5,330 results match your criteria Paraphilias


Same Same but Different: A Clinical Characterization of Men with Hypersexual Disorder in the Sex@Brain Study.

J Clin Med 2019 Jan 30;8(2). Epub 2019 Jan 30.

Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany.

Problems arising from hypersexual behavior are often seen in clinical settings. We aimed to extend the knowledge about the clinical characteristics of individuals with hypersexual disorder (HD). A group of people who fulfilled the proposed diagnostic criteria for HD (men with HD, = 50) was compared to a group of healthy controls ( = 40). Read More

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http://dx.doi.org/10.3390/jcm8020157DOI Listing
January 2019

Contemporary understanding of zoophilia - A multinational survey study.

J Forensic Leg Med 2019 Jan 4;62:44-51. Epub 2019 Jan 4.

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: People with paraphilias have sexual interests that are unusual, including inanimate objects, places, or individuals (children, corpses). This study explores zoophiles (=PSA, people who have sex with animals) recruited from the Internet.

Method: We administered a survey of own design via the Internet on popular discussion forums targeting the communities of PSA. Read More

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http://dx.doi.org/10.1016/j.jflm.2018.12.010DOI Listing
January 2019
9 Reads

Combination of Psychiatric and Psychological Approaches in the Assessment and Treatment of Sexual Offenders.

Authors:
O Chan S Lam

East Asian Arch Psychiatry 2018 Dec;28(4):129-133

Correctional Services Department, Hong Kong.

This review discusses the association between mental disorders and sexual offending, and provides an overview of the combination of psychiatric and psychological approaches to assess and treat sexual offenders at the Sex Offender Evaluation and Treatment Unit in Siu Lam Psychiatric Centre in Hong Kong. Read More

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December 2018
1 Read

Child Sexual Abuse Perpetrators: What Forensic Nurses Need to Know.

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

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http://dx.doi.org/10.1097/JFN.0000000000000222DOI Listing
December 2018
8 Reads

[Dissident sexualities: an outlook on identity narratives and lifestyle in cyberspace].

Cien Saude Colet 2018 Oct;23(10):3309-3318

Programa de Pós-Graduação em Saúde Pública, Escola Nacional de Saúde Pública Sérgio Arouca, Fiocruz. Av. Brasil 4036/700, Manguinhos. 21040-361 Rio de Janeiro RJ Brasil.

The subculture of BDSM (Bondage, Discipline, Domination, Submission, Sadism, Masochism) is organized around dissident erotic practices based on consent. Starting with a netnography survey, this study seeks to understand how adepts of BDSM present themselves from the standpoint of identity in cyberspace. In this sense, blogs and sites related to BDSM, as well as social networks, have been observed. Read More

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http://dx.doi.org/10.1590/1413-812320182310.18642018DOI Listing
October 2018
10 Reads

Fetishism in ADHD: an impulsive behaviour or a paraphilic disorder?

Authors:
Ruziana Masiran

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

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22621
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http://dx.doi.org/10.1136/bcr-2018-226212DOI Listing
September 2018
34 Reads

Deviance or Normalcy? The Relationship Among Paraphilic Thoughts and Behaviors, Hypersexuality, and Psychopathology in a Sample of University Students.

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

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http://dx.doi.org/10.1016/j.jsxm.2018.07.015DOI Listing
September 2018
16 Reads

[The Function of the Expression "I am Unlucky" with Respect to Masochistic Personality].

Authors:
Çağay Dürü

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

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November 2018
5 Reads

Therapeutic Effects of Leuprorelin (Leuprolide Acetate) in Sexual Offenders with Paraphilia.

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

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https://synapse.koreamed.org/DOIx.php?id=10.3346/jkms.2018.3
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http://dx.doi.org/10.3346/jkms.2018.33.e231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125314PMC
September 2018
8 Reads

Severe acute kidney injury due to violent sadomasochistic play.

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

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22481
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http://dx.doi.org/10.1136/bcr-2018-224813DOI Listing
August 2018
18 Reads

[Expressions of sexuality and gender at the interface between crime and madness: moralizing conceptions in the treatment of the "criminally insane" patient].

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

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0102-311X00180317DOI Listing
August 2018
2 Reads

Fanon and the New Paraphilias: Towards a Trans of Color Critique of the DSM-V.

Authors:
Stephanie Hsu

J Med Humanit 2019 Mar;40(1):53-68

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

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http://dx.doi.org/10.1007/s10912-018-9531-3DOI Listing
March 2019
2 Reads

Validation of 'the change or stop testosterone lowering medication (COSTLow)-scale' using delphi method among clinical experts.

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

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http://dx.doi.org/10.1080/0092623X.2018.1491910DOI Listing
July 2018
4 Reads

[Sexual delinquency and surgical castration: a 'measure of last resort' in the Netherlands from 1920-1970].

Authors:
Roland M Bertens

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

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May 2018
1 Read

[Review of cases of zoophilia in patients with Parkinson's disease].

Rev Neurol 2018 Aug;67(4):129-132

Instituto de Investigacion del Comportamiento Humano, Bogota DC, Colombia.

Introduction: Parkinson's disease (PD) is characterized by motor symptoms such as bradykinesia, rigidity, alteration of postural reflexes and tremor at rest and other non-motor symptoms such as changes in sleep patterns and sexual behavior. However, little is known about paraphilic sexual behaviors.

Aim: To summarize the number of cases of zoophilic behaviors in patients with PD between January 2000 and December 2017. Read More

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August 2018
9 Reads

Paraphilic Disorder in a Male Patient with Autism Spectrum Disorder: Incidence or Coincidence.

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

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http://dx.doi.org/10.7759/cureus.2639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047840PMC
May 2018
7 Reads

Diagnostic Issues in the Paraphilias.

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

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http://dx.doi.org/10.1007/s11920-018-0919-6DOI Listing
July 2018
2 Reads

I, Sex Robot: the health implications of the sex robot industry.

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.

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http://dx.doi.org/10.1136/bmjsrh-2017-200012DOI Listing
July 2018
2 Reads

Pedophilic sex offenders are characterised by reduced GABA concentration in dorsal anterior cingulate cortex.

Neuroimage Clin 2018 31;18:335-341. Epub 2018 Jan 31.

Clinical Affective Neuroimaging Laboratory (CANLAB), Magdeburg, Germany.

A pedophilic disorder is characterised by abnormal sexual urges towards prepubescent children. Child abusive behavior is frequently a result of lack of behavioral inhibition and current treatment options entail, next to suppressing unchangeable sexual orientation, measures to increase cognitive and attentional control. We tested, if in brain regions subserving attentional control of behavior and perception of salient stimuli, such inhibition deficit can be observed also on the level of inhibitory neurotransmitters. Read More

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http://dx.doi.org/10.1016/j.nicl.2018.01.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987735PMC
February 2019
19 Reads

Response inhibition and impulsive decision-making in sexual offenders against children.

J Abnorm Psychol 2018 07 31;127(5):471-481. Epub 2018 May 31.

Department of Psychology, Johannes Gutenberg-University Mainz.

Current theories view impulsivity as an important factor in the explanation of sexual offending. While impulsivity itself is a multidimensional construct, response inhibition and impulsive decision-making are frequently discussed subcomponents. Impulsivity in sexual offenders could be triggered by sexual cues with high emotional significance. Read More

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http://dx.doi.org/10.1037/abn0000359DOI Listing
July 2018
3 Reads

[Stigma and resistance among travestis and transsexual women in Salvador, Bahia State, Brazil].

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

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http://dx.doi.org/10.1590/0102-311x00135917DOI Listing
October 2018
2 Reads

From Atypical Sexual Interests to Paraphilic Disorders: The Planned ICD Revisions Related to Paraphilic Disorder.

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.

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https://linkinghub.elsevier.com/retrieve/pii/S17436095183009
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http://dx.doi.org/10.1016/j.jsxm.2018.02.001DOI Listing
June 2018
9 Reads

Somnophilia and Sexual Abuse through the Administration of GHB and GBL.

Authors:
Mark Pettigrew

J Forensic Sci 2019 Jan 21;64(1):302-303. Epub 2018 May 21.

School of Social Sciences, Leeds Beckett University, Leeds, LS1 3HE, U.K.

Somnophilia, the desire to have sex with an unconscious, sleeping, or comatose person who is unable to respond, is a sexual paraphilia that is seldom reported. The underlying desire is often overshadowed by the act of sexual violation and when using GHB or GBL to induce unconsciousness, as in the case presented here, the victim might not even be able to recall, for certain, that they have been sexually violated. A case study is offered of a somnophile who adulterated drinks to render young men unconscious, so he could rape them in that state, before progressing to administering drugs anally on the pretext of applying lubrication to the anus to facilitate sexual intercourse. Read More

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http://doi.wiley.com/10.1111/1556-4029.13812
Publisher Site
http://dx.doi.org/10.1111/1556-4029.13812DOI Listing
January 2019
64 Reads

Digital Ethnography of Zoophilia - A Multinational Mixed-Methods Study.

J Sex Marital Ther 2018 May 10:1-20. Epub 2018 May 10.

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

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

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http://dx.doi.org/10.1080/0092623X.2018.1474405DOI Listing
May 2018
3 Reads

Pharmacological treatment of sexual offenders in German outpatient treatment centers.

Int Clin Psychopharmacol 2018 11;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

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http://Insights.ovid.com/crossref?an=00004850-201811000-0000
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http://dx.doi.org/10.1097/YIC.0000000000000222DOI Listing
November 2018
5 Reads

Sexual Health During Postgraduate Training-European Survey Across Medical Specialties.

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

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http://dx.doi.org/10.1016/j.esxm.2018.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085219PMC
September 2018
3 Reads

Understanding Men's Self-Reported Sexual Interest in Children.

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

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http://dx.doi.org/10.1007/s10508-018-1173-zDOI Listing
November 2018
20 Reads

Clinical characteristics associated with paedophilia and child sex offending - Differentiating sexual preference from offence status.

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

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https://linkinghub.elsevier.com/retrieve/pii/S09249338183003
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http://dx.doi.org/10.1016/j.eurpsy.2018.02.002DOI Listing
June 2018
8 Reads

Response and Rebuttal to "Existential Issues in Sexual Medicine: The Relation Between Death Anxiety and Hypersexuality".

Authors:
Daniel N Watter

Sex Med Rev 2018 04;6(2):336-337

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

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http://dx.doi.org/10.1016/j.sxmr.2018.02.001DOI Listing
April 2018
1 Read

Response Regarding Existential Issues in Sexual Medicine: The Relation Between Death Anxiety and Hypersexuality.

Sex Med Rev 2018 04;6(2):335-336

ENDOSEX, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy. Electronic address:

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http://dx.doi.org/10.1016/j.sxmr.2018.02.002DOI Listing
April 2018
3 Reads

University Students' Perceptions of Child Sexual Offenders: Impact of Classroom Instruction.

Authors:
Sandy K Wurtele

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

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http://dx.doi.org/10.1080/10538712.2018.1435598DOI Listing
April 2018
5 Reads

Differential effects of predictable vs. unpredictable aversive experience early in development on fear memory and learning in adulthood.

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

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http://dx.doi.org/10.1037/bne0000228DOI Listing
February 2018
11 Reads

Lethal asphyxiation due to sadomasochistic sex training - How some sex partners avoid criminal responsibility even though their actions lead to someone's death.

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

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http://dx.doi.org/10.1016/j.jflm.2018.03.012DOI Listing
May 2018
28 Reads

Paraphilic infantilism, diaperism and pedophilia: A review.

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

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http://dx.doi.org/10.1016/j.jflm.2018.02.026DOI Listing
May 2018
10 Reads

Innovations, Reviews and Proposals on the DSM-5: the Case of Sexual Dysfunctions, Gender Dysphoria and Paraphilic Disorders.

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

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http://dx.doi.org/10.1016/j.rcp.2016.08.008DOI Listing
October 2018
2 Reads

Sexuality in autism: hypersexual and paraphilic behavior in women and men with high-functioning autism spectrum disorder.

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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789215PMC
December 2017
10 Reads

Unusual brain images of a boy with adolescent cerebral X-linked adrenoleukodystrophy presenting with exhibitionism: A CARE-compliant case report.

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

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http://dx.doi.org/10.1097/MD.0000000000009481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758294PMC
December 2017
9 Reads

Paraphilias and the ICD-11: Progress but Still Logically Inconsistent.

Authors:
Charles Moser

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

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

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http://dx.doi.org/10.1007/s10508-017-1141-zDOI Listing
May 2018
7 Reads

Treatment of Paraphilic Disorders in Sexual Offenders or Men With a Risk of Sexual Offending With Luteinizing Hormone-Releasing Hormone Agonists: An Updated Systematic Review.

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

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http://dx.doi.org/10.1016/j.jsxm.2017.11.013DOI Listing
January 2018
10 Reads

Sexual Aggressors Against Women's Sexual Lives: A Latent Class Analysis.

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

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http://dx.doi.org/10.1177/0306624X17694374DOI Listing
May 2018
4 Reads

Juvenile social experience and differential age-related changes in the dendritic morphologies of subareas of the prefrontal cortex in rats.

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

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http://dx.doi.org/10.1002/syn.22022DOI Listing
April 2018
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Boyish Mannerisms and Womanly Coquetry: Patients with the Diagnosis of Transvestitismus in the Helsinki Psychiatric Clinic in Finland, 1954-68.

Authors:
Katariina Parhi

Med Hist 2018 01;62(1):50-66

This article examines the case files of patients diagnosed with Transvestitismus [transvestism] in the Psychiatric Clinic of the Helsinki University Central Hospital in the years 1954-68. These individuals did not only want to cross-dress, but also had a strong feeling of being of a different sex from their assigned one. The scientific concept of transsexuality had begun to take form, and this knowledge reached Finland in phases. Read More

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http://dx.doi.org/10.1017/mdh.2017.73DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729860PMC
January 2018
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Approach and Avoidance Tendencies Toward Picture Stimuli of (Pre-)Pubescent Children and Adults: An Investigation in Pedophilic and Nonpedophilic Samples.

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

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http://dx.doi.org/10.1177/1079063217697134DOI Listing
October 2018
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Insane Sex Offenders: Psychiatric and Legal Characteristics of Sexual Offenders Found Not Guilty by Reason of Insanity.

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

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http://dx.doi.org/10.1111/1556-4029.13707DOI Listing
July 2018
5 Reads

Using Video Stimuli to Examine Judgments of Nonoffending and Offending Pedophiles: A Brief Communication.

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

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http://dx.doi.org/10.1080/0092623X.2017.1405300DOI Listing
May 2018
2 Reads

Existential Issues in Sexual Medicine: The Relation Between Death Anxiety and Hypersexuality.

Authors:
Daniel N Watter

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

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http://dx.doi.org/10.1016/j.sxmr.2017.10.004DOI Listing
January 2018
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Personality Disorder Features and Paraphilic Interests Among Undergraduates: Differential Relations and Potential Antecedents.

J Pers Disord 2019 Feb 9;33(1):22-48. 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

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http://dx.doi.org/10.1521/pedi_2017_31_327DOI Listing
February 2019
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The Perceived Role of General Self-Regulation and Prosocial Support on the Decision Not to Act Among Men Sexually Attracted to Children.

Int J Offender Ther Comp Criminol 2018 08 31;62(10):2897-2916. Epub 2017 Oct 31.

2 Towson University, MD, USA.

Recent research highlights potential differences between groups of men sexually attracted to children regarding child molestation behavior, attitudes toward sex with children, and the decision not to act on their attractions. The present study furthered this line of research by investigating the roles of general self-regulation and prosocial support on the decision not to act among 69 men sexually attracted to children. Mixed-methods analysis of survey results provided mixed evidence regarding their relevance to refraining from engaging in child molestation behavior. Read More

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http://dx.doi.org/10.1177/0306624X17737495DOI Listing
August 2018
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Pharmacological treatment of patients with paraphilic disorders and risk of sexual offending: An international perspective.

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

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http://dx.doi.org/10.1080/15622975.2017.1395069DOI Listing
November 2017
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Sexual interest and sexual self-control in men with self-reported sexual interest in children - A first eye tracking study.

J Psychiatr Res 2018 01 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

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http://dx.doi.org/10.1016/j.jpsychires.2017.10.004DOI Listing
January 2018
5 Reads