Fedoroff J P, Hanson A, McGuire M, Malin H M, Berlin F S
Forensics Division, Clarke Institute of Psychiatry, Toronto, Canada.
J Forensic Sci. 1992 May;37(3):902-11.
In a consecutive series of admissions to the Johns Hopkins Sexual Disorders Unit, 4 out of 20 patients appeared to have simulated paraphilic symptoms that further assessment indicated were either exaggerated or not present. The paper presents case histories of these 4 patients. A descriptive comparison is made between these patients and control groups of patients who admitted having paraphilic symptoms and a group of patients accused of having paraphilic symptoms but who denied them. Patients who simulated paraphilias tended to be self-referred (75%) and without current legal charges (100%). None of these patients was referred or sought treatment for pedophilia, in contrast to the other two patient groups, in which pedophilia accounted for 75% of the referrals. Several possible explanations for why patients might simulate paraphilias and implications for therapists who evaluate or treat sex offenders are discussed.
在约翰·霍普金斯性障碍科连续收治的一系列患者中，20名患者中有4名似乎模拟了性偏好障碍症状，进一步评估表明这些症状要么被夸大，要么根本不存在。本文介绍了这4名患者的病历。对这些患者与承认有性偏好障碍症状的对照组患者以及被指控有性偏好障碍症状但予以否认的一组患者进行了描述性比较。模拟性偏好障碍的患者往往是自我转诊（75%）且目前没有法律指控（100%）。与其他两组患者不同，这些患者中没有一人因恋童癖而被转诊或寻求治疗，在其他两组中，恋童癖占转诊病例的75%。文中讨论了患者可能模拟性偏好障碍的几种可能原因以及对评估或治疗性犯罪者的治疗师的启示。
