Mohebbi Amir, Holoyda Brian J, Newman William J
Dr. Mohebbi is a General Psychiatry Resident, Dr. Holoyda is Assistant Professor of Psychiatry, and Dr. Newman is Associate Professor of Psychiatry and Training Director of the Forensic Psychiatry Fellowship Program, Department of Psychiatry, Saint Louis University School of Medicine, St. Louis, MO.
J Am Acad Psychiatry Law. 2018 Mar;46(1):78-85.
Sexsomnia and related sexual behaviors during sleep may be diagnosed in individuals accused of sex crimes. Although sexsomnia is now formally recognized in the DSM-5, the variable presentation of such behaviors and the possibility of malingering in medicolegal situations can cause challenges for forensic evaluators and legal professionals alike. Review of the literature reveals a paucity of cases involving allegations of repeated incidents due to abnormal sexual behaviors or experiences in sleep. It is important for experts involved in such cases to understand how the courts have responded to sexsomnia defenses involving diverse alleged incidents. The authors review the case law and discuss methods of examining evaluees with suspected sexsomnia in cases of alleged sexual assault.
在被指控犯有性犯罪的个体中，可能会诊断出睡眠相关的性梦游症及相关性行为。尽管性梦游症现在已在《精神疾病诊断与统计手册》第五版（DSM - 5）中得到正式认可，但此类行为的表现各异，且在法医学情境中存在伪装的可能性，这可能给法医评估人员和法律专业人士都带来挑战。对文献的回顾显示，因睡眠中的异常性行为或经历而涉及反复事件指控的案例很少。对于处理此类案件的专家而言，了解法院如何应对涉及各种不同指控事件的性梦游症辩护至关重要。作者回顾了判例法，并讨论了在涉嫌性侵犯案件中对疑似患有性梦游症的受评估者进行检查的方法。
