Rockwood Psychological Services, Kingston, Ontario, Canada,
Curr Psychiatry Rep. 2014 Jan;16(1):428. doi: 10.1007/s11920-013-0428-6.
This paper reviews recent evidence on the value of phallometric (i.e., erectile) measures of sex offenders plus earlier crucial papers. Distinctions are made between types of measuring devices with the volumetric instrument appearing to be the most sensitive. Considering the meaning of responses it is concluded that arousal below 10 % of full erection is not reliably interpretable and that only deviant profiles (those displaying equal or greater arousal to deviant sex) can be confidently interpreted. The specificity and sensitivity of phallometry is satisfactory with child molesters but not with other types of sex offenders, although there remains a need to satisfactorily distinguish among subtypes of child molesters. There are enduring disagreements concerning the meaning of rapists' responses and no test has yet reliably identified deviance among exhibitionists. It is concluded that despite its long history, problems remain with phallometric assessments and clinicians should be cautious in interpreting the meaning of these responses.
本文回顾了近期关于性犯罪者阴茎勃起测量（即勃起）价值的证据，以及更早的重要论文。文中对各种测量设备进行了区分，体积仪器似乎最敏感。考虑到反应的含义，可以得出结论，勃起低于 10%的反应不可靠，只有异常（对异常性行为显示出同等或更大的唤起）的反应模式才能被准确解释。对于恋童癖者，阴茎勃起测量的特异性和敏感性是令人满意的，但对于其他类型的性犯罪者则不然，尽管仍需要满意地区分恋童癖者的亚类型。关于强奸犯反应的含义存在持久的分歧，并且还没有测试能够可靠地识别暴露癖者的异常。因此，尽管阴茎勃起测量已有很长的历史，但仍存在问题，临床医生在解释这些反应的含义时应谨慎。
