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ABSTRACT
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
ÖZET
Fetisizm, cinsel uyarilma ve haz için cansiz nesnelerin yogun ve yineleyici bir sekilde kullanilmasidir. Kleptomani ise kisisel kullanim ya da parasal degeri için gereksinme duyulmayan nesneleri çalmaya yönelik dürtülere karsi koyamama olarak tanimlanmaktadir. Her iki bozuklukta da olgular genellikle mahkemelerce psikiyatrik degerlendirmeye zorunlu olarak gönderilmektedirler. Bu yazida, fetisizm ve kleptomani tanilariyla izlenen, fetis nesnesini yineleyici bir sekilde çaldigi için çok sayida cezaevi yasami olan, hastanemize gönderilerek ceza sorumlulugu konusunda degerlendirilen, 32 yasindaki bir erkek hasta sunularak fetisizm ve kleptomaninin klinik özellikleri belirtilmis, nedenleri, sinisandirilmasi, bu konuya biyolojik ve dinamik yaklasimlar ile adli psikiyatri açisindan ele alinarak tartisilmistir. (Nöropsikiyatri Arsivi 2009; 46: 125-8)
Anahtar kelimeler: Fetisizm, parafili, kleptomani, adli psikiyatri
Introduction
Fetishism means loving inanimate objects to the extend of adoring them. In psychiatry, however, it is dealt with as an issue of sexuality. In clinical studies on fetishism it has become common practice to discuss and present reports of a single case or multiple cases. During a period of hundred years, these case reports have made possible various clinical pictures (e.g. coprophilia - marked interest in excretion, hyphenophilia - use of footwear, leather or rubber as a stimulus for sexual arousal, mysophilia - abnormal attraction to filth, urophilia - marked interest in urine) to be listed under the heading "fetishism" (1,2).
According to DSM IV, fetishism falls into the category of paraphilias and is recognized as the revelation of one's sexual urges or behavior, or intensely sexually arousing fantasies by using such nonhuman objects as women's underwear. These...