Briken Peer, Habermann Niels, Kafka Martin P, Berner Wolfgang, Hill Andreas
Institute for Sex Research and Forensic Psychiatry, Department of Psychiatry and Psychotherapy, University Hospital Hamburg, Martinistrasse 52, D-20246 Hamburg, Germany.
J Forensic Sci. 2006 May;51(3):683-8. doi: 10.1111/j.1556-4029.2006.00105.x.
Paraphilic disorders (PAs) and sexual preoccupation are known risk factors for recidivism in sexual offenders. Nonparaphilic sexual excessive behaviors-so-called paraphilia-related disorders (PRDs), like paraphilias, are also characterized by sexual preoccupation and volitional impairment and can be diagnosed in paraphilic men. The prevalence and clinical significance of PRDs in sexual homicide perpetrators, however, is unknown. We investigated the relationship between PAs and PRDs retrospectively in a sample of 161 sexual murderers. Four groups were compared: men without a PA or a PRD diagnosis, men with at least one PRD but no PA, men with at least one PA but no PRD, and finally, those with a combination of both (PA+PRD). The PA+PRD group had the most lifetime cumulative sexual impulsivity disorders, more developmental problems, the highest persistent frequency of sexual activity, the highest number of previous sexual offences, more sexual sadism, and compulsive masturbation. Men of the PRD subsample had suffered more from childhood sexual abuse, showed more promiscuity, psychopathy, and alcohol problems. The use of the PRD concept in this special offender group should be further investigated with prospectively designed studies.
恋物癖障碍（PAs）和性痴迷是已知的性犯罪者累犯的风险因素。非恋物癖性过度行为——即所谓的恋物癖相关障碍（PRDs），与恋物癖一样，也以性痴迷和意志障碍为特征，并且可在有恋物癖的男性中被诊断出来。然而，PRDs在性杀人犯罪者中的患病率和临床意义尚不清楚。我们对161名性杀人犯样本进行了回顾性研究，以调查PAs与PRDs之间的关系。我们比较了四组：未被诊断为PA或PRD的男性、至少患有一种PRD但没有PA的男性、至少患有一种PA但没有PRD的男性，以及最后一组同时患有两者（PA+PRD）的男性。PA+PRD组一生中累积的性冲动障碍最多，发育问题更多，性活动的持续频率最高，既往性犯罪的次数最多，性虐待狂和强迫性手淫的情况也最多。PRD子样本中的男性童年期遭受性虐待的情况更多，表现出更多的滥交、精神病态和酒精问题。对于这一特殊犯罪者群体中PRD概念的应用，应该通过前瞻性设计的研究进一步进行调查。
