Assessment of the paraphilias

Psychiatr Clin North Am. 2014 Jun;37(2):149-61. doi: 10.1016/j.psc.2014.03.001. Epub 2014 Apr 18.

Abstract

Paraphilias are recurrent, persistent, and intense sexual interests in atypical objects or activities. The most commonly encountered paraphilias in sexological or forensic settings are pedophilia, sexual sadism, exhibitionism, and voyeurism. Paraphilias are often comorbid with other sexual, mood, and personality disorders. Assessment and diagnosis require an integration of multiple sources of clinical information, given the limits and biases of self-report (through clinical interview or questionnaires). Clinicians ideally have access to more objective assessment methods, such as phallometric testing of sexual arousal. The accurate assessment and diagnosis of paraphilias is essential to effective treatment and management.

Keywords: Assessment; Diagnosis; Paraphilias; Pedophilia; Sexual sadism.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Comorbidity
  • Exhibitionism / epidemiology
  • Exhibitionism / psychology
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Observer Variation
  • Paraphilic Disorders / diagnosis*
  • Paraphilic Disorders / epidemiology*
  • Paraphilic Disorders / psychology
  • Paraphilic Disorders / therapy
  • Psychiatric Status Rating Scales*
  • Voyeurism / epidemiology
  • Voyeurism / psychology