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Chapter 26. Paraphilic Disorders

Judith Becker, Ph.D.; Bradley Johnson, M.D.; Andrew Perkins, M.A.
DOI: 10.1176/appi.books.9781585625031.146239

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Excerpt

Because the area of assessing, diagnosing, and treating paraphilic disorders has become a specialty in the field of psychiatry, most psychiatrists will have little exposure to patients with paraphilic disorders in the course of their training and career. Psychiatrists should, of course, as part of a standard diagnostic interview, ask questions regarding sexual functioning, such as “Are you having difficulty with sexual functioning?” or “Do you have any sexual behavior you have engaged in that is of concern?” Because paraphilic disorders are most frequently associated with sexual offenses, these disorders may be more commonly seen by psychiatrists practicing in the forensic arena. However, paraphilic disorders are not always associated with sexual offenses. In fact, many people commit sexual offenses that do not meet the criteria for a paraphilic disorder; likewise, some people diagnosed with a paraphilic disorder never commit a sex crime.

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Paraphilic disorders
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Psychosexual assessment
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Sexual history
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Self-report measures useful in the assessment of paraphilic disorders and sex offenders

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