Liang W Y, Zhang Y Q
Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China.
Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.
Fa Yi Xue Za Zhi. 2020 Dec;36(6):828-830. doi: 10.12116/j.issn.1004-5619.2020.06.013.
Sadomasochism is the sexual interest, psychosexual deviance or sexual crimes that are sexually aroused by suffering or causing others to suffer. This study summarizes the concept, assessment and diagnosis, categories and symptoms, psychological and biological mechanisms, judicial disposition and clinical intervention strategies of sadomasochism from the perspectives of clinical medicine, law, criminology and psychology, suggests that further research should take local people with sadomasochism preference and local patients as research objects, pay attention to different types of sadomasochists, conduct bottom-up research, explore the core elements and manifestations of sadomasochism, and accurately define and classify sadomasochism, construct an effective scale, a erectile measurement sexual stimulation system and a diagnostic criteria; discuss evaluation methods combined with crime scene data; discuss the validity of masochists' consent combined with diagnosis; establish targeted criminal correction programs and a treatment and rehabilitation system to provide reference for the improvement of medical, judicial and mental health services.
性施虐受虐癖是指通过遭受痛苦或致使他人遭受痛苦而产生性唤起的性兴趣、性心理偏离或性犯罪行为。本研究从临床医学、法学、犯罪学和心理学等角度总结了性施虐受虐癖的概念、评估与诊断、类别与症状、心理和生物学机制、司法处置及临床干预策略，建议进一步的研究应以有性施虐受虐癖偏好的当地人群和当地患者为研究对象，关注不同类型的性施虐受虐者，开展自下而上的研究，探索性施虐受虐癖的核心要素及表现形式，准确界定和分类性施虐受虐癖，构建有效的量表、勃起测量性刺激系统及诊断标准；结合犯罪现场数据探讨评估方法；结合诊断讨论受虐者同意的有效性；建立针对性的刑事矫正项目及治疗康复体系，为医疗、司法及心理健康服务的完善提供参考。
