[The effect of the sociodemographic and the socioeconomic factors on criminal behavior of male patients with a bipolar I disorder]. / Bipolar I bozuklugu olan erkek olgularin suç islemesinde sosyodemografik ve sosyoekonomik etmenlerin etkisi.

OBJECTIVE: This study evaluates the influence of socioeconomic and demographic factors on the criminal behavior of male patients with bipolar type I disorder. METHODS: A total of 48 male patients diagnosed with type I bipolar disorder according to DSM IV criteria and a criminal history in a forensic psychiatry facility and 53 male patients with the same diagnosis but without a criminal history who were treated at the Bakirkoy Prof. Dr. Mazhar Osman Training and Research Hospital for Psychiatry, Neurology and Neurosurgery were included in the study group. Socioeconomic and sociodemographic characteristics were compared between the two patient groups. RESULTS: The average duration of formal education in the forensic group (7.42 ± 3.74 years) was less than in the control group (9.74 ± 3.96 years) (p<0.05). The proportion of divorced and the widowed patients was greater among the forensic group (70%) relative to the control group (49%), (p<0.05). The proportion of people without professional training (50% vs. 22.6%) and the unemployment rate (75% vs. 45.3%) were greater among the forensic group relative to the control group (p<0.001). Fewer patients in the control group were enrolled in social insurance compared to the control group (54.2% vs. 5.7%), (p<0.001). Logistic regression analysis indicated a relationship between lower migration rate and lack of social insurance with criminal behavior among patients in the forensic group. CONCLUSION: The findings demonstrate the relationship between sociodemographic and socioeconomic factors and criminal behavior in male patients with a bipolar I disorder. To protect both the patient and the society, these factors are of importance and they should be taken into account by both juridical and psychiatric institutions.

[The impact of socioeconomic and sociodemographic factors on the criminal behavior of patients with a psychotic disorder]. / Sosyoekonomik Etmenlerin ve Sosyodemografik Ozelliklerin Psikotik Olgularin Suç Islemesinde Etkisi.

INTRODUCTION: The impact of socioeconomic and demographic factors on the criminal behavior of patients with a psychotic disorder was evaluated. METHOD: The study included 70 psychotic men hospitalized in the forensic psychiatry unit of the Bakirköy State Hospital for Psychiatric and Neurological Diseases for compulsory treatment who were compared to 70 psychotic disorder cases with no criminal history hospitalized in the acute wards in the same hospital. Socioeconomic and sociodemographic data were collected and statistical evaluations were made. RESULTS: The vast majority of all the patients (90.7%) in both groups were diagnosed with schizophrenia. The forensic group was significantly less educated than the control group (7.99+/-3.81 years vs. 9.37+/-3.62 years, P<0.05). More than 50% of the cases in both groups were never married ; when considering divorced and widowed patients together with these unmarried patients, the percentage rose to 83%. Fewer forensic cases lived in urban areas than did control cases (50% vs. 84.3%). Logistic regression analysis highlighted a relationship between unemployment and the lack of social insurance to the criminal behaviour of the forensic group. Of those in the forensic group, 48.6% had no social insurance, whereas only 15.7% of the control group had none. CONCLUSION: The data suggested that unemployment and the lack of social insurance are 2 independent variables that may contribute to the probability that patients with a psychotic disorder will engage in criminal behavior.

[A case of diaper fetishism]. / Bir Olgu Nedeniyle Bebek Bezi Fetisizmi.

Some people cannot obtain satisfaction from ordinary sexual relationships; instead they prefer alternative methods. They are referred to in psychiatric terminology as paraphiliacs. Fetishism is a type of paraphilia in which a person is sexually attracted to objects and some body parts. Most fetishists do not intend to cause harm to other people, but may have problems when others become involved in the problem. Underlying personality disorders extending through childhood are thought to be the source of the etiology. Perverted people do not wish to change their behavior pattern. They never seek treatment from a therapist. Psychological issues obviously play a crucial role in determining the choice of paraphilia and the underlying meaning of the sexual acts. Psychodynamic models (object relations theory, self psychology, drive theory) can shed light on the meaning of a perversion. In this case report, a 22- year-old man with diaper fetishism is presented. When family dynamics are considered, the mother has been described as psychologically distant from her son. The fetish object was recognized during childhood at around the age of four. During puberty, the fetish object became sexually attractive. Our patient exhibited his first perverted behavior when he was six years old. Later, he could control this behavior. At the age of twelve, the perverted behavior became sexually arousing. This paper emphasizes the diaper fetishism case through the patient's past psychiatric and medical history. Diaper fetishism is discussed in the light of forensic, cognitive and psychodynamic theories.