5,623 results match your criteria Paraphilias

Sexual Violence and Trauma in Childhood: A Case Report Based on Strategic Counseling.

Int J Environ Res Public Health 2021 05 14;18(10). Epub 2021 May 14.

Department of Medical and Surgical Sciences, University of "Magna Graecia", 88100 Catanzaro, Italy.

Children and adolescents are too often victims of sexual abuse and harassment. According to the World Health Organization (WHO), approximately 150 million girls and 73 million children <18 have been victims of violence and sexual exploitation during their childhood. Data show that females are more likely to be a victim of abuse and violence than males (20% vs. Read More

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The Paraphilias and Medical Licensure in the United States.

J Sex Med 2021 Jun 19;18(6):1130-1133. Epub 2021 May 19.

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

Background: As part of their mission to protect the public from exploitation, state medical boards query physicians about a wide range of topics prior to licensure, including in some cases whether the applicant has been diagnosed with or been treated for paraphilias or paraphilic disorders.

Aim: We investigated the prevalence of questions inquiring about the applicants' history of paraphilias and paraphilic disorders on applications for medical licensure.

Methods: The allopathic medical licensure application forms for each of the 50 United States and the District of Columbia were reviewed. Read More

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Off-label uses of selective serotonin reuptake inhibitors (SSRIs).

Curr Neuropharmacol 2021 May 17. Epub 2021 May 17.

Department of Systems Medicine, University of Rome Tor Vergata, Rome. Italy.

Psychiatric drugs have primacy for off-label prescribing. Among those, selective serotonin reuptake inhibitors (SSRIs) are extremely versatile and, therefore, widely prescribed. Moreover, they are commonly considered as having a better safety profile compared to other antidepressants. Read More

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Month of birth and mental disorders: A population-based study and validation using global meta-analysis.

Acta Psychiatr Scand 2021 Apr 30. Epub 2021 Apr 30.

Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan, Taiwan.

Objective: Month of birth (MOB) is associated with specified mental disorders (MDs). However, whether these relationships extend to all MDs remains unclear. We investigate the association using a population-based cohort study and a meta-analysis. Read More

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Ugeskr Laeger 2021 04;183(16)

Sexual behaviour is a normal and healthy part of life. However, some individuals report excessive sexual appetite and/or an inability to control sexual behaviour. The literature has conceptualised this behaviour as hypersexuality (HS). Read More

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[The Influence of Occupational Group and Experience with Regard to the Criteria-Based Assessment of Culpability for Paraphilic Disorders - A Randomized Control Trial].

Psychiatr Prax 2021 Apr 26. Epub 2021 Apr 26.

Institut für Sexualforschung, Sexualmedizin und Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf.

Objective: This study examines whether occupation and level of experience have an impact on criteria-based assessment of criminal responsibility in paraphilic disorders.

Methods: Two different sets of criteria were tested for predictive validity by three different professional groups (psychologists, psychiatrists and lawyers), each with different levels of prior experience. For this purpose, 349 raters evaluated the criteria of one of two criteria catalogs on the basis of one of two exemplary case vignettes. Read More

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[The concept of paedophilia. Part 2: Etiologies, forensic aspects and therapeutic options].

Rev Med Liege 2021 Apr;76(4):268-272

Département de Psychiatrie et Addictologie, CHU Cochin (APHP), Université de Paris, INSERM U1266, IPNP, Paris, France.

Paedophilia is a paraphilia characterised by behaviour, drives or sexual fantasies that are intense and recurring and that generally involve children. This sexual deviation is often linked to personal distress, to a significant alteration of personal, family, professional and social life, in a general sense. In our modern Western societies, paedophilia and the perversions associated with it are punishable by law. Read More

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"Being Talked to Like I Was a Sex Toy, Like Being Transgender Was Simply for the Enjoyment of Someone Else": Fetishization and Sexualization of Transgender and Nonbinary Individuals.

Arch Sex Behav 2021 04 24;50(3):897-911. Epub 2021 Mar 24.

Department of Psychology, University of Milano-Bicocca, Edificio U6, Piazza dell'Ateneo Nuovo 1, 20126, Milano, Italy.

Despite the growing interest in the experiences of transgender individuals, the phenomenon of fetishization of transgender bodies and identities has been overlooked. The present study was aimed at investigating the experiences of fetishization of transgender and nonbinary (TGNB) people. Participants in the current study represent a sample of 142 TGNB volunteers from the community who answered the prompt: "If you feel comfortable, could you describe your experience of being fetishized?" Using thematic analysis, we developed three overarching themes relevant to the experiences of fetishization of TGNB participants: (1) context of fetishization; (2) negative experiences of fetishization; and (3) positive or ambiguous experiences of fetishization. Read More

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[The concept of paedophilia. Part 1 : Historical background and nosology].

Rev Med Liege 2021 Mar;76(3):195-201

Département de Psychiatrie et Addictologie, CHU Cochin (APHP), Université de Paris, INSERM U1266, IPNP, Paris, France.

Paedophilia is a paraphilia characterised by behaviour, drives or sexual fantasies that are intense and recurring and that involve children, in a general sense. This sexual deviation is often linked to personal distress, to a significant alteration of personal, family, professional and social life, in a general sense. In our modern Western societies, paedophilia and the perversions associated with it are punishable by law. Read More

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Kinky Sex Gone Wrong: Legal Prosecutions Concerning Consent, Age Play, and Death via BDSM.

Elisabeth Sheff

Arch Sex Behav 2021 04 1;50(3):761-771. Epub 2021 Mar 1.

Sheff Consulting, 751 Runyan Dr., Chattanooga, TN, 37405, USA.

This commentary begins by describing the author's research and expert witness practice serving sex and gender minorities, especially practitioners of BDSM/kinky sex. Then, it reviews the three most common reasons that BDSM is legally prosecuted. First, consent: was this assault, rape, and/or kidnapping, or was it consensual kinky sex that either got out of hand or is now being strategically employed to punish the other partner? Second, age play: was this adult trying to have sex with children or was he (and it is virtually always men) intending to age play with an adult who is pretending to be an adolescent? Third, death by kinky sex: was this a person who murdered their lover or was this an accidental death? Finally, this article concludes with recommendations for kinksters who wish to assure consent and safe play, and for litigators involved in the prosecution of kinky sex. Read More

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Review of cases, case series and prevalence studies of zoophilia in the general population.

Rev Colomb Psiquiatr (Engl Ed) 2021 Jan-Mar;50(1):34-38. Epub 2019 Apr 20.

Programa de Psicología, Facultad de Ciencias de la Salud, Universidad del Magdalena, Santa Marta, Colombia.

Background: Information about the frequency of zoophilic behaviour in the general population is scarce.

Objective: To review cases, case series and prevalence studies of zoophilia in adults in the general population.

Methods: A review of publications was carried out in MEDLINE via PubMed, Scopus and the Biblioteca Virtual en Salud [Virtual Health Library] ranging from January 2000 to December 2017. Read More

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Beyond Pain: A Study on the Variance of Pain Thresholds Within BDSM Interactions in Dominants and Submissives.

J Sex Med 2021 03 26;18(3):556-564. Epub 2021 Feb 26.

Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, Campus Drie Eiken, University of Antwerp, Antwerp, Belgium; University Department of Psychiatry, Campus Duffel, Duffel, Belgium.

Background: BDSM is an acronym describing bondage and discipline, dominance and submission, and sadism and masochism. Afflicting or receiving pain is usually an important part of the BDSM interaction.

Aim: This research will focus on better understanding the aspect of pain within a BDSM interaction. Read More

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ICD-11 Paraphilic Disorders: A South African Analysis of Its Utility in the Medico-Legal Context.

J Sex Med 2021 03 25;18(3):526-538. Epub 2021 Feb 25.

Private Practice, Cape Town, South Africa.

Background: In an effort to improve the clinical utility of the ICD-10, the WHO Working Group on the Classification of Sexual Disorders and Sexual Health recommended a new classification of Paraphilic Disorders in the ICD-11 to replace the ICD-10 section on Disorders of Sexual Preference. The proposed classification may have different implications for different countries.

Aim: To examine South African national laws and policies, within which Paraphilic Disorders are encountered, and to assess the implications of the new classification. Read More

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A Systematic Review on Sexual Boredom.

J Sex Med 2021 03 23;18(3):565-581. Epub 2021 Feb 23.

Center for Psychology at University of Porto, Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal.

Background: Empirical data on sexual boredom are scarce and unsystematized, contrasting with the literature on general boredom.

Aim: The aim of this review of literature is to verify how sexual boredom is defined in previous research and which relationships were found with sexual functioning, relationship dynamics, or gender.

Methods: A systematic search was conducted in EBSCO, Scopus, Web of Science, and PubMed databases for papers published until August 2020. Read More

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Forensic Evaluation of Sexsomnia.

J Am Acad Psychiatry Law 2021 Jun 12;49(2):202-210. Epub 2021 Feb 12.

Dr. Holoyda is Forensic Psychiatrist, Martinez Detention Facility, Martinez, CA, and Psychiatrist, Full Spectrum Health Services, Las Vegas, NV. Dr. Sorrentino is Director, Institute of Sexual Wellness, Weymouth, MA, and Assistant Professor, Harvard School of Medicine, Boston, MA. Dr. Mohebbi is Psychiatrist, Mission Viejo, CA. Dr. Fernando is Senior Lecturer, Department of Psychological Medicine, University of Auckland, Auckland, New Zealand. Dr. Friedman is the Phillip J. Resnick Professor of Forensic Psychiatry, Case Western Reserve University, Department of Psychiatry, Cleveland, OH.

Sexsomnia is a non-rapid eye movement parasomnic behavior characterized by sexual activity during sleep. Recognized in the most recent editions of the Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Sleep Disorders, sexsomnia is likely to arise with increasing frequency in court as a potential explanation for sexual offending. The forensic psychiatrist has a unique role in the evaluation and management of sexsomnia. Read More

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[Research Status and Limitations of Sadomasochism].

W Y Liang Y Q Zhang

Fa Yi Xue Za Zhi 2020 Dec;36(6):828-830

Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China.

Abstract: Sadomasochism is the sexual interest, psychosexual deviance or sexual crimes that are sexually aroused by suffering or causing others to suffer. This study summarizes the concept, assessment and diagnosis, categories and symptoms, psychological and biological mechanisms, judicial disposition and clinical intervention strategies of sadomasochism from the perspectives of clinical medicine, law, criminology and psychology, suggests that further research should take local people with sadomasochism preference and local patients as research objects, pay attention to different types of sadomasochists, conduct bottom-up research, explore the core elements and manifestations of sadomasochism, and accurately define and classify sadomasochism, construct an effective scale, a erectile measurement sexual stimulation system and a diagnostic criteria; discuss evaluation methods combined with crime scene data; discuss the validity of masochists' consent combined with diagnosis; establish targeted criminal correction programs and a treatment and rehabilitation system to provide reference for the improvement of medical, judicial and mental health services. Read More

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December 2020

An Examination of Empathy and Interpersonal Dominance in BDSM Practitioners.

J Sex Med 2021 03 3;18(3):549-555. Epub 2021 Feb 3.

Clinical Psychology, Midwestern University, Glendale, USA.

Background: Recent research has indicated that participation in BDSM (bondage-discipline, dominance-submission, and/or sadism-masochism) is not associated with psychological distress or psychopathology but that sexual roles may be associated with personality characteristics, specifically interpersonal dominance and empathy.

Aim: The present study examined potential differences between those who identify as dominant, switch, and submissive on interpersonal dominance and empathy.

Methods: Individuals who identified as members of the BDSM community were recruited online via a social networking site. Read More

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[Osteoporosis in androgen deprivation therapy: finding the balance between social and individual interests].

Tijdschr Psychiatr 2021 ;63(1):74-78

Androgen deprivation therapy (ADT) is a libido-inhibiting medication that may be necessary to reduce recidivism in the treatment of paraphilic disorders, especially in those with a pedophilic disorder. However, there is a significant risk to develop osteoporosis while using ADT and thereby an increased risk to develop fractures. These risks and benefits must be carefully weighed in the treatment of these patients. Read More

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Androgen Deprivation Therapy in Pedophilic Disorder: Exploring the Physical, Psychological, and Sexual Effects From a Patient's Perspective.

J Sex Med 2021 02 17;18(2):353-362. Epub 2021 Jan 17.

Department of Criminal Law and Criminology, KU Leuven, Leuven, Belgium.

Background: The use of androgen deprivation therapy (ADT) shows promising results in the treatment of paraphilic disorders. Although the side effects of ADT can be intrusive, there is no research into the experiences of patients with pedophilic disorder themselves.

Aim: This research aims to explore the psychological, physical, and sexual experiences of ADT from the perspective of sex offenders diagnosed with pedophilic disorder. Read More

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February 2021

Compulsive Conditioned Sexual Responding of Male Japanese Quail in Extinction.

Arch Sex Behav 2021 04 4;50(3):1207-1216. Epub 2021 Jan 4.

Department of Psychology, Boğaziçi University, Istanbul, Turkey.

Previous experiments showed that following acquisition of an association between a terry-cloth object conditioned stimulus (CS) and a live female unconditioned stimulus (US), male quail increased the frequency of their copulations with the inanimate CS during subsequent CS-alone (extinction) trials. The present experiment was conducted to identify the potential factors responsible for this unexpected increase in conditioned sexual behavior during extinction. A total of 57 naïve male quail were given pairings of a terry-cloth CS with a live female during acquisition. Read More

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Predictive Validity of Operationalized Criteria for the Assessment of Criminal Responsibility of Sexual Offenders With Paraphilic Disorders-A Randomized Control Trial With Mental Health and Legal Professionals.

Front Psychol 2020 18;11:613081. Epub 2020 Dec 18.

Institute of Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

The prevention of sexual violence is a major goal of sexual health. In cases of accused sexual offenders, the assessment of diminished criminal responsibility of the accused is one of the most important procedures undertaken by experts in the German legal system. This assessment follows a two-stage method assessing first the severity of a paraphilic disorder and then second criteria for or against diminished capacity. Read More

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December 2020


Fred Berlin

J Am Acad Psychiatry Law 2020 12;48(4):580

Baltimore, MD.

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December 2020

Effect of revenge on sadism and schadenfreude in clinical and non clinical adults: moderating role of misanthropic beliefs.

J Pak Med Assoc 2020 Nov;70(11):1944-1947

Department of Psychology, University of Lahore, Sargodha Campus, Pakistan.

Objective: To investigate the concept of moderating effect of misanthropic beliefs in the relationship involving revenge tendencies, sadism and schadenfreude among clinical and non-clinical adults.

Method: The cross-sectional study was conducted at the Department of Psychology, University of Sargodha, Punjab, Pakistan, over a period of one year from 2017 to 2018, and comprised adults aged 22-65 years in both clinical and no-clinical settings enrolled from the University of Sargodha, Punjab Institute of Mental Health and the Fountain House. Data was collected using Vengeance, Misanthropic, Short Sadistic Impulse and Perceived Schadenfreude scales. Read More

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November 2020

Association of ADHD and hypersexuality and paraphilias.

Psychiatry Res 2021 01 10;295:113638. Epub 2020 Dec 10.

Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland; TRE Unit, Division of Psychiatric Specialties, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland; Department of Psychiatry, Dalhousie University, Halifax, Scotia, Canada.

Subjects with ADHD suffer from inattention, hyperactivity, and impulsivity. Clinicians often assume that specific symptoms of ADHD are bound to affect sexual desire by increasing the frequency of hypersexuality. There is a lack of knowledge about the comorbidity between ADHD, hypersexuality, and paraphilias. Read More

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January 2021

Hypersexuality and Trauma: a mediation and moderation model from psychopathology to problematic sexual behavior.

J Affect Disord 2021 02 16;281:631-637. Epub 2020 Nov 16.

Chair of Endocrinology & Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy; Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy. Electronic address:

Introduction: . Hypersexuality is a clinical condition regarding the psychopathology of sexual behavior. In this study, we aimed to investigate the role of trauma, through the post-traumatic stress-disorder (PTSD), depression, shame and guilt on the hypersexual behavior. Read More

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February 2021

Psychiatric and Forensic Differences Between Men Charged with Sex Offences and Men Charged with Other Offences.

J Forensic Sci 2020 Nov 27;65(6):2042-2049. Epub 2020 Jul 27.

Department of Forensic Psychiatry, University Psychiatric Hospital Vrapče, Zagreb, Croatia.

Studies on differences between individuals convicted of sexual offences and nonsexual offences are sparse and there is an on-going debate as to whether sexual offenders differ from other offenders. The primary aim of this study was to determine demographic characteristics, prevalence of mental disorders, alcohol and drug use at the time of the crime and the criminal responsibility of individuals charged with sexual offences, compared to nonsexual crimes, with the aim of bringing awareness to the similarities and differences between men charged with sex offences and those charged with other crimes. This is a single-institution retrospective study of subjects charged with sexual offences and sent for institutional psychiatric evaluation to a Forensic Psychiatric Centre in an urban, academic, tertiary-care center. Read More

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November 2020

"Health does not discuss trans bodies": Oral History of transsexuals and transvestites.

Rev Bras Enferm 2020 28;73(suppl 6):e20190228. Epub 2020 Oct 28.

Universidade Federal de São Carlos. São Carlos, São Paulo, Brazil.

Objectives: to understand the life stories and itineraries of transvestites and transsexuals in health services.

Methods: study with a qualitative approach, anchored in the methodological framework of Oral History. Interviews were conducted and thematically analyzed. Read More

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