A study of women who stalk

Perceptions of stalking in Mainland China: Behaviors, motives, and effective coping strategies

There is limited information available on the phenomenon of stalking in the Asian context, especially in mainland China. This study investigated individuals' perceptions of stalking behavior, the motives of stalkers, and the effective strategies for coping with stalking victimization in a sample of 985 young adults (aged 18-33 years) from Liaoning province in mainland China. The influence of specific demographic (i.e., age, sex, religiosity, and education) and psychosocial (i.e., social bonds and self-control) characteristics on individuals' perceptions of effective coping strategies for stalking victimization were also examined. In general, men and women held significantly different perceptions of stalking behavior, stalkers' motives, and strategies that were considered effective for coping with stalking. Multivariate analyses indicated that a low educational level was significantly associated with the perception that avoidant tactics constituted an effective strategy for coping with stalking victimization. Moreover, individuals with lower educational levels and stronger social bonds tended to perceive proactive and aggressive tactics to constitute an effective strategy for coping with stalking victimization. Finally, individuals with lower self-control tended to endorse compliance tactics when coping with stalking victimization. In view of the devastating nature and consequences of stalking, the findings of this study highlight the need for anti-stalking legislation in mainland China.

Where to draw the line? The influence of prior relationship, perpetrator-target sex and perpetrator motivation on the point at which behavior 'crosses the line' and becomes stalking

The present study examines the influence of prior relationship (intimate, non-intimate), perpetrator-target sex (male-female, female-male) and perpetrator motivation (romance, upset) on (1) the point at which behavior crosses the line and becomes stalking, and (2) the likelihood of offering five forms of advice to the target (formal support, informal support, protective measures, avoidance measures, threatening action). The study used a 2 × 2 × 2 between-participants experimental design. Four-hundred and sixty-one UK students read one of eight versions of a hypothetical scenario that they were informed may or may not depict a stalking situation. Analyses revealed that 97.8% (n = 451) of participants believed the perpetrator's behavior constituted stalking, and that behavior was perceived to cross the line earlier in the scenario when the perpetrator's motivation was to upset the target in the context of a non-intimate prior relationship only. Prior relationship, perpetrator-target sex and perpetrator motivation also influenced the likelihood of offering various forms of advice to the target. These findings further demonstrate the impact of situational characteristics on perceptions of stalking and highlight the importance of educational campaigns and programs to increase people's understanding of stalking.

Who Are the Stalkers in Hong Kong? Examining Stalking Perpetration Behaviors and Motives of Young Adults

Information on the stalking perpetration dynamics of young male and female adults in Asian countries is scarce, particularly in relation to stalkers' offending characteristics, perpetration behaviors, motives, and other violent and nonviolent behaviors. This study compares the stalking perpetration dynamics (i.e., offending characteristics, lifetime stalking perpetration behaviors and motives, and other violent and nonviolent behaviors) of young male and female adults in Hong Kong. Of the 2496 participants, recruited from all eight public and two private universities in Hong Kong, 45 participants (1.8%; mean age = 22.84 years) reported stalking perpetration during their lifetimes (33 males (mean age = 22.56 years) and 12 females (mean age = 23.58 years)). Significantly more males than females reported that they had engaged in stalking perpetration in the past 12 months. In general, participants most frequently perpetrated surveillance-oriented stalking behaviors, followed by approach-oriented stalking behaviors and intimidation- and aggression-oriented stalking behaviors. Significantly more females than males reported to have threatened to harm or kill their victims. Additionally, significantly more females than males reported "the victim caught me doing something" as their motive for stalking. The findings of our study provide useful information for prioritization during criminal investigations. Increased understanding of the stalking perpetration dynamics of males and females will help the police and threat assessment professionals to formulate their investigation and management plans.

Cyberstalking scale: development and relations with gender, FOMO and social media engagement

Cyberstalking is a form of persecution that has proliferated with technology's evolution. The present research aimed to develop a cyberstalking measure and observe its relations with Fear of Missing Out (FOMO), social media engagement, and sociodemographic variables. To achieve these goals, two studies were performed. In the first study, 200 subjects (76.5% female, with a mean age of 21.6 years) answered the 15 items originally developed for the scale. These data went trough exploratory factor analysis and Cronbach's alpha to verify the reliability of the instrument. The results indicated the exclusion of five items, and after this removal, the scale was valid and reliable (α = 0.86). In the second study, which also had 200 subjects (65% female and an average age of 21.8 years), was realized confirmatory factor analysis (measuring the model fit), accompanied by correlations and mediation analysis. The analyzes demonstrated that the one-factor model was adequate (GFI = 0.98; CFI = 0.99; TLI = 0.99; RMSEA = 0.02; SRMR = 0.06). Path analysis showed social media engagement as a significant mediator of FOMO and gender's impact on cyberstalking: Both had direct (FOMO: λ = 0.31; CI = 0.19-0.42; p < 0.01; Gender: λ = 0.12; CI = 0.02-0.22; p < 0.05) and indirect effects (FOMO: λ = 0.07; CI = 0.03-0.11; p < 0.01; Gender: λ = 0.04; CI = 0.01-0.07; p < 0.01).

Low Resting Heart Rate and Stalking Perpetration

There is consistent evidence to suggest that individuals with low resting heart rate are more likely to engage in a variety of antisocial behaviors. The present study examines whether this finding can be extended to stalking perpetration. Drawing from fearlessness theory and stimulation-seeking theory, as well as conceptual work of Meloy and Fisher, we find that individuals with low resting heart rates had significantly greater odds of engaging in stalking behavior, net of controls for sex, age, race, self-control, parental affection, delinquent peers, attitudes/beliefs toward crime, and aggression. When disaggregated by sex, the heart rate-stalking relationship was found to be significant for males, but not for females. The implications of these findings are discussed from a biosocial perspective.

Täterinnen

Regelmäßig wurde in der Literatur der Frage nachgegangen, wieso Frauen weniger kriminell sind als Männer. Da es nicht ausreicht, einfach nur Ursachen für unterschiedliche Kriminalitätsbelastungen im Allgemeinen zu finden, sondern die Tatstrukturen und Hintergründe von Taten durch Frauen betrachtet werden müssen, um Kriminalität von Frauen zu verstehen, werden in diesem Beitrag verschiedene, häufig durch Frauen begangene Delikte kursorisch dargestellt. Im Detail handelt es sich um Gewaltdelikte (Kindesmisshandlungen und -tötungen sowie Gewalt in Paarbeziehungen und der Altenpflege), Stalking, Vermögensdelikte und Falschaussagen. Dadurch werden Szenarien, Motivlagen und Risikofaktoren erkennbar, die kriminelle Aktivitäten von Frauen fördern.

Characteristics of the stalking campaign: Consequences and coping strategies for men and women that report their victimization to police

The study analysed cases reported to police by men and women who were victims of stalking. The objective was to describe the characteristics of the stalking campaigns experienced by men and women, their consequences, and the coping strategies adopted by the victims, as they are recorded in police case files. All the information was collected in three cities in the Northwest of Italy. Analyses were performed on 271 files classified by police officers as cases of stalking, reported by men (87, 32.1%) and women (184, 67.9%). The study revealed that men tended to let the stalking campaign last for a longer time than women before turning to the police. Procrastination had some consequences, especially in the emotional sphere, that affected the victim’s wellbeing. Moreover, the coping strategies used by men victims were not effective and even risked to hamper the work of the police officers intervening and investigating on the case.

Psychological Impact of Stalking on Male and Female Health Care Professional Victims of Stalking and Domestic Violence

The aim of this work was to investigate stalking experiences in a sample of Health Care Professionals, or HCPs, who experienced domestic violence in their previous relationships with an intimate romantic or non-romantic who had become their stalkers. A comparison between males and females was made to highlight the differences among the genders. The findings showed that, for the most part, the victims experienced stalking by a stalker that was not of the same gender. Moreover, the nature of the relationship was romantic, for the most part, for both female and male subjects, suggesting that the principal motivation of stalking is the disruption of an intimate relationship. Regarding domestic violence, females described the phenomenon from a different perspective, indicating verbal, physical, and sexual abuse, while males indicated only verbal abuse. Females tended to amplify, more than the males, depression, and state and trait anxiety. Even if all symptoms were expressed in both females and males, the males exhibited a lack of confidence in their bodies, and the emotional literacy made the expression of distress more difficult. At the same time, the expression of anxiety presented in the women permitted them to become progressively less victimized over time; depression and anxiety allow the recognition of these symptoms as signs of distress and to intervene to reduce them.

Stalking and Violence

The three widely known stalker classifications assist in categorizing stalkers, which allows for better management of violence risk. Although 80% of stalking is done by men, women also engage in stalking, and their violence risk should not be underestimated. Juvenile stalkers do exist and juvenile stalking is also associated with violence. Clinicians can become a victim of stalking and may become victims of stalking by proxy, a special type of stalking behavior where the stalker involves other people or agencies to communicate with or track their victim. A careful stalking violence risk assessment is essential in the intervention and risk management process.

Women Who Are Stalked

The authors use logistic regression with the National Violence Against Women Survey sample ( N = 8,000) to explore patterns in fear reported by women who were stalked. One fourth of our sample felt no fear, with Black women significantly less likely to report fear (compared to White women). Women who were frequently stalked, stalked by an intimate or family member or acquaintance, or stalked by physical or communicative means reported feeling fearful more than did others. Requiring a woman to feel fearful before accepting her experience as an instance of stalking risks, the authors conclude, a miscarriage of justice, an undercount of the crime, and an abandonment of women (and others) who need validation from the state and protection from stalkers.

The Reliability and Predictive Validity of the Stalking Risk Profile

This study assessed the reliability and validity of the Stalking Risk Profile (SRP), a structured measure for assessing stalking risks. The SRP was administered at the point of assessment or retrospectively from file review for 241 adult stalkers (91% male) referred to a community-based forensic mental health service. Interrater reliability was high for stalker type, and moderate-to-substantial for risk judgments and domain scores. Evidence for predictive validity and discrimination between stalking recidivists and nonrecidivists for risk judgments depended on follow-up duration. Discrimination was moderate (area under the curve = 0.66-0.68) and positive and negative predictive values good over the full follow-up period ( Mdn = 170.43 weeks). At 6 months, discrimination was better than chance only for judgments related to stalking of new victims (area under the curve = 0.75); however, high-risk stalkers still reoffended against their original victim(s) 2 to 4 times as often as low-risk stalkers. Implications for the clinical utility and refinement of the SRP are discussed.

Experiences of stalking in same-sex and opposite-sex contexts

Most stalking literature reports on male stalkers and female victims. This work examines stalking experiences in 4 sex dyads: male stalker-female victim, female stalker-male victim, female-female dyads, and male-male dyads. Respondents were 872 self-defined victims of stalking from the United Kingdom and the United States who completed an anonymous survey. The study variables covered the process of stalking, effects on victims and third parties, and victim responses to stalking. Approximately 10% of comparisons were significant, indicating that sex of victim and stalker is not a highly discriminative factor in stalking cases. Female victims of male stalkers were most likely to suffer physical and psychological consequences. Female victims reported more fear than males did, and most significant differences conformed to sex role stereotypes. Earlier work suggested stalker motivation and prior victim-stalker relationship as important variables in analyses of stalking, but these did not prove significant in this work, perhaps because of sampling differences.

Stalking by females

The aim of this review was to study "female stalking" in the sense of the specific traits characterizing the phenomenon of stalking behaviour committed by women. The main medical databases were searched (Medline, Social Science Research Network, Apa Psyc Net), and 67 articles were selected, reporting studies conducted in clinical populations, case series, reports, reviews, retrospective studies and original articles. We outline a variety of different tactics adopted by female stalkers and a lesser propensity to pass on to physical violence. Nevertheless, female stalkers are more frequently affected by erotomania, and this condition generally increases the risk of violence. If there have previously been intimate relations between the stalker and her victim, this will increase the risk of violence. In a significant proportion of female stalkers, the behavior is carried out in the occupational setting, especially in the field of psychotherapy, where the male-female ratio is reversed. No significant differences emerged between the motivations of heterosexual or homosexual stalkers. In the category of crimes of harassment committed by women, stalking, at least in Italy, seems to be among the most prominent.

Female same gender stalking: a brief review of the literature and case report

The authors analyze a rare case of female same gender stalking that came to their observation as forensic psychiatry experts. Despite previously only heterosexual experiences, the woman, who was 30 in 2002, had three intimate same gender relationships in succession from 2002 to 2009: she broke off with each woman in order to take up with another. When she separated from the third woman she began violent persecutory behavior against her, in the form of harassment coming under the heading of stalking, and was reported to the authorities. In treatment with SSRI since 2003 for an anxiety disorder with panic episodes, she had been taking the drugs irregularly during the stalking period. At the end of the third relationship, after she had violently attacked her girlfriend she was advised by her family to present to a Hospital center in Northern Italy. There, she was diagnosed with a "Narcissistic Paranoid Personality Disorder", and it was hypothesized that the SSRI she was taking could have induced hypo/manic episodes and disinhibition in the woman, who had previously been heterosexual. At this hospital, mood stabilizers were prescribed. The defending lawyer therefore applied for a forensic psychiatry assessment, claiming that the persecutory behavior against the third girlfriend was induced by taking SSRI. In Italy the penal code specifies the recognition of abolished or diminished liability for crimes if a correlation between the mental disease and the crime can be demonstrated, if the disease was in course at the time of the crime, and if the motives behind the crime and the disease can be shown to be linked. In short, if the crime can be shown to be a symptom of the disease. But the forensic psychiatry assessment demonstrated that despite the presence of some factors of a psychopathological nature, the motives underlying the harassment were attributable to the woman's existential history and personality structure rather than to psychopathological causes. She was therefore judged guilty of the crime of stalking and a plea for a reduced sentence was granted. In this case, the gender of the stalker and victim seemed to be irrelevant.

Stalking of psychiatrists: psychopathological characteristics and gender differences in an Italian sample

Research has indicated that medical doctors and paramedics are at higher risk of being stalked than the general population. In particular, mental health care professionals alone represent one third of the victims of harassment. Because of the lack of studies in this specific sector, especially in Italy, in this study, we examined the stalking of psychiatrists by their patients, considering gender differences and the incidence of stalking in private practice and public mental health clinics in Rome. We found that the rate of stalking in private mental health settings is higher than that in public settings and that the perpetrators of stalking are mainly women who mostly target mental health professionals working in private practice. Implications of the findings are noted and discussed.

Predicting overt and cyber stalking perpetration by male and female college students

In this study, self-report student surveys on early childhood maltreatment, attachment styles, alcohol expectancies, and narcissistic personality traits are examined to determine their influence on stalking behavior. Two subtypes of stalking were measured using Spitzberg and Cupach's (2008) Obsessive Relational Intrusion: cyber stalking (one scale) and overt stalking (comprised of all remaining scales). As t tests indicated that men and women differed significantly on several variables, OLS regression models were run separately for men (N = 807) and women (N = 934). Results indicated that childhood sexual maltreatment predicted both forms of stalking for men and women. For men, narcissistic vulnerability and its interaction with sexual abuse predicted stalking behavior (overt stalking R² = 16% and cyber stalking R² = 11%). For women, insecure attachment (for both types of stalking) and alcohol expectancies (for cyber stalking) predicted stalking behavior (overt stalking R² = 4% and cyber stalking R² = 9%). We discuss the methodological and policy implications of these findings.

Violence among female stalkers

BACKGROUND

Female stalkers account for 10-25% of all stalking cases, yet little is known about risk factors for female stalking violence. This study identifies risk factors for female stalking violence and contrasts these with risk factors for male stalking violence.

METHOD

Seventy-one female and 479 male stalkers presenting to police in Sweden and a specialist stalking clinic in Australia were investigated. Univariate comparisons of behaviour by gender, and comparisons between violent and non-violent female stalkers, were undertaken. Logistic regression was then used to develop a predictive model for stalking violence based on demographic, offence and clinical characteristics.

RESULTS

Rates of violence were not significantly different between genders (31% of males and 23% of females). For both men and women, violence was associated with a combination of a prior intimate relationship with the victim, threats and approach behaviour. This model produced receiver operating characteristic (ROC) curves with area under the curve (AUC)=0.80 for female stalkers and AUC=0.78 for male stalkers. The most notable gender difference was significantly higher rates of personality disorder among women. High rates of psychotic disorder were found in both genders. Stalking violence was directly related to psychotic symptoms for a small number of women.

CONCLUSIONS

Similar risk factors generally predict stalking violence between genders, providing initial support for a similar approach to risk assessment for all stalkers. The most notable gender difference was the prevalence of personality and psychotic disorders among female stalkers, supporting an argument for routine psychiatric assessment of women charged with stalking.

Prevalence of Partner Abuse: Rates of Emotional Abuse and Control

Partner abuse research over the past two decades has divided violent, threatening, or abusive phenomena into discrete areas of interest to researchers that, although distinct, are still broadly defined under the common category of “domestic abuse” or, more recently, intimate partner violence (IPV). Thus, any concerted attempt to typify the various substrata of IPV research must recognize the distinct features of each area regarding their component parts (i.e., behavioral or psychological sequelae, incidence and prevalence, and social or interpersonal context) while maintaining the overarching categorical commonality as variants of IPV.

This article constitutes a contemporaneous and systematic review of the research on three aspects of controlling coercive violence (CCV): emotional abuse, sexual coercion, and stalking or obsessive behavior, along with a separate examination of when these IPV substrata are combined with physical assaults on intimate partners. Each CCV substrata is operationally defined in research terms common to the social science research, and tabular and narrative data is provided on the incidence and prevalence of each substrata and the combined category. Notable findings derived from this review are reported for each of the three aspects of CCV. For emotional abuse, prevalence rates might average around 80%, with 40% of women and 32% of men reporting expressive aggression (i.e., verbal abuse or emotional violence in response to some agitating or aggravating circumstance) and 41% of women and 43% of men reporting some form of coercive control. For sexual coercion, national samples demonstrated the widest disparity by gender of victim, with 0.2% of men and 4.5% of women endorsing forced sexual intercourse by a partner. By far, the largest selection of highly variable studies, stalking and obsessive behaviors showed a range from 4.1% to 8.0% of women and 0.5% to 2.0% of men in the United States have been stalked at some time in their life. Women were reported as having a significantly higher prevalence (7%) of stalking victimization than men (2%). For all types of violence, except being followed in a way that frightened them, strangers were the most common perpetrators; as reported in approximately 80% of cases, women were most often victimized by men they knew, most frequently, their current or former intimate partners. Among women who reported repeated unwanted contact, current (15.9%) and former (32.9%) intimate partners were the perpetrators in nearly half of the most recent incidents and the largest subdivision of reports came from college or university student samples.

A separate examination reports of these types of IPV combined with physical assaults on intimate partners reported the strongest link was between stalking and other forms of violence in intimate relationships: 81% of women who were stalked by a current or former husband or cohabiting partner were also physically assaulted by that partner and 31% reported being sexually assaulted by that partner. Of the types of IPV reported on, most forms of violence that show the highest rates of reportage come from large national samples, with smaller samples showing increased variability. This article concludes with a brief section delineating conclusions that can be drawn from the review and the potential implications for research, practice, and IPV scholarship.

Stalking by patients: doctors' experiences in a Canadian urban area

Stalking involves recurrent unwanted communication, harassment, and intrusive behaviors. The aim of this study was to examine doctors' experiences of being stalked by their patients in a Canadian urban area. A questionnaire designed to study the nature and prevalence of stalking experiences among physicians was sent to 3159 randomly chosen physicians in the Greater Toronto Area. Of the 1190 physicians who responded, 14.9% reported having been stalked. Although both male and female patients were stalkers, their motives and stalking behaviors were dissimilar. Psychiatrists, surgeons, and OB/GYNs reported the highest rates of being stalked. Both male and female physicians are at an increased risk of being stalked by patients who may feel loving feelings or anger and resentment. Varying reasons behind the stalking may account for the differing rates between specialties. Physicians may benefit from recognition of behaviors that tended to precede the onset of stalking behavior.

The female stalker

A study of 143 female stalkers was conducted, part of a large North American sample of stalkers (N=1005) gathered from law enforcement, prosecutorial, and entertainment corporate security files (Mohandie, Meloy, Green McGowan, & Williams, 2006). The typical female stalker was a single, separated, or divorced woman in her mid-30s with a psychiatric diagnosis, most often a mood disorder. She was more likely to pursue a male acquaintance, stranger, or celebrity, rather than a prior sexual intimate. When compared with male stalkers, the female stalkers had significantly less frequent criminal histories, and were significantly less threatening and violent. Their pursuit behavior was less proximity based, and their communications were more benign than those of the males. The average duration of stalking was 17 months, but the modal duration was two months. Stalking recidivism was 50%, with modal time between intervention and re-contacting the victim of one day. Any prior actual relationship (sexual intimate or acquaintance) significantly increased the frequency of threats and violence with large effect sizes for the entire female sample. The most dangerous subgroup was the prior sexually intimate stalkers, of whom the majority both threatened and were physically violent. The least dangerous were the female stalkers of Hollywood celebrities. Two of the McEwan, Mullen, MacKenzie, and Ogloff (2009b) predictor variables for stalking violence among men were externally validated with moderate effect sizes for the women: threats were associated with increased risk of violence, and letter writing was associated with decreased risk of violence.

Same-gender stalking in Sweden and Australia

This study examined the phenomenon of same-gender stalking and sought to identify differences between same- and opposite-gender stalking cases. Ninety-four same-gender and 160 opposite-gender stalking cases from Sweden and Australia were compared on demographic, offense, clinical, and behavioral characteristics. The groups were largely similar, differing mainly in the nature of the prior relationship between stalker and victim and the stalker's motivation. The most notable distinction was the significantly greater prevalence of ex-intimate partner stalkers in the opposite-gender group (65%) versus the same-gender group (32%), leading to the exclusion of ex-intimates from the subsequent analysis to remove this potentially confounding variable. Amongst non-ex-intimates, same-gender stalkers were significantly more likely to be female and to stalk out of a sense of resentment and grievance. The results showed that the gender of the victim and perpetrator was less important to the course and conduct of a stalking episode than were the stalker's motivation and the nature of the prior relationship to the victim.

Management and treatment of stalkers: problems, options, and solutions

Legal sanctions alone are often ineffective in preventing stalking because, in the absence of treatment, the fundamental problems driving the stalker remain unresolved. Criminal justice interventions can be problematic because of difficulties in framing anti-stalking legislation and inconsistencies in their application. Civil remedies in the form of restraining orders may be ineffective or counterproductive. Treatment of stalkers involves pharmacotherapy when mental illness is present, but the mainstays of treatment for non-psychotic stalkers are programmes of psychological intervention. These depend on accurate assessment of the risks inherent in stalking and on the identification of psychological deficits, needs, and responsivity factors specific to the individual. Treatment can then be tailored to suit the stalker, thereby enhancing therapeutic efficacy. Developing a framework for identifying the risk factors and shaping the delivery of treatment is crucial. Two service innovations developed specifically to work with stalkers are presented as options to overcome current management deficiencies.

Stalking among juveniles

BACKGROUND

There is an almost total lack of empirical research on stalking among juveniles.

AIMS

To examine the characteristics, nature and impacts of stalking by juveniles.

METHOD

Analysis of consecutive court applications for a restraining order against a juvenile because of stalking behaviours.

RESULTS

A total of 299 juvenile stalkers were identified. The majority were male (64%) and their victims predominantly female (69%). Most pursued a previously known victim (98%), favouring direct means of contact via unwanted approaches (76%) and telephone calls or text messaging (67%). Threats (75%) and physical and sexual assaults (54%) were common. The contexts for juvenile stalking involved an extension of bullying (28%), retaliation for a perceived harm (22%), a reaction to rejection (22%), sexual predation (5%) and infatuation (2%).

CONCLUSIONS

Juvenile stalking is characterised by direct, intense, overtly threatening and all too often violent forms of pursuit. The seriousness that is afforded to adult forms of stalking should similarly apply to this behaviour among juveniles given the even greater rates of disruption to the victim's life and risks of being attacked.

A study of the predictors of persistence in stalking situations

Stalkers engaging in persistent campaigns of harassment have the potential to cause immense harm to their victims and themselves. Being able to estimate which stalkers are likely to persist longest is important to clinicians dealing with both perpetrators and victims. This study of 200 stalkers investigated characteristics of the stalkers and their behaviour that were associated with increased persistence. Logistic regression models were developed to predict low, moderate, and highly persistent stalking. The results supported previous research indicating that the type of prior relationship between stalker and victim is strongly associated with persistence, with prior acquaintances the most persistent, and strangers least. Being aged over 30, sending the victim unsolicited materials, and having an intimacy seeking or resentful motivation was also associated with greater persistence, as was the presence of psychosis.

Stalking and Huntington?s Disease: A Neurobiological Link?

This case report describes a patient with Huntington's Disease (HD) who allegedly stalked her therapist. The patient developed recurrent thoughts about her therapist as well as amorous feelings towards her therapist. She engaged in stalking behavior including unwelcome gifts, multiple telephone calls to the therapist's office and home, and making threats towards the therapist. The patient continued to contact the therapist after the therapist filed a Personal Protection Order. The patient was successfully treated with risperidone and fluvoxamine. Through a focused review of the relevant literature, the authors explore the potential relationship between the patient's obsessional thoughts, amorous feelings towards her therapist, the basal ganglia dysfunction, and the stalking behavior. The authors posit a hypothesis of stalking as a novel early manifestation of HD in this patient. To the best of the authors' knowledge, this is the first reported case of stalking occurring with potentially causal organic lesions.

[The effects of stalking on psychiatrists, psychotherapists and psychologists. Prevalence of stalking and its emotional impact]

Stalking in the psychiatric context describes a pathological behaviour which is characterized by repeated persecution, harassment, or menacing of or assault on a person. Because of the association between stalking and mental disorders, psychiatrists, psychologists and psychotherapists belong to particularly exposed professions. If they fall victim to stalking during their career, disruptive impacts up to posttraumatic stress disorder (PTSD) can be the consequence. A total of 117 psychiatrists, psychologists or psychotherapists in Graz participated in an anonymous interview. To register possible experiences with stalking defined behaviour, a modified version of the questionnaire of Kamleiter was used. The prevalence and severity of posttraumatic stress symptoms were determined using the Impact of Event Scale of Horowitz. The study showed an incidence of stalking of 38.5%. The rate of female stalkers (60%) was extraordinary high. Most victims (68.9%) experienced non-violent threats. Most of the offenders (41.9%) were diagnosed as suffering from schizophrenia, schizotype and delusional disorders (F2) followed by disorders of adult personality and behaviour (F6) (30.2%). Some 44.4% of the victims developed symptoms of PTSD, which were usually only slight. The analyses suggest that stalking, in the psychiatric field of activity, is a common and serious phenomenon, and that strategies for the prevention and protection of potentially affected professions have to be developed.

Nature & prevalence of stalking among New Zealand mental health clinicians

Stalking involves recurrent and persistent unwanted communication or contact that generates fear for safety in the victims. This pilot study evaluated the nature and prevalence of stalking among New Zealand nurses and physicians working in mental health services. An anonymous questionnaire asking respondents to describe their experiences with 12 stalking behaviors was distributed to 895 clinicians. Results indicated that regardless of discipline, women were more likely than men to have experienced one or more stalking behaviors, including receiving unwanted telephone calls, letters, and approaches; receiving personal threats: and being followed, spied on, or subject to surveillance. Women also reported higher levels of fearfulness as a consequence of stalking behaviors. Nearly half of the stalkers were clients; the remaining were former partners, colleagues, or acquaintances. In client-related cases, the majority of respondents told their colleagues and supervisors first, and the majority found them to be the most helpful resource. The results of this pilot study indicate a need for further research focused on the stalking of mental health clinicians in New Zealand and for development of workplace policies for adequate response to the stalking of mental health clinicians.

Identifying risk factors in stalking: a review of current research

Stalking is a behaviour which can cause substantial damage to its victims, whether the perpetrator is violent or not. Victims face a range of risks including not only assault, but persistent or recurrent stalking and varying degrees of psychological and social damage. The responsibility for assessing and managing these risks often falls to the mental health professional, yet the emerging stalking risk assessment literature is at too early a stage to provide clinicians with empirically derived evidence upon which to base their clinical practice. This paper reviews existing research to identify those factors currently believed to be associated with increased risk of physical and sexual assault; with persistent and/or recurrent stalking; and, with psychological and social damage.

Stalking of mental health professionals: an underrecognised problem

Doctors and mental healthcare professionals are at greater risk of being stalked than the general population, particularly by their patients. Despite causing significant psychological distress, stalking remains underrecognised and poorly managed. Healthcare organisations should ensure appropriate policies are in place to aid awareness and minimise risk, including the provision of formal educational programmes.

The RECON Typology of Stalking: Reliability and Validity Based Upon a Large Sample of North American Stalkers

A new typology of stalking, RECON (relationship and context-based), is proposed, based upon the prior relationship between the pursuer and the victim, and the context in which the stalking occurs. The static typology yields four groups: Intimate, Acquaintance, Public Figure, and Private Stranger. The typology was tested on a large (N = 1005) nonrandom sample of North American stalkers gathered from prosecutorial agencies, a large police department, an entertainment corporation security department, and the authors' files. Interrater reliability for group assignment was 0.95 (ICC). Discriminant validity (p < 0.01) was demonstrated on a variety of demographic, clinical, pursuit, threat, and violence characteristics among and between groups. Findings confirm and extend the work of other researchers, most notably the very high risk of threats and violence among prior sexually intimate stalkers, the very low risk of threats and violence among public figure (celebrity) stalkers, and the negative relationship between stalking violence and psychosis.

Lifetime prevalence and impact of stalking in a European population: epidemiological data from a middle-sized German city

BACKGROUND

There is a lack of community-based studies on prevalence rates of stalking and the impact of stalking on victims in European countries.

AIMS

To examine lifetime and point prevalence rates of stalking, behavioural and psychological consequences for victims, and the impact of stalking on current psychological well-being in a German community sample.

METHOD

A postal survey was conducted with a sample randomly selected from the population of a middle-sized German city; 679 people (400 women, 279 men) responded. The survey included a stalking questionnaire and the WHO-5 well-being scale.

RESULTS

Almost 12% of the respondents (n=78, 68 women, 10 men) reported having been stalked. A multiple regression analysis revealed a significant effect of victimisation on psychological well-being.

CONCLUSIONS

This study identified a high lifetime prevalence of stalking in the community. Effects on victims' psychological health are significant, suggesting that the phenomenon deserves more attention in future community mental health research.

Stalking: knowns and unknowns

The current work reviews literature on the nature of stalking. Despite its nebulous nature and differing legal and clinical definitions of stalking, researchers and practitioners are referring to the same phenomenon. Stalking is chronic, consisting of a number of nuisance behaviors that appear consistent over countries and samples. Different categorizations of stalkers and their victims exist, but ex-partner stalkers are a distinctive category with respect to their prevalence, violence risk, and attrition rate. Different samples and definitions and false victimization reports obscure reliable lifetime prevalence estimates, but these appear to be around 12%-16% among women and 4%-7% among men. Stalking has deleterious effects on victims but some of the effects may be the result of stalking's exacerbating of existing vulnerabilities. Future research should focus on subgroups of stalkers and their victims, on cross-cultural investigations, and on the co-occurrence of stalking with other crimes.

Stalking behavior - an overview of the problem and a case report of male-to-male stalking during delusional disorder

Stalking is a widespread phenomenon describing a pattern of intrusive and threatening behavior leading to the victim's perception of being harassed and rendered fearful. This paper outlines relevant aspects of the stalking concept and reviews the historical development of this categorization, different typologies of stalking behavior, associated psychiatric diagnoses, frequency and demographic data, psychomedical impact on the victims and therapeutic approaches. Special gender aspects are discussed by presenting a case history of male-to-male stalking.