The Paraphilias

Of the thousands of papers and books about problematic sexual behaviors, most focus solely on sex crimes or so-called "hyper-sexuality" or "sexual addiction." Together, these publications present a grim and pessimistic prognosis for anyone who has unusual sexual interests of any type. This book challenges that view by providing a more informed and balanced review of what is known and what is not known about unconventional sexual interests. It is based on approximately thirty years of experience by the author concerning the assessment and treatment of paraphilias and unconventional sexual interests. The Paraphilias: Changing Suits in the Evolution of Sexual Interest Paradigms examines current and past perspectives concerning unconventional sexual interests associated with both criminal and non-criminal activities. Extensively referenced, it challenges the dogma that sexual interests are immutably determined during a single critical period and are thereafter unchangeable. The book provides extensive case histories and tables summarizing over 100 paraphilias and the latest research regarding them. It also reviews diagnostic criteria for the paraphilias. Analyses of current and past paradigms are presented together with new ways to understand, investigate, and provide meaningful and effective assistance to people with paraphilias. It is written for mental health clinicians and specialists in the fields of sexology and forensic psychiatry and psychology.

This book is a concise, practical guide to both paraphilia and paraphilic disorders as defined by the DSM-5 guidelines. Written by experts in the field, the chapters cover the different types of paraphilic disorder as well as the cutting-edge, emerging issues such as online sex. Unlike any other book on the market, the text also covers the most successful treatment strategies, include the therapeutic, hormonal, and psychopharmacological approaches. The book also discusses the ethical, legal, and cultural issues that are common complications when dealing with paraphilic disorders. Many chapters feature an introduction, diagnostic criteria, summary of evidence, clinical example, recommendations, conclusion, and references. Practical Guide to Paraphilia and Paraphilic Disorders is a valuable resource for psychiatrists, psychologists, residents, and all medical professionals working with patients who may suffer from paraphilia and/or paraphilic disorders.

Human sexuality touches us all, pun intended. We all either enjoy it, struggle with it, or may have been victims of it. Sexuality is not just about sex, but about human sexual function, the physiology of sex, the hormones involved and how they affect us, and the cultural norms related to it. Sexual function and dysfunction are closely tied to one’s self-esteem, self-respect, and to relationships with intimate partners. Human Sexuality: Function, Dysfunction, Paraphilias, and Relationships, explores the interplay of intimacy and sexuality; how it can enhance relationships, and how it can negatively affect them, or be affected by them. When individuals or partners encounter sexual problems or dysfunctions it can have a long-lasting affect both biologically and psychologically. Dr. Rokach explores the causes and the reasons that these dysfunctions are maintained, and successful treatment methods. Chapters on sexual offenses and paraphilias and what treatment options are available to sexual offenders are also included. This book is the first book to place sexuality where it belongs, within the context of relationships demonstrating how sexuality relates to intimacy by both enhancing and negatively affecting it. Explains psychological, biological and sociological theories of sexuality Addresses sexual dysfunctions according to various models of sex therapy Discusses the biological, developmental and sociological theories of sexual orientation Explores the specific hormones in male and female sexual behavior

Troublesome Disguises examines psychiatric conditions which are not necessarily uncommon, rare or exotic but are challenging for the clinician who may struggle to reach a diagnosis and to set up management strategies. However, with familiarity, these conditions can and should be recognised. This new edition is an exercise in consciousness-raising as well as a warning to beware of diagnostic systems which, despite their many virtues, may become too influential and may perpetuate errors which are to the detriment of patients. For the clinician struggling to understand and treat patients who fail to fit the usual diagnostic categories, Troublesome Disguises provides wise instruction in the virtue of entertaining doubts, as well as practical advice for the assessment and management of atypical cases.

The economic impact of society’s efforts to rehabilitate and contain psychopathically disordered individuals can be enormous. Understanding these disorders, developing valid assessment methods and providing safe, effective treatments is therefore of paramount importance. Reflecting the work of a truly international panel of experts from Europe, North America and Asia, the International Handbook on Psychopathic Disorders and the Law offers an in-depth, multidisciplinary look at key aspects of the development and etiology of psychopathic disorders, current methods of intervention, treatment and management, and how these disorders impact decision-making in civil and criminal law.

The Psychology of Lust Murder systematically examines the phenomenon of paraphilia (i.e., aberrant sexuality) in relationship to the crime of lust murder. By synthesizing the relevant theories on sexual homicide and serial killing, the authors develop an original, timely, sensible model that accounts for the emergence and progression of paraphilias expressed through increasingly violent erotic fantasies. Over time, these disturbing paraphilic images that, among other things, involve rape, body mutilation and dismemberment, torture, post-mortem sexual intercourse, and cannibalism, are all actualized. Thus, it is the sustained presence of deviant sexuality that contributes to and serves as underlying motive for the phenomenon of lust murder (a.k.a. erotophonophilia). Going well beyond theoretical speculation, the authors (Dr. Catherine Purcell, a forensic psychologist and Dr. Bruce Arrigo, a criminologist) apply their integrated model to the gruesome and chilling case of Jeffrey Dahmer. They convincingly demonstrate where and how their conceptual framework provides a more complete explanation of lust homicide than any other model available in the field today. The book concludes with a number of practical suggestions linked to clinical prevention, diagnosis, and treatment strategies; police training, profiling, and apprehension efforts; as well as legal and public policy responses to sexually violent and predatory assailants. Comprehensive in its coverage, accessible in its prose, and thoughtful in its analysis, The Psychology of Lust Murder is a must read for any person interested in the crime of erotophonophilia and those offenders responsible for its serial commission. Contributes, in a thoughtful and scholarly way, to the audiences' existing library of books on crimes and criminals Provides new and insightful information on the criminal behavior of Jeffrey Dahmer Enables readers to compare and contrast different models/theories on sexual homicide and serial murder Assists researchers, educators, public officials, and the lay public determine how best to respond to the phenomenon of lust murder

Of the thousands of papers and books about problematic sexual behaviors, most focus solely on sex crimes or so-called "hyper-sexuality" or "sexual addiction." Together, these publications present a grim and pessimistic prognosis for anyone who has unusual sexual interests of any type. This book challenges that view by providing a more informed and balanced review of what is known and what is not known about unconventional sexual interests. It is based on approximately thirty years of experience by the author concerning the assessment and treatment of paraphilias and unconventional sexual interests. The Paraphilias: Changing Suits in the Evolution of Sexual Interest Paradigms examines current and past perspectives concerning unconventional sexual interests associated with both criminal and non-criminal activities. Extensively referenced, it challenges the dogma that sexual interests are immutably determined during a single critical period and are thereafter unchangeable. The book provides extensive case histories and tables summarizing over 100 paraphilias and the latest research regarding them. It also reviews diagnostic criteria for the paraphilias. Analyses of current and past paradigms are presented together with new ways to understand, investigate, and provide meaningful and effective assistance to people with paraphilias. It is written for mental health clinicians and specialists in the fields of sexology and forensic psychiatry and psychology.

From sexual abuse and fetishism to necrophilia and sadomasochism, this unique volume identifies fourteen classifications of unusual sexual pathologies. Emphasizing the physical and psychological aspects of sexuality itself, the book presents detailed comparisons of legal and medical definitions, historical aspects, current incidence, and geographical prevalence of these offenses. It also explores the potential causes, discussing etiological theories and reviewing psychopathology. Highlighting the cross-cultural nature of the forensic aspects of human sexuality, the book examines various case studies in the context of international legislation. It also covers minor aberrant behavior such as coprolalia and troilism.