Seto Michael C, Kingston Drew A, Bourget Dominique
Royal Ottawa Health Care Group, uOttawa Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, Ontario K1Z 7K4, Canada.
Royal Ottawa Health Care Group, uOttawa Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, Ontario K1Z 7K4, Canada.
Psychiatr Clin North Am. 2014 Jun;37(2):149-61. doi: 10.1016/j.psc.2014.03.001. Epub 2014 Apr 18.
Paraphilias are recurrent, persistent, and intense sexual interests in atypical objects or activities. The most commonly encountered paraphilias in sexological or forensic settings are pedophilia, sexual sadism, exhibitionism, and voyeurism. Paraphilias are often comorbid with other sexual, mood, and personality disorders. Assessment and diagnosis require an integration of multiple sources of clinical information, given the limits and biases of self-report (through clinical interview or questionnaires). Clinicians ideally have access to more objective assessment methods, such as phallometric testing of sexual arousal. The accurate assessment and diagnosis of paraphilias is essential to effective treatment and management.
性偏好障碍是对非典型物体或活动反复出现、持续且强烈的性兴趣。在性学或法医环境中最常遇到的性偏好障碍是恋童癖、性施虐癖、露阴癖和窥阴癖。性偏好障碍常与其他性、情绪和人格障碍共病。鉴于自我报告（通过临床访谈或问卷）存在局限性和偏差，评估和诊断需要整合多种临床信息来源。临床医生理想情况下可使用更客观的评估方法，如性唤起的阴茎测量测试。性偏好障碍的准确评估和诊断对于有效治疗和管理至关重要。
