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Paraphilia

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

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 MeSH]

Professional guidelines

PubMed

Psychological Treatment of the Paraphilias: a Review and an Appraisal of Effectiveness.
Marshall WL, Marshall LE
Curr Psychiatry Rep 2015 Jun;17(6):47. doi: 10.1007/s11920-015-0580-2. PMID: 25903481
Pharmacologic treatment of paraphilias.
Assumpção AA, Garcia FD, Garcia HD, Bradford JM, Thibaut F
Psychiatr Clin North Am 2014 Jun;37(2):173-81. Epub 2014 Apr 18 doi: 10.1016/j.psc.2014.03.002. PMID: 24877704
The DSM diagnostic criteria for paraphilia not otherwise specified.
Kafka MP
Arch Sex Behav 2010 Apr;39(2):373-6. doi: 10.1007/s10508-009-9552-0. PMID: 19779971

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
Portrait of an Exhibitionist.
Seeman MV
Psychiatr Q 2020 Dec;91(4):1249-1263. doi: 10.1007/s11126-020-09810-w. PMID: 32870489
Neuroimaging in pedophilia.
Wiebking C, Northoff G
Curr Psychiatry Rep 2013 Apr;15(4):351. doi: 10.1007/s11920-013-0351-x. PMID: 23435970
Pharmacological treatment of paraphilias.
Thibaut F
Isr J Psychiatry Relat Sci 2012;49(4):297-305. PMID: 23585467
The role of testosterone in sexuality and paraphilia--a neurobiological approach. Part II: testosterone and paraphilia.
Jordan K, Fromberger P, Stolpmann G, Müller JL
J Sex Med 2011 Nov;8(11):3008-29. Epub 2011 Jul 28 doi: 10.1111/j.1743-6109.2011.02393.x. PMID: 21797985

Diagnosis

Paraphilias in the DSM-5.
Beech AR, Miner MH, Thornton D
Annu Rev Clin Psychol 2016;12:383-406. Epub 2016 Jan 11 doi: 10.1146/annurev-clinpsy-021815-093330. PMID: 26772210
Paraphilias.
Konrad N, Welke J, Opitz-Welke A
Curr Opin Psychiatry 2015 Nov;28(6):440-4. doi: 10.1097/YCO.0000000000000202. PMID: 26382165
'Counterfeit deviance' revisited.
Griffiths D, Hingsburger D, Hoath J, Ioannou S
J Appl Res Intellect Disabil 2013 Sep;26(5):471-80. doi: 10.1111/jar.12034. PMID: 23925969
Autogynephilia: an underappreciated paraphilia.
Lawrence AA
Adv Psychosom Med 2011;31:135-48. Epub 2011 Oct 10 doi: 10.1159/000328921. PMID: 22005209
Feederism in a woman.
Terry LL, Vasey PL
Arch Sex Behav 2011 Jun;40(3):639-45. Epub 2009 Dec 30 doi: 10.1007/s10508-009-9580-9. PMID: 20041284

Therapy

Paraphilias.
Konrad N, Welke J, Opitz-Welke A
Curr Opin Psychiatry 2015 Nov;28(6):440-4. doi: 10.1097/YCO.0000000000000202. PMID: 26382165
Pharmacologic treatment of paraphilias.
Assumpção AA, Garcia FD, Garcia HD, Bradford JM, Thibaut F
Psychiatr Clin North Am 2014 Jun;37(2):173-81. Epub 2014 Apr 18 doi: 10.1016/j.psc.2014.03.002. PMID: 24877704
Pharmacological treatment of paraphilias.
Thibaut F
Isr J Psychiatry Relat Sci 2012;49(4):297-305. PMID: 23585467
The role of testosterone in sexuality and paraphilia--a neurobiological approach. Part II: testosterone and paraphilia.
Jordan K, Fromberger P, Stolpmann G, Müller JL
J Sex Med 2011 Nov;8(11):3008-29. Epub 2011 Jul 28 doi: 10.1111/j.1743-6109.2011.02393.x. PMID: 21797985
Current concepts in the pharmacotherapy of paraphilias.
Garcia FD, Thibaut F
Drugs 2011 Apr 16;71(6):771-90. doi: 10.2165/11585490-000000000-00000. PMID: 21504253

Prognosis

Paraphilia and Antisociality: Motivations for Sexual Offending May Differ for American Whites and Blacks.
Lee SC, Hanson RK, Calkins C, Jeglic E
Sex Abuse 2020 Apr;32(3):335-365. Epub 2019 Feb 2 doi: 10.1177/1079063219828779. PMID: 30712464
Diagnostic Issues in the Paraphilias.
Marshall WL, Kingston DA
Curr Psychiatry Rep 2018 Jul 21;20(8):54. doi: 10.1007/s11920-018-0919-6. PMID: 30032364
Is homosexuality a paraphilia? The evidence for and against.
Cantor JM
Arch Sex Behav 2012 Feb;41(1):237-47. doi: 10.1007/s10508-012-9900-3. PMID: 22282324Free PMC Article
Paraphilias with co-morbid psychopathy: the clinical and legal significance to sex offender assessments.
Saleh FM, Malin HM, Grudzinskas AJ Jr, Vitacco MJ
Behav Sci Law 2010 Mar-Apr;28(2):211-23. doi: 10.1002/bsl.933. PMID: 20422646
Propane-associated autoerotic fatalities.
McLennan JJ, Sekula-Perlman A, Lippstone MB, Callery RT
Am J Forensic Med Pathol 1998 Dec;19(4):381-6. doi: 10.1097/00000433-199812000-00017. PMID: 9885936

Clinical prediction guides

Diagnostic Issues in the Paraphilias.
Marshall WL, Kingston DA
Curr Psychiatry Rep 2018 Jul 21;20(8):54. doi: 10.1007/s11920-018-0919-6. PMID: 30032364
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
'Counterfeit deviance' revisited.
Griffiths D, Hingsburger D, Hoath J, Ioannou S
J Appl Res Intellect Disabil 2013 Sep;26(5):471-80. doi: 10.1111/jar.12034. PMID: 23925969
Pornography, sex crime, and paraphilia.
Fisher WA, Kohut T, Di Gioacchino LA, Fedoroff P
Curr Psychiatry Rep 2013 Jun;15(6):362. doi: 10.1007/s11920-013-0362-7. PMID: 23636986
The role of testosterone in sexuality and paraphilia--a neurobiological approach. Part II: testosterone and paraphilia.
Jordan K, Fromberger P, Stolpmann G, Müller JL
J Sex Med 2011 Nov;8(11):3008-29. Epub 2011 Jul 28 doi: 10.1111/j.1743-6109.2011.02393.x. PMID: 21797985

Recent systematic reviews

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
Prevalence and treatment of frotteurism in the community: a systematic review.
Johnson RS, Ostermeyer B, Sikes KA, Nelsen AJ, Coverdale JH
J Am Acad Psychiatry Law 2014;42(4):478-83. PMID: 25492074
Pharmacotherapy of paraphilias with long-acting agonists of luteinizing hormone-releasing hormone: a systematic review.
Briken P, Hill A, Berner W
J Clin Psychiatry 2003 Aug;64(8):890-7. doi: 10.4088/jcp.v64n0806. PMID: 12927003

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