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The current diagnostic systems are subjected to continuing revision processes in order to adequately describe the complexity of mental disorders. During this process, some disorders have been progressively “forgotten” and are understudied by the younger generation of psychiatrists. Among the several reasons behind this process, there is the tendency of modern classification systems to improve the clinical utility of diagnostic categories, although reducing their validity. Furthermore, the reductionistic approach adopted by the modern classification systems has eliminated the capacity of detecting the subtle clinical differences among different patients, even when affected by the same disorder. However, the need for young generation of psychiatrists to re-discover the roots of psychopathology and the classical European tradition has been recently claimed. In this workshop, the speakers will discuss certain classical syndromes which are rarely addressed in the current educational curricula. In particular, de Clerambault, Cotard and Capgras syndromes will be presented, together with kleptomania and pyromania. The relevance of these syndromes for the clinical routine practice as well as the forensic implications will be extensively discussed.
W0049 - Educational Needs for Early Career Psychiatrists: Focus on “Forgotten” Disorders
W0050 - Kleptomania as a Neglected Disorder in Psychiatry
ABSTRACT
Abstract Body
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 presentation 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.
W0051 - Capgras and Fregoli Syndromes: Delusion and Misidentification
W0052 - The 'Dead Man Walking' Disorder: An Update on Cotard's Syndrome
W0053 - Pyromania: Clinical and Forensic Implications
W0054 - The de Clérambault Syndrome: More Than Just a Delusional Disorder?
ABSTRACT
Abstract Body
The de Clèrambault syndrome is a psychiatric condition characterized by the presence of a delusion in which the patient is convinced that another person has fallen in love with him or her. Patients usually believe that their lover is a person belonging to a higher social and economic class, or is already married, or even is imaginary or deceased person. In the majority of cases, the patients do not seek for psychiatric help, but usually is referred to the mental health care system due to behavioural consequences associated with the syndrome, including stalking behaviours (repetitive calling, unexpected visits or continuous attempts to send gifts or letters to the loved person). The name of the syndrome derives from the French psychiatrist Gaetan Gatian de Clerambault, who systematically described this syndrome in a series of patients. According to the modern classification systems, the syndrome is conceptualized as erotomanic subtype of the delusional disorder. However, the presence of delusions is not the only clinical feature of the syndrome. In fact, specific affective features are usually present, such as grandiosity, hypersexuality and promiscuity. Therefore, it has been argued that De Clèrambault syndrome should be considered as lying on the continuum of the spectrum of bipolar disorders. Those diagnostic uncertainties highlight the difficulties for clinicians to properly manage this syndrome and should represent a valid reason for rediscovering this almost neglected psychiatric syndrome.
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