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Klinische und forensische Aspekte hypersexuellen Verhaltens

Clinical and forensic aspects of hypersexual behavior

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Forensische Psychiatrie, Psychologie, Kriminologie Aims and scope Submit manuscript

Zusammenfassung

Der vorliegende Beitrag befasst sich mit Ausdrucksformen sexuellen Verhaltens und Erlebens, die durch ihren exzessiven Charakter und Leidensdruck und/oder Fremdgefährdung charakterisiert sind. Zunächst wird die historische Entwicklung des gegenwärtig im klinisch-diagnostischen Bereich überwiegend als Hypersexualität bezeichneten Konstrukts dargestellt – von der fallgeschichtlichen Darstellung bei Krafft-Ebing bis hin zur aktuellen Diskussion um die Aufnahme der hypersexuellen Störung in das Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5). Anschließend werden unterschiedliche Diagnoseformen und -ansätze für hypersexuelles Verhalten vorgestellt sowie ein kurzer Überblick über Epidemiologie, ätiologische Modelle und Hypothesen gegeben. Es wird die forensische Relevanz des Konstrukts für die gutachterliche Tätigkeit diskutiert; hierbei steht der mögliche Einfluss hypersexuellen Verhaltens auf die Schuldfähigkeit bzw. die Kriminalprognose im Mittelpunkt.

Abstract

The present article deals with hypersexual behavior and experience which is characterized by excessive sexual activity and a high degree of psychological strain and/or endangerment for others. Initially, the historical developments of different conceptualizations of the construct which is currently predominantly denominated hypersexuality are illustrated from the beginning in terms of the famous case studies presented by Krafft-Ebing up to the current discussion about the inclusion of hypersexual disorder in the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5). Different diagnostical methods and approaches for hypersexual behavior are presented as well as a brief overview about the epidemiology and different etiological models and hypotheses. Finally, the forensic relevance of the construct for expert witness activity is discussed by focusing on the potential impact of hypersexual behavior on criminal responsibility and recidivism risk assessment.

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Notes

  1. Im Jahr 2002 ergänzte Sigusch [65] die Leitsymptome Gieses um die Sexualisierung ursprünglich und gemeinhin neutraler Szenen oder Gegenstände, um das zwanghafte Ausleben sexueller Wünsche und Fantasien sowie um den Aspekt der Fetischisierung.

  2. Die Autoren wählten mehrere verhaltensnahe Indikatoren (z. B. Masturbationsfrequenz, Häufigkeit des Pornografiekonsums und sexuelle Untreue) aus, aus denen sie einen Index bildeten, anhand dessen sie die allgemeine sexuelle Aktivität ihrer Stichprobe erhoben. Durch die Bildung von Extremgruppen definierten sie eine „hypersexuelle“ Substichprobe, die sie mit der restlichen Stichprobe verglichen. Der für die aktuelle diagnostische Einschätzung der hypersexuellen Störungen maßgebliche innere Leidensdruck wurde allerdings wie in den frühen Untersuchungen von Kinsey et al. [47] auch hier nicht berücksichtigt [50].

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Authors and Affiliations

  1. Institut für Sexualforschung und Forensische Psychiatrie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland

    Martin Rettenberger M.A.,  Arne Dekker,  Verena Klein &  Peer Briken

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  1. Martin Rettenberger M.A.
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Correspondence to Martin Rettenberger M.A..

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Rettenberger, M., Dekker, A., Klein, V. et al. Klinische und forensische Aspekte hypersexuellen Verhaltens. Forens Psychiatr Psychol Kriminol 7, 3–11 (2013). https://doi.org/10.1007/s11757-012-0194-z

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