Stalking - A contemporary challenge for forensic and clinical psychiatry

Abstract

Background: Stalking is causing pervasive and intense personal suffering and is an area of psychiatry that is currently overlooked. Aims: To review demographic and clinical characteristics of stalkers as well as the psychological consequences for victims of stalking. Method: A Medline and PsycLit search was conducted on stalking, forensic psychiatry, personality disorders, de Clerambault syndrome and erotomania, with respect to the relevance of the articles selected for stalking. Results: Stalkers are best thought of as a heterogeneous group whose behaviour can be motivated by different forms of psychopathology, including psychosis and severe personality disorders. Conclusions: There is a clear need to arrive at a consensus on a typology of stalkers and associated diagnostic criteria. The effectiveness of psychological and pharmacological treatments have not yet been investigated. Treatment may need to be supplemented with external incentives provided by the legal system. Declaration of interest: None.