Article2003

Hypersexual Desire in Males: Are Males With Paraphilias Different From Males With Paraphilia-Related Disorders?

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Sexuality, Behavior, and Technology Sexual function and dysfunction studies Psychopathy, Forensic Psychiatry, Sexual Offending

Abstract

The assessment of current sexual behavior (fantasies, urges, and activities) and sexual preoccupation (measured in min/day) associated with both conventional (i.e., adult relationship-associated) or unconventional (paraphilia and paraphilia-related) sexual behavior were ascertained from a sample of 120 consecutively evaluated males with paraphilias (PA; n = 88, including sex offender paraphiliacs; n = 60) and paraphilia-related disorders (PRD; n = 32). In addition, an assessment of hypersexual desire, defined as the highest sustained period (at least 6 months minimum duration) of persistently enacted sexual behavior (total sexual outlet/week [TSO] after age 15) was assessed. In almost all measures, the PA and PRD groups were not statistically significantly different. The average PA or PRD reported a mean hypersexual TSO of 11.7 +/- 7.3, a mean age of 21.6 +/- 7.1 years at onset of peak hypersexual behavior, and a mean duration of 6.2 +/- 7.6 years of hypersexual TSO. When the sample was stratified into three subgroups on the basis of the lifetime number of PAs + PRDs as a proxy measure of the severity of sexual impulsivity, the "high" group, with at least 5 lifetime PAs and PRDs, consisted of all paraphilic males, predominantly sex offenders, who self-reported the highest hypersexual desire (14.3 +/- 7.9), the highest current TSO/week (9.9 +/- 8.1), the most current sexual preoccupation (2-4 hr/day), and the highest likelihood of incarceration secondary to paraphilic sex-offending behavior. Although hypersexual desire, a quantitative measure of enacted sexual behaviours, may be a meaningful construct for clinically derived samples, the incidence and prevalence of hypersexual desire in community samples of males with paraphilias and paraphilia-related disorders is unknown.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1981Diagnostic and Statistical Manual of Mental Disorders, 3rd ed 1948Sexual Behavior in the Human Male 2014Diagnostic and Statistical Manual of Mental Disorders 1995The social organization of sexuality: sexual practices in the United States 1997The Social Organization of Sexuality. Sexual Practices in the United States 2009Diagnostic and Statistical Manual 1991Characteristics of aggressors against women: Testing a model using a national sample of college students.

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2010Self-Reported Differences on Measures of Executive Function and Hypersexual Behavior in a Patient and Community Sample of Men 2009The DSM Diagnostic Criteria for Sexual Sadism 2008Problematic Hypersexuality: A Review of Conceptualization and Diagnosis 2006Impulsive-Compulsive Sexual Behavior 2020The World Federation of Societies of Biological Psychiatry (WFSBP) 2020 guidelines for the pharmacological treatment of paraphilic disorders

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