Department of Psychiatry, School of Medical Sciences, National University of Asunción, Asunción, Paraguay.
Department of Neuroscience, ABC Health University Center, Santo André, Brazil.
Int Rev Psychiatry. 2020 Aug-Sep;32(5-6):451-454. doi: 10.1080/09540261.2020.1756635. Epub 2020 May 13.
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.
偷窃癖是一种冲动控制障碍,其特征是无法抗拒的偷窃冲动,并非为了金钱利益。自其概念化以来,这种分类诊断就与关于社会阶层和性别的常见观念混淆在一起,例如女性本质上是脆弱的,中产阶级不太可能实施盗窃。此外,它在医学和法医学领域的应用也存在争议。本文对文献的回顾将提供对该综合征定义的历史概述,并总结其治疗的现有药理学和心理治疗选择。目前,关于偷窃癖的临床特征及其治疗选择的系统研究还很缺乏,无法制定出实用的标准化方法。