Arsonists in prison.
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Eight fires in two months at this major New Orleans hospital attracted the attention of the news media and arson investigators. The author provides an interesting look into the way this awkward situation can be handled by a hospital that has been stricken by an arsonist.
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This study examined parent-child correspondence in assessing characteristics and correlates of the child's firesetting. Two-hundred and ninety-seven families (164 outpatients and 133 inpatients) were independently interviewed using questions modified from the Schedule for Affective Disorders and Schizophrenia for School-age Children. Parent-child correspondence for the presence or absence of individual behaviors and firesetting correlates was generally moderate-to-high for both samples, with outpatient families showing higher parent-child agreement in classifying the child's firesetting status. Few differences in correspondence due to child age or sex were found. The results are discussed in terms of the clinical assessment of firesetting and other antisocial behaviors and the role of child reports in case identification.
We report on 3 boys with fire setting, photoparoxysmal responses to intermittent photic stimulation, and temporal lobe electroencephalographic abnormalities. Fire setting resolved and behavior improved with administration of anticonvulsants.
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The present study assessed whether or not there is a relation between fire-setting and boredom. 56 Swedish secondary-school students, 28 adolescent boys and 28 adolescent girls, were randomly assigned to a Control group and an Experimental [Boredom] group divided equally by sex. Participants were required to complete a projective test, a short story the content of which depicted a bored individual fingering a box of matches or lighter and with a bus ticket in his pocket. The Experimental [Boredom] group completed a 15-min. "boredom" test before anticipating the fictional narrative, while the Control group participated in relaxing activities. Two mutually independent judges evaluated the written stories from three standpoints: the number of fictitious fires, the relation to fire, and the boredom in the written stories. The results indicated a significant difference between the Experimental [Boredom] group and the Control group concerning relation to fire.
With the number of juvenile firesetters growing each year and the amount of psychological and financial damage they create, it is essential that clinical professionals are aware of the characteristics surrounding juveniles who set fires. This study had two primary purposes: to educate nurses and mental health practitioners about the etiology and treatment of juvenile firesetters and to discuss a number of exploratory predictors, including age, gender, aggression, internalizing behaviors, level of deviancy, family dynamics, and sociability. Certain individual and environmental characteristics relate to varying levels of damage caused by the fire and the presence or absence of recidivistic behaviors. Firesetters are a group widely seen in the general population but not often identified or studied by clinical professionals. Therefore, this article has implications for the clinical practice of nurse practitioners and others who come into contact with this clinical population.
A one time series of fire-setting episodes on an inpatient adolescent service are analyzed from a systems standpoint for the purpose of primary prevention. This paper documents that fire-setting behavior can occur in individuals with no prior history of fire-setting and that losses to the hospital system proper can be psychologically coupled to losses felt by an individual. Specific recommendations are offered based on both case history analysis of the protagonists and the psychosocial determinants of the hospital system. A selective literature review compares this experience with others.
Fire setting can be a serious form of anti-social behaviour. A study of 79 consecutive out-patient attenders at a Child Guidance Clinic found a rate of 15 (18.9%). The number of fires set ranged from 1 to 20 (mean 9.9). Conduct disorder was found in 8 (53.3%) of the fire setters.
We present three hypotheses-(1) the limbic psychotic trigger reaction (LPTR) is a form of nonconvulsive behavioral seizures (NCBS), (2) kindling may occur in the LPTR, and (3) kindling may occur with memory stimuli-and report a case that may exemplify a LPTR kindled by memory and triggered by light and smell. The LPTR has a primate model, in which NCBS are kindled by intermittent exposure to actual subthreshold stimuli. In humans, we propose that such triggering stimuli can be revived by memory alone. Thus, individualized stimuli can trigger partial limbic seizures or seizure-like bizarre episodes with a transient loss of frontal control functions. We present a case of paroxysmal episodes of out-of-character, bizarre, unplanned nonvoluntary acts that occurred with flat affect and without drive motivation (e.g., "fire setting"). Implicated is a transient state of limbic "paleo-consciousness" with preserved memory, autonomic arousal, and first-time brief psychosis (e.g., olfactory, visual hallucinations and depersonalization with olfactory attributes). As in kindled primates, LPTR patients do not show a consistent pattern of morphological brain abnormality; half have had an abnormal electroencephalogram, computed tomography scan, or magnetic resonance image at some time during their lives, and half (including the new patient) have had closed head injuries.
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Kleine-Levin syndrome is characterized by periodic hypersomnia associated with megaphagia and striking behavioral and psychiatric symptoms; it occurs primarily in adolescent boys. We treated a 17-year-old boy who had typical recurring somnolent episodes. His bizarre behavior included fire setting and stealing, both of which may have represented compulsions. His EEG during a sleepy episode was diffusely abnormal with generalized slowing of background activity; as he awoke and improved clinically, his EEG returned to normal. Between episodes, his EEG was normal. The relationship between Kleine-Levin syndrome and other sleep disorders is discussed. The neurochemistry and neurocircuitry that may provide the requisite substrate for this complex and fascinating neuropsychiatric disorder are briefly reviewed.
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OBJECTIVES: The purpose of this paper is to describe the prevalence of school and youth violence in Puerto Rico based on several representative samples surveyed in the Island during the 1990's. BACKGROUND: Reviewing the available data on youth violence is necessary in order to decide the best strategies to follow in developing new ways to prevent and monitor it. METHODS: Three surveys were reviewed in this paper: The Youth Risk Behavior Survey conducted by the Center for Disease Control (1991, 1995, 1997); The Methods for the Epidemiology of Child and Adolescent Mental Disorders Study (1991); and the Youth Survey (1997-98). RESULTS: It was found that the prevalence of reported school violence in Puerto Rico tends to be somewhat lower than the prevalence reported in other sites of the U.S.A. Age and gender has a dramatic influence in the reports of youth violence in Puerto Rico. Male students are three times as likely to carry weapons than females and almost twice as likely to report hurting someone than females. Less than 10% of the male students ages 12-13 report carrying a weapon while fully 30% of those 18 year olds reported carrying a weapon. Being arrested also increases from only 3% in the youngest students surveyed to 10% on the oldest group (18 or older). CONCLUSION: The CDC has recently reported that since the early 90's there has been a decrease in reported school violence in the U.S.A. This analysis of youth surveys replicated a similar tendency for Puerto Rican youngsters. Implications for prevention programs are discussed.
The current study examined whether juvenile firesetting represents a unique syndrome or an advanced level of antisocial behavior. Thirty-six incarcerated juvenile delinquents, all of whom met criteria for a diagnosis of Conduct Disorder, served as subjects and were categorized into one of three groups: firesetters, non-firesetters but comparable to firesetters in number of conduct disorder symptoms, and non-firesetters who displayed fewer conduct disorder symptoms than the other two groups. Caregivers completed the Child Behavior Checklist on the youth to provide information about the severity and range of psychopathology. The results indicated that firesetters and non-firesetters who had a comparable number of symptoms did not differ from one another on the CBCL subscales of adolescent psychopathology but both differed from the group with fewer symptoms. These results suggest that firesetting does represent an advanced level of antisocial behavior, but that firesetting is not a unique syndrome, at least not in terms of caretakers' perceptions of the youths' problematic behavior. Implications for treatment of firesetters are presented.