Le syndrome de Diogène en 2017 : où en sommes-nous ? À partir d’une revue de la littérature et d’une étude de cas

Abstract : The Diogenes syndrome appeared for the first time in 1975 in The Lancet, following the observations made by Clark et al.. It is rare and is even less common within a couple. Moreover, it has been vulgarised over time by the medias, curious about singular situations whereby people accumulate garbage at home. The most recurrent criteria found in people affected by the Diogenes syndrome are self-neglect, compulsive hoarding, squalid places of residence, withdrawal, a lack of shame, and a refusal of care. A new French definition emerged with Monfort et al.’s article highlighting one principal criterion (paradoxical lack of medical requests vis-à-vis doctors and socio-medical services) and 3 secondary criteria (unusual relation towards objects, others, and one’s body). Aetiologies are numerous and the treatment is long, complex, and multi-disciplinary. Mr and Mrs C. were a couple made of a mother and her son living in the same accommodation. They lived at least 15 years in a hoarded flat, hoarding imposed by Mr who collected miniature cars. Mr was diagnosed with a frontotemporal meningioma. He also presented a depressive syndrome and an abnormal personality. Mrs had a form of dementia combined with an authoritarian and strong personality. Mr and Mrs C. both suffered from the Diogenes syndrome. Its longevity within this couple finds its reason in its dynamic aspect, along with modifications in the received treatments. Forty-two years after its birth, the Diogenes syndrome remains a nosographic entity used, but controversial. A consensual definition is necessary to ease its spread within the medical community in order to facilitate both the screening and treatment of patients.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [30 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01627045
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, October 31, 2017 - 5:00:07 PM
Last modification on : Friday, November 17, 2017 - 1:12:01 AM
Long-term archiving on : Thursday, February 1, 2018 - 1:11:39 PM

File

Med_generale_2017_Leroy_A.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-01627045, version 1

Collections

Citation

Alexandre Leroy. Le syndrome de Diogène en 2017 : où en sommes-nous ? À partir d’une revue de la littérature et d’une étude de cas . Médecine humaine et pathologie. 2017. ⟨dumas-01627045⟩

Share

Metrics

Record views

372

Files downloads

1829