Freund K, Seto M C
Forensic Division, Clarke Institute of Psychiatry, Ontario, Canada.
Arch Sex Behav. 1998 Oct;27(5):433-43. doi: 10.1023/a:1018796312289.
The theory of courtship disorder suggests voyeurism, exhibitionism, frotteurism, and preferential rape (a paraphilic preference for coercive sex) are expressions of a common underlying disturbance. Previous research has demonstrated that voyeurism, exhibitionism, and frotteurism are relatively likely to co-occur; however, their associations with rape are weaker. One explanation is that rapists are more heterogeneous and may not always be motivated by a paraphilic interest in coercive sex. Paraphilic interests can be identified using phallometric testing, but the sensitivity of the test is attenuated by voluntary control over erectile responding. Another approach is to look for a behavioral marker associated with paraphilic rape-proneness. Freund (1990) has argued that exhibitionism may be the "hub" of courtship disorder because exposing one's genitals to a stranger is rare in control subjects. We predicted that rapists who also engaged in exhibitionistic activity would be more likely than other rapists to also engage in other expressions of courtship disorder, i.e., voyeurism and frotteurism. To rule out the possibility that rapists who report exhibitionistic activity only differ in their willingness to report anomalous sexual behavior, we also predicted no difference between the groups in their self-reported involvement in other paraphilic activities such as sadism or masochism, or paraphilic target preferences such as fetishism or transvestism. Finally, we predicted no difference between groups in their willingness to admit to attempting or committing rape. The results supported our predictions, and lend credence to the notion of preferential rape as an expression of courtship disorder. Moreover, these results suggest that the presence of another paraphilia, particularly exhibitionism, may be useful as a behavioral marker for paraphilic rape-proneness.
求爱障碍理论表明,窥阴癖、露阴癖、摩擦癖和偏好性强奸(对强迫性行为的一种性偏好障碍)是一种常见潜在障碍的表现形式。先前的研究表明,窥阴癖、露阴癖和摩擦癖相对较易同时出现;然而,它们与强奸行为的关联较弱。一种解释是,强奸犯的构成更为多样,并不总是受对强迫性行为的性偏好障碍的驱使。性偏好障碍可以通过阴茎体积描记测试来识别,但该测试的敏感性会因对勃起反应的自主控制而减弱。另一种方法是寻找与性偏好性强奸倾向相关的行为标志。弗罗因德(1990年)认为,露阴癖可能是求爱障碍的“核心”,因为在对照对象中,向陌生人暴露生殖器的情况很少见。我们预测,那些有露阴行为的强奸犯比其他强奸犯更有可能出现求爱障碍的其他表现形式,即窥阴癖和摩擦癖。为了排除那些报告有露阴行为的强奸犯只是在报告异常性行为的意愿上存在差异的可能性,我们还预测,在自我报告参与其他性偏好障碍活动(如施虐或受虐)或性偏好目标偏好(如恋物癖或异装癖)方面,两组之间没有差异。最后,我们预测两组在承认试图强奸或实施强奸的意愿上没有差异。研究结果支持了我们的预测,并为偏好性强奸是求爱障碍的一种表现形式这一观点提供了可信度。此外,这些结果表明,存在另一种性偏好障碍,尤其是露阴癖,可能作为性偏好性强奸倾向的行为标志。