Why the Paraphilias? Domesticating Strange Sex
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Hypersexuality in Neurological Disorders
HYPERSEXUALITY IN NEUROLOGICAL DISORDERS NATALIE AHMAD MAHMOUD TAYIM A thesis submitted to the Institute of Neurology in fulfilment of the requirements for the degree of Doctor of Philosophy (PhD) University College London January 2019 Declaration of originality I, Natalie Ahmad Mahmoud Tayim, confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis. _________________________________ Natalie Ahmad Mahmoud Tayim ii Abstract The issue of hypersexuality in neurological disorders is grossly underreported. More research has been done into sexual dysfunction (outside of hypersexuality) in neurological disorders such as erectile dysfunction and hyposexuality (loss of libido). Furthermore, in Parkinson’s disease research, most mention of hypersexuality has been in conjunction with other impulse control disorders and has therefore not been examined in depth on its own. Although in recent years hypersexuality has become more recognized as an issue in research, there is still very limited information regarding its manifestations, impact, and correlates. It is therefore important to explore this area in detail in order to broaden understanding associated with this sensitive issue. Perhaps in doing so, barriers will be broken and the issue will become more easily discussed and, eventually, more systematically assessed and better managed. This thesis aims to serve as an exploratory paper examining prevalence, clinical phenomenology, impact, and potential feasible psychological interventions for hypersexuality in patients with neurological disorders and their carers. The thesis is divided into three main studies: 1. Study I: systematic review assessing prevalence, clinical phenomenology, successful treatment modalities, implicated factors contributing to the development, and assessment tools for hypersexuality in specific neurological disorders. -
Evaluating Stigmatizing Attitudes Among Clinicians Toward People with ABDL and Pedophilic Interests
Minnesota State University, Mankato Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato All Graduate Theses, Dissertations, and Other Graduate Theses, Dissertations, and Other Capstone Projects Capstone Projects 2018 Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests Katlyn Hanson Minnesota State University, Mankato Follow this and additional works at: https://cornerstone.lib.mnsu.edu/etds Part of the Clinical Psychology Commons, and the Social Control, Law, Crime, and Deviance Commons Recommended Citation Hanson, K. (2018). Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests [Master’s thesis, Minnesota State University, Mankato]. Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. https://cornerstone.lib.mnsu.edu/ etds/807/ This Thesis is brought to you for free and open access by the Graduate Theses, Dissertations, and Other Capstone Projects at Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. It has been accepted for inclusion in All Graduate Theses, Dissertations, and Other Capstone Projects by an authorized administrator of Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato. Running head: STIGMA, CLINICIANS, ABDL, PEDOPHILIA 1 Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests By: Katlyn M. Hanson A Thesis Submitted in Partial Fulfillment of the Requirements for Degree of Masters of Arts In Clinical Psychology Minnesota State University – Mankato Mankato, Minnesota May 2018 STIGMA, CLINICIANS, ABDL, PEDOPHILIA 2 April 10, 2018 Evaluating Stigmatizing Attitudes among Clinicians Toward People with ABDL and Pedophilic Interests Katlyn M. -
Using Research-Based Algorithms to Prioritize Law Enforcement Internet Investigations
The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: Protecting Children Online: Using Research- Based Algorithms to Prioritize Law Enforcement Internet Investigations, Technical Report Author(s): R.Gregg Dwyer, M.D., Ed.D., Michael Seto, Ph.D., Dana DeHart, Ph.D., Elizabeth Letourneau, Ph.D., Tracy McKee, M.S., Robert Moran, Ph.D. Document No.: 250154 Date Received: August 2016 Award Number: 2011-MC-CX-0002 This report has not been published by the U.S. Department of Justice. To provide better customer service, NCJRS has made this federally funded grant report available electronically. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice. Protecting Children Online: Using Research-Based Algorithms to Prioritize Law Enforcement Internet Investigations Technical Report Prepared By: R. Gregg Dwyer, M.D., Ed.D. Michael Seto, Ph.D. Dana DeHart, Ph.D. Elizabeth Letourneau, Ph.D. Contributors: Tracy McKee, M.S. Robert Moran, Ph.D. Submitted to the Office of Juvenile Justice and Delinquency Prevention May 2016 Community and Public Safety Psychiatry Division Department of Psychiatry and Behavioral Sciences College of Medicine Medical University of South Carolina 29-C Leinbach Drive Charleston, SC 29407 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. -
Drawing the Line on Virtual Child Pornography: Bringing the Law in Line with the Research Evidence*
DRAWING THE LINE ON VIRTUAL CHILD PORNOGRAPHY: BRINGING THE LAW IN LINE WITH THE RESEARCH EVIDENCE* NEIL MALAMUTH, PH.D.,*" & MARK HUPP[N, J.D., PH.D.** OUTLINE I. INTRODUCTION II. THE LEGAL LANDSCAPE SURROUNDING ASHCROFT V. FREE SPEECH COALITION A. Congress responds: the Prosecutorial Remedies and Other Tools to End the Exploitation of Children Today Act (PROTECT) B. Conventional treatment of propensity evidence and the exception to the rule in child sex-offense cases: the example of character evidence C. Imposing preemptive penalties against child molesters D. A wide berth E. Toward a constitutionally sound approach Il. RESEARCH ON CHILD PORNOGRAPHY A. Overview B. Arousal to child pornography C. Child pornography use as an indicator of pedophilia D. Were sexual offenders exposed to more pornography? E. Are child pornography offenses associated with molestation? F. What factors distinguish those most at risk for re-offending? G. Integrating the data IV. RESEARCH ON LEGAL, NONCONSENTING, AND OTHER ADULT PORNOGRAPHY A. Overview B. Effects of exposure to pornography 1. Research framework 2. Methodological considerations 3. Hypothesized effects and research findings * Both authors contributed equally to this paper. Order of authorship was determined by the flip of a coin. The authors express their deep appreciation to the Review's editors and to Prof. James Weinstein for very valuable suggestions on earlier drafts of this paper. ** Professor of Psychology, Communication Studies, and Women's Studies, University of California, Los Angeles. *** Lecturer, Communication Studies and Psychology, University of California, Los Angeles. 773 Reprinted with the Permission of New York University School of Law N. Y U. -
The DSM Diagnostic Criteria for Paraphilia Not Otherwise Specified
Arch Sex Behav DOI 10.1007/s10508-009-9552-0 ORIGINAL PAPER The DSM Diagnostic Criteria for Paraphilia Not Otherwise Specified Martin P. Kafka Ó American Psychiatric Association 2009 Abstract The category of ‘‘Not Otherwise Specified’’ (NOS) Introduction for DSM-based psychiatric diagnosis has typically retained diag- noses whose rarity, empirical criterion validation or symptomatic Prior to an informed discussion of the residual category for expression has been insufficient to be codified. This article re- paraphilic disorders, Paraphilia Not Otherwise Specified (PA- views the literature on Telephone Scatologia, Necrophilia, Zoo- NOS), it is important to briefly review the diagnostic criteria philia, Urophilia, Coprophilia, and Partialism. Based on extant for a categorical diagnosis of paraphilic disorders as well as the data, no changes are suggested except for the status of Partialism. types of conditions reserved for the NOS designation. Partialism, sexual arousal characterized by ‘‘an exclusive focus The diagnostic criteria for paraphilic disorders have been mod- on part of the body,’’ had historically been subsumed as a type of ified during the publication of the Diagnostic and Statistical Man- Fetishism until the advent of DSM-III-R. The rationale for con- uals of the American Psychiatric Association. In the latest edition, sidering the removal of Partialism from Paraphilia NOS and its DSM-IV-TR (American Psychiatric Association, 2000), a para- reintegration as a specifier for Fetishism is discussed here and in a philic disorder must meet two essential criteria. The essential companion review on the DSM diagnostic criteria for fetishism features of a Paraphilia are recurrent, intense sexually arousing (Kafka, 2009). -
Use of DSM Paraphilia Diagnoses in Sexually Violent Predator Commitment Cases
SPECIAL ARTICLE Use of DSM Paraphilia Diagnoses in Sexually Violent Predator Commitment Cases Michael B. First, MD, and Robert L. Halon, PhD There is legitimate concern in the psychiatric community about the constitutionality of sexually violent predator (SVP) commitment statutes. Such constitutionality depends on the requirement that a sexual offender have a mental abnormality that makes him commit violent predatory sex offenses and reflects almost exclusively a concern for public safety, with little regard for notions of clinical sensibility or diagnostic accuracy. However, given that mental health experts’ diagnostic opinions are, and will continue to be, important to the triers of fact in regard to the application of the SVP statutes, we describe valid means of making a DSM-IV-TR paraphilic diagnosis. We also provide a three-step approach for the judicious application of the diagnosis in the context of SVP commitment evaluations that emphasizes the importance of not making a paraphilia diagnosis based solely on the sexual offenses themselves. Finally, we discuss the appropriate use of a paraphilia NOS diagnosis in SVP cases. J Am Acad Psychiatry Law 36:443–54, 2008 In 1990, the state of Washington passed the first Despite several challenges to the constitutionality sexually violent predator (SVP) involuntary commit- of SVP statutes, the U.S. Supreme Court in two sep- ment statute, which was designed to allow for the arate rulings (Kansas v. Hendricks3 and Kansas v. civil commitment of sex offenders to mental hospi- Crane4) upheld the constitutionality of the Kansas tals after they complete mandatory prison sentences. State Sexually Violent Predator laws, essentially mak- According to the Washington SVP statute, the of- ing similar laws with analogous proof requirements fender must be found to be “a person who has been constitutional in all states. -
Intersex, Discrimination and the Healthcare Environment – a Critical Investigation of Current English Law
Intersex, Discrimination and the Healthcare Environment – a Critical Investigation of Current English Law Karen Jane Brown Submitted in Partial Fulfilment of the Requirements of London Metropolitan University for the Award of PhD Year of final Submission: 2016 Table of Contents Table of Contents......................................................................................................................i Table of Figures........................................................................................................................v Table of Abbreviations.............................................................................................................v Tables of Cases........................................................................................................................vi Domestic cases...vi Cases from the European Court of Human Rights...vii International Jurisprudence...vii Tables of Legislation.............................................................................................................viii Table of Statutes- England…viii Table of Statutory Instruments- England…x Table of Legislation-Scotland…x Table of European and International Measures...x Conventions...x Directives...x Table of Legislation-Australia...xi Table of Legislation-Germany...x Table of Legislation-Malta...x Table of Legislation-New Zealand...xi Table of Legislation-Republic of Ireland...x Table of Legislation-South Africa...xi Objectives of Thesis................................................................................................................xii -
Prosecuting Child Sex Tourists at Home: Do Laws in Sweden, Australia, and the United States Safeguard the Rights of Children As Mandated by International Law?
Fordham International Law Journal Volume 18, Issue 5 1994 Article 24 Prosecuting Child Sex Tourists at Home: Do Laws in Sweden, Australia, and the United States Safeguard the Rights of Children as Mandated by International Law? Margaret A. Healy∗ ∗Fordham University Copyright c 1994 by the authors. Fordham International Law Journal is produced by The Berke- ley Electronic Press (bepress). http://ir.lawnet.fordham.edu/ilj PROSECUTING CHILD SEX TOURISTS AT HOME: DO LAWS IN SWEDEN, AUSTRALIA, AND THE UNITED STATES SAFEGUARD THE RIGHTS OF CHILDREN AS MANDATED BY INTERNATIONAL LAW? MargaretA. Healy* INTRODUCTION Rosario Baluyot was twelve years old when she died in 1987 in her native Philippines.' She was a street child.' Dr. Heinrich Stefan Ritter is an Austrian medical doctor.3 He forcibly in- serted an electric vibrator into Rosario's vagina during a night of sex spent with her and a fourteen year-old boy.4 The device broke and lodged inside of her.5 She carried the fragments dur- * J.D. Candidate, 1996, Fordham University. This Note is dedicated to child advocacy organizations around the globe who have accomplished so much in so little time. I would like to particularly acknowledge Ellis Shenk, Coordinator of ECPAT-US; Lisa Rana, Esq.; Bernadette McMenamin, ECPAT Australia; Helena Karl~n, RAdda Barnen, Sweden; Deen Kaplan of the National Coalition for the Protection of Children and Families; Andrew Vachss, Esq.; Paul Bravender-Coyle, Anti-Slavery Society; and Professor Roger Levesque of the University of Nebraska for their invaluable assistance. 1. RON O'GRADY, ECPAT, THE CHILD AND THE TouiusT 24 (1992). -
P E D O P H I L I a Informational Fact Sheet August 10, 2012
B E H A V I O R A L A N A L Y S I S U N I T . P E D O P H I L I A INFORMATIONAL FACT SHEET AUGUST 10, 2012 What is Pedophilia? Pedophilia is a paraphilia marked by recurring, intense, sexually arousing fantasies, urges or behaviors involving prepubescent children, generally aged 13 or younger. A paraphilia is a psychological sexual disorder and is not a type of sex crime. Pedophilia is one of the more common paraphilias. Pedophilia can be diagnosed based on subject self-report, laboratory findings, or behavior. Pedophiles are often classified as either exclusive or non-exclusive. o Of incarcerated offenders diagnosed with Pedophilia, only 7% identify themselves as exclusive (i.e., they are sexually attracted to and offend against only one gender). What is the prevalence of Pedophilia? Research shows that approximately 50% of convicted child sex offenders are pedophiles. The prevalence of pedophilia in the general population is estimated to be about 5%. What features are associated with Pedophilia? The majority of diagnosed pedophiles are male. The associated sexual arousal often stems from thoughts and fantasies about the prepubescent child’s body. o Pedophiles can be focused on males, females, or children of both genders. Pedophiles often seek opportunities to be with children through family, occupations, coaching, hobbies, spiritual groups, or volunteering. Some pedophiles act out their fantasies in legal ways through masturbation, sex with dolls that resemble children, or sex with adults that look, dress, or act like children. 50% of persons in prison for a sexual crime against a child who are diagnosed with pedophilia were married at the time of their offense. -
GENDER IDENTITY DISORDERS …When Nature Misses the Gender…
GENDER IDENTITY DISORDERS …when nature misses the gender… Robert Porto Marseille [email protected] EPIDEMIOLOGY Prevalence of transsexualism in adult : 1 in 37000 males 1 in 107000 females Prevalence in Nederland 1 in 11900 males 1 in 30400 females Four observations, not yet firmly supported by systematic study, increase the likelihood of an even higher prevalence: 1) unrecognized gender problems are occasionally diagnosed when patients are seen with anxiety, depression, bipolar disorder, conduct disorder, substance abuse, dissociative identity disorders, borderline personality disorder, other sexual disorders and intersexed conditions; 2) some nonpatient male transvestites, female impersonators, transgender people, and male and female homosexuals may have a form of gender identity disorder; 3) the intensity of some persons' gender identity disorders fluctuates below and above a clinical threshold; 4) gender variance among female-bodied individuals tends to be relatively invisible to the culture, particularly to mental health professionals and scientists. DEFINITIONS • Sexual identity role or Gender role: set of feelings and behaviour patterns that identify a subject as being a boy or a girl, independently from the result indicated by gonads alone. (John Money, 1955) • Difference between sex and gender: the sex is what one sees, the gender is what one feels. Harmony between the two is essential for human beings to be happy. (Harry Benjamin, 1953) • Gender identity: Feeling of belonging to a class of individuals who are the same as oneself and recognised as being of the same sex. (Research group, University of California, 1960s) • Gender Dysphoria: discrepancy between biological gender and psychological gender (Fisk, 1973) • Gender identity: Complex system of beliefs about oneself, subjective feeling of masculinity or feminity. -
Unit 10 Paraphilic Disorders and Sexual Dysfunctions*
Personality Disorders: UNIT 10 PARAPHILIC DISORDERS AND Cluster B and Cluster C SEXUAL DYSFUNCTIONS* Structure 10.0 Introduction 10.1 What is Normal Sexuality? 10.2 Sexual Response Cycle 10.3 Gender Differences in Sexuality 10.4 Paraphilic Disorders 10.4.1 Fetsihistic Disorder 10.4.2 Voyeuristic Disorder 10.4.3 Exhibitionistic Disorder 10.4.4 Sexual Sadism and Masochism Disorder 10.4.5 Pedophilic Disorder 10.4.6 Incest 10.5 Etiology of the Paraphilias 10.5.1 Neurobiological Factors 10.5.2 Psychological Factors 10.6 Treatment of Paraphilias 10.7 Gender Dysphoria 10.7.1 Gender Dysphoria in Childhood 10.7.2 Treatment 10.8 Trannsexualism 10.8.1 Treatment 10.9 Sexual Dysfunctions 10.9.1 Male Hypoactive Sexual Disorder 10.9.2 Erectile Dysfunction 10.9.3 Early Ejaculation Disorder 10.9.4 Delayed Ejaculation Disorder 10.9.5 Female Sexual Interest/ Arousal Disorder 10.9.6 Genito-Pelvic pain/ Penetration Disorder 10.9.7 Female Orgasmic Disorder 10.10 Summary 10.11 Keywords 10.12 Review Questions 10.13 References and Further Reading 10.14 Web Resources Learning Objectives After reading this Unit, you will be able to: Make an attempt to define boundaries between normality and psychopathology in understanding sexuality; *Ms. Vrushali Pathak, Assistant Professor of Psychology (Ad-hoc), Jesus and Mary College, University of Delhi, New Delhi 255 Disorders of Personality, Describe the influence of culture and gender on sexual norms; Paraphilic and Substance- related Disorders Explain sexual response cycle of men and women; Explain sexual dysfunctions and paraphilias; and Develop an understanding of the treatment approaches of sexual disorders and dysfunctions. -
Study on the Effects of New Information Technologies on the Abuse and Exploitation of Children
Study on the Effects of New Information Technologies on the Abuse and Exploitation of Children on the Technologies of New Information Study on the Effects Study on the Effects of New Information Technologies on the Abuse and Exploitation of Children UNITED NATIONS OFFICE ON DRUGS AND CRIME Vienna Study on the Effects of New Information Technologies on the Abuse and Exploitation of Children UNITED NATIONS New York, 2015 © United Nations, May 2015. All rights reserved, worldwide. This report has not been formally edited and remains subject to editorial changes. The contents of this report do not necessarily reflect the views or policies of UNODC or contributory organizations and neither do they imply any endorsement. The designations employed and the presentation of material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. Information on uniform resource locators and links to Internet sites contained in the present publication are provided for the convenience of the reader and are correct at the time of issue. The United Nations takes no responsibility for the continued accuracy of that information or for the content of any external website. Publishing production: English, Publishing and Library Section, United Nations Office at Vienna. Acknowledgements This report was prepared pursuant to ECOSOC resolution 2011/33 on Prevention, protection and international cooperation against the use of new information technologies to abuse and/or exploit children by Conference Support Section, Organized Crime Branch, Division for Treaty Affairs, UNODC, under the supervision of John Sandage (former Director, Division for Treaty Affairs), Sara Greenblatt and Loide Lungameni (former and current Chief, Organized Crime Branch, respectively), and Gillian Murray (former Chief, Conference Support Section).