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A child pyromaniac is a
child A child ( : children) is a human being between the stages of birth and puberty, or between the developmental period of infancy and puberty. The legal definition of ''child'' generally refers to a minor, otherwise known as a person younger ...
with an
impulse-control disorder Impulse-control disorder (ICD) is a class of psychiatric disorders characterized by impulsivity – failure to resist a temptation, an urge, or an impulse; or having the inability to not speak on a thought. Many psychiatric disorders feature imp ...
that is primarily distinguished by a compulsion to set fires in order to relieve built-up tension. Child pyromania is the rarest form of fire-setting. Most young children are not diagnosed with
pyromania Pyromania is an impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires, to relieve some tension or for instant gratification. The term ''pyromania'' comes from the Greek word (''pyr'', 'fi ...
, but rather with
conduct disorder Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reckles ...
s. A key feature of pyromania is repeated association with fire without a real motive. Pyromania is not a commonly diagnosed disorder, and only occurs in about one percent of the population. It can occur in children as young as three years old. About ninety percent of the people officially diagnosed with pyromania are male. Pyromaniacs and people with other mental illnesses are responsible for about 14% of fires.


Symptoms

Many clinical studies have found that fire-setting rarely occurs by itself, but usually occurs in addition to other socially unacceptable behavior. The motives that have earned the most attention are pleasure, a cry for help, retaliation against adults, and a desire to reunite the family. Fire-setting among children and teens can be recurring or periodic. Some children and teens may set fires often to release tension. Others may only seek to set fires during times of great stress. Some of the symptoms of pyromania are depression, conflicts in relationships, and trouble coping with stress and anxiety.


Diagnosis

The ''
Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common langua ...
'', also known as the DSM, gives six standards that must be met for a child to be officially diagnosed with pyromania: # The child has to have set more than one fire deliberately. # Before setting the fire, the child must have felt some feelings of tension or arousal. # The child must show that he or she is attracted to fire and anything related to fire. # The child must feel a sense of relief or satisfaction from setting the fire and witnessing it. # The child does not have other motives like revenge, financial gain, delusions, or brain damage for setting the fire. # The fire-setting problem cannot be attributed to other disorders like
anti-social personality disorder Antisocial personality disorder (ASPD or infrequently APD) is a personality disorder characterized by a long-term pattern of disregard of, or violation of, the rights of others as well as a difficulty sustaining long-term relationships. Lack ...
or conduct disorders. Even though fire-setting and pyromania are prevalent in children, these standards are hard to apply to their age group. There is not a lot of experience in diagnosing pyromania, mainly because of the little experience that
health care professionals A health professional, healthcare professional, or healthcare worker (sometimes abbreviated HCW) is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a nurse, physician (suc ...
have with fire-setting.


Comparison to child fire-setters.

There are many important distinctions between a child pyromaniac and a child fire-setter. In general, a fire-setter is any individual who feels the impulse to set a fire for unusual reasons. While a child fire-setter is usually curious about fire and has the desire to learn more about it, a child pyromaniac has an unusually bizarre impulse or desire to set intentional fires.
Pyromania Pyromania is an impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires, to relieve some tension or for instant gratification. The term ''pyromania'' comes from the Greek word (''pyr'', 'fi ...
, also known as pathological fire-setting, is when the desire to set fires is repetitive and destructive to people or property. The most important difference between pyromania and fire-setting is that pyromania is a
mental disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitti ...
, but fire-setting is simply a behavior and can be more easily fixed. Minor or non-severe fire-setting is defined as "accidental or occasional fire-starting behavior" by unsupervised children. Usually these fires are started when a curious child plays with matches, lighters, or small fires. Juveniles in this minor group average at most 2.5 accidental fires in their lifetime. Most children in this group are between five and ten years of age and do not realize the dangers of playing with fire. Pathological fire-setting manifests when the action is "a deliberate, planned, and persistent behavior". Juveniles in this severe group set about 5.3 fires. Most young children are not diagnosed as having pyromania but conduct disorders.


Epidemiology

There are two basic types of children that start
fire Fire is the rapid oxidation of a material (the fuel) in the exothermic chemical process of combustion, releasing heat, light, and various reaction Product (chemistry), products. At a certain point in the combustion reaction, called the ignition ...
s. The first type is the curiosity fire-setter who starts the fire just to find out what will happen. The second type is the problem fire-setter who usually sets fires based on changes in their environment or due to a
conduct disorder Conduct disorder (CD) is a mental disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior that includes theft, lies, physical violence that may lead to destruction, and reckles ...
.


Causes

Fire-setting is made up of five subcategories: the curious fire-setter, the sexually motivated fire-setter, the "cry for help" fire-setter, the "severely disturbed" group, and the rare form of pyromania. Pyromania usually surfaces in childhood, but there is no conclusive data about the average age of onset. Child pyromaniacs are usually filled with an uncontrollable urge to set fires to relieve tension. Not much is known about what genetically causes pyromania but there have been many studies that have explored the topic. The causes of fire setting among young children and youths can be attributed to many factors, which are divided into individual and environmental factors: ;Individual factors # Antisocial behaviors and attitudes: Children that set fires usually do not only set fires but also commit other crimes or offenses including vandalism, violence, anger, etc. # Sensation seeking: Some children are attracted to fire-setting because they are bored and are looking for something to do. #
Attention seeking Attention seeking behavior is to act in a way that is likely to elicit attention. Attention seeking behavior is defined in the DSM-5 as "engaging in behavior designed to attract notice and to make oneself the focus of others’ attention and admir ...
: Lighting a fire becomes a way to "get back" at adults and, in turn, produce a response from the adults. # Lack of social skills: Some children simply have not been taught enough social skills. Many children and adolescents who have been discovered setting fires consider themselves to be "loners". # Lack of fire-safety skills and ignorance of danger: This is what drives most children who do not display signs of pyromania- just natural curiosity and ignorance of the fire's destructive power. # Learning difficulties. # Parental conflicts like separation,
neglect In the context of caregiving, neglect is a form of abuse where the perpetrator, who is responsible for caring for someone who is unable to care for themselves, fails to do so. It can be a result of carelessness, indifference, or unwillingness and ...
, and
abuse Abuse is the improper usage or treatment of a thing, often to unfairly or improperly gain benefit. Abuse can come in many forms, such as: physical or verbal maltreatment, injury, assault, violation, rape, unjust practices, crimes, or other t ...
. # Sexual abuse. #Maltreatment. ;Environmental factors # Poor supervision by parents or guardians. # Seeing adults use fire inappropriately at an early age. # Parental neglect. # Parents abusing drugs or acting violently- this factor has been studied and the conclusions show that fire-setters are more likely in homes where the parents abuse them. #
Peer pressure Peer pressure is the direct or indirect influence on peers, i.e., members of social groups with similar interests, experiences, or social statuses. Members of a peer group are more likely to influence a person's beliefs, values, and behavior. A g ...
. # Stressful life events: Fire-setting becomes a way to cope with crises.


Treatment

If a child is diagnosed with pyromania, there are treatment options despite the lack of scientific research on the genetic cause. Studies have shown that children with repeat cases of setting fires tend to respond better to a case-management approach rather than a medical approach. The first crucial step for treatment should be parents sitting down with their child and having a one-on-one interview. The interview itself should try to determine which stresses on the family, methods of discipline, or other factors contribute to the child's uncontrollable desire to set fires. Some examples of treatment methods are problem-solving skills,
anger management Anger management is a psycho-therapeutic program for anger prevention and control. It has been described as deploying anger successfully.Schwarts, Gil. July 2006. Anger Management', July 2006 The Office Politic. Men's Health magazine. Emmaus, PA: ...
, communication skills,
aggression replacement training Aggression replacement training (ART) is a cognitive behavioural intervention for reduction of aggressive and violent behaviour, originally focused on adolescents. It is a multimodal program that has three components: social skills, anger control ...
, and
cognitive restructuring Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions,Gladding, Samuel. Counseling: A Comprehensive Review. 6th. Columbus: Pearson Educatio ...
. The chances that a child will recover from pyromania are very slim according to recent studies, but there are ways to channel the child's desire to set fires to relieve tension—for example, alternate activities such as playing a sport or an instrument. Another method of treatment is
fire-safety education Fire safety is the set of practices intended to reduce the destruction caused by fire. Fire safety measures include those that are intended to prevent the ignition of an uncontrolled fire and those that are used to limit the development and eff ...
. At times, the best method of treatment is child counseling or a
residential treatment center A residential treatment center (RTC), sometimes called a rehab, is a live-in health care facility providing therapy for substance use disorders, mental illness, or other behavioral problems. Residential treatment may be considered the "last-ditch ...
. However, since cases of child pyromania are so rare, there has not been enough research done on the success of these treatment methods. The most common and effective treatment of pyromania in children is
behavioral modification Behavior modification is an early approach that used respondent and operant conditioning to change behavior. Based on methodological behaviorism, overt behavior was modified with consequences, including positive and negative reinforcement contin ...
. The results usually range from fair to poor. Behavioral modification seems to work on children with pyromaniac tendencies about 95% of the time.


History

Early studies into the causes of pyromania come from
Freud Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating pathologies explained as originating in conflicts in ...
ian
psychoanalysis PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might b ...
. Around 1850, there were many arguments about the causes of pyromania. The two biggest sides of the argument were whether pyromania comes from a mental or genetic disorder or moral deficiency.
Freud Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating pathologies explained as originating in conflicts in ...
reasoned that fire-setting was an archaic desire to gain power over nature. The first study done on fire-setting behavior in children was in 1940 and was credited to
Helen Yarnall Helen may refer to: People * Helen of Troy, in Greek mythology, the most beautiful woman in the world * Helen (actress) (born 1938), Indian actress * Helen (given name), a given name (including a list of people with the name) Places * Helen, G ...
, who compared fire-setting to fears of castration in male children and said that by setting a fire, some young males feel that they have gained power over adults. This 1940 study also introduced the idea that a good predictor of violent behavior in adult life is fire-setting and cruelty towards animals as a child.


References


Further reading

* * *


External links


Operation Extinguish Juvenile Firesetter Handbook

Prevent Youth Firesetting
{{DEFAULTSORT:Child Pyromaniac Mental disorders diagnosed in childhood Fire