Abstract
Few disorders elicit as much curiosity and/or outrage as the sexual deviations, or paraphilias. In recent years, a number of factors have contributed to the increase in professional and public interest in aberrant sexual proclivities that, for many years, were largely ignored. First, a number of widely publicized cases involving sexual abuse of children have alerted and alarmed the public about this problem. Second, recent evidence suggests that the prevalence of sexual offenses, based on reports by victims (e.g., Koss, Gidycz, & Wisniewski, 1987; Russell, 1983) as well as offenders (e.g., Abel et al., 1987), is much higher than previously believed. In fact, it appears that previous official reports grossly underestimate the prevalence and incidence of sexual offenses (Abel et al., 1987; Koss et al., 1987). Third, mental health professionals increasingly are being consulted for assistance in the management of the victims and perpetrators of sexual offenses. Consequently, paraphilia has become a topic of major importance.
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References
Abel, G. G., Becker, J. V., Mittelman, M., Cunningham–Rathner, J., Rouleau, J. L., & Murphy, W. D. (1987). Self–reported sex crimes of nonincarcerated paraphiliacs. Journal of Interpersonal Violence, 2, 3–25.
Abel, G.G., Becker, J. V., Murphy, W. D., & Flanagan, B. (1981). Identifying dangerous child molestors. In R. B. Stuart (Ed.), Violent behavior: Social learning approaches to prediction, management, and treatment (pp. 116–137). New York: Brunner/Mazel.
Abel, G. G., Levis, D., & Clancy, J. (1970). Aversion therapy applied to taped sequences of deviant behavior in exhibitionists and other sexual deviations: Preliminary report. Journal of Behavior Therapy and Experimental Psychiatry, 1, 59–60.
Adams, H. E., & Haber, J. (1984). The classification of behavior. In H. E. Adams & P. B. Sutker (Eds.), Comprehensive handbook of psychopathology (pp. 3–26). New York: Plenum.
Adams, H. E., McAnulty, R. D., & Iezzi, A. (1990). Assessment of deviant sexual arousal: A literature review. Manuscript submitted for publication.
Alford, G. S., Webster, J. S., & Sanders, J. H. (1980). Covert aversion of two interrelated deviant sexual practices: Obscene phone calling and exhibitionism. A single case analysis. Behavior Therapy, 11, 15–25.
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
Araji, S., & Finkelhor, D. (1985). Explanation of pedophilia: Review of empirical research. Bulletin of the American Academy of Psychiatry and Law, 13, 17–37.
Avery-Clark, C. A., & Laws, D. R. (1984). Differential erection response patterns of sexual child abusers to stimuli describing activities with children. Behavior Therapy, 15, 71–83.
Bard, L. A., Carter, D. L., Cerce, D. D., Knight, R. A., Rosenberg, R., & Schneider, B. (1987). A descriptive study of rapists and child molestors: Developmental, clinical, and criminal characteristics. Behavioral Sciences and the Law, 5, 203–220.
Blader, J. C., & Marshall, W. L. (1989). Is assessment of sexual arousal in rapists worthwhile? A critique of current methods and the development of a response compatibility approach. Clinical Psychology Review, 9, 569–587.
Blair, C. D., & Lanyon, R. I. (1981). Exhibitionism: Etiology and treatment. Psychological Bulletin, 89, 439–463.
Blanchard, R. (1985a). Gender dysphoria and gender reorientation. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 365–392). New York: Plenum.
Blanchard, R. (1985b). Research methods for the typological study of gender disorders in males. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 227–258). New York: Plenum.
Blanchard, R. (1989). The classification and labeling of non–homosexual gender dysphorias. Archives of Sexual Behavior, 18, 315–334.
Blau, T. H. (1985). The psychologist as expert in the courts. Clinical Psychologist, 38, 76–78.
Browne, A., & Finkelhor, D. (1986). The impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66–77.
Chalkley, A. J., & Powell, G. E. (1983). The clinical description of forty-eight cases of sexual fetishism. British Journal of Psychiatry, 142, 292–295.
Cohen, M. L., Seghorn, T., & Calmas, W. (1969). Sociometric study of the sex offender. Journal of Abnormal Psychology, 74, 249–255.
Dixen, J., & Jenkins, J. O. (1981). Incestuous child sexual abuse: A review of treatment strategies. Clinical Psychology Review, 1, 211–222.
Earls, C. M., & Marshall, W. D. (1983). The current state of technology in the laboratory assessment of sexual arousal patterns. In J. G. Greer & I. R. Stuart (Eds.), The sexual aggressor: Current perspectives on treatment (pp. 336–362). New York: Van Nostrand Reinhold.
Einbender, A. J., & Friedrich, W. N. (1989). Psychological functioning and behavior of sexually abused girls. Journal of Consulting and Clinical Psychology, 57, 155–157.
Epstein, A. W. (1969). Fetishism: A study of its psychopathology with particular reference to a proposed disorder in brain mechanisms as an etiological factor. Journal of Nervous and Mental Disorders, 130, 107–119.
Erickson, W. D., Luxenberg, M. G., Walbek, N. H., & Seely, R. K. (1987). Frequency of MMPI two-point code types among sex offenders. Journal of Consulting and Clinical Psychology, 55, 566–570.
Erickson, W. D., Walbek, N. H., & Seely, R. K. (1988). Behavior patterns of child molestors. Archives of Sexual Behavior, 17, 77–86.
Fenichel, O. (1945). The psychoanalytic theory of neurosis. New York: Norton.
Freund, K. (1963). A laboratory method for diagnosing predominance of homo–and heteroerotic interests in the male. Behaviour Research and Therapy, 1, 85–93.
Freund, K. (1967). Erotic preference in pedophilia. Behaviour Research and Therapy, 5, 339–348.
Freund, K., & Blanchard, R. (1989). Phallometric diagnosis of pedophilia. Journal of Consulting and Clinical Psychology, 57, 100–105.
Freund, K., Langevin, R., Zajac, Y., Steiner, B., & Zajac, A. (1974). The transsexual syndrome in homosexual males. Journal of Nervous and Mental Diseases, 158, 145–153.
Freund, K., Nagler, E., Langevin, R., Zajac, A., & Steiner, B. (1974). Measuring feminine gender identity in homosexual males. Archives of Sexual Behavior, 3, 249–260.
Furby, L., Weinrott, M. R., & Blackshaw, L. (1989). Sex offender recidivism: A review. Psychological Bulletin, 105, 3–30.
Gebhard, P H., Gagnon, J. H., Pomeroy, W. B., & Christenson, C. V. (1965). Sex offenders. New York: Harper & Row.
Gosselin, C. C. (1987). The sadomasochistic contract. In G. D. Wilson (Ed.), Variant sexuality: Research and theory (pp. 229–257). Baltimore: Johns Hopkins University.
Green, R. (1974). Sexual identity conflicts in children and adults. New York: Basic Books.
Groth, N. A., & Birnbaum, H.J. (1978). Adult sexual orientation and attraction to underage persons. Archives of Sexual Behavior, 7, 175–181.
Hall, G. C. N., Maiuro, R. D., Vitaliano, P. P., & Proctor, W. C. (1986). The utility of the MMPI with men who have sexually assaulted children. Journal of Consulting and Clinical Psychology, 54, 493–496.
Heim, N. (1981). Sexual behavior of castrated sex offenders. Archives of Sexual Behavior, 10, 11–19.
Hoenig, J. (1985). Etiology of transsexualism. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 33–73). New York: Plenum.
Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. New York: Plenum.
Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P H. (1953). Sexual behavior in the human female. Philadelphia: Saunders.
Kline, P. (1987). Sexual deviation: Psychoanalytic research and theory. In G. D. Wilson (Ed.), Variant sexuality: Research and theory (pp. 150–173). Baltimore: Johns Hopkins University.
Knight, R. A., Rosenberg, R., & Schneider, B. A. (1985). Classification of sexual offenders: Perspectives, methods, and validation. In A. W. Burgess (Ed.), Rape and sexual assault: A research handbook (pp. 222–293). New York: Garland.
Koss, M. P (1989). Hidden rape: Sexual aggression and victimization in a national sample of students in higher education. In M. A. Pirog-Good & J. E. Stets (Eds.), Violence in dating relationships (pp. 145–168). New York: Praeger.
Koss, M. P., Gidycz, C. J., & Wisniewski, N. R. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of students in higher education. Journal of Consulting and Clinical Psychology, 55, 162–170.
Landsdell, H. C. (1971). A general intellectual factor affected by temporal lobe dysfunction. Journal of Clinical Psychology, 27, 182–184.
Lang, R. A., Langevin, R., Checkley, K. L., & Pugh, G. (1987). Genital exhibitionism: Courtship disorder or narcissism? Canadian Journal of Behavioral Science, 19, 216–232.
Langevin, R. (1983). Sexual strands: Understanding and treating sexual anomalies in men. Hillsdale, NJ: Lawrence Erlbaum.
Langevin, R. (1985). The meanings of cross-dressing. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 207–225). New York: Plenum.
Langevin, R., Hucker, S. J., Ben-Aron, M. H., Purins, J. E., & Hook, H. J. (1985). Why are pedophiles attracted to children? Further studies of erotic preference in heterosexual pedophilia. In R. Langevin (Ed.), Erotic preference, gender identity, and aggression in men: New research studies (pp. 181–210). Hillsdale, NJ: Lawrence Erlbaum.
Langevin, R., Hucker, S. J., Handy, L., Purins, J., Russon, A. E., & Hook, H.J. (1985). Erotic preference and aggression in pedophilia: A comparison of heterosexual, homosexual, and bisexual types. In R. Langevin (Ed.), Erotic preference, gender identity, and aggression in men: New research studies (pp. 137–160). Hillsdale, NJ: Lawrence Erlbaum.
Langevin, R., Paitich, D., Ramsay, G., Anderson, C., Kamrad, J., Pope, S., Geller, G., Pearl, L., & Newman, S. (1979). Experimental studies of the etiology of genital exhibitionism. Archives of Sexual Behavior, 8, 307–331.
Langevin, R., Paitich, D., & Russon, A. E. (1985a). Are rapists sexually anomalous, aggressive, or both? In R. Langevin (Ed.), Erotic preference, gender identity, and aggression in men: New research studies (pp. 17–38). Hillsdale, NJ: Lawrence Erlbaum.
Langevin, R., Paitich, D., & Russon, A. E. (1985b). Voyeurism: Does it predict sexual aggression or violence in general? In R. Langevin (Ed.), Erotic preference, gender identity, and aggression in men: New research studies (pp. 77–98). Hillsdale, NJ: Lawrence Erlbaum.
Lanyon, R.I. (1986). Theory and treatment in child molestation. Journal of Consulting and Clinical Psychology, 54, 176–182.
Laws, D. R. (Ed.). (1989). Relapse prevention with sex offenders. New York: Guilford.
Lomis, M. J., & Baker, L. L. (1981, March). Medroxyprogesterone acetate in the treatment of sex offenders: A literature review. Paper presented at the conference on the Evaluation and Treatment of Sexual Aggressives, Avila Beach, CA.
MacDonald, J. (1973). Indecent exposure. Springfield, IL: Charles C. Thomas.
Malamuth, N. M. (1989). Predictors of naturalistic sexual aggression. In M. A. Pirog-Good & J. E. Stets (Eds.), Violence in dating relationships (pp. 219–240). New York: Praeger.
Malatesta, V., & Adams, H. E. (1986). Assessment of sexual behavior. In A. R. Ciminero, K. S. Calhoun, & H. E. Adams (Eds.), Handbook of behavioral assessment (2nd ed., pp. 496–525). New York: Wiley.
Marshall, W. L., & Barbaree, H. E. (1988). The long-term evaluation of a behavioral treatment program for child molestors. Behaviour Research and Therapy, 6, 499–511.
Marshall, W. L., Barbaree, H. E., & Butt, J. (1988). Sexual offenders against male children: Sexual preferences. Behaviour Research and Therapy, 26, 383–391.
Marshall, W. L., Barbaree, H. E., & Christophe, D. (1986). Sexual offenders against female children: Sexual preferences for age of victims and type of behaviour. Canadian Journal of Behavioral Science, 18, 424–439.
Marshall, W. L., & McKnight, R. D. (1975). An integrated treatment program for sexual offenders. Canadian Psychiatric Association Journal, 20, 133–138.
McAnulty, R. D., & Adams, H. E. (1990). Patterns of sexual arousal of accused child molestors involved in custody disputes. Archives of Sexual Behavior, 19, 541–556.
McAnulty, R. D., & Adams, H. E. (1992). Behavior therapy with paraphilic disorders. In S. M. Turner, K. S. Calhoun, & H. E. Adams (Eds.), Handbook of clinical behavior therapy (2nd ed.). New York: Wiley.
McAnulty, R. D., Adams, H. E., & Andrew, M. (1989, November). Characteristics of individuals who deny the validity of child molestation accusations. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Washington, DC.
McGuire, R. J., Carlisle, J. M., & Young, B. G. (1965). Sexual deviations as conditioned behaviour: A hypothesis. Behaviour Research and Therapy, 2, 185–190.
Mohr, J. W., Turner, R. E., & Jerry, M. B. (1964). Pedophilia and exhibitionism. Toronto: University of Toronto.
Money, J. (1974). Two names, two wardrobes, two personalities. Journal of Homosexuality, 1, 65–70.
Money, J. (1984). Paraphilias: Phenomenology and classification. American Journal of Psychotherapy, 38, 164–179.
Money, J. (1986). Lovemaps: Clinical concepts of sexual/erotic health and pathology, paraphilia, and gender transposition in childhood, adolescence, and maturity. New York: Irvington.
Money, J. (1987). Treatment guidelines: Antiandrogen and counseling of paraphilic sex offenders. Journal of Sex and Marital Therapy, 13, 219–223.
Money, J., Hampson, J. G., & Hampson, J. L. (1957). Imprinting and the establishment of gender role. Archives of Neurology and Psychiatry, 77, 333–336.
Muehlenhard, C. L., & Linton, M. A. (1987). Date rape and sexual aggression in dating situations: Incidence and risk factors. Journal of Counseling Psychology, 34, 186–196.
Overholser, J. C., & Beck, S. (1986). Multimethod assessment of rapists, child molesters, and three control groups on behavioral and psychological measures. Journal of Consulting and Clinical Psychology, 54, 682–687.
Prentky, R. A., Knight, R. A., & Rosenberg, R. (1987). Validation analyses on a taxonomic system for rapists: Discontinuation and reconceptualization. Annals of the New York Academy of Sciences, 528, 21–40.
Prince, V., & Bentler, P M. (1972). Survey of 504 cases of transvestism. Psychological Reports, 31, 903–917.
Quinsey, V. L. (1977). The assessment and treatment of child molesters: A review. Canadian Psychological Review, 18, 204–220.
Quinsey, V. L., Chaplin, T. C., & Carrigan, W. E (1979). Sexual preferences among incestuous and nonincestuous child molesters. Behavior Therapy, 10, 562–565.
Quinsey, V. L., Chaplin, T. C., & Upfold, D. (1984). Sexual arousal to nonsexual violence and sadomasochistic themes among rapists and non-sex offenders. Journal of Consulting and Clinical Psychology, 52, 651–657.
Quinsey, V. L., Steinman, C. M., Bergersen, S. G., & Holmes, T. E (1975). Penile circumference, skin conductance, and ranking responses of child molesters and “normals” to sexual and nonsexual visual stimuli. Behavior Therapy, 6, 213–219.
Rachman, S. (1966). Sexual fetishism: An experimental analogue. Psychological Record, 16, 293–296.
Rada, R. T. (1978). Clinical aspects of the rapist. New York: Grune & Stratton.
Resnik, H. L. P (1972). Erotized repetitive hanging: A form of self-destructive behavior. American Journal of Psychotherapy, 26, 4–21.
Rooth, G. (1973). Exhibitionism, sexual violence and pedophilia. British Journal of Psychiatry, 122, 705–710.
Rosen, R. C., & Beck, G. (1988). Patterns of sexual arousal: Psychophysiology processes and clinical applications. New York: Guilford.
Rosen, R. C., & Kopel, S. A. (1977). Penile plethysmography and biofeedback in the treatment of a transvestite-exhibition–ist. Journal of Consulting and Clinical Psychology, 45, 908–916.
Ross, M. W., & Need, J. A. (1989). Effects of adequacy of gender reassignment surgery on psychological adjustment: A follow–up of fourteen male-to-female patients. Archives of Sexual Behavior, 18, 145–153.
Russell, D. E. H. (1983). The incidence and prevalence of intra–familial and extrafamilial sexual abuse of female children. Child Abuse and Neglect, 7, 133–146.
Sagarin, E. (1973). Power to the peephole. Sexual Behavior, 3, 2–7.
Segal, Z. V., & Marshall, W. L. (1985). Heterosexual social skills in a population of rapists and child molesters. Journal of Consulting and Clinical Psychology, 53, 55–63.
Skipper, J. K., & McCaghy, C. H. (1970). Stripteasers: The anatomy and career contingencies of a deviant occupation. Social Problems, 17, 391–405.
Smukler, A. J., & Schiebel, D. (1975). Personality characteristics of exhibitionists. Diseases of the Nervous System, 36, 600–603.
Steiner, B. W. (1985). The management of patients with gender disorders. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 325–350). New York: Plenum.
Steiner, B. W., Blanchard, R., & Zucker, K. J. (1985). Introduction. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 1–10). New York: Plenum.
Stermac, L. E., & Segal, Z. V. (1989). Adult sexual contact with children: An examination of cognitive factors. Behavior Therapy, 20, 573–584.
Tollison, C. D., Adams, H. E., & Tollison, J. W. (1979). Cognitive and physiological indices of sexual arousal in homosexual, bisexual, and heterosexual males. Journal of Behavioral Assessment, 1, 305–314.
Weiner, I. B. (1985). Preparing forensic reports and testimony. Clinical Psychologist, 38, 78–80.
Wilson, G. D., & Gosselin, C. (1980). Personality characteristics of fetishists, transvestites, and sadomasochists. Personality and Individual Differences, 1, 289–295.
Wise, T. N., & Meyer, J. K. (1980). Transvestism: Previous findings and new areas of inquiry. Journal of Sex and Marital Therapy, 6, 116–128.
Yalom, I. (1960). Aggression and forbiddenness in voyeurism. Archives of General Psychiatry, 3, 305–319.
Zechnich, R. (1971). Exhibitionism: Genesis, dynamics, and treatment. Psychiatric Quarterly, 45, 70–75.
Zuckerman, M. (1971). Physiological measures of sexual arousal in the human. Psychological Bulletin, 25, 297–327.
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Adams, H.E., McAnulty, R.D. (1993). Sexual Disorders. In: Sutker, P.B., Adams, H.E. (eds) Comprehensive Handbook of Psychopathology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3008-4_23
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