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J Forensic Nurs 2018 Oct/Dec;14(4):206-213

The Ohio State University, Nationwide Children's Hospital.

Child sexual abuse is a problem of epidemic proportions resulting in lifelong physical and mental health consequences for victims. Most child sexual abuse victims never disclose and do not receive needed treatment. Clearly, pediatric healthcare providers must understand the dynamics of child sexual abuse to better identify and protect potential victims. Read More

BMJ Case Rep 2018 Sep 27;2018. Epub 2018 Sep 27.

Department of Psychiatry, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

A boy with attention deficit and hyperactivity disorder (ADHD) presented with a fetish for and the subsequent stealing of female undergarments. He was predominantly inattentive and had been a slow learner. Psychological tests showed that he had significant cognitive and inattention problems without significant hyperactivity, and was at risk of dyslexia as well as conduct disorder. Read More

J Sex Med 2018 Sep;15(9):1322-1335

Psychiatry Unit, Department of Neuroscience, Psychology, Drug Research, and Child Health, University of Florence, Florence, Italy.

Introduction: The actual definitions of paraphilic thoughts or behaviors and hypersexuality are still a matter of debate in the scientific community, and few studies have evaluated their psychopathological correlates in non-clinical samples of both men and women.

Aim: This study aimed at shedding light on the gender differences in terms of frequency of paraphilic fantasies and behaviors, and the relationship among paraphilias, hypersexuality, and general psychopathology.

Methods: A sample of 775 university students (243 men, 532 women) was recruited from 6 Italian universities using questionnaires posted in social networks. Read More

Turk Psikiyatri Derg 2018 ;29(2):131-137

In this paper, complaints of "unluckiness," which are often heard in psychotherapy, are discussed with respect to masochistic personality. Luck is a concept that belongs to the outer world. However, the phrase "I am unlucky" can be a concept that becomes a part of one's own identity. Read More

J Korean Med Sci 2018 Sep 23;33(37):e231. Epub 2018 Jul 23.

Department of Psychology and Psychotherapy, College of Health Science, Dankook University, Cheonan, Korea.

Background: This study examined the clinical effects of leuprolide acetate in sexual offenders with paraphilic disorders evaluated by means of objective psychiatric assessment.

Methods: The subjects of this study were seven sexual offenders who were being treated by means of an injection for sexual impulse control by a court order. They had been diagnosed with paraphilia by a psychiatrist based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) and had been put on probation by the Ministry of Justice between January 2016 and December 2016. Read More

BMJ Case Rep 2018 Aug 31;2018. Epub 2018 Aug 31.

Department of Nephrology, Klinikum Stuttgart, Stuttgart, Germany.

Bondage and discipline, dominance and submission, sadism and masochism (BDSM) refers to a variety of primarily erotic practices. Although safety is crucial for most BDSM practitioners, there are violent forms that may cause serious injury. We present the case of 61-year-old man with no history of chronic kidney disease who developed severe acute anuric kidney injury following violent BDSM play. Read More

Cad Saude Publica 2018 08 20;34(8):e00180317. Epub 2018 Aug 20.

Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.

This article aims to analyze how expressions of sexuality and gender emerge in the legal proceedings that determine the fate of individuals at the interface between crime and madness. The text explores the criminal proceedings against persons in mental distress that have committed crimes, or so-called "criminally insane" patients, and who are subject to security measures. Using genealogy as the methodological approach, the article analyzes the conditions underlying the source and emergence of the "abnormal", a figure produced and scrutinized by forensic medical discourse. Read More

J Med Humanit 2018 Aug 4. Epub 2018 Aug 4.

Pace University, 41 Park Row, 15th Floor, New York, NY, 10038, USA.

This essay places psychiatrist and philosopher Frantz Fanon's anti-colonial, anti-racist message from Peau Noire, Masques Blancs/Black Skin, White Masks (1952; 1967; 2008) in conversation with the new diagnoses of "Gender Dysphoria" and "Transvestic Disorder" in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Specifically, the essay discusses sexologist Ray Blanchard's controversial theory of autogynephilia alongside Fanon's ambivalent rendering of transgender desire and interracial trans phenomenology in a crucial but frequently overlooked passage in Black Skin. Fanon's anti-colonial critique of psychiatry allows us to reconsider how Blanchard's theories on paraphilia engage with the foundational psychoanalytic concepts of identification and desire, as identified by the Freudian and Lacanian models and explored in the writings of Judith Butler, Catherine Millot, Charles Shepherdson, and others. Read More

J Sex Marital Ther 2018 Jul 24:1-25. Epub 2018 Jul 24.

g Universitatsklinikum Hamburg Eppendorf Institut fur Sexualforschung und Forensische Psychiatrie , Hamburg , Germany.

Guidelines for pharmacological treatment of patients with paraphilic disorders have been developed by a working group of the World Federation of Societies of Biological Psychiatry (Thibaut et al. 2010 ). With an increasing duration of experience and number of treated patients as well as aging patients, change of or withdrawal from testosterone lowering medications (TLM) has become an important issue. Read More

Ned Tijdschr Geneeskd 2018 May 14;162. Epub 2018 May 14.

UMC Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde.

From the 1920s, surgical castration increasingly became an accepted 'therapy' for the treatment of sexual delinquents in the Netherlands. Though often seen as a measure of last resort ('ultimum remedium'), the number of castration cases would reach into the hundreds during the following decennia. Since castration was applied to sexual delinquents, it meant that this procedure was not just dependent on medical, but also broader societal concerns and ideas about sexually acceptable behaviour. Read More

Cureus 2018 May 16;10(5):e2639. Epub 2018 May 16.

Psychiatry, Cooper University Hospital, Camden, USA.

Paraphilic disorder in patients with autism spectrum disorder (ASD) can be extremely disturbing to both the patient and caretakers. It can interfere with these patient's ability to develop social skills, which are essential for adaptation, and function within society. This case report details the history of an 18-year-old male patient previously diagnosed with Asperger's syndrome, who also exhibited symptoms consistent with paraphilic disorder. Read More

Curr Psychiatry Rep 2018 Jul 21;20(8):54. Epub 2018 Jul 21.

Integrated Forensic Program, Royal Ottawa Health Care Group and Institute of Mental Health Research, Ottawa, Canada.

Purpose Of Review: To examine the empirical bases underlying the diagnoses of the paraphilias. We address issues concerning the reliability of these diagnoses and their implications for etiology, treatment, and prognosis.

Recent Findings: Research on these issues with the paraphilias is quite limited except for those paraphilics whose interests lead them to sexually offend. Read More

BMJ Sex Reprod Health 2018 07 4;44(3):161-164. Epub 2018 Jun 4.

Women's Health Academic Centre, King's College London, London, UK.

Cad Saude Publica 2018 28;34(5):e00135917. Epub 2018 May 28.

Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil.

This was a qualitative study based on an analysis of narratives produced by travestis and transsexual women in Salvador, Bahia State, Brazil, with the aim of analyzing their experiences with stigmatization by describing events, actors, and contexts that have marked their life stories, as well as elucidating the relationship between stigma and their female performances. The narratives came from 19 in-depth interviews during an epidemiological survey, based on a prior script that explored the production of narratives on lifestyles and experiences of travestis and transsexual women in the city of Salvador. The life stories that emerged in the field were transcribed and analyzed from a theoretical and narrative perspective. Read More

J Sex Med 2018 Jun;15(6):807-808

Department of Psychiatry, Columbia University, College of Physicians and Surgeons, Sexual Behavior Clinic, New York State Psychiatric Institute, New York Presbyterian Hospital, New York, NY, USA.

J Sex Marital Ther 2018 May 10:1-77. Epub 2018 May 10.

b Institute of Psychiatry and Neurology , III Department of Psychiatry , Warsaw , Poland.

Introduction: This study investigates people who have sex with animals (PSA) by describing their living situation, sexual activity, beliefs, and attitudes toward stigmatization. These data are highly applicable to the work of psychiatric and forensic professionals investigating paraphilias.

Methods: We apply mixed-methods approach, using qualitative and quantitative analyses. Read More

Int Clin Psychopharmacol 2018 Nov;33(6):349-352

Department of Psychology, Johannes Gutenberg University Mainz (JGU), Mainz.

In Germany, depending on a sexual offender's culpability and the severity of the offence, he/she can be placed either in the forensic-psychiatric or the correctional system. Numbers related to the pharmacological treatment of sexual offenders for the correctional system are missing so far. In sexual offenders, the pharmacological treatment of paraphilic disorders is of special importance. Read More

Sex Med 2018 Sep 26;6(3):255-262. Epub 2018 Apr 26.

Department of Urology, University Hospital of Zealand, Roskilde, Denmark.

Background: Sexual health problems are common. Therefore, training in sexual health is relevant for the clinical practice of trainees and early-career specialists in several specialties who deal with patients with sexual health problems. However, little is known about how sexual health training is provided across countries and specialties. Read More

Arch Sex Behav 2018 Nov 17;47(8):2255-2264. Epub 2018 Apr 17.

Department of Psychology, University of Colorado, Colorado Springs, Colorado Springs, CO, 80918, USA.

A few studies have found that even in the general population, a minority of adults-men as well as women-report some sexual interest in a young age group. The purpose of the present study was to identify factors associated with self-reported sexual interest in children among a community-based sample of men. Using an online survey methodology, we examined the extent to which different types of childhood adversities (witnessing parental violence, sexual, physical, and emotional abuse), atypical childhood sexual experiences, and participants' self-reported likelihood of engaging in a variety of sexual behaviors (heightened sexual interest) were related to sexual interest in children (SIC) reported by a non-forensic/non-clinical sample of 173 men. Read More

Eur Psychiatry 2018 06 4;51:74-85. Epub 2018 Apr 4.

Department of Psychiatry, Social Psychiatry and Psychotherapy, Division of Clinical Psychology and Sexual Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Electronic address:

Contrary to public perception, child sex offending (CSO) and paedophilia are not the same. Only half of all cases of CSO are motivated by paedophilic preference, and a paedophilic preference does not necessarily lead to CSO. However, studies that investigated clinical factors accompanying and contributing to paedophilia so far mainly relied on paedophiles with a history of CSO. Read More

J Child Sex Abus 2018 Apr 20;27(3):276-291. Epub 2018 Mar 20.

a Department of Psychology , University of Colorado at Colorado Springs , Colorado Springs , CO , USA.

Research with the public suggests that knowledge about sexual offenders, especially child sexual offenders, is limited and often inaccurate. In general, the public tends to believe that adults who commit sex crimes against children are pedophiles or monstrous strangers who cannot be rehabilitated. However, there is some evidence to suggest that these perceptions can be changed through curricular intervention. Read More

Behav Neurosci 2018 Feb;132(1):57-65

Department of Psychology, University of Texas at Austin.

We examined the enduring effects of predictable versus unpredictable fear conditioning early in life on memory and relearning in adulthood. At postnatal Day 17 or 25 (P17 or P25), rats either remained naïve, or were fear conditioned using paired (predictable) or unpaired (unpredictable) presentations of white noise and foot shocks. At 2 months of age (adulthood), each group was fear conditioned (or reconditioned) with either paired or unpaired training, and then was tested for fear extinction the next day. Read More

J Forensic Leg Med 2018 May 10;56:59-65. Epub 2018 Mar 10.

Laboratory of Forensic Sexology, Legal Medicine, and Digital Ethnography, Felnett Health Research Foundation, 175 Zoe St, Staten Island, NY 10305, United States; Program in the Study of Sexual Minorities and Health Policy, Felnett Health Research Foundation: Division for Eastern Europe, Warsaw, Poland. Electronic address:

Introduction: Erotic asphyxiation is a sexual phenomenon in which one partner reduces the other person's brain oxygen level through strangulation. This study analyzes deaths caused by sexually-motivated strangulation to cases of homicidal choking - summarizing criminal penalties for defendants, depending on the presence of drugs, or alcohol intoxication.

Methods: The mode of analysis involves three sources of data. Read More

J Forensic Leg Med 2018 May 2;56:12-15. Epub 2018 Mar 2.

Department of Forensic Medicine & Toxicology, SBKS Medical Institute & Research Centre, Sumandeep Vidyapeeth- An Institution deemed to be University, Vadodara, Gujarat, India.

Paraphilic disorders range from nearly normal behaviour to a behaviour which may be considered as destructive or menacing to the society at large. In accordance with Diagnostic and Statistical Manual of Mental Disorders-V, the terms Paraphilia and Paraphilic disorders, denote different interpretations. Multiple paraphilias connected to childhood either directly or indirectly has been documented in scientific literature. Read More

Rev Colomb Psiquiatr 2018 Jan - Mar;47(1):56-64. Epub 2016 Oct 8.

Instituto de Investigación del Comportamiento Humano (Human Behavioral Research Institute), Bogotá, Colombia.

Human behaviours have different meanings according to the historical moment and context. In this article sexual behaviours are taken as a category in order to analyse how psychiatric nosology is structured, as manifested in texts such as the DSM-5. The development of these diagnostic manuals are tools that are far from being free of subjectivities and interference of elements of power, expressed in the way health, illness, mental health, and mental disorders, are assumed; in short, the normal and pathological. Read More

Dialogues Clin Neurosci 2017 Dec;19(4):381-393

Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany ; Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.

Like nonaffected adults, individuals with autism spectrum disorders (ASDs) show the entire range of sexual behaviors. However, due to the core symptoms of the disorder spectrum, including deficits in social skills, sensory hypo- and hypersensitivities, and repetitive behaviors, some ASD individuals might develop quantitatively above-average or nonnormative sexual behaviors and interests. After reviewing the relevant literature on sexuality in high-functioning ASD individuals, we present novel findings on the frequency of normal sexual behaviors and those about the assessment of hypersexual and paraphilic fantasies and behaviors in ASD individuals from our own study. Read More

Medicine (Baltimore) 2017 Dec;96(51):e9481

Department of Pediatric Neurology, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Rationale: The respective involvements of both the thalamus and exhibitionism in cerebral X-linked adrenoleukodystrophy (X-ALD) have not been reported.

Patient Concerns: An 11-year-old boy initially presented with exhibitionism and progressive neurobehavioral symptoms. He subsequently developed transient urinary and fecal incontinence, and an unwillingness to eat or communicate. Read More

Arch Sex Behav 2018 May 2;47(4):825-826. Epub 2018 Jan 2.

Diverse Sexualities Research and Education Institute, San Francisco, CA, USA.

J Sex Med 2018 Jan;15(1):77-93

Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic address:

Background: Different pharmacologic agents are used in the treatment of paraphilic disorders in sexual offenders or men with a risk of sexual offending, with luteinizing hormone-releasing hormone (LHRH) agonists being the agents introduced more recently to treatment regimens.

Aim: To summarize the relevant literature concerning LHRH agonist treatment of paraphilic disorders in sexual offenders and update the previously published systematic review by Briken et al (J Clin Psychiatry 2003;64:890-897).

Methods: The PubMed and Google Scholar databases were searched for literature published from January 2003 through October 2017 using the following key words: LHRH agonists, GnRH agonists, antiandrogens AND paraphilia, pedophilia, sex offenders. Read More

Int J Offender Ther Comp Criminol 2018 May 1;62(6):1430-1451. Epub 2017 Feb 1.

1 University of Montreal, Quebec, Canada.

This study investigated the day-to-day deviant and nondeviant sexuality of a sample of Canadian sexual aggressors against women ( N = 160). Using latent class analysis, three latent classes were identified: internalized deviant (ID), low sexual problem (LSP), and hypersexual deviant (HD). Following the latent class analysis, the developmental, physiological, cognitive, and criminological correlates of these lifestyles were analyzed. Read More

Synapse 2018 04 21;72(4). Epub 2017 Dec 21.

Department of Neuroscience, University of Lethbridge, Lethbridge, Alberta, Canada.

Juvenile social interactions have been shown to influence the dendritic complexity of neurons in the prefrontal cortex (PFC). In particular, social play induces pruning of the cells in the medial prefrontal cortex (mPFC), whereas interacting with multiple partners, whether those interactions involve play or not, increases the complexity of cells in the orbital frontal cortex (OFC). Previous studies suggest that these changes differ in their stability during adulthood. Read More

Sex Abuse 2018 Oct 20;30(7):781-802. Epub 2017 Mar 20.

2 University of Duisburg-Essen, Germany.

The presence of pedophilic sexual interests is considered of high importance for predicting recidivism among individuals who have committed sexual offenses. However, objective and valid assessment methods that are robust against confounding issues such as cognitive capacity and manipulation are sparse. We applied the Approach-Avoidance Task (AAT) for detecting sexual interests in 38 pedophilic men (18 primarily attracted to boys) and 27 male nonpedophilic (11 gay) participants. Read More

J Forensic Sci 2018 Jul 27;63(4):1207-1214. Epub 2017 Nov 27.

Division of Forensic Psychiatry, Department of Psychiatry and Behavioral Neuroscience, St. Louis University School of Medicine, 1438 S. Grand Blvd., St. Louis, MO, 63104.

There is little known about sexual offenders hospitalized under forensic commitment statutes such as not guilty by reason of insanity (NGRI). We conducted a chart review to delineate the demographic, clinical, and legal characteristics of NGRI sexual offenders (n = 68) committed to the California Department of State Hospitals-Napa, including 41 found NGRI for a sexual offense and 27 found NGRI for a nonsexual offense. The two groups did not differ significantly in their demographics, psychiatric diagnoses, victim characteristics, or recidivism risk as measured by the Static-99R. Read More

J Sex Marital Ther 2018 May 8;44(4):333-342. Epub 2018 Feb 8.

b School of Psychology, University of Lincoln , Lincoln , England.

In this experimental study, 89 participants were allocated to an offending pedophile, nonoffending pedophile, or control video condition. They then watched two short help-seeking video clips of an older male and a younger male (counterbalanced). Judgments about each male were assessed, as were general attitudes toward pedophiles and sexual offenders. Read More

Sex Med Rev 2018 01 9;6(1):3-10. Epub 2017 Nov 9.

Morris Psychological Group, PA, Parsippany, NJ, USA. Electronic address:

Introduction: Current sex therapy and sexual medicine protocols often ignore the existential dilemmas associated with sexual dysfunction and other problematic sexual problems. This oversight is especially apparent when assessing and treating the controversial phenomenon of hypersexuality, or "sexual addiction." A deeper understanding of the existential concept of death anxiety could offer an alternative treatment paradigm that might lead to a more effective treatment outcome. Read More

J Pers Disord 2017 Nov 9:1-27. Epub 2017 Nov 9.

Emory University, Atlanta, Georgia.

We examined the relations between: (1) narcissism, psychopathy, DSM-5 personality disorder symptom counts; and (2) paraphilic interests among undergraduates (N = 608). Base rates of paraphilic interests were appreciable. The disinhibition and meanness features of psychopathy and the entitlement and exploitativeness features of narcissism were robustly associated with paraphilic interests, particularly sexual sadism, whereas the boldness features of narcissism and psychopathy were essentially unrelated to these interests. Read More

World J Biol Psychiatry 2017 Nov 17:1-10. Epub 2017 Nov 17.

a Institute for Sex Research and Forensic Psychiatry , University Medical Centre Hamburg-Eppendorf , Hamburg , Germany.

Objectives: The present study aims to evaluate existing policy and practice relating to the use of pharmacological treatments with patients suffering from paraphilic disorders who are at risk of committing further sexual offences.

Methods: A systematic literature search was conducted to document current legal policies across 26 different countries. In addition, a questionnaire assessing the practice of pharmacological treatment was sent to practitioners involved in the treatment of patients with paraphilic disorders. Read More

J Psychiatr Res 2018 Jan 7;96:138-144. Epub 2017 Oct 7.

Department for Forensic Psychiatry and Psychotherapy, Clinic of Psychiatry and Psychotherapy, University Medical Center, University of Goettingen, Goettingen, Germany; Asklepios Forensic Psychiatric Hospital, Goettingen, Germany.

Sexual child abuse is one of the most destructive events for child development. One possible approach to avert it is the preventive treatment of individuals with a sexual interest in children. The aim of the current eye tracking study was to compare people with a self-reported sexual interest in children who participate in the outpatient preventive treatment project "PsM", pedophilic forensic inpatients, and a non-pedophilic control group. Read More

Soc Cogn Affect Neurosci 2017 09;12(9):1490-1499

Division of Forensic Psychiatry, Department of Psychiatry, Psychotherapy and Preventive Medicine, LWL-University Hospital Bochum, Germany.

Pedophilia is a sexual preference that is often associated with child sex offending (CSO). Sexual urges towards prepubescent children and specifically acting upon those urges are universally regarded as immoral. However, up until now, it is completely unknown whether moral processing of sexual offenses is altered in pedophiles. Read More

J Sex Med 2017 11 29;14(11):1421-1429. Epub 2017 Sep 29.

Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA. Electronic address:

Background: There is a lack of research on adult baby/diaper lover (ABDL) behavior, particularly from community samples. Prior studies have not examined differences between the AB and DL subgroups in the ABDL community.

Aim: To explore whether endorsements of AB role-play enjoyment and ratings of sexual enjoyment during ABDL activity were related to parenting and attachment variables, negative mood states, and reported problems with ABDL and to explore differences by relationship status and by sexual orientation. Read More

J Homosex 2018 23;65(12):1656-1682. Epub 2017 Oct 23.

a Independent Researcher , Nijmegen , the Netherlands.

The presidency of gender in the Anglo-American taxonomy of sexualities historically has been haunted by the irruption of "other" parameters of medicalization, censure, and caesura, not in the least absolute and relative measures of age. Where today's clinical psychologists feel the need to age-specify adult homosexuality in such Hirschfeldian terms as androphilia, however, the felt need is indeed still essentially clinical. That cosmopolitan expressions such as homosexual, LGB, or queer rarely require such specifications relies on a protracted and today, arguably, complete disarticulation of sex/gender and age/maturity as parameters of sexual orientation, accreditation, and mobilization. Read More

Presse Med 2017 Dec 14;46(12 Pt 1):1144-1152. Epub 2017 Sep 14.

Centre hospitalier Henri-Laborit, unité de recherche clinique intersectorielle en psychiatrie à vocation régionale Pierre-Deniker, 370, avenue Jacques-Cœur, C.S. 10587, 86021 Poitiers cedex, France; CHU de Poitiers, université de Poitiers, groupement de recherche, CNRS 3557, 86022 Poitiers, France.

According to victimization surveys, the percentage of females among child abusers is much higher than 2 or 5% as usually reported in the devoted literature. The under-estimated percentage of child sexual abuses committed by females would result from the dissimulation of sexual acts within nursing care, a gender bias in favor of women among child protection system professionals and low disclosures. Sexual abuses committed by females are often more harmful for children than sexual abuses committed by males. Read More

Pers Soc Psychol Bull 2017 03 27;43(3):337-346. Epub 2017 Jan 27.

2 University of Belgrade, Serbia.

In public goods situations, a specific destructive behavior emerges when individuals face the possibility of punishing others: antisocial punishment, that is, costly punishing cooperative individuals. So far, little is known about the (intuitive or reflective) processes underlying antisocial punishment. Building on the Social Heuristics Hypothesis and arguing that antisocial punishment reflects the basic characteristics of sadism, namely, aggressive behavior to dominate and to harm other individuals it is assumed that everyday sadists intuitively engage in antisocial punishment. Read More

J Sex Marital Ther 2018 Apr 13;44(3):217-230. Epub 2017 Oct 13.

a Department of Psychiatry , Mount Sinai Beth Israel , New York , NY , USA.

The present study compares community-based minor-attracted persons (MAPs) with and without histories of sexual activity with children. MAP actors (N = 342) were significantly older than non-actors (N = 223), with longer duration of pedophilic attraction, more antisocial traits, greater attraction to boys, greater difficulty controlling their attraction, and more positive attitudes toward adult-child sexual activity. Additionally, more MAP actors reported prior mental health treatment, nonsexual offenses, and childhood sexual and nonsexual abuse. Read More

Curr Opin Psychiatry 2017 Nov;30(6):409-416

aDepartment of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz bInstitute for Sex Research and Forensic Psychiatry cDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Purpose Of Review: The combination of the core symptoms, characterizing individuals with autism-spectrum disorder (ASD), can lead to problems in romantic relationships and sexual functioning. The purpose of this article is to review studies on sexuality in individuals with ASD published since January 2016.

Recent Findings: Individuals with ASD and especially women show a higher diversity in sexual orientation in comparison with the non-ASD population. Read More

Curr Opin Psychiatry 2017 Nov;30(6):417-422

aMiguel Hernández University, Elche, Spain, IAMS, International Academy of Medical Sexology bLa Sapienza University, Roma, Italy cUniversity of Salamanca, Institute of Biomedicine of Salamanca (IBSAL), Salamanca, Spain, IAMS.

Purpose Of Review: To provide an overview of post-The Diagnostic and Statistical Manual of Mental Disorders, 5th ed. classifications related to human sexuality. After reviewing the literature on classification and clinical practice of sexual disorders, some of the most important contributions on main sexological classifications and frameworks were selected, especially from January 2016 till June 2017. Read More

Int J Drug Policy 2017 11 1;49:160-167. Epub 2017 Sep 1.

Department of Criminology and Sociology of Law, University of Oslo, Norway.

Background: In this study, we use assemblage theory to investigate the link between alcohol use and one-night stands.

Methods: The data come from qualitative interviews conducted with 104 young participants in the night-time economy.

Results: We show that: (i) alcohol-fuelled sexual explorations (e. Read More

J Homosex 2018 28;65(10):1299-1324. Epub 2017 Sep 28.

a Institute for Women's Studies and Services , Metropolitan State University of Denver , Denver , Colorado , USA.

This mixed-methods study of BDSM investigates the nuances of BDSM participants' role identities, role frequencies, and role fluidities-shifts in identities and play across time, location, scene, and play partner. Data were gathered from 202 online surveys and 25 semistructured interviews about participants' roles given their gender and sexual identities. These data reveal that men tend to self-identify as Dominant, Master, Top, or Sadist (DMTS) and always perform dominant roles, while women tend to self-identify as Submissive, Slave, Bottom, or Masochist (SSBM) and always perform submissive roles. Read More

Curr Opin Psychiatry 2017 Nov;30(6):396-401

aDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar de Setúbal, Setúbal, Portugal bInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.

Purpose Of Review: Sexual dysfunction is a frequent issue in patients with affective disorders, affecting its quality of life and posing challenges to the approach of these patients.

Recent Findings: In recent years, human sexuality has attracted interest from the scientific community, and today we have a much deeper knowledge of the mechanisms involved in the sexual response. Paraphilias or sexual dysfunctions like low sexual desire, premature ejaculation, and erectile dysfunction, are frequent in affective disorders, and the frequency of each sexual problem varies according to the affective disorder. Read More