İstifleme Bozukluğunun Adli Yönü: Bir Olgu Sunumu

Yıl 2024, Cilt: 38 Sayı: 2, 171 - 176, 26.08.2024

Şule Gül , Cicek Hocaoglu

Öz

Aşırı toplama ve biriktirme, toplanan nesneleri atmada başarısızlık olarak tanımlanan istifleme, çok eski yıllardan bu yana bilinmesine rağmen ilk kez Mental Bozuklukların Tanısal ve İstatistiksel El Kitabı-5 /DSM 5’de obsesif kompulsif bozukluk (OKB) ve ilişkili bozukluklar başlığı altında ayrı bir tanı kategorisi olarak yer almıştır. İstifleme bozukluğu hastaların yaşamını olduğu kadar aile bireylerinin yaşamını da olumsuz olarak etkilemektedir. Epidemiyolojisi, etiyolojisi, tedavisi konusunda tam bir görüş birliği olmayan istifleme bozukluğunun adli yönü de yeterince bilinmemektedir. Bu çalışmada eşyaları istifleme davranışı olan ve çocuklarını çamaşır suyu ile yıkaması sonucu çamaşır suyundan zehirlenen çocuğunun hastane başvurusu olduğu öğrenilen kadın hasta sunulmuştur. Ceza Muhakemesi Kanunu (CMK)’nun 74.maddesi uyarınca servisimize zorunlu yatışı yapılarak, Türk Ceza Kanunu (TCK) 32. maddesi kapsamında ceza sorumluluğu değerlendirilmesi istenen olgunun hastalık öyküsü ve klinik seyri mevcut literatür bulguları ışığında tartışılmıştır. İstifleme bozukluğu ile ilgili yasal düzenlemeler ve klinisyenlerin konu ile ilgili farkındalığı önemlidir.

Anahtar Kelimeler

İstifleme bozukluğu, adli tıp, obsesif kompulsif bozukluk

Etik Beyan

Hastanın aydınlatılmış onamı alınmıştır.

Teşekkür

Sayın hocam Prof.Dr.Çiçek Hocaoğlu’na teşekkürlerimi sunuyorum

Forensic Aspects of Hoarding Disorder: A Case Report

Öz

Although hoarding, defined as excessive collecting and hoarding and failure to throw away collected objects, has been known for many years, it was first included in the Diagnostic and Statistical Manual of Mental Disorders-5 / DSM-5 under the title of obsessive compulsive disorder (OCD) and related disorders was included as a diagnostic category. Hoarding disorder negatively affects the life of the patients as well as the life of family members. The forensic aspect of hoarding disorder, for which there is no consensus on its epidemiology, etiology and treatment, is not well known. In this study, a female patient who had hoarding behavior and whose child was poisoned by bleach as a result of washing her children with bleach was presented. The disease history and clinical course of the patient, who was compulsorily admitted to our service in accordance with Article 74 of the Criminal Procedure Code (CPC) and requested to be evaluated for criminal liability within the scope of Article 32 of the Turkish Criminal Code (TCC), were discussed in the light of available literature findings. Legal regulations regarding hoarding disorder and clinicians' awareness of the issue are important.

Anahtar Kelimeler

Hoarding disorder, forensic medicine, obsessive compulsive disorder

Kaynakça

• Lavigne B, Hamdan M, Faure B, Merveille H, Pareaud M, Tallon E, Bouthier A, Clément JP, Calvet B. Syndrome de Diogène et Hoarding disorder : une même entité ? [Diogenes syndrome and Hoarding disorder: Same or different?]. Encephale. 2016;42(5):421-5. https://doi.org/10.1016/j.encep.2016.02.010
• Lin N, Bacala L, Martin S, Bratiotis C, Muroff J. Hoarding disorder: The current evidence in conceptualization, intervention, and evaluation. Psychiatr Clin North Am. 2023;46(1):181-96. https://doi.org/10.1016/j.psc.2022.10.007
• Worden BL, Tolin DF. Co-occurring obsessive-compulsive disorder and hoarding disorder: A review of the current literature. J Cogn Psychother. 2022;36(4):271-86. https://doi.org/10.1891/jcp-2021-0010
• Postlethwaite A, Kellett S, Mataix-Cols D. Prevalence of hoarding disorder: A systematic review and meta-analysis. J Affect Disord. 2019;256:309-16. https://doi.org/10.1016/j.jad.2019.06.004
• Zaboski BA 2nd, Merritt OA, Schrack AP, Gayle C, Gonzalez M, Guerrero LA, Dueñas JA, Soreni N, Mathews CA. Hoarding: A meta-analysis of age of onset. Depress Anxiety. 2019;36(6):552-64. https://doi.org/10.1002/da.22896
• Cath DC, Nizar K, Boomsma D, Mathews CA. Age-specific prevalence of hoarding and obsessive compulsive disorder: A population-based study. Am J Geriatr Psychiatry. 2017;25(3):245-55. https://doi.org/10.1016/j.jagp.2016.11.006
• Sekhon AK, Leontieva L. The impact of hoarding disorder on family members, especially the significant other. Cureus. 2023;15(9):e45871. https://doi.org/10.7759/cureus.45871
• Dozier ME, Ayers CR. The etiology of hoarding disorder: A review. Psychopathology. 2017;50(5):291-6. https://doi.org/10.1159/000479235
• Stevens MC, Levy HC, Hallion LS, Wootton BM, Tolin DF. Functional neuroimaging test of an emerging neurobiological model of hoarding disorder. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020;5(1):68-75. https://doi.org/10.1016/j.bpsc.2019.08.010.
• Stumpf BP, Calácio B, Branco BC, Wilnes B, Soier G, Soares L, Diamante L, Cappi C, Lima MO, Rocha FL, Fontenelle LF, Barbosa IG. Animal hoarding: a systematic review. Braz J Psychiatry. Published online May 1, 2023. https://doi.org/10.47626/1516-4446-2022-3003
• Saxena S. Pharmacotherapy of compulsive hoarding. J Clin Psychol. 2011;67(5):477-84. https://doi.org/10.1002/jclp.20792
• Jägholm S, Lindstedt S, Andersson E, Mataix-Cols D, Fernández de la Cruz L, Rück C, Ivanov VZ. Study protocol for a randomized controlled trial of in-home decluttering augmentation of group cognitive-behavioral therapy for hoarding disorder: the Joining Forces Trial. Trials. 2023;24(1):483. https://doi.org/10.1186/s13063-023-07509-4
• Rodgers N, McDonald S, Wootton BM. Cognitive behavioral therapy for hoarding disorder: An updated meta-analysis. J Affect Disord. 2021;290:128-35. https://doi.org/10.1016/j.jad.2021.04.067
• Kaya KA. İstifleme bozukluğunda çöp evler ve sosyal hizmet müdahalesi. Tıbbi Sosyal Hizmet Dergisi. 2019; 14:95-107. https://doi.org/10.46218/tshd.1139369
• Freckelton I. Hoarding disorder and the law. J Law Med. 2012;20(2):225-49.