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

2018 ◽  
Vol 15 (6) ◽  
pp. 807-808 ◽  
Author(s):  
Peer Briken ◽  
Richard B. Krueger
Keyword(s):  
Paraphilic Disorder ◽  
Paraphilic Disorders ◽  
Sexual Interests

scholarly journals 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

2020 ◽  
Vol 11 ◽  
Author(s):  
Sascha Dobbrunz ◽  
Anne Daubmann ◽  
Jürgen Leo Müller ◽  
Peer Briken
Keyword(s):  
Mental Health ◽  
Predictive Validity ◽  
Sexual Offenders ◽  
Criminal Responsibility ◽  
Validity And Reliability ◽  
Paraphilic Disorder ◽  
Legal Professionals ◽  
Diminished Capacity ◽  
Case Vignettes ◽  
Paraphilic Disorders

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. The present study examines the predictive validity of two different sets of criteria for the assessment of criminal responsibility in the context of paraphilic disorders combined with sexual offending. Two exemplary case vignettes of two suspected sexual offenders were developed to assess the criteria. For each participant, one of the two exemplary case vignettes was randomly presented. The presentation of the two different sets of criteria was also randomized, so that each participant was assigned only one of the two criteria sets to rate one of the presented cases. N = 349 participants from different professional backgrounds (mental health and legal professionals) completed their assessments and were included in the data analysis. The data were evaluated using logistic regression. Results show that the more recently published criteria set (Briken and Müller, 2014) predicts both the severity of the disorder as well as the diminished capacity twice as good as the older criteria set of Boetticher et al. (2005) currently used regularly for forensic court reports. In preliminary conclusion, the new criteria of Briken and Müller (2014) form an empirically based assessment of criminal responsibility. However, the proposed criteria cannot replace an extensive exploration of the accused person and a careful file analysis. Validity and reliability of the results are also limited due to the methodical choice of a vignette study.

scholarly journals The pharmacologic treatment of problematic sexual interests, paraphilic disorders, and sexual preoccupation in adult men who have committed a sexual offence

2019 ◽  
Vol 31 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Belinda Winder ◽  
J. Paul Fedoroff ◽  
Don Grubin ◽  
Kateřina Klapilová ◽  
Maxim Kamenskov ◽  
...  
Keyword(s):  
Pharmacologic Treatment ◽  
Sexual Offence ◽  
Adult Men ◽  
Paraphilic Disorders ◽  
Sexual Interests

Perspectives and Paradigms

2019 ◽  
pp. 1-18
Author(s):  
J. Paul Fedoroff
Keyword(s):  
Gender Orientation ◽  
Paraphilic Disorders ◽  
Widespread Belief ◽  
Sexual Interests

Abstract: Paraphilias are sexual interests that differ from “normal.” There is a widespread belief that paraphilias cannot be changed and therefore can be at best, managed, with no hope of successfully treatment. This chapter reviews how problematic sexual interests have been dealt with by clinicians and the courts. It introduces the concepts of genes, gender, orientation, drive, and interests. The chapter also presents reasons for the persistence of the unproven belief that paraphilic interests cannot change. It concludes with an alternative paradigm in which paraphilic interests are seen as variants of non-paraphilic interests and therefore equally modifiable. This means that paraphilic disorders can be effectively treated, and the establishment of persistent harmful sexual interests can be prevented.

Paraphilic disorder in the 21st century

2016 ◽  
Vol 33 (S1) ◽  
pp. S591-S591
Author(s):  
A.R. Caldeano ◽  
J. Nunes ◽  
P. da Costa
Keyword(s):  
Social Relationships ◽  
New Technologies ◽  
Time Frame ◽  
Therapeutic Strategies ◽  
The Other ◽  
The Internet ◽  
Paraphilic Disorder ◽  
Sexual Preferences ◽  
Paraphilic Disorders ◽  
Competing Interest

The term paraphilia refers to the sexual preferences and conducts that divert from what is generally accepted for a certain society in a given historic and cultural period. It demonstrates the practices that involve the use of non-human objects, mandatory humiliation and sexual suffering or non-consensual involvement of sexual partners.A paraphilic disorder is a paraphilia, which, presently, causes uneasiness and damages not only the patient but also others, as these behaviours exclude or damage the other affecting the patient's social relationships.Paraphilias are only practiced by a small percentage of the world's population. However, the causes are only reported if there is a search for treatment or if there are any legal complications. By which is believed that the prevalence is higher than the number of diagnosed cases.Although there are already a few paraphilia types registered, new forms of practice of this disturbance are emerging, mainly associated to the use of new technologies, as the Internet.The authors propose to produce a bibliographic review concerning the concept of paraphilic disorders and its exhibition forms; identify therapeutic strategies; perform a time frame regarding paraphilias and analyze the influence that the new technologies have in paraphilic disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Conceptualization, History, and Future of the Paraphilias

2020 ◽  
Vol 16 (1) ◽  
pp. 379-399
Author(s):  
Charles Moser ◽  
Peggy J. Kleinplatz
Keyword(s):  
Mental Disorders ◽  
Essential Feature ◽  
History Of ◽  
Paraphilic Disorders ◽  
Definition Of ◽  
Sexual Interests

There is no accepted definition of the term paraphilia despite its being listed as an essential feature of a class of mental disorders known as the paraphilic disorders. The origin of the term, history of its inclusion as a diagnosis, and logical flaws inherent in the various definitions are discussed in this review. We examine the basis for pathologizing individuals with paraphilias, consider what paraphilias can tell us about how humans develop their sexual interests, and question the usefulness of dividing sexual interests into paraphilias and normophilias. The construct of the paraphilias appears to be poorly conceived and has outlived its usefulness.

scholarly journals Paraphilias and paraphilic disorders: diagnosis, assessment and management

2014 ◽  
Vol 20 (3) ◽  
pp. 202-213 ◽  
Author(s):  
Jessica Yakeley ◽  
Heather Wood
Keyword(s):  
Diagnostic Category ◽  
Specific Treatment ◽  
List Type ◽  
Type Number ◽  
Sexual Offences ◽  
Paraphilic Disorder ◽  
Know How ◽  
Dsm 5 ◽  
Treatment Services ◽  
Paraphilic Disorders

SummaryWe outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. We review the research on the epidemiology and aetiology of paraphilias, and provide guidance on assessment and referral options for general psychiatrists when they encounter patients who may meet diagnostic criteria for a paraphilic disorder. Empirical evidence for effective treatments for paraphilias is limited, and specific treatment services are scarce, particularly for individuals presenting with legal paraphilias or those who are committing paraphilic sexual offences but who have not been convicted.LEARNING OBJECTIVESBe able to diagnose a paraphilic disorder according to DSM-5 criteria.Understand the epidemiology, comorbidity and theories of aetiology of paraphilic disorders.Know how to assess the need for disclosure if the patient presents with illegal paraphilias.

The Paraphilias

2019 ◽  
Author(s):  
J. Paul Fedoroff
Keyword(s):  
International Classification Of Diseases ◽  
Mental Health Clinicians ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Assessment And Treatment ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Paraphilic Disorders ◽  
Sexual Interests

Abstract: This book examines current and past perspectives concerning unconventional sexual interests. Extensively referenced, it challenges the dogma that sexual interests are immutably determined during a single critical period and are thereafter unchangeable. It critically reviews the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Classification of Diseases (ICD) diagnostic criteria for paraphilic disorders. It provides assessment and treatment recommendations for each of the paraphilias listed in the DSM-5 and ICD-10. The book provides extensive case histories and tables summarizing more than 100 paraphilias and the latest research. It is written for mental health clinicians and specialists in the fields of sexology, forensic psychology, and psychiatry.

Other Specified Paraphilic Disorders

2019 ◽  
pp. 217-278
Author(s):  
J. Paul Fedoroff
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Recent Literature ◽  
The Other ◽  
Paraphilic Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Paraphilic Disorders ◽  
The One

Abstract: The Fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has a category of disorders termed “other specified paraphilic disorders” (OSPD). The DSM-5 diagnostic criteria for these disorders are contradictory, on the one hand referring to symptoms characteristic of a paraphilic disorder and, on the other hand, referring to symptoms that do not meet the full criteria for any of the disorders in the paraphilic disorders class. In this chapter, paraphilias meeting diagnostic criteria for OSPD are presented and discussed. Telephone scatologia, necrophilia, and zoophilia are briefly discussed, and the recent literature on these topics is reviewed.

Paraphilic Disorders

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Sexual Interest ◽  
Treatment Modalities ◽  
Sexual Sadism ◽  
Paraphilic Disorder ◽  
Dsm 5 ◽  
Sexual Masochism ◽  
Paraphilic Disorders ◽  
Diagnostic Work ◽  
The Individual ◽  
Pedophilic Disorder

Sexuality and sexual medicine are important and often understudied aspects of medicine and psychiatry. Often, patients and physicians avoid conversations regarding sex. A paraphilic disorder is diagnosed when a paraphilia, defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”, results in distress or impairment to the individual, personal harm, or risk of harm, to others. This review covers the definition, diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis of paraphilias including voyeurism, exhibitionism, frotteurism, sexual masochism disorder, sexual sadism disorder, pedophilic disorder, and transvestic disorder. The table and figure list paraphilic disorders listed in the DSM-5 and paraphilias in the Other specified paraphilic disorders section of the DSM-5. This review contains 1 figure, 1 table, and 15 references. Key Words: DSM-5, exhibitionism, fetish, frotteurism, paraphilia, paraphilic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeurism

Telephone Scatalogy - short review

2019 ◽  
pp. 107-108
Keyword(s):  
Strong Association ◽  
Short Review ◽  
Paraphilic Disorder ◽  
Paraphilic Disorders

This article aims to facilitate the understanding of telephone scatology. There we present different definitions of this paraphilic disorder, its prevalence and the difficulty in establishing it, the comorbidities that show a strong association with other paraphilic disorders, and the different theories that aim to better understand this disorder. Keywords: telephone scatology, paraphilic disorder, voyeurism, compulsive, masturbation.

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