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The essential feature of pyromania is multiple deliberate and purposeful (rather than accidental) fire setting (Table 19–7). The fire-setting behavior is primary, unrelated to another psychiatric state or to ideology, vengeance, or criminality, and does not result from impaired judgment (e.g., in dementia or mental retardation). DSM-IV-TR also excludes "communicative arson," by which some individuals with mental disorders or personality disorders use fire to communicate a desire or need.

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Table Reference Number
TABLE 19–7. DSM-IV-TR diagnostic criteria for pyromania
Table Reference Number
TABLE 19–8. Sociological and demographic characteristics of depressed patients without and with impulse-control disorders (ICDs)
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TABLE 19–9. Clinical characteristics of depressed patients with and without impulse-control disorders (ICDs)
Table Reference Number
TABLE 19–10. Pyromania: treatment summary

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