Affiliation:
1. 1 Daugavpils University , 13 Vienības Str., Daugavpils, LV-5401 , Latvia
2. 2 Rīga Stradiņš University , 16 Dzirciema Str., Rīga, LV-1038 , Latvia
Abstract
Abstract
This article deals with the study of the prevalence, aetiology, pathogenesis, and treatment of paraphilias such as sexual sadism, exhibitionism, voyeurism, and autoerotic asphyxiation. The aim of this study was to summarise all available literature on socially dangerous paraphilias. Based on the PRISMA guidelines, the current review brings together all the existing literature on socially dangerous paraphilias. Socially dangerous paraphilias may be caused by biological, psychological, and social factors and are treated with antiandrogens, gonadotropin-releasing hormone analogues, and selective serotonin reuptake inhibitors as well as psychotherapy. High-quality placebo-controlled studies on the treatment of socially dangerous paraphilias are lacking. Clinicians should be aware that the prevalence of socially dangerous paraphilias is not negligible and that people with deviant sexual urges should be encouraged to seek professional help before committing a crime or a self-injurious act. More extensive epidemiological studies are required to clarify the actual prevalence of socially dangerous paraphilias in the population and methods of their treatment alongside with destigmatisation of patients with paraphilias.
Reference52 articles.
1. Abouesh, Ą., Clayton, Ą. (1999). Compulsive voyeurism and exhibitionism: A clinical response to paroxetine. Arch. Sex. Behav., 28 (1), 23–30. DOI: 10.1023/a:1018737504537.
2. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Publishing, Arlington, VA.
3. Beddows, N., Brooks, B. (2015). Inappropriate sexual behaviour in adolescents with autism spectrum disorder: What education is recommended and why. Early Interv. Psychiatry, 10 (4), 282–289. DOI: 10.1111/eip.12265. Epub 2015.
4. Bond, I. K., Hutchison, H. C. (1960). Application of reciprocal inhibition therapy to exhibitionism. Can. Med. Assoc. J., 83 (1), 23–25.
5. Briken, P., Nika, E., Berner, W. (2001). Treatment of paraphilia with luteinizing hormone-releasing hormone agonists. J. Sex Marital Ther., 27, 45–55.