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Pyromania: Categorization

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Pyromania Categorization

Daniel W. Klyce The disorder is classified with the disruptive,


Virginia Commonwealth University – School of impulse-control, and conduct disorders in DSM-5.
Medicine, Richmond, VA, USA

Current Knowledge
Synonyms
Development and Course
Fire setting Prevalence rates of pyromania are not well
known. Among individuals with repeated fire set-
ting in forensic settings, only 3.3% met criteria for
the disorder. Pyromania is more common among
Short Description or Definition
males than females, perhaps by a ratio of as much
as 6:1. The course of the disorder tends to be
Pyromania is defined in the Diagnostic and Sta-
episodic with fluctuation in activity.
tistical Manual of Mental Disorders (5th ed.;
DSM-5; American Psychiatric Association,
Associated Disorders and Current Research
2013) by a pattern of behavior that involves delib-
Although pyromania is rare among children, fire
erate and purposeful fire setting on more than one
setting in adolescence is typically associated with
occasion. The act of fire setting is preceded by
conduct disorder, attention deficit/hyperactivity
experience of tension or affective arousal, and it is
disorder, or an adjustment disorder. Among
followed by pleasure, gratification, or relief when
adults, pyromania is commonly associated with
setting fires or when witnessing or participating in
antisocial personality disorder, substance use dis-
the effects of a fire. Pyromania involves fasciation
orders, pathological gambling, and bipolar disor-
or attraction to fire and associated materials, uses,
ders. Fire setting may involve considerable
or consequences. Pyromania is distinct from fire
preparation or forethought; when more impulsive
setting for instrumental gain, political or ideolog-
in nature fire setting is more strongly associated
ical reasons, or an expression of anger or
with substance use. Individuals who present for
vengeance.
mental health treatment rarely do so with a pri-
mary diagnosis of pyromania.
Individuals with a diagnosis of pyromania typ-
ically have a background of lower socioeconomic
# Springer International Publishing AG 2017
J. Kreutzer et al. (eds.), Encyclopedia of Clinical Neuropsychology,
DOI 10.1007/978-3-319-56782-2_9197-1
2 Pyromania

status. In research among individuals with symp- assertiveness, social skills training, relapse pre-
toms of pyromania, these individuals typically vention). A specific group treatment for pyroma-
have lower self-esteem, higher rates of impulsiv- nia developed by Swaffer et al. (2001) involves
ity, and lower frustration tolerance. Etiological (1) education regarding fire danger, (2) coping
models of pyromania typically include elements skills, (3) reflective insight, and (4) relapse
related to social contexts (e.g., interpersonal prob- prevention.
lems, psychosocial disadvantage, social effective-
ness, cues/triggers), self-perceptions (e.g.,
personal effectiveness, self-esteem, agency over See Also
environment), and emotional states (e.g., arousal,
anger, frustration). Triggers for fire stetting are ▶ Conduct Disorders
often associated with stress, boredom, feelings of ▶ Disruptive
inadequacy, interpersonal conflicts, feeling down ▶ Impulse-Control
or sad, having seen fires on TV, and having a
desire to feel important or powerful.

Assessment and Treatment


References and Readings
Assessment of pyromania involves exploring fac-
American Psychiatric Association. (2013). Diagnostic and
tors related to the history of fire setting, general statistical manual of mental disorders (5th ed.). Arling-
psychopathology, potential reinforcement mecha- ton: American Psychiatric Association Publishing.
nisms for fire stetting, substance use, and motiva- Gannon, T. A., & Pina, A. (2010). Firesetting: Psychopa-
thology, theory and treatment. Aggression and Violent
tional, cognitive, and emotional states around fire
Behavior, 15, 224–238.
setting. Grant, J. E., & Kim, S. W. (2007). Clinical characteristics
Interventions for fire setting have historically and psychiatric comorbidity of Pyromania. Journal of
been aimed at conduct problems among children Clinical Psychiatry, 68, 1717–1722.
Swaffer, T., Haggett, M., & Oxley, T. (2001). Mentally
and adolescents. Interventions for adults tend to
disordered firesetters: A structured intervention pro-
include cognitive-behavioral elements from treat- gramme. Clinical Psychology & Psychotherapy, 8,
ment models for more generic offenses (e.g., 468–475.

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