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1

Moser, Charles, and Peggy J. Kleinplatz. "Conceptualization, History, and Future of the Paraphilias." Annual Review of Clinical Psychology 16, no. 1 (May 7, 2020): 379–99. http://dx.doi.org/10.1146/annurev-clinpsy-050718-095548.

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There is no accepted definition of the term paraphilia despite its being listed as an essential feature of a class of mental disorders known as the paraphilic disorders. The origin of the term, history of its inclusion as a diagnosis, and logical flaws inherent in the various definitions are discussed in this review. We examine the basis for pathologizing individuals with paraphilias, consider what paraphilias can tell us about how humans develop their sexual interests, and question the usefulness of dividing sexual interests into paraphilias and normophilias. The construct of the paraphilias appears to be poorly conceived and has outlived its usefulness.
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2

Moser, Charles. "DSM-5, Paraphilias, and the Paraphilic Disorders: Confusion Reigns." Archives of Sexual Behavior 48, no. 3 (February 21, 2019): 681–89. http://dx.doi.org/10.1007/s10508-018-1356-7.

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3

Rodgerson, Thomas E. "Pastors and Paraphilias." American Journal of Pastoral Counseling 4, no. 1 (March 2001): 19–36. http://dx.doi.org/10.1300/j062v04n01_03.

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4

Hernandez-Serrano, R. "Paraphilias: where is the line?" Sexologies 17 (April 2008): S23. http://dx.doi.org/10.1016/s1158-1360(08)72566-0.

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5

Szymańska, Kinga. "Parafilia wyzwaniem dla małżeństwa kanonicznego." Ius Matrimoniale 31, no. 1 (June 1, 2020): 25–49. http://dx.doi.org/10.21697/im.2020.31.1.02.

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The considerations made in this article justify the conclusion that a paraphilic assesses the marriage from a selfish perspective, because everything he does is aimed at satisfying his pleasure. He does not consider the other person or the possibility of treating him objectively - in other words, a parafilik treats his partner as a thing to satisfy his selfish need for pleasure. Meanwhile, in the marriage relationship, closeness and realization of the good of the other party are sought as an equal partner. On the other hand, paraphilism, which is a sexual impulse, destroys not only the marriage but the spouse and, to a greater or lesser extent, the paraphilic himself. In a marriage with a paraphilic, there is no stability, no realization of the spouse's good, no realization of the community of life and love, only instinctive satisfaction, which is also unnatural. Nevertheless, regardless of the definition of paraphilia in medical sciences and psychology, when conducting a trial in an ecclesiastical court, it should be verified in the light of the concept of Christian anthropology, proper to canon studies. The paraphilia itself does not nullity it, it all depends on the severity of the disorder in question and its impact on the functioning in marriage.
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6

Yakeley, Jessica. "Psychoanalytic perspectives on paraphilias and perversions." European Journal of Psychotherapy & Counselling 20, no. 2 (April 3, 2018): 164–83. http://dx.doi.org/10.1080/13642537.2018.1459768.

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7

Horley, James. "Fixed-Role Therapy With Multiple Paraphilias." Clinical Case Studies 4, no. 1 (January 2005): 72–80. http://dx.doi.org/10.1177/1534650103259675.

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8

Moser, Charles, and Peggy J. Kleinplatz. "DSM-IV-TRand the Paraphilias." Journal of Psychology & Human Sexuality 17, no. 3-4 (February 3, 2006): 91–109. http://dx.doi.org/10.1300/j056v17n03_05.

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9

Munroe, Robert L., and Mary Gauvain. "Why the Paraphilias? Domesticating Strange Sex." Cross-Cultural Research 35, no. 1 (February 2001): 44–64. http://dx.doi.org/10.1177/106939710103500103.

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10

Harenski, Carla L., and Kent A. Kiehl. "Emotion and Morality in Psychopathy and Paraphilias." Emotion Review 3, no. 3 (June 28, 2011): 299–301. http://dx.doi.org/10.1177/1754073911402378.

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11

Balon, Richard. "Pharmacological treatment of paraphilias with a focus on antidepressants." Journal of Sex & Marital Therapy 24, no. 4 (October 1998): 241–54. http://dx.doi.org/10.1080/00926239808403960.

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12

R�sler, Ariel, and Eliezer Witztum. "Pharmacotherapy of paraphilias in the next millennium." Behavioral Sciences & the Law 18, no. 1 (January 2000): 43–56. http://dx.doi.org/10.1002/(sici)1099-0798(200001/02)18:1<43::aid-bsl376>3.0.co;2-8.

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13

Wylie, Kevan R., Emil M. L. Ng, Laura Chambers, Lauren Ward-Davies, and Fiona Hickey. "Sexual Disorders, Paraphilias, and Gender Dysphoria." International Journal of Sexual Health 20, no. 1-2 (June 18, 2008): 109–32. http://dx.doi.org/10.1080/19317610802157200.

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14

Gordon, Harvey. "The treatment of paraphilias: An historical perspective." Criminal Behaviour and Mental Health 18, no. 2 (2008): 79–87. http://dx.doi.org/10.1002/cbm.687.

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15

Marshall, W. L. "The Paraphilias: Changing Suits in the Evolution of Sexual Interest Paradigms." Journal of Sex & Marital Therapy 46, no. 4 (April 23, 2020): 399–401. http://dx.doi.org/10.1080/0092623x.2020.1728484.

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16

Bergner, Raymond M. "Money’s “Lovemap” Account of the Paraphilias: A Critique and Reformulation." American Journal of Psychotherapy 42, no. 2 (April 1988): 254–59. http://dx.doi.org/10.1176/appi.psychotherapy.1988.42.2.254.

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17

Kruesi, Markus J. P., Stuart Fine, Lois Valladares, Robert A. Phillips, and Judith L. Rapoport. "Paraphilias: A double-blind crossover comparison of clomipramine versus desipramine." Archives of Sexual Behavior 21, no. 6 (December 1992): 587–93. http://dx.doi.org/10.1007/bf01542257.

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18

Arrigo, Bruce A., and Catherine E. Purcell. "Explaining Paraphilias and Lust Murder: Toward an Integrated Model." International Journal of Offender Therapy and Comparative Criminology 45, no. 1 (February 2001): 6–31. http://dx.doi.org/10.1177/0306624x01451002.

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19

Vella-Zarb, Rachel A., Jacqueline N. Cohen, Randi E. McCabe, and Karen Rowa. "Differentiating Sexual Thoughts in Obsessive-Compulsive Disorder From Paraphilias and Nonparaphilic Sexual Disorders." Cognitive and Behavioral Practice 24, no. 3 (August 2017): 342–52. http://dx.doi.org/10.1016/j.cbpra.2016.06.007.

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20

Williams, Simon. "Alcohol's Possible Covert Role: Brain Dysfunction, Paraphilias, and Sexually Aggressive Behaviors." Sexual Abuse: A Journal of Research and Treatment 11, no. 2 (April 1999): 147–58. http://dx.doi.org/10.1177/107906329901100205.

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21

Walters, Glenn D. "The paraphilias: A dialectically informed review of etiology, development, and process." Sexual Addiction & Compulsivity 4, no. 3 (July 1997): 221–43. http://dx.doi.org/10.1080/10720169708404229.

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22

Williams, Simon. "Alcohol’s possible covert role: Brain dysfunction, paraphilias, and sexually aggressive behaviors." Sexual Abuse: A Journal of Research and Treatment 11, no. 2 (April 1999): 147–58. http://dx.doi.org/10.1007/bf02658844.

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23

Griffiths, Mark D. "The use of online methodologies in studying paraphilias — A review." Journal of Behavioral Addictions 1, no. 4 (December 2012): 143–50. http://dx.doi.org/10.1556/jba.1.2012.4.1.

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24

Dèttore, D., and A. Giannelli. "Explorative survey on the level of online sexual activities and sexual paraphilias." Sexologies 17 (April 2008): S15. http://dx.doi.org/10.1016/s1158-1360(08)72539-8.

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25

Duschinsky, Robbie, and Netta Chachamu. "Sexual dysfunction and paraphilias in the DSM-5: Pathology, heterogeneity, and gender." Feminism & Psychology 23, no. 1 (February 2013): 49–55. http://dx.doi.org/10.1177/0959353512467966.

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26

Stephens, Skye, Kailey Roche, and Ian V. McPhail. "The Application of Community-Based Participatory Action Research to the Study of Paraphilias." Archives of Sexual Behavior 49, no. 8 (June 10, 2020): 2789–98. http://dx.doi.org/10.1007/s10508-020-01760-5.

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27

Fedora, Orestes, John R. Reddon, James W. Morrison, Shawn K. Fedora, Herbert Pascoe, and Lorne T. Yeudall. "Sadism and other paraphilias in normal controls and aggressive and nonaggressive sex offenders." Archives of Sexual Behavior 21, no. 1 (February 1992): 1–15. http://dx.doi.org/10.1007/bf01542713.

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28

Blanchard, Ray. "A Brief History of Field Trials of the DSM Diagnostic Criteria for Paraphilias." Archives of Sexual Behavior 40, no. 5 (April 14, 2011): 861–62. http://dx.doi.org/10.1007/s10508-011-9765-x.

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29

Gijs, Luk, and Louis Gooren. "Hormonal and psychopharmacological interventions in the treatment of paraphilias: An update." Journal of Sex Research 33, no. 4 (January 1996): 273–90. http://dx.doi.org/10.1080/00224499609551845.

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30

LEE, JOSEPH K. P., PIP PATTISON, HENRY J. JACKSON, and TONY WARD. "The General, Common, and Specific Features of Psychopathology for Different Types of Paraphilias." Criminal Justice and Behavior 28, no. 2 (April 2001): 227–56. http://dx.doi.org/10.1177/0093854801028002005.

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31

Allely, Clare Sarah. "Autism spectrum disorder, bestiality and zoophilia: a systematic PRISMA review." Journal of Intellectual Disabilities and Offending Behaviour 11, no. 2 (January 30, 2020): 75–91. http://dx.doi.org/10.1108/jidob-06-2019-0012.

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Purpose There remains a lack of knowledge surrounding paraphilic or deviant arousal sexual behaviours in individuals with Autism spectrum disorder (ASD) (Kellaher, 2015). The purpose of this paper is to explore the literature for any empirical study, case study or discussion/review paper surrounding individuals with ASD and zoophilia or bestiality. Design/methodology/approach A systematic PRISMA review was conducted. Findings This systematic review highlighted only a small number of papers, which have looked at zoophilia or bestiality in individuals with ASD. Only one article was identified as being relevant in the present review, three further articles included a description of a case involving someone with ASD who engaged in zoophilia or bestiality and another paper, although not the focus of the study, found one person with Asperger’s disorder who had several paraphilias including olfactophilia, podophilia and zoophilia in a sample of 20 institutionalised, male adolescents and young adults with Autistic disorder and borderline/mild mental retardation. All the case studies clearly highlight some of the ASD symptomology that can contribute to engaging in bestiality or zoophilia. Practical implications It is important that individuals with ASD have access to appropriate and timely sex education and that parents are supported by healthcare professionals to engage with their children with ASD in such interactions across the autism spectrum irrespective of the parent’s expectations. Originality/value To the author’s knowledge, this is the first review of ASD in relation to bestiality and zoophilia.
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32

Kruesi, M. J. P., S. Fine, L. Valladares, R. A. Phillips, and J. L. Rapoport. "Are Paraphilias “Compulsions”? Results of a Double-Blind Crossover of Clomiprantine versus Desipramine." Journal of the American Academy of Child & Adolescent Psychiatry 30, no. 1 (January 1991): 164. http://dx.doi.org/10.1097/00004583-199101000-00042.

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33

Bradford, John M. W., and Anne Pawlak. "Double-blind placebo crossover study of cyproterone acetate in the treatment of the paraphilias." Archives of Sexual Behavior 22, no. 5 (October 1993): 383–402. http://dx.doi.org/10.1007/bf01542555.

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34

Nelson, Erik, Lori Brusman, Jeff Holcomb, Cesar Soutullo, Deanna Beckman, Jeffrey A. Welge, Naveen Kuppili, and Susan L. McElroy. "Divalproex sodium in sex offenders with bipolar disorders and comorbid paraphilias: an open retrospective study." Journal of Affective Disorders 64, no. 2-3 (May 2001): 249–55. http://dx.doi.org/10.1016/s0165-0327(00)00255-x.

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35

Pettigrew, Mark. "Biastophilia, raptophilia, and somnophilia: the blurred distinction and comorbidity of sexual paraphilias in a homicidal offender." Journal of Forensic Psychiatry & Psychology 30, no. 3 (January 9, 2019): 401–8. http://dx.doi.org/10.1080/14789949.2018.1560490.

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36

First, Michael B. "DSM-5 Proposals for Paraphilias: Suggestions for Reducing False Positives Related to Use of Behavioral Manifestations." Archives of Sexual Behavior 39, no. 6 (August 10, 2010): 1239–44. http://dx.doi.org/10.1007/s10508-010-9657-5.

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37

Dickey, R. "Case Report: The Management of Bone Demineralization Associated with Long-Term Treatment of Multiple Paraphilias with Long-Acting LHRH Agonists." Journal of Sex & Marital Therapy 28, no. 3 (May 2002): 207–10. http://dx.doi.org/10.1080/009262302760328244.

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38

Fabian, John Matthew. "Paraphilias and Predators: The Ethical Application of Psychiatric Diagnoses in Partisan Sexually Violent Predator Civil Commitment Proceedings." Journal of Forensic Psychology Practice 11, no. 1 (January 20, 2011): 82–98. http://dx.doi.org/10.1080/15228932.2011.521723.

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39

Wollert, Richard, and Elliot Cramer. "Sampling Extreme Groups Invalidates Research on the Paraphilias: Implications for DSM-5 and Sex Offender Risk Assessments." Behavioral Sciences & the Law 29, no. 4 (July 2011): 554–65. http://dx.doi.org/10.1002/bsl.992.

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40

Lothstein, Leslie M. "The Rending of the Skin-Ego and Second Skin: The Formation of Paraphilias as Attempts to Contain, Repair, and Transform the Damaged Self." Psychoanalytic Perspectives 16, no. 1 (January 2, 2019): 48–69. http://dx.doi.org/10.1080/1551806x.2018.1554957.

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41

Seibel, Stacey L., B. R. Simon Rosser, Keith J. Horvath, and Clarice D. Evans. "Sexual Dysfunction, Paraphilias and their Relationship to Childhood Abuse in Men who have Sex with Men." International Journal of Sexual Health 21, no. 2 (June 23, 2009): 79–86. http://dx.doi.org/10.1080/19317610902773062.

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42

Hebbar, Sudhir. "Doing Psychiatry Right: A Case of Severe Avoidant Personality Disorder with Obsessive-compulsive Personality Disorder, Obsessive Compulsive Disorder, Intermittent Explosive Disorder and Sexual Paraphilias." Indian Journal of Psychological Medicine 36, no. 3 (July 2014): 326–28. http://dx.doi.org/10.4103/0253-7176.135392.

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43

Thuswaldner, Jessie. "Transdermal estradiol as a novel treatment for Peyronie's disease: A case report." University of Ottawa Journal of Medicine 10, no. 1 (September 4, 2020): 37–39. http://dx.doi.org/10.18192/uojm.v10i1.4640.

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Introduction: This is a single‐patient case report of a (now) 75-year old married male with long-standing Peyronie’s disease (PD). The patient’s main symptoms were painful erections as well as secondary anxiety and depression. Resolution of these symptoms was achieved with transdermal estradiol treatment. Objectives: To describe a patient with PD, whose persistently painful erections and psychologic distress were eliminated by a novel treatment involving transdermal estradiol. This report also aims to present a novel treatment for patients with paraphilias. Methods: An interview with the patient, chart review, and a literature search were conducted. Informed consent was obtained from the patient and this report was approved by the Research Ethics Committee at the Royal Hospital in Ottawa. Results: Treatment with transdermal estradiol decreased the patient’s sex drive and virtually eliminated his erections with no undesirable side effects. The patient and his wife still enjoy sexual relations without the need for penile erection. Conclusions: This case report presents a novel treatment for PD. It also introduces a novel method to treat men who wish to decrease their sex drive (e.g. men with paraphilic disorders). Replication of this treatment intervention in men with PD and new studies of its use in men with paraphilic disorders are warranted.
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44

Dinic, Bojana, and Goran Knezevic. "Relationships between sexual behavior and personality in the context of sexual dimorphism." Psihologija 42, no. 3 (2009): 357–73. http://dx.doi.org/10.2298/psi0903357d.

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The aim of this study was to examine the structure and intensity of relation-ships between dimensions of sexual behavior and personal characteristics in the context of sexual dimorphism. The sample included 233 participants (both genders, mean age 29,34). Dimensions of sexual behavior were measured using the Sexual Behavior Questionnaire, and personal characteristics were measured using the Big Five Inventory and short form of Delta 10 questionnaire. The results suggested that the importance of personality for the understanding of sexual behavior is not far from the relevance of sexual dimorphism. It was found that personality was significant predictor of almost all dimensions of sexual behavior, independent from gender, and in case of tendency to have casual sex a strong interaction effect of gender and Conscientiousness was found. The nature of relationships between dimensions of sexual behavior and personality were very similar within the subsamples of males and females. Namely, adaptive personality functioning was related to richness of sexual experience following by low sexual fantasies and low tendency to paraphilias. Small, but important difference in the structure of canonical factors extracted in the domain of sexual behavior was the following: in male sample adaptive personality structure correlated with high tendency to casual sex, while in female sample the opposite was obtained. In female sample there was one more significant relation suggesting that psychopatic personal structure has sexual style which include richness and casual sexual experience without tendency to non-coital sexual play. The results are discussed in the context of the evolutionary theories of behavior.
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45

Pfaus, James G., Gonzalo R. Quintana, Conall E. Mac Cionnaith, Christine A. Gerson, Simon Dubé, and Genaro A. Coria-Avila. "Conditioning of Sexual Interests and Paraphilias in Humans Is Difficult to See, Virtually Impossible to Test, and Probably Exactly How It Happens: A Comment on Hsu and Bailey (2020)." Archives of Sexual Behavior 49, no. 5 (May 27, 2020): 1403–7. http://dx.doi.org/10.1007/s10508-020-01739-2.

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46

Ferrari, Mónica, Alicia Revollo, Jésica Cuellar, Fernanda Manzanelli, Ana Lía Valdi, Paola Reyes Plazaola, and Marcos Díaz Videla. "Trastornos de atracción sexual hacia animales: Clasificación diagnóstica basada en una revisión sistemática." Revista de Psicopatología y Psicología Clínica 25, no. 2 (August 21, 2020): 131. http://dx.doi.org/10.5944/rppc.26288.

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Sexual attraction towards animals disorder: Diagnostic classification based on a systematic review Abstract: Sexual intercourse between humans and animals has existed since the dawn of humanity in every place and culture of the world. Nevertheless, this issue has been scarcely approached by science. Given the wide differences in behavior and preferences among people who practice sex with animals, it is necessary to establish a subtypes classification. For this purpose, a systematic review of investigations was carried out that allowed us to select 26 empirical studies. Their analysis permitted to describe the group of Sexual Attraction Towards Animals disorder, comprising four differentiated disorders: (1) zoophilic disorder, (2) bestiality disorder, (3) sexual zoosadism, and (4) sexual attraction disorder towards animals due to medical or substance-induced illness. Additionally, the diagnostic criteria for each are proposed. Implications and limitations are discussed, as well as the value of having a classification of these disorders and the need to incorporate their study in the academic field. Keywords: Bestiality; disorders; paraphilias; zoophilia; zoosadism. Resumen: Las relaciones sexuales entre humanos y animales han existido desde los albores de la humanidad en todos los lugares y culturas del mundo. Sin embargo, han sido abordadas escasamente por la ciencia. Dadas las amplias diferencias en las conductas y preferencias entre quienes practican sexo con animales, se hace necesario establecer una clasificación de subtipos. Con ese propósito, se realizó una revisión sistemática de investigaciones que arrojó 26 estudios empíricos. El análisis de estos permitió describir el grupo de Trastornos por atracción sexual hacia animales, comprendiendo cuatro trastornos diferenciados: (1) trastorno zoofílico, (2) trastorno por bestialidad, (3) zoosadismo sexual, y (4) trastorno por atracción sexual hacia los animales debido a enfermedad médica o inducido por sustancias. Adicionalmente, se propusieron criterios diagnósticos para cada uno. Se discuten las implicancias y limitaciones, el valor de contar una clasificación de estos trastornos y la necesidad de incorporar su estudio en el ámbito académico. Palabras clave: Bestialismo; parafilias; trastornos; zoofilia; zoosadismo.
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47

Lord, Alex, and Derek Perkins. "Assessing and treating sexual offenders with mental disorders." Journal of Forensic Practice 16, no. 2 (May 6, 2014): 94–109. http://dx.doi.org/10.1108/jfp-02-2013-0012.

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Purpose – The purpose of this paper is to increase our understanding of the role of mental disorder in sexual offending as well as identifying innovations in assessment and treatment with offenders who present with these typically complex risks and needs. Design/methodology/approach – The converging literatures on “good lives” and other developments in sexual offender treatment are compared with recovery from mental disorder and what is known about the particular needs and characteristics of sexual offenders with mental illness and severe personality disorder (PD). Findings – A key outcome of this review is that many mentally disordered sexual offenders have similar needs to those in prison and the community but there are particular challenges posed by severe PD, paraphilias and the relatively rare individuals whose offending is functionally linked to psychotic symptoms. Practical implications – Practical implications include the need for case formulation of complex needs related to mental disorder using direct and indirect measures of attitudes and interests. Treatment needs to be responsive to very different personality and mental health presentations as well as problems with offending and cognitive schemas. Direct functional links between mental health symptoms such as delusions and hallucinations are very rare in practice and are usually secondary to PD and sexual offending issues. In practice, treatment promoting recovery from mental disorder is highly compatible with the “good lives” approach to sexual offender treatment. Staff development, supervision and support are particularly important for staff treating mentally disordered sexual offenders. Originality/value – It is argued that mentally disordered sexual offenders are an under-researched sub-group within the wider sexual offender population. This paper brings together the relatively limited literature on treatment with examples of recent treatment innovations, multi-modal assessment approaches and reviews of research on the needs of this relatively uncommon but highly risky group.
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48

Azizian, Allen, Shane Hutton, Doriann Hughes, and Shoba Sreenivasan. "Cognitional Impairment." Sexual Abuse 28, no. 8 (August 2, 2016): 755–69. http://dx.doi.org/10.1177/1079063215570757.

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Sexually Violent Predator statutes allow the involuntary treatment of individuals who are found to pose a threat to public safety. Most sex offender treatment programs rely on cognitive interventions to reduce the risk of recidivism. The purpose of this study was to examine (a) whether individuals with paraphilia diagnoses have cognitive deficits compared with the general population; (b) whether individuals diagnosed with pedophilia differed on cognitive performance when compared with individuals diagnosed with paraphilia not otherwise specified (NOS), nonconsent; and (c) whether individuals with paraphilia plus antisocial personality disorder (ASPD) differed in cognitive performance when compared with individuals with a paraphilia diagnosis only. The sample consisted of 170 males ( M age = 50.21; SD = 10.22) diagnosed with pedophilia or paraphilia NOS, nonconsent, who were detained or civilly committed to a forensic psychiatric hospital. Assessments included Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), Wechsler Abbreviated Scale of Intelligence (WASI), and Wide Range Achievement Test 4 (WRAT4). Individuals diagnosed with pedophilia and paraphilia NOS, nonconsent, obtained lower scores than matched controls based on the RBANS Immediate Memory, Visuospatial/Constructional, Delayed Memory indices and Total Score. In comparison with individuals with paraphilia NOS, nonconsent, those with pedophilia diagnosis had lower scores on the RBANS Delayed Memory. Individuals diagnosed with a paraphilia disorder combined with ASPD demonstrated trends toward lower IQ scores than those with a paraphilia diagnosis only. Treatment programs can improve their chance of success by assessment of cognitive processes, and offer therapy in a style that is consistent with the cognitive abilities of their clients.
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49

Dvoraynchicov, N., A. Gerasimov, and A. Tkachenko. "Biologic explanation of psychologic peculiarities in paraphilia." Biological Psychiatry 42, no. 1 (July 1997): 256S. http://dx.doi.org/10.1016/s0006-3223(97)87987-5.

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50

Wiederman, Michael W. "Paraphilia and Fetishism." Family Journal 11, no. 3 (July 2003): 315–21. http://dx.doi.org/10.1177/1066480703252663.

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