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Paraphilic AND Disorder

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https://www.readbyqxmd.com/read/30040595/validation-of-the-change-or-stop-testosterone-lowering-medication-costlow-scale-using-delphi-method-among-clinical-experts
#1
Peer Briken, Daniel Turner, Flaurence Thibaut, John Bradford, Paul Cosyns, Safiye Tozdan
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. The current study aimed to assess the quality of a structured professional judgement procedure that helps switching or discontinuing especially TLM in patients with paraphilic disorders...
July 24, 2018: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/30034961/paraphilic-disorder-in-a-male-patient-with-autism-spectrum-disorder-incidence-or-coincidence
#2
Bishoy Kolta, Garrett Rossi
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. A review of the literature was then conducted to determine if there is any documented association of paraphilic disorder, or abnormal sexual behavior in patients with ASD...
May 16, 2018: Curēus
https://www.readbyqxmd.com/read/29803347/from-atypical-sexual-interests-to-paraphilic-disorders-the-planned-icd-revisions-related-to-paraphilic-disorder
#3
Peer Briken, Richard B Krueger
No abstract text is available yet for this article.
June 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29738426/pharmacological-treatment-of-sexual-offenders-in-german-outpatient-treatment-centers
#4
Daniel Turner, Priscilla Gregório Hertz, Julia Sauter, Peer Briken, Martin Rettenberger
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. The present study aimed at assessing the prevalence of pharmacological sexual offender treatment in German outpatient treatment centers supervising mainly clients from the correctional sector...
May 4, 2018: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29706561/sexual-health-during-postgraduate-training-european-survey-across-medical-specialties
#5
Alexandra Kristufkova, Mariana Pinto Da Costa, Gesthimani Mintziori, Juan Luis Vásquez, Anna J M Aabakke, Mikkel Fode
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. AIM: To assess (i) sexual health training during postgraduate training programs in psychiatry, obstetrics and gynecology, urology, and endocrinology across Europe; (ii) the confidence of trainees and early-career specialists in dealing with patients with sexual health problems; and (iii) their need for further training in sexual health during postgraduate training programs...
April 26, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29533207/lethal-asphyxiation-due-to-sadomasochistic-sex-training-how-some-sex-partners-avoid-criminal-responsibility-even-though-their-actions-lead-to-someone-s-death
#6
Damian Jacob Sendler
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. First, a retrospective chart review of our clinics' two recent cases...
May 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29525580/paraphilic-infantilism-diaperism-and-pedophilia-a-review
#7
REVIEW
Sunil M Doshi, Kalpesh Zanzrukiya, Lavlesh Kumar
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. Paraphilic Infantilism, Diaperism and Pedophilia constitute major portion among them. Paraphilic infantilism denotes paraphilic desire of being a baby...
May 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29487335/gender-bias-in-clinicians-pathologization-of-atypical-sexuality-a-randomized-controlled-trial-with-mental-health-professionals
#8
Johannes Fuss, Peer Briken, Verena Klein
The psychiatric classification of "normal" versus disordered sexual behavior has been a subject of some dispute. Although atypical sexual interests have been viewed traditionally as typically male, epidemiological data indicate its presence in both genders. We examined how gender and sexual orientation influence whether or not atypical sexual behavior is classified as a mental disorder. Mental health professionals (N = 546) were presented with five case vignettes where subjects exhibit paraphilic behaviors; one case with psychotic symptoms served as the control condition...
February 27, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29428123/innovations-reviews-and-proposals-on-the-dsm-5-the-case-of-sexual-dysfunctions-gender-dysphoria-and-paraphilic-disorders
#9
Adalberto Campo-Arias, Edwin Herazo
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...
January 2018: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29398933/sexuality-in-autism-hypersexual-and-paraphilic-behavior-in-women-and-men-with-high-functioning-autism-spectrum-disorder
#10
Daniel Schöttle, Peer Briken, Oliver Tüscher, Daniel Turner
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...
December 2017: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/29289377/treatment-of-paraphilic-disorders-in-sexual-offenders-or-men-with-a-risk-of-sexual-offending-with-luteinizing-hormone-releasing-hormone-agonists-an-updated-systematic-review
#11
REVIEW
Daniel Turner, Peer Briken
BACKGROUND: Different pharmacologic agents are used in the treatment of paraphilic disorders in sexual offenders or men with a risk of sexual offending, with luteinizing hormone-releasing hormone (LHRH) agonists being the agents introduced more recently to treatment regimens. AIM: To summarize the relevant literature concerning LHRH agonist treatment of paraphilic disorders in sexual offenders and update the previously published systematic review by Briken et al (J Clin Psychiatry 2003;64:890-897)...
January 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29120276/personality-disorder-features-and-paraphilic-interests-among-undergraduates-differential-relations-and-potential-antecedents
#12
Ashley L Watts, Madeline G Nagel, Robert D Latzman, Scott O Lilienfeld
We examined the relations between: (1) narcissism, psychopathy, DSM-5 personality disorder symptom counts; and (2) paraphilic interests among undergraduates (N = 608). Base rates of paraphilic interests were appreciable. The disinhibition and meanness features of psychopathy and the entitlement and exploitativeness features of narcissism were robustly associated with paraphilic interests, particularly sexual sadism, whereas the boldness features of narcissism and psychopathy were essentially unrelated to these interests...
November 9, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/29057702/pharmacological-treatment-of-patients-with-paraphilic-disorders-and-risk-of-sexual-offending-an-international-perspective
#13
Daniel Turner, Julius Petermann, Karen Harrison, Richard Krueger, Peer Briken
OBJECTIVES: The present study aims to evaluate existing policy and practice relating to the use of pharmacological treatments with patients suffering from paraphilic disorders who are at risk of committing further sexual offences. METHODS: A systematic literature search was conducted to document current legal policies across 26 different countries. Additionally, a questionnaire assessing the practice of pharmacological treatment was sent to practitioners involved in the treatment of patients with paraphilic disorders...
October 23, 2017: World Journal of Biological Psychiatry
https://www.readbyqxmd.com/read/28872468/sexual-disorders-beyond-dsm-5-the-unfinished-affaire
#14
REVIEW
Felipe Navarro-Cremades, Chiara Simonelli, Angel L Montejo
PURPOSE OF REVIEW: To provide an overview of post-The Diagnostic and Statistical Manual of Mental Disorders, 5th ed. classifications related to human sexuality. After reviewing the literature on classification and clinical practice of sexual disorders, some of the most important contributions on main sexological classifications and frameworks were selected, especially from January 2016 till June 2017. RECENT FINDINGS: New relevant contributions on psychiatric and sexological classifications and frameworks have been proposed, such as the international classification of diseases 11th revision (ICD-11), research domain criteria, the third edition of the Diagnostic Manual in Sexology and the person-centered psychiatry perspective...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28727662/paraphilic-thoughts-behaviors-and-sex-addiction-in-a-sample-of-persons-who-use-drugs-a-cross-sectional-study
#15
Jales Clemente, Sandra Cristina Pillon, Jair de Jesus Mari, Claudio Jeronimo da Silva, Paulo Roberto Henrique Santana, Alessandra Diehl
OBJECTIVE: The aim of this study was to evaluate the prevalence of paraphilic thoughts/behaviors (including paraphilic disorders) with and without sexual addiction and sexual-related conditions in a sample of substance disorder patients. METHODS: This was a cross-sectional study of substance-dependent individuals who sought outpatient treatment in São Paulo, Brazil. Data included sociodemographic information, drug of choice, responses to questions about sexual behavior, and to the following standardized questionnaires: (a) Sexual Addiction Screening Test, and (b) Childhood Trauma Questionnaire...
September 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28714321/zoophilia-in-an-adolescent-with-high-functioning-autism-from-sri-lanka
#16
Miyuru Chandradasa, Layani Champika
OBJECTIVE: Zoophilia is a rare paraphilic disorder with intense sexual urges involving animals. Autism is characterised by impairments in social communication and repetitive, restricted behaviours (RRB). Reported cases of zoophilia are limited worldwide, and zoophilia in autism is rarer. METHOD: This is a case report describing this unique and relatively unrecognised association in a male adolescent from Sri Lanka. RESULTS: A 17-year-old boy diagnosed with autism has average intelligence and academic capabilities...
October 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28602666/a-cognitive-behavioral-therapy-group-intervention-for-hypersexual-disorder-a-feasibility-study
#17
Jonas Hallberg, Viktor Kaldo, Stefan Arver, Cecilia Dhejne, Katarina Görts Öberg
BACKGROUND: The proposed criteria of the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition for hypersexual disorder (HD) included symptoms reported by patients seeking help for excessive and out-of-control non-paraphilic sexual behavior, including sexual behaviors in response to dysphoric mood states, impulsivity, and risk taking. Although no prior studies of cognitive-behavioral therapy (CBT) for the treatment of HD have been performed, CBT has been found effective for dysphoric mood states and impulsivity...
July 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28319850/methylation-of-hpa-axis-related-genes-in-men-with-hypersexual-disorder
#18
Jussi Jokinen, Adrian E Boström, Andreas Chatzittofis, Diana M Ciuculete, Katarina Görts Öberg, John N Flanagan, Stefan Arver, Helgi B Schiöth
Hypersexual Disorder (HD) defined as non-paraphilic sexual desire disorder with components of compulsivity, impulsivity and behavioral addiction, and proposed as a diagnosis in the DSM 5, shares some overlapping features with substance use disorder including common neurotransmitter systems and dysregulated hypothalamic-pituitary-adrenal (HPA) axis function. In this study, comprising 67 HD male patients and 39 male healthy volunteers, we aimed to identify HPA-axis coupled CpG-sites, in which modifications of the epigenetic profile are associated with hypersexuality...
June 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/28289788/-failure-of-a-study-in-forensic-psychiatric-hospitals-clinical-trial-to-investigate-the-additive-effect-of-triptorelin-on-the-efficacy-of-psychotherapy
#19
Peer Briken, Jürgen L Müller, Wolfgang Berner, Rolf-Hasso Bödeker, Jochen Vollmann, Christian Kasperk, Matthias Koller
BACKGROUND: A testosterone-lowering medication is relatively commonly used as a form of treatment for sexual offenders with severe paraphilic disorders in German forensic psychiatric hospitals; however, a double-blind, controlled and randomized study, which investigates the efficacy of this medication, is still lacking. AIM: This article describes the process from the planning to the rejection of a clinical trial over the period from 2009 to 2015. METHODS AND RESULTS: Despite the careful planning with an interdisciplinary team and giving special consideration to the complex legal situation, the Federal Institute for Drugs and Medical Devices (BfArM) rejected the proposed trial in a brief formal letter with reference to the German Drug Law (§ 40 para...
May 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28210933/proposals-for-paraphilic-disorders-in-the-international-classification-of-diseases-and-related-health-problems-eleventh-revision-icd-11
#20
Richard B Krueger, Geoffrey M Reed, Michael B First, Adele Marais, Eszter Kismodi, Peer Briken
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)...
July 2017: Archives of Sexual Behavior
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