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Paraphilic disorder

MedGen UID:
18299
•Concept ID:
C0030482
•
Mental or Behavioral Dysfunction
Synonyms: Disorder, Paraphilic; Disorders, Paraphilic; Paraphilia; Paraphilias; Paraphilic Disorder; Paraphilic Disorders
SNOMED CT: Paraphilia (50299009)
 
Monarch Initiative: MONDO:0000596

Definition

Disorders that include recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving nonhuman objects, suffering of oneself or partners, or children or other nonconsenting partners. (from DSM-V) [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVParaphilic disorder

Professional guidelines

PubMed

The Biological Treatment of Paraphilic Disorders: an Updated Review.
Holoyda BJ, Kellaher DC
Curr Psychiatry Rep 2016 Feb;18(2):19. doi: 10.1007/s11920-015-0649-y. PMID: 26800994
Assessment methods and management of hypersexuality and paraphilic disorders.
Turner D, Schöttle D, Bradford J, Briken P
Curr Opin Psychiatry 2014 Nov;27(6):413-22. doi: 10.1097/YCO.0000000000000099. PMID: 25247453
Pharmacologic treatment of sex offenders with paraphilic disorder.
Garcia FD, Delavenne HG, Assumpção Ade F, Thibaut F
Curr Psychiatry Rep 2013 May;15(5):356. doi: 10.1007/s11920-013-0356-5. PMID: 23572328

Recent clinical studies

Etiology

Sexual Sadism Disorder and Coercive Paraphilic Disorder: A Scoping Review.
Liu A, Zhang E, Leroux EJ, Benassi P
J Sex Med 2022 Mar;19(3):496-506. Epub 2022 Feb 10 doi: 10.1016/j.jsxm.2022.01.002. PMID: 35153163
Forensic Evaluation of Sexsomnia.
Holoyda BJ, Sorrentino RM, Mohebbi A, Fernando AT, Friedman SH
J Am Acad Psychiatry Law 2021 Jun;49(2):202-210. Epub 2021 Feb 12 doi: 10.29158/JAAPL.200077-20. PMID: 33579735
The Biological Treatment of Paraphilic Disorders: an Updated Review.
Holoyda BJ, Kellaher DC
Curr Psychiatry Rep 2016 Feb;18(2):19. doi: 10.1007/s11920-015-0649-y. PMID: 26800994
Assessment methods and management of hypersexuality and paraphilic disorders.
Turner D, Schöttle D, Bradford J, Briken P
Curr Opin Psychiatry 2014 Nov;27(6):413-22. doi: 10.1097/YCO.0000000000000099. PMID: 25247453
DSM-5 and paraphilic disorders.
First MB
J Am Acad Psychiatry Law 2014;42(2):191-201. PMID: 24986346

Diagnosis

Efforts to Reify Other Specified Paraphilic Disorder (Nonconsent) and Their Implications.
Holoyda B, Blum AW
J Am Acad Psychiatry Law 2023 Mar;51(1):120-127. Epub 2023 Feb 8 doi: 10.29158/JAAPL.220095-22. PMID: 36754429
Sexual Sadism Disorder and Coercive Paraphilic Disorder: A Scoping Review.
Liu A, Zhang E, Leroux EJ, Benassi P
J Sex Med 2022 Mar;19(3):496-506. Epub 2022 Feb 10 doi: 10.1016/j.jsxm.2022.01.002. PMID: 35153163
Forensic Evaluation of Sexsomnia.
Holoyda BJ, Sorrentino RM, Mohebbi A, Fernando AT, Friedman SH
J Am Acad Psychiatry Law 2021 Jun;49(2):202-210. Epub 2021 Feb 12 doi: 10.29158/JAAPL.200077-20. PMID: 33579735
Paraphilias.
Konrad N, Welke J, Opitz-Welke A
Curr Opin Psychiatry 2015 Nov;28(6):440-4. doi: 10.1097/YCO.0000000000000202. PMID: 26382165
Assessment methods and management of hypersexuality and paraphilic disorders.
Turner D, Schöttle D, Bradford J, Briken P
Curr Opin Psychiatry 2014 Nov;27(6):413-22. doi: 10.1097/YCO.0000000000000099. PMID: 25247453

Therapy

The pharmacologic treatment of problematic sexual interests, paraphilic disorders, and sexual preoccupation in adult men who have committed a sexual offence.
Winder B, Fedoroff JP, Grubin D, Klapilová K, Kamenskov M, Tucker D, Basinskaya IA, Vvedensky GE
Int Rev Psychiatry 2019 Mar;31(2):159-168. Epub 2019 Jun 11 doi: 10.1080/09540261.2019.1577223. PMID: 31184226
The Biological Treatment of Paraphilic Disorders: an Updated Review.
Holoyda BJ, Kellaher DC
Curr Psychiatry Rep 2016 Feb;18(2):19. doi: 10.1007/s11920-015-0649-y. PMID: 26800994
Paraphilias.
Konrad N, Welke J, Opitz-Welke A
Curr Opin Psychiatry 2015 Nov;28(6):440-4. doi: 10.1097/YCO.0000000000000202. PMID: 26382165
Assessment methods and management of hypersexuality and paraphilic disorders.
Turner D, Schöttle D, Bradford J, Briken P
Curr Opin Psychiatry 2014 Nov;27(6):413-22. doi: 10.1097/YCO.0000000000000099. PMID: 25247453
Pharmacologic treatment of sex offenders with paraphilic disorder.
Garcia FD, Delavenne HG, Assumpção Ade F, Thibaut F
Curr Psychiatry Rep 2013 May;15(5):356. doi: 10.1007/s11920-013-0356-5. PMID: 23572328

Prognosis

Serial sexual murder by juveniles and the role of sexual sadism: An international study.
Myers WC, Safarik M, Chan HCO, Yaksic E
Behav Sci Law 2023 Sep-Oct;41(5):262-279. Epub 2023 Mar 24 doi: 10.1002/bsl.2616. PMID: 36960891
Testosterone-Lowering Medication and Its Association With Recidivism Risk in Individuals Convicted of Sexual Offenses.
Sauter J, Turner D, Briken P, Rettenberger M
Sex Abuse 2021 Jun;33(4):475-500. Epub 2020 Mar 13 doi: 10.1177/1079063220910723. PMID: 32167420Free PMC Article
A 24-Year Follow-up Study on Recidivism in Male Mentally Disordered Sexual Offenders With and Without Psychotic Disorders.
Baudin C, Nilsson T, Wallinius M, Sturup J, Andiné P
J Forensic Sci 2020 Sep;65(5):1610-1618. Epub 2020 Apr 20 doi: 10.1111/1556-4029.14327. PMID: 32311773
Legal and Policy Considerations in Lebanon Related to Proposals for Paraphilic Disorders in World Health Organization's International Classification of Diseases Manual, 11th Version.
Makhlouf Y, Kerbage H, Khauli N, Ramadan Z, Khoury B
J Sex Med 2020 Mar;17(3):491-504. Epub 2020 Jan 15 doi: 10.1016/j.jsxm.2019.12.001. PMID: 31953030
Lethal asphyxiation due to sadomasochistic sex training - How some sex partners avoid criminal responsibility even though their actions lead to someone's death.
Sendler DJ
J Forensic Leg Med 2018 May;56:59-65. Epub 2018 Mar 10 doi: 10.1016/j.jflm.2018.03.012. PMID: 29533207

Clinical prediction guides

Coprophilia and Coprophagia: A Literature Review.
Arnone JM, Conti RP, Preckajlo JH
J Am Psychiatr Nurses Assoc 2024 Jan-Feb;30(1):8-16. Epub 2023 Dec 4 doi: 10.1177/10783903231214265. PMID: 38050323
Hospital break. An eight-year review of escapes and absconds from two high security forensic centers.
Jeandarme I, Vandenbosch S, Boucké J, Dekkers I, Goktas G, Vanhopplinus P
Int J Law Psychiatry 2023 May-Jun;88:101886. Epub 2023 Apr 28 doi: 10.1016/j.ijlp.2023.101886. PMID: 37121202
The impact of androgen deprivation therapy on bone mineral density in men treated for paraphilic disorder: A retrospective cohort study.
De Landtsheer A, Bekaert L, David K, Marcq P, Jeandarme I, Decallonne B, Antonio L, Vanderschueren D
Andrology 2022 Mar;10(3):545-550. Epub 2021 Dec 27 doi: 10.1111/andr.13142. PMID: 34914863
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.
Turner D, Briken P
J Sex Med 2018 Jan;15(1):77-93. doi: 10.1016/j.jsxm.2017.11.013. PMID: 29289377
Sexuality in autism: hypersexual and paraphilic behavior in women and men with high-functioning autism spectrum disorder.
Schöttle D, Briken P, Tüscher O, Turner D
Dialogues Clin Neurosci 2017 Dec;19(4):381-393. doi: 10.31887/DCNS.2017.19.4/dschoettle. PMID: 29398933Free PMC Article

Recent systematic reviews

Legal and Policy Considerations in Lebanon Related to Proposals for Paraphilic Disorders in World Health Organization's International Classification of Diseases Manual, 11th Version.
Makhlouf Y, Kerbage H, Khauli N, Ramadan Z, Khoury B
J Sex Med 2020 Mar;17(3):491-504. Epub 2020 Jan 15 doi: 10.1016/j.jsxm.2019.12.001. PMID: 31953030
Pharmacological treatment of patients with paraphilic disorders and risk of sexual offending: An international perspective.
Turner D, Petermann J, Harrison K, Krueger R, Briken P
World J Biol Psychiatry 2019 Oct;20(8):616-625. Epub 2017 Nov 17 doi: 10.1080/15622975.2017.1395069. PMID: 29057702
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.
Turner D, Briken P
J Sex Med 2018 Jan;15(1):77-93. doi: 10.1016/j.jsxm.2017.11.013. PMID: 29289377

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