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Int Rev Psychiatry 2019 Apr 2:1-12. Epub 2019 Apr 2.

b Sexual Behaviours Clinic, Integrated Forensic Program , The Royal , Ottawa , ON , Canada.

This article provides a comparison and comprehensive analysis of varied approaches to the assessment of sexual interest and behaviours at different international sexual behaviour assessment labs. The assessment protocols are described for four sexual behaviour laboratories: the Royal Ottawa Mental Health Centre's Sexual Behaviours Clinic in Canada; the Medical University of South Carolina's Sexual Behaviours Clinic and Laboratory in the US; the Laboratory of Evolutionary Sexology and Psychopathology in the Czech Republic; and the Laboratory of Forensic Sexology in Russia. An overview of examinee demographics and types of cases assessed is provided for each lab. Read More

Int Rev Psychiatry 2019 Mar 27:1-10. Epub 2019 Mar 27.

b Medical Sciences , V.P.Serbsky National Medical Research Center of Psychiatry and Narcology , Moscow , Russian Federation.

Saccade characteristics and slow potentials in antisaccade tasks were studied in 37 people with disorders of sexual interest, depending on the disturbances of self-consciousness. The study found a decreased level of frontal cortex activation in subjects with disorders of self-consciousness; in subjects without disturbances of self-consciousness a high level of frontal cortex activation was observed. The findings demonstrate the important role of the frontal cortex in providing self-consciousness. Read More

Acta Psychiatr Scand 2019 Mar 13. Epub 2019 Mar 13.

Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.

Objective: Mental disorders in sexual offenders are relevant in terms of risk assessment and psychotherapeutic and pharmacological treatment.

Methods: The present cross-sectional study was conducted between 2001 and 2017 and included 1511 sexual offenders who were assessed at the Federal Evaluation Center for Sexual and Violent Offenders in the Austrian Prison System. All sexual offenders were assessed with the Structured Clinical Interview for Axis I (SCID I) and Axis II disorders (SCID II). Read More

Arch Sex Behav 2019 Feb 26. Epub 2019 Feb 26.

Department of Psychology, Northwestern University, 2029 Sheridan Road, Evanston, IL, 60208, USA.

Furries are individuals who are especially interested in anthropomorphic or cartoon animals (e.g., Bugs Bunny). Read More

Sex Abuse 2019 Feb 22:1079063219828784. Epub 2019 Feb 22.

1 University of Ottawa, Ontario, Canada.

The role of the facial images in arousal and attraction has been examined before but never via penile plethysmography (PPG). This retrospective chart review aimed to determine the significance and magnitude of differences in arousal measured by PPG in 1,000 men exposed to slide stimuli with or without facial blurring in subjects of various ages. Arousal in response to blurred stimuli was significantly higher than nonanonymized stimuli with modest effect sizes for slides across age and gender categories. Read More

Arch Sex Behav 2019 Apr 21;48(3):681-689. Epub 2019 Feb 21.

Diverse Sexualities Research and Education Institute, 2261 Market Street, #622, San Francisco, CA, 94114, USA.

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

J Forensic Leg Med 2019 Feb 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

J Behav Addict 2018 Dec 23;7(4):917-929. Epub 2018 Dec 23.

3 Departments of Psychiatry and Neuroscience and the Child Study Center, School of Medicine, Yale University , New Haven, CT, USA.

Background And Aims: Mindfulness-based approaches, derived from centuries of eastern philosophy and practice, have been increasingly incorporated into western medicine. For example, data support the efficacy of mindfulness-based therapies to reduce stress and promote mental health.

Methods: In this study, we briefly review models and approaches to sexual health in the context of considering compulsive sexual behavior disorder, describe mindfulness-based approaches to stress, addiction, and compulsive sexual behaviors, and present a Mindful Model of Sexual Health (MMSH) that incorporates elements of eastern and western philosophies. Read More

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

Crim Behav Ment Health 2019 Feb 26;29(1):31-42. Epub 2018 Nov 26.

Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Background: Child molesters form a heterogeneous group, but one generally shared characteristic is maladaptive, rigid behaviour. Impairments in reinforcement learning may explain these maladaptive tendencies, but this has not been systematically investigated. Further, it is not known if such impairments vary with subtype of child molesters. Read More

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

J Behav Addict 2018 Dec 14;7(4):993-1003. Epub 2018 Nov 14.

2 International Gaming Research Unit, Psychology Department, Nottingham Trent University , Nottingham, UK.

Background And Aims: Research has shown that personality traits play an important role in problematic internet use (PIU). However, the relationship between dark personality traits (i.e. Read More

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

Psychol Assess 2019 Jan 15;31(1):132-137. Epub 2018 Oct 15.

Department of Forensic Psychiatry, University Hospital of Psychiatry.

Sexual sadism is assumed to be a crucial factor in sexual homicide. Prevalence estimates vary greatly due to differences in the definition of sexual sadism. A nationwide sample of 350 male perpetrators who had committed a sexual homicide offense against a female 14 years of age or above in England or Wales was assessed based on archival records. 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 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

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

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

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.

Int J Law Psychiatry 2018 Jul - Aug;59:1-9. Epub 2018 May 17.

Department of General Psychology, University of Padova, Italy; Padova Neuroscience Center, University of Padova, Italy. Electronic address:

A lack of empathy, interpersonal dominance, aggression and the exploitation of others are the key features of both narcissism and psychopathic disorders. With the aim to better capture the shared facets of these traits, this study developed a new tool named the Capability to Influence Others (CIO) Inventory, which is based on the pleasantness evaluation of ten items-verbs presented in the infinitive form. The inventory, characterized by very quick submission, was administered to 67 males and 100 females and was correlated with the concurrent Narcissistic Personality Inventory (NPI) and Levenson Self-Report Psychopathy Scale (LSRP). Read More

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

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

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 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

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

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

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

J Lesbian Stud 2018 25;22(4):354-372. Epub 2018 Apr 25.

a University of Illinois , Champaign-Urbana , IL , USA.

This essay serves as a close reading of psychiatrist Fredric Wertham's 1950s descriptions and critiques of female comics characters. I draw on archival sources as well as relevant texts in the study of gender and sexuality. Additionally, I integrate ideas from two of his close associates, folklorist Gershon Legman and psychiatrist Hilde Mosse, whose contributions to Seduction of the Innocent are woven-often invisibly-throughout that text. 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

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

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

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

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

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.