PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home »

Psychiatric Times. Vol. 26 No. 7
Pages: 1  2  3  4  
Previous Next
FORENSIC PSYCHIATRY 

Stalking: The Veiled Epidemic

By Ryan S. Shugarman, MD | July 7, 2009
Dr Shugarman is a forensic psychiatry fellow at the University of Pittsburgh School of Medicine/Western Psychiatric Institute and Clinic. Following graduation, he will be employed as a forensic psychiatrist at Saint Elizabeths Hospital in Washington, DC. He reports no conflicts of interest concerning the subject matter of this article.

Why do stalkers engage in repeated bouts of unwanted contact with the victim—in spite of the risk of substantial repercussions? Stalkers are driven by conscious and unconscious motivations, as well as proximal and distal factors. Factors that underlie stalking behavior typically include the desire for (re)unification with the victim and/or for retribution/punishment.5 Stalking behavior may also presage a planned attack or may occur secondary to delusional beliefs.5

Concepts from attachment, behavioral, cognitive, and psychodynamic theories shed additional light on the cause of this maladaptive behavior. Many stalkers lack experience with successful intimate relationships, and some evidence suggests that stalkers have a relatively high prevalence of disruptions in early childhood attachments.5,9,15 Because stalkers typically have deficient coping skills, continued rejection by the victim can serve a behaviorally reinforcing function.15 Such rejection provides the stalker with acknowledgment and allows him to remain “linked” to the victim.9,15 Psychodynamic considerations involve themes of narcissistic fragility and instability of the stalker’s self-construct; ideation and devaluation of the victim; projection of negative self-attributes onto the victim; and vacillation between a desire for unification with the victim versus a yearning to seek vengeance or enact punishment.15,16

Many classification schemes for stalkers involve an examination of the stalker’s motivations. In the typological framework developed by Mullen and colleagues,5 5 stalker subtypes are recognized, which, in decreasing order of prevalence, are as follows:

• Rejected stalker: stalking begins following rejection by a known victim, with the goal of achieving reunion, exacting revenge, or a combination thereof

• Intimacy seeker: stalker desires to establish intimacy with the victim

• Incompetent suitor: stalker seeks gratification of his needs

• Resentful stalker: stalker acts out of a sense of feeling harmed and strives to frighten the victim and cause distress

• Predatory stalker: this individual engages in instrumental stalking behavior, in preparation for a planned attack such as rape

Commonly exhibited stalking behaviors

Stalkers tend to engage in multiple and varied behaviors, which can be divided into 3 main groups: communication with the victim; approach behaviors; and harming measures.17

Communication methods include making phone calls and sending letters or messages or cyberstalking—an increasingly common method of communicating with and/or harassing the victim.3 Approach behaviors involve following or spying on the victim (experienced by 34% of victims in one study), waiting at (29%), or appearing in locations where the victim is known to be present (31%).3 Harming measures include spreading rumors (36%), making threats (30% to 45%), damaging property (24% to 40%), physical assault (18% to 36%), sexual assault (2% to 9%), and murder (0.25% to 0.5%).3-5,8 While most threats are not carried out, between 25% and 50% of threats progress to assaults.5,8,18,19 Most assaults do not involve the use of a weapon or serious injury to the victim.3,4,9 Victims most likely to be harmed are former intimate partners of stalkers, and public figures are less likely to be harmed than private persons.4,18

Duration of stalking period

Data from the 2006 Supplemental Victimization Survey3 indicate that in 41% of cases, stalking lasted for 6 months or less, and in an additional 31% of cases, for less than 1 year. However, 17% of stalking cases persisted for 2 to 5 years, and 11% persisted for 5 years or longer. Other data have revealed that stalkers who targeted strangers usually did so for shorter periods (0.8 months) than those who targeted non-strangers (11.2 months),8 whereas current or former intimate partners have stalked for significantly longer periods (2.2 years) than have non-intimate partners (1.1 years).2

Pages: 1  2  3  4  
Previous Next
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.






 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • The Moral Struggles of Practicing Psychiatrists
  • Developmental Psychopathology Comes of Age
  • Grief and Depression: The Sages Knew the Difference
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Experts Discuss Changes, Updates in DSM-5
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • You Are—And Your Mood Is—What You Eat
  • Grief and Depression: The Sages Knew the Difference
  • Experts Discuss Changes, Updates in DSM-5
  • Developmental Psychopathology Comes of Age
  • The Psychiatrist and the Slot Machine
  • The Role of Biological Tests in Psychiatric Diagnosis
  • You Are—And Your Mood Is—What You Eat
  • Experts Discuss Changes, Updates in DSM-5
  • The Paradox of Choice: When More Medications Mean Less Treatment
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Grief and Depression: The Sages Knew the Difference
  • Psychiatry and the Myth of “Medicalization”
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • NIMH vs DSM 5: No One Wins, Patients Lose
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • Experts Discuss Changes, Updates in DSM-5
  • The Role of Biological Tests in Psychiatric Diagnosis
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • Refinements in ECT Techniques
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
 
SearchMedica SEARCH RESULT

Find peer-reviewed literature and websites for practicing medical professionals

CME on Display
Evidence on Display
Guidelines on Display
Patient Education on Display
Clinical Trials on Display
Practical Articles on Display
Research and Reviews on Display
All "Display" results

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy