability to refrain from the urge to steal items for reasons other than personal use or financial gain. The disorder is frequently under-diagnosed and is regularly accompanied by other psychiatric disorders; particularly anxiety disorders, eating disorders and affective disorders. Our patient is a 19-year-old female, who was referred to our hospital from a general state hospital. She suffered from a desire to steal things such as makeup materials and perfume. She also complained carrying out inappropriate sexual behavior. She had depressive and obsessive-compulsive symptoms and attempted suicide three times in past years. She knew her grandmother as her mother, despite living in the same household. According to classical psychoanalytical theory; kleptomania is a defense against unconscious impulses, desires, conflicts and needs. The individual who is prone to narcissistic injury tries to prevent the self from disintegrating by the way of stealing behavior. Among psychodynamic theories, ego psychology, self-psychology and object relations theory also have explanations for kleptomania. This case has symptoms that belong to other psychiatric disorders. Thus, the case presented here is important for its emphasis on the fact that categorical and symptom oriented approaches are far from considering patients as a whole.
Kleptomania and Attention Deficit Hyperactivity Disorder- Case Report
Sanamed, 2018
Kleptomania as a type of impulse control disorder (ICD) characterized by an inability to resist urges to steal objects not valuable or needed for personal use. Kleptomania may co-occurs with many psychiatric disorders frequently other impulse control disorders, obsessive-compulsive disorder, anxiety disorders, affective disorders, eating disorders and substance use disorders. We presented two adolescent cases admitted to Marmara University Child and Adolescent Psychiatry outpatient clinic because of stealing behavior and diagnosed with Kleptomania and ADHD. Both cases had improvement in stealing behavior after ADHD treatment.Careful monitoring of comorbid conditions in the psychiatric evaluation of Kleptomania cases is very important in terms of treatment and prognosis.
Kleptomania as Risk-taking Behavior in Response to Depression
American Journal of Psychotherapy, 1987
The psycho dynamic etiology of kleptomania has historically been linked to "ungratified sexual instinct." This paper is the first report of kleptomanie behavior associated with masturbation during the shoplifting or at the time of discovery by authorities. However, in this case kleptomania was in fact risk-taking behavior in response to depression. Psychodynamically, risk-taking behavior may be important in kleptomania.
Self-Control Kleptomania Sufferers
2020
This study aims to determine empirically self-control in patients with Kleptomania in Medan, North Sumatra. The method in this study uses qualitative. The sampling technique is based on the theoretical operational construct and in this study the sample used was only one kleptomania sufferer with two informants who knew best about him. The research instrument used was through observation, interviews and projective techniques. Data collection aids use interview guidelines, recording devices, stationery and TAT (Thematic Apperception Test). Data analysis techniques using the analysis of Miles and Huberman models. The results in the study showed that rivalry sibling and lack of communication triggered the emergence of Kleptomania disorders. The typical thought control is that it cannot control its thinking. Likewise, emotional control and momentary impulses that occur only for momentary satisfaction and enjoy the process of owning other people's belongings. Performance regulation controls are also low. The desire to repent is smaller than the desire to do Kleptomania. The TAT results show in line with the fact that perpetrators continue to be motivated to do so because of the environment and difficult impulses in the opponent.
Fetishism is defined as the recurrent and intense use of nonliving objects for sexual arousal and gratification. Kleptomania is defined as a recurrent failure to resist impulses to steal objects not needed for personal use or their monetary value. Both fetishism and kleptomania cases are generally sent mandatory to psychiatric clinics by courts. In this paper, a 32-year old male patient, followed-up with a diagnosis of fetishism and kleptomania, and referred for psychiatric evaluation as a result of multiple stealing of the “fetish”, with multiple jail experience and some social losses is reported, and fetishism and kleptomania are discussed with regard to the biological and dynamic approaches and forensic psychiatry. (Archives of Neuropsychiatry 2009; 46: 125-8) Key words: Fetishism, paraphilia, kleptomania, forensic psychiatry
Kleptomania: Clinical features and comorbidity in an Italian sample
Comprehensive Psychiatry, 2002
Kleptomania, listed in DSM-IV as an impulse control disorder not elsewhere classified, is a psychiatric condition still poorly understood and subject of only a few systematic studies. The aim of this research was, therefore, to evaluate the clinical features and comorbidity of Italian patients with a DSM-IV diagnosis of kleptomania. Twenty outpatients with a lifetime diagnosis of kleptomania by DSM-IV criteria, were included in the study and underwent a specially designed semistructured interview and the Family History Research Diagnostic Criteria. The majority of patients reported an early and abrupt onset and an episodic course of the disorder, with no gender preponderance. Lifetime comorbidity for other axis I disorders was high, in particular for mood, anxiety, and impulse control disorders. Family history also showed a high prevalence of psychiatric disorders. Our study indicates clear connections between kleptomania and different psychiatric disorders, the exact nature of which has yet to be clarified.
Psychopathology and Comorbidity of Psychiatric Disorders in Patients With Kleptomania
American Journal of Psychiatry, 2003
This study compared patients with kleptomania, patients with alcohol abuse or dependence, and psychiatric patients without impulse-control disorders or substance-related disorders on several key psychopathological dimensions. In addition, the comorbidity of kleptomania with other psychiatric disorders was examined.