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[PMID]: 29390592
[Au] Autor:Zheng F; Lin Z; Ye X; Shi X
[Ad] Address:Department of Pediatric Neurology, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
[Ti] Title:Unusual brain images of a boy with adolescent cerebral X-linked adrenoleukodystrophy presenting with exhibitionism: A CARE-compliant case report.
[So] Source:Medicine (Baltimore);96(51):e9481, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract: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. DIAGNOSES: We conducted contrast-enhanced brain magnetic resonance imaging (MRI), which revealed symmetrical altered signal intensities in bilateral frontal white matter, the basal ganglia, and dorsal thalami, as well as a peripheral rim of contrast enhancement. Diagnosis of adolescent cerebral X-ALD was confirmed on the basis of next generation genetic sequencing analysis. INTERVENTIONS: We initiated the patient on hormonal replacement therapy. OUTCOMES: We observed rapidly progressive neurologic deterioration in this patient, and the boy fell into a vegetative state 10 months after discharge. LESSONS: We recommend that physicians should not disregard X-ALD in patients with isolated psychiatric symptoms, including hypersexual behavior. The combination of detailed clinical evaluation, MRI, and next generation genetic sequencing can expedite the diagnostic process of atypical variant of X-ALD.
[Mh] MeSH terms primary: Adrenoleukodystrophy/diagnostic imaging
Brain/diagnostic imaging
Exhibitionism/etiology
[Mh] MeSH terms secundary: Adrenoleukodystrophy/genetics
Adrenoleukodystrophy/pathology
Adrenoleukodystrophy/psychology
Attention Deficit Disorder with Hyperactivity/etiology
Attention Deficit Disorder with Hyperactivity/pathology
Brain/pathology
Child
Exhibitionism/pathology
Humans
Magnetic Resonance Imaging
Male
Neuroimaging
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180212
[Lr] Last revision date:180212
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009481

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[PMID]: 29214860
[Au] Autor:Grosz MP; Emons WHM; Wetzel E; Leckelt M; Chopik WJ; Rose N; Back MD
[Ad] Address:1 University of Tübingen, Tübingen, Germany.
[Ti] Title:A Comparison of Unidimensionality and Measurement Precision of the Narcissistic Personality Inventory and the Narcissistic Admiration and Rivalry Questionnaire.
[So] Source:Assessment;:1073191116686686, 2017 Feb 01.
[Is] ISSN:1552-3489
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The current study compares the closeness to unidimensionality (CU) and measurement precision (MP) of the Narcissistic Personality Inventory (NPI)-with either a pairwise forced-choice or 5-point Likert-type scale response format-to the Narcissistic Admiration and Rivalry Questionnaire (NARQ). Minimum rank factor analysis and item information curves from item response models were utilized. The results mainly confirmed our expectations that NPI subscales are lower in CU and MP compared with NARQ subscales when the NPI was administered with its traditional forced-choice response format. When the NPI was administered with a 5-point Likert-type scale response format, the NPI subscale Leadership/Authority and NPI Grandiose Exhibitionism showed similarly high levels of CU and MP as the two NARQ subscales. While the NPI subscale Entitlement/Exploitativeness had a higher CU than the NARQ subscales it showed considerably lower levels of MP.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171207
[Lr] Last revision date:171207
[St] Status:Publisher
[do] DOI:10.1177/1073191116686686

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[PMID]: 29059578
[Au] Autor:Wright AG; Edershile EA
[Ad] Address:University of Pittsburgh, USA. Electronic address: aidan@pitt.edu.
[Ti] Title:Issues resolved and unresolved in pathological narcissism.
[So] Source:Curr Opin Psychol;21:74-79, 2017 Oct 13.
[Is] ISSN:2352-2518
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Narcissism is one of the oldest personality constructs, and yet debates about its definition and structure have been a topic of intense debate over the past decade. Recent independent reviews of the literature have proposed conceptually identical triarchic structural models of individual differences in pathological narcissism. In each model entitlement serves as the core of the construct, and its expression is moderated by basic personality/temperament to manifest in exhibitionism or vulnerability. However, the clinical observation that individuals high in pathological narcissism vacillate between grandiose and vulnerable states remains understudied and poorly understood. We review the recent research that has driven the contentious debates, emerging points of consensus, and necessary future directions for research.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1710
[Cu] Class update date: 171023
[Lr] Last revision date:171023
[St] Status:Publisher

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[PMID]: 28715948
[Au] Autor:Seto MC
[Ad] Address:1 Royal Ottawa Health Care Group, Brockville, Ontario, Canada.
[Ti] Title:The Motivation-Facilitation Model of Sexual Offending.
[So] Source:Sex Abuse;:1079063217720919, 2017 Jul 01.
[Is] ISSN:1573-286X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:In this article, I describe the motivation-facilitation model of sexual offending, which identifies the traits of paraphilia, high sex drive, and intense mating effort as primary motivations for sexual offenses, as well as trait (e.g., antisocial personality) and state (e.g., intoxication) factors that can facilitate acting on these motivations when opportunities exist. Originally developed to explain contact sexual offending against children, the motivation-facilitation model was subsequently extended as an explanation for child pornography offending and for online solicitations of young adolescents. Here, I argue it has the potential to be expanded to explain other forms of sexual offending, including sexual assaults of adults and noncontact offenses involving exhibitionism or voyeurism. In this review, I critically examine the evidence for and against the model, discuss its limitations, and identify critical gaps for future research.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1707
[Cu] Class update date: 170718
[Lr] Last revision date:170718
[St] Status:Publisher
[do] DOI:10.1177/1079063217720919

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[PMID]: 28639483
[Au] Autor:Gritti ES; Marino DP; Lang M; Meyer GJ
[Ad] Address:1 University of Milano-Bicocca, Milan, Italy.
[Ti] Title:Assessing Narcissism Using Rorschach-Based Imagery and Behavior Validated by Clinician Reports: Studies With Adult Patients and Nonpatients.
[So] Source:Assessment;:1073191117715728, 2017 Jun 01.
[Is] ISSN:1552-3489
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:We evaluate 11 Rorschach variables with potential for assessing grandiosity and narcissism. Seven of these variables were drawn from previous literature: Omnipotence, Idealization, Reflection, Personal Knowledge Justification, Exhibitionism, Magic, and Elevated Mood States; four were developed for this research: Expanded Personal Reference, Narcissistic Devaluation, Narcissistic Deflation, and Narcissistic Denial. Using Rorschach protocols from American normative adults and Italian adult outpatients, the dimensional structure of these variables was evaluated by principal components analysis, and validity was tested by correlations with clinician ratings of narcissism on two scales from the Shedler-Westen Assessment Procedure-200 that were made after at least five sessions with the primary clinician. A cohesive dimension was found in both data sets defined by Expanded Personal Reference, Personal Knowledge Justification, Omnipotence, and Idealization, and it was meaningfully correlated with the clinician ratings of narcissism ( M r = .41). Implications of the findings include the applicability of these variables in clinical practice and research for assessing narcissistic personality dynamics.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1706
[Cu] Class update date: 170622
[Lr] Last revision date:170622
[St] Status:Publisher
[do] DOI:10.1177/1073191117715728

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[PMID]: 28484862
[Au] Autor:Petri-Kelvasa M; Schulte-Herbrüggen O
[Ad] Address:Department of Psychiatry and Psychotherapy, Charité-University Medicine, Charité Campus Mitte, Große Hamburger Straße 5-11, 10115, Berlin, Germany. mirja.petri@charite.de.
[Ti] Title:Disinhibited Exposing Behavior, Hypersexuality, and Erectile Dysfunction as a Consequence of Posttraumatic Stress in a 42-Year-Old Male Patient.
[So] Source:Arch Sex Behav;46(7):2197-2205, 2017 Oct.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Research into sexual dysfunction and its explanations within a cognitive behavioral framework in patients with posttraumatic stress is sparse. In this report, we present the case of a 42-year-old male with severe posttraumatic stress symptoms who displayed apparent exhibitionistic behavior, hypersexual behavior in the form of excessive masturbation, and erectile dysfunction. Differential diagnostics showed that the presented exhibitionistic behavior could be more accurately classified as non-paraphilic disinhibited exposing behavior. Functional behavioral analysis of his sexual behavior suggested that disinhibited exposing and hypersexual behavior served as dysfunctional coping strategies for trauma-associated negative emotions. Erectile dysfunction seemed to be the result of trauma-associated hyperarousal and excessive masturbation. Within the context of operant learning processes, we propose that his sexual behaviors became highly automated and were used as the main strategies to regulate trauma-associated negative emotions. Implications for the diagnoses and suggestions for the conceptualization and incorporation into a cognitive behavioral therapy treatment of posttraumatic stress disorder are made.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1705
[Cu] Class update date: 170808
[Lr] Last revision date:170808
[St] Status:In-Process
[do] DOI:10.1007/s10508-017-0985-6

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[PMID]: 28394934
[Au] Autor:Xu W; Zheng L; Zheng Y
[Ad] Address:Key Laboratory of Cognition and Personality (MOE), Southwest University, Chongqing, China.
[Ti] Title:Prevalence of non-contact and contact childhood sexual abuse: An Internet-based sample of men who have sex with men in China.
[So] Source:PLoS One;12(4):e0175444, 2017.
[Is] ISSN:1932-6203
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: The prevalence of childhood sexual abuse (CSA) is high among Western men who have sex with men (MSM), and CSA is associated with certain socio-demographic variables and with human immunodeficiency virus (HIV) status. Little is known about CSA among Chinese MSM; therefore, we explored the prevalence and frequency of non-contact (e.g., sexual invitations, exhibitionism) and contact (e.g., intercourse, genital contact) forms of CSA in an Internet-based sample of MSM in China. We also examined the associations between the participants' socio-demographic characteristics and HIV status, and their histories of CSA. METHODS: We surveyed MSM from 30 Chinese provinces in 2014-2015; 1,030 (mean age = 25.15 years, SD = 6.32) and 1,020 (mean age = 25.05 years, SD = 5.95) respondents were eligible for inclusion in the non-contact and contact CSA groups, respectively. RESULTS: Prevalence of non-contact and contact CSA was 36.2% and 29.8%, respectively; 20.4% and 15.0% had experienced non-contact and contact CSA ≥ 3 times, respectively. Most respondents were young adults, well educated, single, had never "come out," and self-identified as gay or bisexual men. Univariate analyses showed that respondents who had experienced contact CSA were more likely to be HIV-positive than those who had never experienced contact CSA. Multivariate analyses showed that non-contact CSA was associated with less education, being in a relationship with a woman or a man, and having "come out." Contact CSA was associated with less education, higher income, and being in a relationship with a man. Respondents who had experienced non-contact CSA ≥ 3 times were more likely to be less educated, "out," and to be in a relationship with a woman or a man. Respondents who had experienced contact CSA ≥ 3 times were more likely to be less educated and to be in a relationship with a man. CONCLUSIONS: It is necessary to pay closer attention to CSA among MSM and other sexual minorities in China.
[Mh] MeSH terms primary: Adult Survivors of Child Abuse/statistics & numerical data
Homosexuality, Male/statistics & numerical data
[Mh] MeSH terms secundary: Adult
China/epidemiology
Cross-Sectional Studies
HIV Infections/epidemiology
Humans
Internet
Male
Multivariate Analysis
Prevalence
Risk Factors
Socioeconomic Factors
Surveys and Questionnaires
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170906
[Lr] Last revision date:170906
[Js] Journal subset:IM
[Da] Date of entry for processing:170411
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0175444

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[PMID]: 28284286
[Au] Autor:Cochez F; Lesueur M; Fayet M; Bouchard JP
[Ad] Address:Centre de ressources pour les intervenants auprès des auteurs de violences sexuelles d'Aquitaine, Erios, centre hospitalier Charles-Perrens, 121, rue de la Béchade, 33076 Bordeaux Cedex, France; Institut psycho-judiciaire, centre hospitalier de Cadillac, 89, rue Cazeaux-Cazalet, 33410 Cadillac-sur-G
[Ti] Title:Prendre en charge des sujets relevant de l'injonction de soins. [Treating patients on the court-ordered therapy programme].
[So] Source:Soins Psychiatr;38(309):31-35, 2017 Mar - Apr.
[Is] ISSN:0241-6972
[Cp] Country of publication:France
[La] Language:fre
[Ab] Abstract:Psychologists and a psychiatrist testify to the clinical condition of people sentenced to socio-judicial supervision with court-ordered therapy. Despite the extension of the indication of the programme, this complex supervision often concerns the perpetrators of intra and/or extra familial sexual abuse. Preventing reoffending through the global treatment of the patient is a major concern both for the doctor-coordinators as well as the doctor and psychologists delivering the therapy.
[Mh] MeSH terms primary: Commitment of Mentally Ill/legislation & jurisprudence
Dangerous Behavior
Psychotherapy/legislation & jurisprudence
Violence/legislation & jurisprudence
Violence/prevention & control
[Mh] MeSH terms secundary: Aggression/psychology
France
Humans
Interdisciplinary Communication
Intersectoral Collaboration
Male
Patient Care Team
Risk Assessment/legislation & jurisprudence
Security Measures/legislation & jurisprudence
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1707
[Cu] Class update date: 170707
[Lr] Last revision date:170707
[Js] Journal subset:N
[Da] Date of entry for processing:170313
[St] Status:MEDLINE

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[PMID]: 27671782
[Au] Autor:Rea JA; Dixon MR; Zettle RD; Wright KL
[Ad] Address:Parsons State Hospital and Training Center, 2601 Gabriel, Parsons, KS, 67357, USA. Jerry.Rea@pshtc.ks.gov.
[Ti] Title:The Development of In Vivo Measures to Assess the Impact of Sex-Drive Reducing Medications in an Offender with an Intellectual Disability.
[So] Source:Arch Sex Behav;46(3):843-859, 2017 Apr.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The ability to adequately evaluate medications in the treatment of paraphilias has been limited by reliance upon self-report as a measure of effectiveness over periods of time that may be too short to detect reoffending. One solution to this shortcoming is the development of valid, long-term, stable assessment measures. The purpose of this case study was to analyze the effects of Prozac and Provera on an array of behaviors germane to the successful treatment of paraphilias, including: (a) sexual arousal in the laboratory and natural environment, (b) sexual thoughts (deviant and nondeviant) accompanied by arousal in the natural environment, and (c) overt actions in the community associated with increased risk of reoffending over a 31-month period for an exhibitionist with an intellectual disability. Despite the ineffectiveness of the medications, the measures demonstrated long-term, differentiated significant clinical responding; further underscored the importance of assessing deviant sexual arousal and adherence to relapse-prevention procedures in the natural environment; and provided a new methodology to assess sexual preoccupations and sexual arousal. Use of these in vivo measures raises questions regarding their potential to improve the predictability of risk assessments, and serve as an aide in the analysis of whether a treatment procedure is effective for an individual.
[Mh] MeSH terms primary: Criminals
Exhibitionism
Intellectual Disability/complications
Libido/drug effects
Risk Assessment/methods
Sex Offenses/prevention & control
[Mh] MeSH terms secundary: Adult
Contraceptive Agents, Male/pharmacology
Contraceptive Agents, Male/therapeutic use
Exhibitionism/drug therapy
Exhibitionism/prevention & control
Fluoxetine/pharmacology
Fluoxetine/therapeutic use
Humans
Male
Medroxyprogesterone Acetate/pharmacology
Medroxyprogesterone Acetate/therapeutic use
Psychometrics
Sexual Behavior/drug effects
Young Adult
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Contraceptive Agents, Male); 01K63SUP8D (Fluoxetine); C2QI4IOI2G (Medroxyprogesterone Acetate)
[Em] Entry month:1708
[Cu] Class update date: 170828
[Lr] Last revision date:170828
[Js] Journal subset:IM
[Da] Date of entry for processing:160928
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-016-0832-1

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[PMID]: 26773802
[Au] Autor:Stanton K; Daly E; Stasik-O'Brien SM; Ellickson-Larew S; Clark LA; Watson D
[Ad] Address:1 University of Notre Dame, Notre Dame, IN, USA.
[Ti] Title:An Integrative Analysis of the Narcissistic Personality Inventory and the Hypomanic Personality Scale: Implications for Construct Validity.
[So] Source:Assessment;24(6):695-711, 2017 Sep.
[Is] ISSN:1552-3489
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The primary goal of this study was to explicate the construct validity of the Narcissistic Personality Inventory (NPI) and the Hypomanic Personality Scale (HPS) by examining their relations both to each other and to measures of personality and psychopathology in a community sample ( N = 255). Structural evidence indicates that the NPI is defined by Leadership/Authority, Grandiose Exhibitionism, and Entitlement/Exploitativeness factors, whereas the HPS is characterized by specific dimensions reflecting Social Vitality, Mood Volatility, and Excitement. Our results establish that (a) factor-based subscales from these instruments display divergent patterns of relations that are obscured when relying exclusively on total scores and (b) some NPI and HPS subscales more clearly tap content specifically relevant to narcissism and mania, respectively, than others. In particular, our findings challenge the construct validity of the NPI Leadership/Authority and HPS Social Vitality subscales, which appear to assess overlapping assertiveness content that is largely adaptive in nature.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1601
[Cu] Class update date: 170808
[Lr] Last revision date:170808
[St] Status:In-Process
[do] DOI:10.1177/1073191115625801


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