Database : MEDLINE
Search on : Paraphilias [Words]
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[PMID]: 29294228
[Au] Autor:Moser C
[Ad] Address:Diverse Sexualities Research and Education Institute, San Francisco, CA, USA. Docx2@ix.netcom.com.
[Ti] Title:Paraphilias and the ICD-11: Progress but Still Logically Inconsistent.
[So] Source:Arch Sex Behav;, 2018 Jan 02.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:LETTER
[Em] Entry month:1801
[Cu] Class update date: 180102
[Lr] Last revision date:180102
[St] Status:Publisher
[do] DOI:10.1007/s10508-017-1141-z

  2 / 2418 MEDLINE  
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[PMID]: 28806269
[Au] Autor:Barata BC
[Ad] Address:aDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar de Setúbal, Setúbal, Portugal bInstitute of Neuroscience, Newcastle University, Newcastle upon Tyne, United Kingdom.
[Ti] Title:Affective disorders and sexual function: from neuroscience to clinic.
[So] Source:Curr Opin Psychiatry;30(6):396-401, 2017 Nov.
[Is] ISSN:1473-6578
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE OF REVIEW: Sexual dysfunction is a frequent issue in patients with affective disorders, affecting its quality of life and posing challenges to the approach of these patients. RECENT FINDINGS: In recent years, human sexuality has attracted interest from the scientific community, and today we have a much deeper knowledge of the mechanisms involved in the sexual response. Paraphilias or sexual dysfunctions like low sexual desire, premature ejaculation, and erectile dysfunction, are frequent in affective disorders, and the frequency of each sexual problem varies according to the affective disorder. Comparing what is currently known about the sexual response with the main neurobiological findings of depressive, anxiety, obsessive-compulsive and posttraumatic stress disorders, it is possible to better understand specific sexual complaints of patients with these disorders. SUMMARY: A better understanding of sexual function in affective disorders may help clinicians to choose treatments more suited to specific needs of these patients. Although the current state of science already allows us to have some understanding about sexual function in affective disorders, this critical area of research is still in its infancy, waiting for more investment.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 170927
[Lr] Last revision date:170927
[St] Status:In-Process
[do] DOI:10.1097/YCO.0000000000000362

  3 / 2418 MEDLINE  
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[PMID]: 28763709
[Au] Autor:Sendler DJ
[Ad] Address:II Faculty of Medicine, Department of Psychiatry, Sexual and Urologic Consultation Clinics, University of Lublin Medical School, Lublin, Poland. Electronic address: djs508@nyu.edu.
[Ti] Title:Similar mechanisms of traumatic rectal injuries in patients who had anal sex with animals to those who were butt-fisted by human sexual partner.
[So] Source:J Forensic Leg Med;51:69-73, 2017 Oct.
[Is] ISSN:1878-7487
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Sexual pleasure comes in various forms of physical play, for many it involves stimulation of the vagina, while the anus for others; some enjoy both. A recent report by Cappelletti et al. shows a meta-analysis of cases describing anal trauma due to sexual fisting in human partners. This clinical article reports four cases of males diagnosed with zoophilia, and who received anal sex from animals, resulting in injuries. Surgical and psychiatric evaluations are summarized. Unusual etiology of sexual activity with animals caused peri-anal trauma in men who engaged in anal sex with dogs and farm animals. Injuries to patients who receive anal sex from animals are mechanistically similar to fisting-induced rectal damage. Among zoophiles, the mode of harm occurs through blood-engorged, interlocked penis that causes tissue lacerations upon retraction from an anus. In people experimenting with fisting, repetitive stretching within anal canal and of external sphincter causes the internal injuries. The mode of physical stimulation explains the extent of injuries in fisters vs. zoophiles: in fisting, the pressure applied by hand is controllable proximally around and within anal sphincter, while penetration by the animal penis is unpredictable and occurs within the proximal anal canal. Forensically, the findings presented in this article describe a significant mechanism of injury in fisters versus passive zoophiles. These descriptions may aid in clinically differentiating pleasurable and pathological rectal stimulation.
[Mh] MeSH terms primary: Anal Canal/injuries
Paraphilic Disorders/psychology
Sexual Behavior
[Mh] MeSH terms secundary: Adolescent
Adult
Animals
Humans
Male
Middle Aged
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171011
[Lr] Last revision date:171011
[Js] Journal subset:IM
[Da] Date of entry for processing:170802
[St] Status:MEDLINE

  4 / 2418 MEDLINE  
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[PMID]: 28685351
[Au] Autor:Sorrentino R; Friedman SH; Wagoner R; Booth BD
[Ad] Address:Harvard University, Cambridge, MA, USA.
[Ti] Title:Sex on the Silver Screen: Using Film to Teach About Paraphilias.
[So] Source:Acad Psychiatry;, 2017 Jul 06.
[Is] ISSN:1545-7230
[Cp] Country of publication:United States
[La] Language:eng
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1707
[Cu] Class update date: 170707
[Lr] Last revision date:170707
[St] Status:Publisher
[do] DOI:10.1007/s40596-017-0743-z

  5 / 2418 MEDLINE  
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[PMID]: 28210933
[Au] Autor:Krueger RB; Reed GM; First MB; Marais A; Kismodi E; Briken P
[Ad] Address:Department of Psychiatry, College of Physicians and Surgeons, New York State Psychiatric Institute, Columbia University, New York, NY, USA. rbk1@cumc.columbia.edu.
[Ti] Title:Proposals for Paraphilic Disorders in the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11).
[So] Source:Arch Sex Behav;46(5):1529-1545, 2017 Jul.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The World Health Organization is currently developing the 11th revision of the International Classifications of Diseases and Related Health Problems (ICD-11), with approval of the ICD-11 by the World Health Assembly anticipated in 2018. The Working Group on the Classification of Sexual Disorders and Sexual Health (WGSDSH) was created and charged with reviewing and making recommendations for categories related to sexuality that are contained in the chapter of Mental and Behavioural Disorders in ICD-10 (World Health Organization 1992a). Among these categories was the ICD-10 grouping F65, Disorders of sexual preference, which describes conditions now widely referred to as Paraphilic Disorders. This article reviews the evidence base, rationale, and recommendations for the proposed revisions in this area for ICD-11 and compares them with DSM-5. The WGSDSH recommended that the grouping, Disorders of sexual preference, be renamed to Paraphilic Disorders and be limited to disorders that involve sexual arousal patterns that focus on non-consenting others or are associated with substantial distress or direct risk of injury or death. Consistent with this framework, the WGSDSH also recommended that the ICD-10 categories of Fetishism, Fetishistic Transvestism, and Sadomasochism be removed from the classification and new categories of Coercive Sexual Sadism Disorder, Frotteuristic Disorder, Other Paraphilic Disorder Involving Non-Consenting Individuals, and Other Paraphilic Disorder Involving Solitary Behaviour or Consenting Individuals be added. The WGSDSH's proposals for Paraphilic Disorders in ICD-11 are based on the WHO's role as a global public health agency and the ICD's function as a public health reporting tool.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1702
[Cu] Class update date: 170714
[Lr] Last revision date:170714
[St] Status:In-Process
[do] DOI:10.1007/s10508-017-0944-2

  6 / 2418 MEDLINE  
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[PMID]: 28078423
[Au] Autor:Schloegl I; Koehn FM; Beier KM; Bosinski HAG; Dinkel A; Gschwend JE; Herkommer K
[Ad] Address:Klinik und Poliklinik für Urologie, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland.
[Ti] Title:Sexualmedizin im ärztlichen Alltag : Bundesweite Umfrage unter Ärzten in der Urologie. [Sexual medicine in daily practice : Germany-wide questionnaire of urologists].
[So] Source:Urologe A;56(5):637-644, 2017 May.
[Is] ISSN:1433-0563
[Cp] Country of publication:Germany
[La] Language:ger
[Ab] Abstract:BACKGROUND: Sexual-related problems are very prevalent. Physicians of different disciplines are frequently contacted by men with those problems. OBJECTIVES: The aim of this study was to investigate the situation of sexual medicine in daily practice and to evaluate German urologists' need for further training in this field with a focus on gender-specific differences. MATERIALS AND METHODS: A five-page questionnaire included questions about sexual medicine in daily practice. A focus was set on physicians dealing with sexual medicine in daily practice and their need for further training in this field. In April/Mai 2015, questionnaires were sent per mail to 5955 urologists, urology residents and andrologists throughout Germany. The questionnaire was developed based on previously published studies and a pretest was performed to evaluate comprehensibility. A χ test was performed to determine significant gender-specific differences; for this propose response options were dichotomised. P values ≤0.05 were considered significant. RESULTS: The response rate was 16.0%, representing 955 questionnaires. A total of 50 questionnaires from non-urologists were excluded, so 905 questionnaires were analysed. The mean age was 47.7 ± 10.4 years, 78.9% were male, 97.0% had studied in Germany, 86.7% were specialists and 37.7% had further qualification in andrology. CONCLUSION: Our results emphasize the need for further training in sexual medicine, especially for female physicians. This study underlines the demand for advanced qualification in sexual medicine.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1701
[Cu] Class update date: 170916
[Lr] Last revision date:170916
[St] Status:In-Process
[do] DOI:10.1007/s00120-016-0297-9

  7 / 2418 MEDLINE  
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[PMID]: 27900492
[Au] Autor:Stephens S; Seto MC; Goodwill AM; Cantor JM
[Ad] Address:Department of Psychology, Saint Mary's University, 923 Robie St, Halifax, NS, B3H 3C3, Canada. skye.stephens@smu.ca.
[Ti] Title:Evidence of Construct Validity in the Assessment of Hebephilia.
[So] Source:Arch Sex Behav;46(1):301-309, 2017 Jan.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Hebephilia refers to a persistent intense sexual interest in pubescent children. Although not as widely studied as pedophilia, studies of hebephilia have indicated convergence in self-report and sexual arousal. The present study expanded on previous work by examining convergent and divergent validity across indicators of hebephilia that included self-report, sexual behavior, and sexual arousal in a sample of 2238 men who had sexually offended. We included men who denied such interest and specifically examined the overlap between hebephilia and pedophilia and examined pedohebephilia (i.e., sexual interests in both prepubescent and pubescent children). Results indicated that there was considerable convergence across indicators of hebephilia. The results suggested poor divergent validity between hebephilia and pedophilia, as there was substantial overlap between the two constructs across analyses. Finally, a distinct pattern of sexual arousal was found in offenders with pedohebephilia. The results of the present study were discussed with a focus on implications for the assessment of sexual interest in children and the conceptualization of pedohebephilia.
[Mh] MeSH terms primary: Criminals/psychology
Pedophilia
Sex Offenses/psychology
Sexual Behavior/psychology
[Mh] MeSH terms secundary: Adult
Humans
Male
Pedophilia/classification
Pedophilia/diagnosis
Pedophilia/psychology
Reproducibility of Results
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170920
[Lr] Last revision date:170920
[Js] Journal subset:IM
[Da] Date of entry for processing:161201
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-016-0907-z

  8 / 2418 MEDLINE  
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[PMID]: 27752854
[Au] Autor:Kingston DA; Graham FJ; Knight RA
[Ad] Address:Integrated Forensic Program, Institute of Mental Health Research, Brockville Mental Health Centre, Royal Ottawa Health Care Group, 1804 Highway 2 East, Brockville, ON, K6V 5W7, Canada. drew.kingston@theroyal.ca.
[Ti] Title:Relations Between Self-Reported Adverse Events in Childhood and Hypersexuality in Adult Male Sexual Offenders.
[So] Source:Arch Sex Behav;46(3):707-720, 2017 Apr.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Hypersexuality, or extreme normophilic sexual urges and behaviors, is a controversial construct that was recently considered as a candidate disorder for the DSM-5 and was rejected. It was also rejected for inclusion in Section III (Conditions for Further Study). Nonetheless, it has been found to be an important predictor of recidivism among sex offenders, and it continues to be discussed widely in the literature. In the present study, we investigated the developmental roots of this construct in a sample of 529 adult male sexual offenders, who were administered the Multidimensional Assessment of Sex and Aggression. Physical, psychological, and sexual abuse experiences were estimated using several scales of early development. Psychological abuse in childhood and adolescence, especially by a father, was found to be the most prominent predictor of subsequent hypersexual thoughts and behaviors. The accumulation of abuse types, however, was also associated with a monotonic increase in the latent trait of hypersexuality. The consequences of these results for conceptualizations of the construct are discussed.
[Mh] MeSH terms primary: Child Abuse/statistics & numerical data
Criminals/statistics & numerical data
Paraphilic Disorders/epidemiology
[Mh] MeSH terms secundary: Adult
Child
Cohort Studies
Diagnostic and Statistical Manual of Mental Disorders
Humans
Male
Sex Offenses/statistics & numerical data
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1708
[Cu] Class update date: 170828
[Lr] Last revision date:170828
[Js] Journal subset:IM
[Da] Date of entry for processing:161019
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-016-0873-5

  9 / 2418 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

  10 / 2418 MEDLINE  
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[PMID]: 27549306
[Au] Autor:Seto MC
[Ad] Address:Royal Ottawa Health Care Group, Ottawa, ON, K1Z 7K4, Canada. michael.seto@theroyal.ca.
[Ti] Title:The Puzzle of Male Chronophilias.
[So] Source:Arch Sex Behav;46(1):3-22, 2017 Jan.
[Is] ISSN:1573-2800
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:In this article, I return to the idea that pedophilia, a sexual interest in prepubescent children, can be considered a sexual orientation for age, in conjunction with the much more widely acknowledged and discussed sexual orientation for gender. Here, I broaden the scope to consider other chronophilias, referring to paraphilias for age/maturity categories other than young sexually mature adults. The puzzle of chronophilias includes questions about etiology and course, how chronophilias are related to each other, and what they can tell us about how human (male) sexuality is organized. In this article, I briefly review research on nepiophilia (infant/toddlers), pedophilia (prepubescent children), hebephilia (pubescent children), ephebophilia (postpubescent, sexually maturing adolescents), teleiophilia (young sexually mature adults, typically 20s and 30s), mesophilia (middle-aged adults, typically 40s and 50s), and gerontophilia (elderly adults, typically 60s and older) in the context of a multidimensional sexual orientations framework. Relevant research, limitations, and testable hypotheses for future work are identified.
[Mh] MeSH terms primary: Paraphilic Disorders/diagnosis
[Mh] MeSH terms secundary: Adolescent
Adult
Age Factors
Aged
Child
Humans
Male
Paraphilic Disorders/psychology
Sexual Behavior/psychology
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170918
[Lr] Last revision date:170918
[Js] Journal subset:IM
[Da] Date of entry for processing:160824
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-016-0799-y


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