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100 MCQs from Dr. Michael Reilly and Colleagues
Published in David Browne, Selena Morgan Pillay, Guy Molyneaux, Brenda Wright, Bangaru Raju, Ijaz Hussein, Mohamed Ali Ahmed, Michael Reilly, MCQs for the New MRCPsych Paper A, 2017
Dr Mohamed Ali Ahmed, Dr Udumaga Ejike, Dr Ijaz Hussein, Dr Atif All Magbool, Dr Gary McDonald
Fetishistic transvestism is the wearing of clothes of the opposite sex principally to obtain sexual excitement. Frotteurism is rubbing up against people for sexual stimulation in crowded public places. Transsexualism is the desire to live and be accepted as a member of the opposite sex. Voyeurism is the persistent tendency to look at people engaging in sexual behaviour. (1, pp 215, 218–19)
Concordance and Discordance between Paraphilic Interests and Behaviors: A Follow-Up Study
Published in The Journal of Sex Research, 2022
Christian C. Joyal, Julie Carpentier
Finally, different definitions and measures of sexual interest might explain in part variation in rates of concordance across studies. Fantasies about (Bártová et al., 2021), arousal associated with (Bártová et al., 2021; Seto et al., 2021), and desire to accomplish (current findings) a given sexual behavior can all be defined as sexual interest, although their proximity with behaviors might differ. Given that sexual fantasies are not necessarily associated with an actual desire to realize them (Joyal & Carpentier, 2017), concordance between behaviors and desire might be somewhat higher than that with fantasies. The definition of behavior is also important, such as including (or not) exclusive pornography use, which influences reported rates (see Dombert et al., 2016 for instance). Rates of pedophilic interests and experience (involving children aged 13 or less) were particularly low in this study (0.6% and 0,4%, respectively, compared with 4.1% and 3.2% among German men; Dombert et al., 2016), perhaps due to fear of being reported in Canada and/or the exclusion of behaviors limited to pornography consumption. In contrast, rates of interest and experience (Joyal & Carpentier, 2017) and concordance (this study) for frotteurism were relatively high in this sample. This reflects, at least in part, an important difference between our definition of frotteurism (“Touching or rubbing yourself against a stranger”) and that of other studies (“Touching or rubbing against a nonconsenting person,” e.g., Seto et al., 2021). Therefore, measures of paraphilic interests and behaviors should be validated for future studies, not only for convergent validity and reliability (Seto et al., 2021), but also for face and content validity.
Encountering an Exhibitionist: The Female Victim’s Perspective
Published in The Journal of Sex Research, 2020
Filip Szumski, Krzysztof Kasparek
The descriptions of the incidents provided by the respondents in the study point to the fact that the majority of exhibitionist acts do not involve touching the victim and do not constitute a physical danger to the victim. Most of the exhibitionists made no verbal contact and no attempts at chasing the victim, which makes recognizing the perpetrator later more difficult and may also decrease motivation for launching a search. At the same time, another yet much rarer type of exhibitionist can be distinguished, namely, one that is more aggressive and intrusive. Perpetrators of this type not only verbally abuse their victims but they also actively try to force physical contact. A marker of this type is chasing the victim; those exhibitionists usually also approach the victim when no bystanders are present, more often make verbal contact, touch their genitals, and masturbate. Sometimes they make escape impossible for their victims and try to follow them. Distinguishing such cases is consistent with the reports of co-occurrence of paraphilias such as exhibitionism and frotteurism (Abel & Osborn, 1992). Despite the very young age of the victims, it is difficult to consider a potential tendency toward pedophilia in the perpetrators due to the lack of information on whether they had any preference for their victim’s age. There is some evidence (English, Jones, Pasini-Hill, Patrick, & Cooley-Towell, 2000; Freund, 1990; Freund, Scher, & Hucker, 1984; Longo & Groth, 1983) that a substantial minority of child molesters and rapists have a history of indecent exposures. The above-mentioned subgroup of exhibitionists may represent this minority. Firstly, this is because in many legal systems their behavior as described in the present study would be considered child molestation or rape depending on the victim’s age. Secondly, this is because this kind of behavior may precede much more severe acts of sexual aggression.
Demystifying Zoophilia: Classification and Psychological Aspects of Humans Having Sexual Relationships with Animals
Published in International Journal of Forensic Mental Health, 2021
Lisa Emmett, Lisa Klamert, Birgit U. Stetina
Class I Platonic Zoophiles (PZ) are emotionally and romantically attracted to animals without any sexual interaction. People in this class possibly have a human partner simultaneously. The second class called ZF experience fantasies about sexual intercourse with animals and may masturbate in the presence of animals. Zoophilic voyeurism and exhibitionism also fall under this class. TZ – the third class – shows interest in touching animals for sexual gratification (e.g., stroking erotic parts of animals). People of this class may also rub their genitals against animals (zoophilic frotteurism). Class IV OZ only engage in sexual intercourse with animals if the opportunity arises because they are normally content to have sexual intercourse with humans. Class V RZ have sexual contact with both humans and animals, although they do not enjoy sexual contact humans as much as with animals. Zoophiles who participate in an affectionate relationship with their favorite animal partner and eventually engage in sexual activities with it, but not with humans are classified as class VI Emotional EZ (EEZ). Finally, the last class of zoophiles is described as class VII EZ. People of this class have sexual contact only with animals and totally exclude human partners at the same time. In addition, we suggest using a classification that is more dynamic rather than fixed. As it is well known in clinical practice with sexual deviations, classifying individuals into only one category is difficult. Sexual deviance has many variations both on an interindividual and on an intraindividual level. Using such dynamic classifications, zoophiles could be included in several groups at the same time depending on their preferred interaction, animal or breed. Additionally, within classes that include sexual interaction (class IV–VII) it is necessary to classify which kind of sexual practice is preferred (anal, oral or vaginal) in an active (stimulating the animal) or passive way (being stimulated by the animal).