Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits
ObjectivesCrimes committed on the Internet and social networks are rising, and the phenomenon is complex. Knowledge of context would be useful for professionals in cases that need psychiatric assessment. We report on a case of a 27-year-old young adult who is accused of image-based sexual abuse and...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1395899/full |
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| author | Lorenzo Lodde Claudia Zandara Andrea Martella Mirko Manchia Mirko Manchia Pasquale Paribello Irene Mascia Martina Pinna |
| author_facet | Lorenzo Lodde Claudia Zandara Andrea Martella Mirko Manchia Mirko Manchia Pasquale Paribello Irene Mascia Martina Pinna |
| author_sort | Lorenzo Lodde |
| collection | DOAJ |
| description | ObjectivesCrimes committed on the Internet and social networks are rising, and the phenomenon is complex. Knowledge of context would be useful for professionals in cases that need psychiatric assessment. We report on a case of a 27-year-old young adult who is accused of image-based sexual abuse and other crimes, for whom the examining judge requested psychiatric assessment.MethodsWe conducted anamnestic collection (family, physiological and pathological, psychiatric, and toxicological), direct evaluation of the examinee, assessment of acquired health records, psychodiagnostic tests (i.e. graphic tests: Machover test, Koch test), Montreal Cognitive Assessment, Minnesota Multiphasic Personality Inventory 2, Pathological Narcissism Inventory, State-Trait Anger Expression Inventory 2, Toronto Alexithymia Scale, Thematic Apperception Test.ResultsThe clinical forensic assessment led to a diagnosis of Unspecified Personality Disorder (predominantly narcissistic traits) according to the DSM-5 criteria. Direct assessment showed a tendency to simulate or exaggerate symptoms, confirmed by the invalidation of the MMPI-2. In addition, the psychodiagnostic test showed a tendency to aggressive behavior and difficulty in identifying and describing emotions and feelings (alexithymia).ConclusionsThis case highlights the importance of being familiar with the context of the Internet and social networks, where a rising number of crimes are committed. Forensic psychiatrists will be increasingly involved in evaluating cases related to the online world, which requires a basic knowledge of its characteristics and dynamics. |
| format | Article |
| id | doaj-art-3731af6aeb93410691d4c957747b6ca2 |
| institution | Kabale University |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-3731af6aeb93410691d4c957747b6ca22025-01-22T07:10:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.13958991395899Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traitsLorenzo Lodde0Claudia Zandara1Andrea Martella2Mirko Manchia3Mirko Manchia4Pasquale Paribello5Irene Mascia6Martina Pinna7Section of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, ItalyForensic Psychiatry Unit, Sardinia Health Agency, Cagliari, ItalyForensic Psychiatry Unit, Sardinia Health Agency, Cagliari, ItalySection of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, ItalyDepartment of Pharmacology, Dalhousie University, Halifax, NS, CanadaSection of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, ItalyForensic Psychiatry Unit, Sardinia Health Agency, Cagliari, ItalyForensic Psychiatry Unit, Sardinia Health Agency, Cagliari, ItalyObjectivesCrimes committed on the Internet and social networks are rising, and the phenomenon is complex. Knowledge of context would be useful for professionals in cases that need psychiatric assessment. We report on a case of a 27-year-old young adult who is accused of image-based sexual abuse and other crimes, for whom the examining judge requested psychiatric assessment.MethodsWe conducted anamnestic collection (family, physiological and pathological, psychiatric, and toxicological), direct evaluation of the examinee, assessment of acquired health records, psychodiagnostic tests (i.e. graphic tests: Machover test, Koch test), Montreal Cognitive Assessment, Minnesota Multiphasic Personality Inventory 2, Pathological Narcissism Inventory, State-Trait Anger Expression Inventory 2, Toronto Alexithymia Scale, Thematic Apperception Test.ResultsThe clinical forensic assessment led to a diagnosis of Unspecified Personality Disorder (predominantly narcissistic traits) according to the DSM-5 criteria. Direct assessment showed a tendency to simulate or exaggerate symptoms, confirmed by the invalidation of the MMPI-2. In addition, the psychodiagnostic test showed a tendency to aggressive behavior and difficulty in identifying and describing emotions and feelings (alexithymia).ConclusionsThis case highlights the importance of being familiar with the context of the Internet and social networks, where a rising number of crimes are committed. Forensic psychiatrists will be increasingly involved in evaluating cases related to the online world, which requires a basic knowledge of its characteristics and dynamics.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1395899/fullforensic psychiatrypersonality disorderssexual abuseimputabilitycyber violencecase report |
| spellingShingle | Lorenzo Lodde Claudia Zandara Andrea Martella Mirko Manchia Mirko Manchia Pasquale Paribello Irene Mascia Martina Pinna Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits Frontiers in Psychiatry forensic psychiatry personality disorders sexual abuse imputability cyber violence case report |
| title | Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits |
| title_full | Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits |
| title_fullStr | Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits |
| title_full_unstemmed | Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits |
| title_short | Psychiatric assessment in image-based sexual abuse case: a case report on imputability in personality disorder with narcissistic traits |
| title_sort | psychiatric assessment in image based sexual abuse case a case report on imputability in personality disorder with narcissistic traits |
| topic | forensic psychiatry personality disorders sexual abuse imputability cyber violence case report |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1395899/full |
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