Paraphilias and Paraphilia-Related Disorders

As previously described in this chapter, anxious and depressive symptoms and disorders have been identified in paraphilic sex offenders, nonoffender paraphilic men, and men with PRDs. DSM-IV (American Psychiatric Association 1994) notes that symptoms of…

In summary, although a paucity of empirical data are available from which to draw definitive conclusions about the efficacy of treatments for paraphilias and paraphilia-related disorders, the scientific rigor of such…

Although definitive research elucidating the complex neurobiological substrates of sexual behavior in humans is lacking, laboratory research of mammalian sexual behavior and monoamine neurotransmitters offers some potentially valuable data that might help…

The identification of consistent developmental events, psychological “traits,” or psychiatric comorbid diagnoses would be helpful in understanding developmental antecedents, risk factors, or possible pathophysiological correlates associated…

Contemporary biological investigators have noted an association between temporal lobe disorders and variant sexuality in males, including hypersexuality, hyposexuality and altered sexual preference (Langevin 1990). The temporal lobe, an integral component of…

Assessment of treatment outcome for paraphilias involving sexual aggression is fraught with methodological complexity. Indeed, some forensic clinicians doubt whether sex offenders have “psychiatric” disorders at all, inasmuch as…

Before considering specific treatment modalities for PAs and PRDs, it is useful to recognize the commonalties among these conditions. Both PAs and PRDs affect predominantly men, but published research…