Department of Clinical Medicine, Federal University of Health Sciences of Porto Alegre, UFCSPA, Porto Alegre, Rio Grande do Sul, Brazil.
Curr Opin Psychiatry. 2012 Sep;25(5):370-4. doi: 10.1097/YCO.0b013e328356b7d9.
Highlighting the relationship between sexual disorders and crime, reviewing and summarizing the articles published throughout 2011 which add to the current knowledge on this subject.
Studies on specific populations confirm the association between sexual disorders and crime, particularly between paraphilias and sexual crimes regarding male offenders. Female offenders are less likely to be diagnosed with a sexual disorder. Some case reports focus on unusual paraphilias and lead us to question the vast possibilities of paraphilic contents and sexual arousal patterns. The variations of paraphilic-associated sexual arousal patterns, unconventional sex behaviors or paraphilic disorders are constantly changing. In this sense, the American Psychiatric Association's DSM-5 current proposals for a sexual dysfunction diagnostic category are under intense discussion because of their important clinical and forensic consequences.
Sexual violence is a theme not well understood yet. Because of its nature, researching it can raise many ethical problems. There is no possibility of clinical trials and of case-control studies. Even cohort studies may be problematic in themselves. So, most of the research involves biased samples or case reports, or is merely theoretical. Further research is needed to improve our understanding of the subject, so that preventive and rehabilitative measures can be taken.
强调性障碍与犯罪之间的关系，回顾和总结 2011 年发表的关于这一主题的文章，以增加当前的知识。
对特定人群的研究证实了性障碍与犯罪之间的关联，特别是在男性犯罪者的性犯罪与性癖好之间。女性犯罪者被诊断为性障碍的可能性较小。一些案例报告集中在不寻常的性癖好上，使我们质疑性唤起模式和性癖好内容的广泛可能性。性癖好相关的性唤起模式、非常规性行为或性癖好障碍的变化不断变化。从这个意义上说，美国精神病学协会的 DSM-5 目前对性功能障碍诊断类别的建议由于其重要的临床和法医后果而受到强烈讨论。
性暴力是一个尚未被很好理解的主题。由于其性质，研究它可能会引发许多伦理问题。没有临床试验和病例对照研究的可能性。即使是队列研究本身也可能存在问题。因此，大多数研究涉及有偏见的样本或案例报告，或者仅仅是理论性的。需要进一步的研究来提高我们对这一主题的理解，以便采取预防和康复措施。
