Longpré Nicholas, Proulx Jean, Brouillette-Alarie Sébastien
1 University of Montreal, Quebec, Canada.
Sex Abuse. 2018 Mar;30(2):192-208. doi: 10.1177/1079063216649592. Epub 2016 May 26.
Sexual sadism can be described as the sexual pleasure produced by acts of cruelty and bodily punishment. The most common method for evaluating sexual sadism is clinical evaluation, that is, evaluation based on the diagnostic criteria of nosological instruments such as the Diagnostic and Statistical Manual of Mental Disorders ( DSM) or the International Classification of Diseases (ICD). It is also possible to evaluate sadistic sexual preferences by phallometry, which provides a physiological measure of sexual excitation by deviant and nondeviant scenarios. The most recently developed evaluation method is the Severe Sexual Sadism Scale (SESAS), a dimensional instrument that has been empirically validated. Despite the availability of all these measurement techniques, very little research has been conducted on their degree of convergence. Consequently, the aim of the current study was to assess the relationship between these three measures of sexual sadism. Our analyses were conducted on a sample of rapists ( N = 72), assessed in a maximum-security penitentiary. There was no significant relation between phallometric scores and other measures of sexual sadism. There was, however, an important correlation between SESAS scores and Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) sexual sadism diagnosis. Our results are consistent with other phallometric studies, which reported no difference in the penile responses of individuals diagnosed as sadists and those not diagnosed as sadists. Results and implications for future research are discussed.
性施虐癖可被描述为通过残忍行为和身体惩罚所产生的性快感。评估性施虐癖最常见的方法是临床评估，即基于诸如《精神疾病诊断与统计手册》（DSM）或《国际疾病分类》（ICD）等疾病分类工具的诊断标准进行评估。也可以通过阴茎体积描记法来评估施虐性性偏好，该方法可提供对异常和正常场景下性兴奋的生理测量。最近开发的评估方法是严重性施虐量表（SESAS），这是一种经过实证验证的维度工具。尽管有所有这些测量技术，但关于它们的收敛程度的研究却很少。因此，本研究的目的是评估这三种性施虐癖测量方法之间的关系。我们的分析是在一所高度设防监狱中对一组强奸犯（N = 72）进行的。阴茎体积描记法得分与其他性施虐癖测量方法之间没有显著关系。然而，SESAS得分与《精神疾病诊断与统计手册》（第4版；DSM-IV）性施虐癖诊断之间存在重要相关性。我们的结果与其他阴茎体积描记法研究一致，这些研究报告称，被诊断为施虐癖者和未被诊断为施虐癖者的阴茎反应没有差异。本文讨论了研究结果及其对未来研究的启示。
