Brock University, St. Catharines, ON, Canada.
J Appl Res Intellect Disabil. 2013 Sep;26(5):471-80. doi: 10.1111/jar.12034.
The field has seen a renewed interest in exploring the theory of 'counterfeit deviance' for persons with intellectual disability who sexually offend. The term was first presented in 1991 by Hingsburger, Griffiths and Quinsey as a means to differentiate in clinical assessment a subgroup of persons with intellectual disability whose behaviours appeared like paraphilia but served a function that was not related to paraphilia sexual urges or fantasies. Case observations were put forward to provide differential diagnosis of paraphilia in persons with intellectual disabilities compared to those with counterfeit deviance. The brief paper was published in a journal that is no longer available and as such much of what is currently written on the topic is based on secondary sources.
The current paper presents a theoretical piece to revisit the original counterfeit deviance theory to clarify the myths and misconceptions that have arisen and evaluate the theory based on additional research and clinical findings. The authors also propose areas where there may be a basis for expansion of the theory.
The theory of counterfeit deviance still has relevance as a consideration for clinicians when assessing the nature of a sexual offence committed by a person with an intellectual disability. Clinical differentiation of paraphilia from counterfeit deviance provides a foundation for intervention that is designed to specifically treat the underlying factors that contributed to the offence for a given individual.
Counterfeit deviance is a concept that continues to provide areas for consideration for clinicians regarding the assessment and treatment of an individual with an intellectual disability who has sexually offended. It is not and never was an explanation for all sexually offending behavior among persons with intellectual disabilities.
对于有性犯罪的智障人士，人们重新燃起了对“虚假越轨”理论的兴趣。这个术语最早由 Hingsburger、Griffiths 和 Quinsey 于 1991 年提出，用于在临床评估中区分智障人士亚群体的行为，这些行为看似有性癖好，但与性冲动或性幻想无关，而是有其他功能。提出案例观察结果是为了对智障人士的性癖好与有虚假越轨行为的人进行鉴别诊断。这篇简短的论文发表在一本已不再发行的期刊上，因此目前关于这个主题的大部分内容都是基于二手资料。
本文提出了一个理论性的内容，重新审视了原始的虚假越轨理论，以澄清由此产生的误解和误解，并根据额外的研究和临床发现评估该理论。作者还提出了可能有理由扩展该理论的领域。
当评估智障人士的性犯罪的性质时，虚假越轨理论仍然是临床医生的一个考虑因素。对性癖好与虚假越轨行为的临床区分，为针对特定个体的犯罪行为所涉及的潜在因素提供了治疗基础。
虚假越轨是一个概念，它继续为临床医生在评估和治疗有性犯罪的智障人士时提供考虑因素。它不是，也从来不是智障人士所有性犯罪行为的解释。
