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Austin W Blum, Jon E Grant
Certain behavioral addictions pose difficult and unresolved problems for the criminal justice system. These disorders are characterized by strong desire states and may be associated with illegal behaviors that are committed to support the addiction. In this article, we begin with a general account of criminal responsibility and provide the legally relevant phenomenology and cognitive features of behavioral addictions. We then discuss how the legal system has approached two behavioral addictions, gambling disorder and kleptomania, during criminal trials and at sentencing...
December 2017: Journal of the American Academy of Psychiatry and the Law
René M Müri, Dario Cazzoli
This chapter presents an overview of different addictive and obsessive-compulsive symptoms and their constellations due to focal brain lesions. In general, such symptoms are not systematically reported in the literature, and the knowledge about the networks involved is sometimes sparse. Finally, we present an original case with an unusual combination of kleptomania and hyper-religiosity.
2018: Frontiers of Neurology and Neuroscience
Austin W Blum, Brian L Odlaug, Sarah A Redden, Jon E Grant
OBJECTIVES: Kleptomania is characterized by strong urges to steal and is one of only a few psychiatric disorders defined by illegal behaviors, but the clinical characteristics of individuals with kleptomania who have faced legal consequences due to their behavior are poorly understood. METHOD: From 2001 to 2012, we recruited 107 adult participants with DSM-IV kleptomania. Participants with a history of shoplifting-related arrest (N=82) were compared with those who had no such history (N=25) on demographics, clinical features, and a self-report measure of impulsivity...
January 2018: Comprehensive Psychiatry
Fayçal Mouaffak, Claudio Leite, Sonia Hamzaoui, Amine Benyamina, Xavier Laqueille, Oussama Kebir
INTRODUCTION: Broadly defined behavioral addiction is a conceptual framework including behaviors characterized by loss of control and continuation despite significant negative consequences. Broadly defined behavioral addictions share many similarities with substance use disorders. As naltrexone is one of the most studied treatment for substance use disorders, we conducted a meta-analysis of randomized placebo-controlled trials (RCT) assessing the effectiveness of naltrexone in the treatment of broadly defined behavioral addictions...
2017: European Addiction Research
Hyoun S Kim, Aparecida Rangon Christianini, Daniela Bertoni, Maria do Carmo Medeiros de Oliveira, David C Hodgins, Hermano Tavares
We examined the association between kleptomania and addictive disorders, including behavioral addictions. Fifty-three individuals with a diagnosis of kleptomania completed measures of kleptomania severity, semi-structured clinical interviews to assess co-morbid diagnosis of addictive disorders, and the Shorter PROMIS Questionnaire (SPQ) assessing an array of addictive behaviors. 20.75% of the sample met criteria for an addictive disorder; four for a substance use disorder and four for a behavioral addiction...
April 2017: Psychiatry Research
Christopher W T Miller, Keith E Gallagher
Introduction. Impulse control disorders (ICDs) have been described as a side effect of dopamine agonists, frequently used in neurodegenerative conditions affecting the nigrostriatal pathway. Serotonin-norepinephrine reuptake inhibitors (e.g., duloxetine) have dose-dependent differential affinity for monoaminergic transporters, inhibiting the dopamine transporter at higher doses, thus increasing availability of synaptic dopamine, with the potential for similar impulse control side effects. Case Presentation...
2016: Case Reports in Psychiatry
Michio Takemura
Research on kleptomania has lagged behind that of other mental disorders, and very few clinicians specialize in treating such patients. Futhermore, the descriptive outline of kleptomania in the DSM-5 is vague. In 2008, we started a registration system for patients suffering from habitual theft, which has recorded 1430 cases since its inauguration. In this report, we explain the concept of kleptomania and describe our clinical experience in the treatment of patients suffering from this mental disorder. The most frequent complication of kleptomania was found to be eating disorder (especially bulimia)...
October 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
Elias Aboujaoude, Wael O Salame
Addiction is a major public health problem with few efficacious and safe treatments. The goal of this review is to provide an evidence-based assessment of the therapeutic role of the opioid antagonist naltrexone across the addiction spectrum-substance-based and behavioral. The PubMed database was searched for randomized, placebo-controlled clinical trials that investigated the oral or intramuscular long-acting formulation of naltrexone in substance use disorders or behavioral addictions such as pathological gambling, kleptomania, and trichotillomania...
August 2016: CNS Drugs
Tomoko Miki, Osamu Yokota, Hideki Ishizu, Shigetoshi Kuroda, Etsuko Oshima, Seishi Terada, Norihito Yamada
Behavioral variant of frontotemporal dementia (bvFTD) is a clinical syndrome characterized mainly by behavioral symptoms due to frontal dysfunction. Major neurodegenerative bases of bvFTD include Pick's disease, frontotemporal lobar degeneration with trans-activation response DNA protein 43-positive inclusions, corticobasal degeneration, and progressive supranuclear palsy. Early disinhibition characterized by socially inappropriate behaviors, loss of manners, and impulsive, rash and careless actions is the most important clinical feature of bvFTD...
August 2016: Neuropathology: Official Journal of the Japanese Society of Neuropathology
R Porteret, J Bouchez, F J Baylé, I Varescon
UNLABELLED: Attention deficit hyperactivity disorder (ADH/D) is a neuropsychological developmental disorder characterized by pervasive and impairing symptoms of inattention, hyperactivity, and impulsivity. Whereas it is well known in children, there is still little information about ADH/D in adults, including prevalence. Indeed, there are actually no epidemiological studies in France, despite the considerable impact of this disorder in a patient's professional and affective life. Moreover, ADH/D rarely stays isolated, and many comorbidities often complicate the diagnostic investigation...
April 2016: L'Encéphale
Marcelo Piquet-Pessôa, Leonardo F Fontenelle
INTRODUCTION: Naltrexone (NTX), a mu-opioid receptor antagonist, has been approved for the treatment of alcoholism and opioid dependence. More recently, however, NTX and a related drug, nalmefene (NMF), have also shown positive results for the treatment of gambling disorders. AREAS COVERED: In this study, we reviewed the trials testing the effect of opioid antagonists (OA) in gambling disorders and in other broadly defined behavioral addictions, including selected DSM-5 disruptive, impulse-control, and conduct disorders, obsessive-compulsive and related disorders, eating disorders, and other conditions not currently recognized by official classification schemes...
2016: Expert Opinion on Pharmacotherapy
Jon E Grant, Brian L Odlaug, Katherine Lust, Gary Christenson
BACKGROUND: Stealing is a fairly common behaviour among young adults. Understanding the potential associations and characteristics of individuals who steal may help educational institutions, health services and young people themselves resolve difficulties before the behaviour impacts on their academic performance and health. AIMS: We aim to test the hypothesis that desires to steal among students would be associated with worse academic achievements and higher rates of mood and impulse control disorders...
April 2016: Criminal Behaviour and Mental Health: CBMH
Samuel R Chamberlain, Christine Lochner, Dan J Stein, Anna E Goudriaan, Ruth Janke van Holst, Joseph Zohar, Jon E Grant
The term 'addiction' was traditionally used in relation to centrally active substances, such as cocaine, alcohol, or nicotine. Addiction is not a unitary construct but rather incorporates a number of features, such as repetitive engagement in behaviours that are rewarding (at least initially), loss of control (spiralling engagement over time), persistence despite untoward functional consequences, and physical dependence (evidenced by withdrawal symptoms when intake of the substance diminishes). It has been suggested that certain psychiatric disorders characterized by maladaptive, repetitive behaviours share parallels with substance addiction and therefore represent 'behavioural addictions'...
May 2016: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
Susan Hatters Friedman, Ryan Cw Hall
OBJECTIVES: The pop culture phenomenon of Star Wars has been underutilised as a vehicle to teach about psychiatry. It is well known to students, registrars, and consultants alike. New Star Wars films are expected out in 2015, which will likely lead to further popularity. The purpose of this article is to illustrate psychopathology and psychiatric themes demonstrated by supporting characters, and ways they can be used to teach concepts in a hypothetical yet memorable way. CONCLUSIONS: Using the minor characters as a springboard for teaching has the benefit of students not having preconceived notions about them...
August 2015: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
A E Bryukhin, M B Sologub, N K Abdraeva
A case of comorbid anorexia nervosa and kleptomania is reported in a female patient aged 31 years old. Personality pathology and kleptomanic behavior developed since childhood together with dysmorphophobia related to the congenital chest defect. Later on, the distinct association between the severity of dysmorphophobia, affective disorder and appearances of pathological drives was identified. The patient received several ICD-10 diagnoses (F61.0, F50.0, F62.3, F33.1). The patient's condition was improved after pharmacotherapy in the combination with psychotherapy...
2015: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Donald W Black, William Coryell, Raymond Crowe, Martha Shaw, Brett McCormick, Jeff Allen
This study investigates the possible relationship between pathological gambling (PG) and potential spectrum disorders including the DSM-IV impulse control disorders (intermittent explosive disorder, kleptomania, pyromania, trichotillomania) and several non-DSM disorders (compulsive buying disorder, compulsive sexual behavior, Internet addiction). PG probands, controls, and their first-degree relatives were assessed with instruments of known reliability. Detailed family history information was collected on relatives who were deceased or unavailable...
March 30, 2015: Psychiatry Research
Bharat Saluja, Lai Gwen Chan, Dani Dhaval
Kleptomania is an enigmatic condition and is among the very few psychiatric disorders in which crime is medicalised and used as a legal defence. The scientific literature on kleptomania is scarce. Early literature and recent studies have shown a female preponderance, with an early age of onset of stealing in people with comorbid personality disorder(s). In a retrospective review of the case notes of theft offenders who had forensic psychiatric evaluations performed in a one-year period in 2010 at the Institute of Mental Health, Singapore, we found three patients who were diagnosed with kleptomania...
December 2014: Singapore Medical Journal
Ajish G Mangot
No abstract text is available yet for this article.
November 2014: Journal of Neurosciences in Rural Practice
Aparecida Rangon Christianini, Maria Aparecida Conti, Norman Hearst, Táki Athanássios Cordás, Cristiano Nabuco de Abreu, Hermano Tavares
BACKGROUND: Kleptomania is characterized by repetitive stealing and has severe consequences for patients. Stigma, a lack of standardized therapy and a limited number of assessment tools hinder advances in treatment. This study provides preliminary data on the Portuguese-language version of the Kleptomania Symptom Assessment Scale (P-K-SAS) and preliminary data on an outpatient program. METHODS: Experts in the field analyzed an initial P-K-SAS version, produced through translation/back-translation, in order to arrive at a final version...
January 2015: Comprehensive Psychiatry
Michel Lejoyeux, Laurent Kerner, Isabelle Thauvin, Sabrina Loi
Objective. Impulse control disorders (ICDs) include intermittent explosive disorder, kleptomania, trichotillomania, pyromania and pathological gambling. Several studies have showed an association between ICDs and alcohol use disorders. The rate of co-occurrence ICDs and nicotine dependence has never been investigated. We thus assessed the frequency of all ICDs in a population of nicotine-dependent women compared to non-smoking women. We also checked criteria of two other impulsive behaviours, compulsive buying and bulimia...
2006: International Journal of Psychiatry in Clinical Practice
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