(53.) One of the leading, well-respected proponents of treating certain
paraphilics with MPA (voluntarily, not at the behest of the court), commented:
A
paraphilic interest is defined as sexual arousal to an atypical activity (e.g., exposing one's genitals to non-consenting others) or target (e.g., prepubertal children).
In their clinical case series of 14 female patients who sought treatment for presumed be
paraphilic sexual disorders, Federoff et al.
When women are discussed, it is mainly in terms of their involvement in
paraphilic activities at the behest of men with
paraphilic disorders (e.g., Hazelwood, Warren, & Dietz, 1993; Warnes, 1986).
Behavioral and psychopharmacological treatment of the
paraphilic and hypersexual disorders.
Support for this latter hypothesis comes from an unusual source: a recent study of
paraphilic activities in patients with Huntington's disease (Fedoroff, Peyser et al., 1994).
Is it statistically normophilic, as many surveys suggest, or is it
paraphilic because of the co-occurrence of pain (inflicted/received) in pursuit of sexual pleasure?
Persons with
paraphilic disorders (predominantly males) experience recurrent atypical sexual fantasies and urges that cause clinically significant impairment or distress.
Defendant was properly designated as a sexually dangerous person despite not being diagnosed with a
paraphilic disorder because his diagnosis of a mixed personality disorder and an alcohol use disorder satisfied the statute's mental illness requirement and the government sufficiently demonstrated that he would have difficulty refraining from future sexually violent conduct because as a result of this diagnosis.
Dissocial personality disorder and
paraphilic disorders, such as exhibitionistic disorder and fetishism, were more prevalent in males, whereas borderline personality disorder was more prevalent in females.
No comorbidity with any of the following diagnostic categories was found: dissociative disorders, feeding and eating disorders, elimination disorders, sexual dysfunctions, gender dysphoria, disruptive, impulse-control and conduct disorders, neurocognitive disorders and
paraphilic disorders.
His drinking increased and he was suffering from a "
paraphilic disorder", which was a "significant factor in the offending".