title: [Kleptomania before and after spontaneous subarachnoid hemorrhage--a neuropsychodynamic case report].
abstract: Kleptomania is not supposed to be a nosologic entity, but represents a psychopathological symptom of variant neurological and psychiatric diseases. A 47-year-old woman had shown a kleptomanic impulse disorder on the basis of a phobic personality organisation, until she suffered a spontaneous subarachnoidal haemorrhage with a consecutive basal forebrain lesion five years ago. After this event the kleptomanic symptom worsened dramatically. This case suggests an integrated "neuropsychodynamic" approach to clinical findings, which are commonly to be interpreted neuropsychologically and psychodynamically. We discuss the many mutual overlappings of neurobiologically determined and biographically understandable psychic phenomena.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie der Stadt Hannover.
authors.forename: H W
authors.initials: HW
authors.lastname: Gössling
authors.forename: J
authors.initials: J
authors.lastname: Rosin
mesh_terms: D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000523:psychology / Q000601:surgery; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000523:psychology; D010553:Personality Development; D011183:Postoperative Complications / Q000175:diagnosis / Q000523:psychology; D011574:Psychoanalytic Theory; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000523:psychology / Q000601:surgery; D014057:Tomography, X-Ray Computed
vernacular_title: Kleptomanie vor und nach einer spontanen Subarachnoidalblutung--Ein neuropsychodynamischer Fallbericht.