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Paraphilia

MedGen UID:
1053257
•Concept ID:
CN378243
•
Finding
Synonym: Paraphilias
 
HPO: HP:0025787

Definition

Intense and typically recurring sexual arousal to atypical objects, fantasies, places, or individuals that frequently, but not always, lead to engagement of non-conventional sexual acts. This is a broad class of desires and behaviors that may include innocuous fetish behavior to illegal behaviors involving non-consenting individuals. [from HPO]

Professional guidelines

PubMed

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
Degarelix: an antagonist to GnRH--theoretical and treatment considerations in paraphilia.
Sorrentino R
J Sex Med 2012 Jan;9(1):327-9. Epub 2011 Nov 14 doi: 10.1111/j.1743-6109.2011.02540.x. PMID: 22082230
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

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
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
The Psychopathological Profile of Cannibalism: A Review of Five Cases.
Raymond S, Léger AS, Gasman I
J Forensic Sci 2019 Sep;64(5):1568-1573. Epub 2019 Jun 3 doi: 10.1111/1556-4029.14099. PMID: 31157920
DSM-5 and paraphilic disorders.
First MB
J Am Acad Psychiatry Law 2014;42(2):191-201. PMID: 24986346
Neuroimaging in pedophilia.
Wiebking C, Northoff G
Curr Psychiatry Rep 2013 Apr;15(4):351. doi: 10.1007/s11920-013-0351-x. PMID: 23435970

Diagnosis

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
Neuroimaging in pedophilia.
Wiebking C, Northoff G
Curr Psychiatry Rep 2013 Apr;15(4):351. doi: 10.1007/s11920-013-0351-x. PMID: 23435970
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
Persons with intellectual disabilities and problematic sexual behaviors.
Griffiths DM, Fedoroff P
Psychiatr Clin North Am 2014 Jun;37(2):195-206. Epub 2014 Apr 18 doi: 10.1016/j.psc.2014.03.005. PMID: 24877706
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
Protocols for the use of cyproterone, medroxyprogesterone, and leuprolide in the treatment of paraphilia.
Reilly DR, Delva NJ, Hudson RW
Can J Psychiatry 2000 Aug;45(6):559-63. doi: 10.1177/070674370004500608. PMID: 10986575
Paraphilia-related disorders--common, neglected, and misunderstood.
Kafka MP
Harv Rev Psychiatry 1994 May-Jun;2(1):39-40; discussion 41-2. doi: 10.3109/10673229409017112. PMID: 9384878

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
The Use of Leuprolide Acetate in the Management of High-Risk Sex Offenders.
Gallo A, Abracen J, Looman J, Jeglic E, Dickey R
Sex Abuse 2019 Dec;31(8):930-951. Epub 2018 Jul 26 doi: 10.1177/1079063218791176. PMID: 30047834
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
A man with urethral polyembolokoilamania successfully treated with electroconvulsive therapy.
Ingves MV, Lau T, Fedoroff JP, Levine S
Arch Sex Behav 2014 Aug;43(6):1203-7. Epub 2014 Feb 26 doi: 10.1007/s10508-014-0264-8. PMID: 24569921
Deficient erotic gender differentiation in pedophilia: a follow-up.
Freund K, Kuban M
Arch Sex Behav 1993 Dec;22(6):619-28. doi: 10.1007/BF01543304. PMID: 8285848

Clinical prediction guides

Intersex Pretenders.
Cadet P
Arch Sex Behav 2024 May;53(5):1667-1679. Epub 2024 May 14 doi: 10.1007/s10508-024-02854-0. PMID: 38744731
Web-Based Initiatives to Prevent Sexual Offense Perpetration: A Systematic Review.
Hillert J, Haubrock LS, Dekker A, Briken P
Curr Psychiatry Rep 2024 Apr;26(4):121-133. Epub 2024 Mar 21 doi: 10.1007/s11920-024-01489-1. PMID: 38509408Free PMC Article
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
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

Recent systematic reviews

Web-Based Initiatives to Prevent Sexual Offense Perpetration: A Systematic Review.
Hillert J, Haubrock LS, Dekker A, Briken P
Curr Psychiatry Rep 2024 Apr;26(4):121-133. Epub 2024 Mar 21 doi: 10.1007/s11920-024-01489-1. PMID: 38509408Free PMC Article
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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