Stalking: Introduction, Definition, and Epidemiology

Stalking ◽  
2007 ◽  
Author(s):  
Debbie Giorgi-Guarnieri ◽  
Michael A. Norko

The 1990s witnessed the emergence of stalking as a new social construct that was recognized through the development of antistalking statutes. Simultaneously, stalking received widespread attention in the popular news media and in scholarly works by mental health professionals. Considerable variation exists among the legal, clinical, and research definitions of stalking. Large-scale epidemiological studies, conducted in Australia, Great Britain, and the United States, suggest that stalking is a relatively common behavior. Women have an 8–33% lifetime risk of being the victim of stalking, depending on the definition. For men, the lifetime risk is 2–7%. Studies on the epidemiology of stalking violence give a wide range of results: 3–46% of stalkers progress to violence. Higher rates of stalking have been reported among some populations, including college students, mental health clinicians, and celebrities. Female stalkers differ from male stalkers in their motivations and target populations. Finally, children and adolescents also exhibit stalking behaviors outside of normal developmental behaviors. Behavior patterns that we now call “stalking” have been described for thousands of years. Hippocrates, Galen, Plutarch, and various physicians of the Middle Ages described these behaviors (Lloyd-Goldstein, 1998). In 1837, Esquirol differentiated erotomania and nymphomania (Esquirol, 1838/1965). Both Kraepelin (1921/1976) and de Clérambault (1921) described erotomania in the 1920s. Classic literature provides several historical instances of what appears to be stalking. It has been argued that Shakespeare’s last 25 sonnets reflect his obsessional attachment and spurned pursuit of the “dark lady,” with evidence of obscenities, threats, paranoia, and irrationality (Skoler, 1998). Mullen, Pathé, and Purcell (2000) describe evidence of behaviors typical of stalkers in the lives and written works of Italian poets Danté Alighieri (1265–1321) and Petrarch (1304–1374), and the philosopher Søren Kierkegaard (1813–1855). Louisa May Alcott’s first novel, A Long Fatal Love Chase, written in 1866 but discovered and published in 1993, tells the story of a young woman pursued with increasing anger, resentment, and ultimately violence by the husband she left (Mullen et al., 2000). Two of the late twentieth century’s most notorious forensic psychiatric cases arose from the mental problems and violent behavior of stalkers.

2020 ◽  
Vol 32 (4) ◽  
Author(s):  
Natasha Oliver ◽  
Liz Beddoe ◽  
Carole Adamson

INTRODUCTION: Without personal experience or specific background knowledge of an issue, individuals exposed to news media are limited in their ability to gauge the accuracy of media content. The perception of people with mental illness as dangerous or incompetent allows for discrimination to occur, often resulting from inaccurate portrayals in the media.METHOD: A small, qualitative study was undertaken to explore key informant perspectives on the representation of mental health issues in the current Aotearoa New Zealand media context. Eight semi-structured interviews were carried out with key informants; each participant provided at least one of the following perspectives: mental health professional, mental health advocate, mental health consumer and/or media personnel.FINDINGS: The participants in this research found that news media strongly influence how the public views mental health, but believe media representation has improved in recent years. However, participants described an absence of stories illustrating successful interventions and felt that the portrayal of mental illnesses are still misrepresented and stigmatised by the media. Mental health services and mental health professionals were seen as poorly represented by the news media, which was thought to deter help-seeking and hinder trust.CONCLUSION: Public attitudes towards mental health have a significant impact on the lives of those experiencing mental distress. The news media have the ability to change public perceptions; however, this influence can be either harmful or helpful. Mental health stories need to be consistently contextualised and use inclusive language in order to a make a positive large- scale change in public attitudes.


2017 ◽  
Vol 41 (S1) ◽  
pp. S592-S592
Author(s):  
M. Turki ◽  
N. Charfi ◽  
M. Maalej Bouali ◽  
J. Ben Thabet ◽  
N. Zouari ◽  
...  

IntroductionEpidemiological studies in the general population confirm the indisputable link between criminological dangerousness and mental disorders especially anti-social personality, which increase clearly the prevalence of violent behavior.AimTo dress socio-demographic, clinical and medico-legal profile of offenders, with anti-social personality, in forensic psychiatric examination.MethodsIt was a retrospective study of a series of 195 patients with antisocial personality (DSM-IV). They were examined, during the period, from 2009 to 2013, on the occasion of a penal expertise in the department of psychiatry C in the Hedi Chaker university hospital, Sfax, Tunisia.ResultsThe mean age of patients at the offense moment, was 29.58 years, with a sex ratio of 26.85. Among them, 66.2% were single, 49.2% had a primary school level and 41% had no profession. Between the patients, 58.5% lived in urban area and 38.5% in a high crime area. Addictive behaviors were reported in 80% of cases. Self-injury behaviors were noted in 33.8% of offenders. Psychiatric histories were reported in 66.2%, and 25.6% of patients have been already hospitalized in psychiatry department. 64.1% had already committed forensic acts, and 36% had been imprisoned at least once. The current offense was: homicide 16.9%; sexual offense 9.2%; violence 18.5%; theft 30.2%. The offense was related to impulsivity (40%) or utilitarian purpose (39%).ConclusionA young single man with no profession, a limited educational attainment and a history of impulsive behaviors, such is the profile most frequently encountered among offenders with anti-social personality. Interventions for reducing forensic behavior should focus on those social and clinical characteristics.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2000 ◽  
Vol 34 (2) ◽  
pp. 214-220 ◽  
Author(s):  
Michael G. Sawyer ◽  
Robert J. Kosky ◽  
Brian W. Graetz ◽  
Fiona Arney ◽  
Stephen R. Zubrick ◽  
...  

Objective: This paper describes the Child and Adolescent Component of the National Survey of Mental Health and Wellbeing. Method: The aims of the study, critical decisions in planning for the study, progress to date and key issues which influenced the course of the study are described. Results: The Child and Adolescent Component of the National Survey of Mental Health and Wellbeing is the largest study of child and adolescent mental health conducted in Australia and one of the few national studies to be conducted in the world. Results from the study will provide the first national picture of child and adolescent mental health in Australia. Conclusions: Large-scale epidemiological studies have the potential to provide considerable information about the mental health of children and adolescents. However, having a clear set of aims, ensuring that the scope of the study remains within manageable proportions and paying careful attention to the details of fieldwork are essential to ensure that high-quality data is obtained in such studies.


2011 ◽  
Vol 41 (9) ◽  
pp. 1981-1986 ◽  
Author(s):  
E. D. Klonsky

BackgroundNon-suicidal self-injury (NSSI) has received increased attention in the mental health literature and has been proposed as a diagnostic entity for DSM-5. However, data on NSSI in the United States adult population are lacking.MethodThe prevalence and nature of NSSI were examined in a random-digit dialing sample of 439 adults in the United States. Participants were recruited during July and August of 2008.ResultsLifetime prevalence of NSSI was 5.9%, including 2.7% who had self-injured five or more times. The 12-month prevalence was 0.9%. Methods of NSSI reported included cutting/carving, burning, biting, scraping/scratching skin, hitting, interfering with wound healing and skin picking. Half of self-injurers reported multiple methods. The average age of onset was 16 years (median 14 years). Instances of NSSI infrequently co-occurred with suicidal thoughts and with use of alcohol or drugs and rarely required medical treatment. Most injurers reported that NSSI functioned to alleviate negative emotions. Fewer reported that they self-injured to punish themselves, to communicate with others/get attention or to escape a situation or responsibility. NSSI was associated with younger age, being unmarried and a history of mental health treatment, but not with gender, ethnicity, educational history or household income.ConclusionsResults are largely consistent with previous research in adolescent and young adult samples. Study limitations notwithstanding, this study provides the most definitive and detailed information to date regarding the prevalence and characteristics of NSSI in US adults. In the future, it will be important for large-scale epidemiological studies of psychopathology to include questions about NSSI.


2016 ◽  
Vol 45 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Brittany Dawson ◽  
Zeina Azzam

This October 2015 interview with director of the Gaza Community Mental Health Programme (GCMHP) Dr. Yasser Abu Jamei addresses how mental health professionals care for themselves and each other in an environment with little break from sustained conflict. Mental health workers in the Gaza Strip must cope with the resource shortage generated by the Israeli blockade and their own trauma while aiding others. The United Nations Children's Emergency Fund (UNICEF) estimates that over one-third of Gaza's children require direct and specialized psychosocial support as a result of Israel's Operation Protective Edge (OPE), the fifty-day war on Gaza in the summer of 2014, and earlier assaults. GCMHP provides services free of charge at clinics, community centers, and by phone via a twenty-four-hour hotline, and since its founding, has served more than twenty thousand Gazans with capacity-building programs and trainings, community education, scientific research, and human rights advocacy. GCMHP provided mental health support to the community both during and after each of the three large-scale Israeli assaults on Gaza (in 2008, 2012, and 2014), helping the community to work through both collective and individual trauma. Over twenty-one hundred Palestinians, five hundred of them children, were killed during OPE and another eleven thousand injured. During OPE an airstrike killed twenty-eight members of Abu Jamei's extended family, including nineteen children, as they broke their Ramadan fast. It was the largest loss of life within a single family at that point in the war. The structural damage was similarly catastrophic, leaving over one hundred thousand Gazans homeless. Long after the cease-fire, the psychological wounds sustained during consecutive assaults continue to disrupt everyday life.


Author(s):  
Rui Tao ◽  
Feng Jiang ◽  
Kaiyuan Min ◽  
Tingfang Liu ◽  
Yuanli Liu ◽  
...  

Abstract Aim To survey the use of alcohol, and its correlates by mental health professions in China, a nation where there is rapid increase in alcohol consumption and problems. Methods As a part of a large-scale, nation-wide online survey of healthcare professionals, we collected demographic variables and other health-related variables anonymously. The Alcohol Use Disorder Identification Test-Concise (AUDIT-C) was used to collect data on alcohol use. Results 13,980 mental health professionals completed the survey (4382 doctors, 9339 nurses and 259 clinical psychologists), representing 64% of the total targeted. Respondents were predominantly female (75.1%). Alcohol consumption was reported by 41.8% of participants (by 53.9% of doctors, 36.2% of nurses and 40.5% of clinical psychologists). Based on the cut-off scores of the AUDIT-C (≥3 for women and ≥4 for men), 7.5% were classified as probable alcohol misusers in the past year, and the rates were 10.2% in doctors, 6.3% in nurses and 5.8% in clinical psychologists. Multiple logistic regression showed that male sex (OR = 3.772; CI = 3.206–4.439), being a doctor (OR = 1.259; CI = 1.052–1.506), being divorced or widowed (OR = 1.979; CI = 1.467–2.666), having an associate degree or less (OR = 1.809; CI = 1.040–3.147), working in Northeast China (OR = 1.538; CI = 1.281–1.848) and the habit of smoking (OR = 3.345; CI = 2.280–3.967) were significantly associated with alcohol misuse. Conclusions Alcohol use and misuse were relatively common among mental health professionals in China, and male sex, being a doctor, with lower education, working in Northeast China and cigarette smoking were significant associations. Awareness and interventions are recommended to promote healthier use of alcohol in this professional group, especially among risk subgroups.


10.17816/cp79 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 17-22
Author(s):  
Tahilia J. Rebello ◽  
Maya A. Kulygina ◽  
Valery N. Krasnov ◽  
Kathleen M. Pike ◽  
Geoffrey M. Reed

The World Health Organization (WHO) has officially approved the next version of its global diagnostic system, the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11). Processes to implement the ICD-11 are now underway. Developing the ICD-11 chapter on Mental, Behavioural and Neurodevelopmental Disorders, in line with WHOs core priorities to enhance the clinical utility, reliability, and global applicability of the guidelines, necessitated a large-scale scientifically-rigorous research program. Such a program of global field studies engaged mental health professionals from across the world, with substantial contributions from clinicians in the Russian Federation. This paper systematically highlights the substantive roles played by Russian clinicians in all steps of development of the mental, behavioural, and neurodevelopmental disorder guidelines, including their participation in the following: 1) early formative field studies that informed the organizing principles and overarching structure of the ICD-11; 2) large-scale online studies that used a case-controlled methodology to evaluate the guidelines clinical utility and the accuracy with which the new ICD-11 guidelines could be applied by global clinicians; 3) an online network of mental health professionals who provided direct feedback on the ICD-11 to WHO (also known as the Global Clinical Practice Network, www.globalclinicalpractice.net) with over 16,000 members from 160 countries, and with the Russian Federation being in the top five most represented countries in the network; 4) clinic-based field studies that tested the reliability and clinical utility of the ICD-11 diagnostic guidelines; and 5) development and participation in training programs that prepare clinicians in implementing the diagnostic guidelines in clinical settings. In these many ways, Russian clinicians have substantively and directly contributed to efforts to maximize the clinical usefulness, consistency, acceptability, and applicability of the ICD-11s mental, behavioural, and neurodevelopmental disorder guidelines. This substantial engagement of clinicians will conceivably facilitate the adoption and use of the guidelines by clinicians in the Russian Federation and other Russian-speaking countries, as the ICD-11 is implemented over the coming years.


2017 ◽  
Vol 41 (S1) ◽  
pp. S88-S88
Author(s):  
B. Pocai ◽  
M. Savorani ◽  
G. Borriello ◽  
V. Del Vecchio ◽  
G. Sampogna ◽  
...  

IntroductionDespite several guidelines recommend the use of psychoeducational family interventions (PFIs) as add-on in the treatment of patients with bipolar I disorder (a), their implementation on a large scale remains limited (b).ObjectivesTo identify benefits and obstacles in implementing a PFI in the clinical routine care.MethodsThis was a multicentre, real-world, controlled, outpatient trial, carried out in 11 randomly recruited Italian mental health centres. Mental health professionals received a training on PFI and provided the intervention to patients with bipolar I disorder and their relatives. Difficulties and benefits in performing PFI were collected through an ad-hoc schedule, which was administered at baseline and 5 times during the different stages of the intervention.ResultsMental health professionals report significant improvements in the intervention-related benefits over time (T0 = 5.3 ± 2.0 vs. T5 = 7.9 ± 0.9; P < .0001), in particular in their professional skills (T0 = 6.5 ± 2.3 vs. T5 = 8.0 ± 0.8; P < .01). They also report to be more satisfied with their own work (T0 = 6.6 ± 2.3 vs. T5 = 8.0 ± 1.3; P < .05). The most relevant difficulties were related to the need to integrate the PFI with other work responsibilities and to the lack of time, which did not decrease overtime.ConclusionsPFIs are feasible in routine care for the treatment of patients with bipolar I disorder and their relatives, and main obstacles are related to the organization of mental health centres, and not to the characteristics of the intervention itself.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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