Institute for Sex Research and Forensic Psychiatry, University Hospital Hamburg.
J Pers Disord. 2013 Aug;27(4):519-30. doi: 10.1521/pedi_2012_26_050. Epub 2012 Sep 17.
Little is known about personality disorders (PDs) in offenders with histories of both sexual and (nonsexual) violent offenses. This study aimed to identify possible differences of PD profiles across three different offender groups with both sexual and violent (S+V), only sexual (S), and only violent (V) offenses. Nonviolent (N) offenders were used as a comparison group. Typing of individuals according to their offensive histories was performed on the basis of 259 psychiatric court reports that included the Structured Clinical Interview (SCID)-II for PD diagnostics. Men from the S+V group committed significantly more acts of rape and sexual coercion than the mere sexual offenders. Furthermore, S+V offenders showed the highest rates of PDs overall (68.3%), with every second offender being diagnosed with an antisocial PD and every third offender with a borderline PD. In summary, the results suggest that S+V offenders form a group of individuals with remarkable differences regarding PD profiles, the relatively highest frequencies of conduct disorders, familial addictive problems, and PDs overall.
关于有性犯罪和（非性）暴力犯罪史的罪犯的人格障碍（PD）知之甚少。本研究旨在确定具有性和暴力（S+V）、仅有性（S）和仅有暴力（V）犯罪的三个不同罪犯群体之间可能存在的 PD 特征差异。非暴力（N）罪犯被用作对照组。根据他们的犯罪史对个体进行分类是基于 259 份精神病法院报告进行的，其中包括人格障碍的结构化临床访谈（SCID）-II 诊断。S+V 组的男性实施的强奸和性胁迫行为明显多于单纯的性犯罪者。此外，S+V 罪犯总体上表现出最高的 PD 发生率（68.3%），每两个罪犯中就有一个被诊断为反社会 PD，每三个罪犯中就有一个被诊断为边缘 PD。总之，结果表明，S+V 罪犯形成了一个在 PD 特征方面存在显著差异的群体，他们的行为障碍、家族成瘾问题以及总体 PD 发生率相对较高。
