Abstract
Previously an identified case of a koro-like syndrome experienced in a person with Intellectual Disability with an internalized imaginary companion (IIC) was presented. After an assessment of the IIC, the baby was banished, without the therapist’s help, while his New Me behavior was reinforced. The banishment was ultimately temporary, and the baby ICC continued to exert its influence via first a koro symptom then taking control of his body. Upon follow up, a comprehensive assessment identified that there were about ten imaginary companions in total, whereas three of them were directly related to sex offending. The basic dynamic involved early trauma and a female/child oriented lifestyle interacting with gender, sexual differentiation and depersonalization disorders which influenced the creation of antisocial imaginary companions and resultant sex offenses. The presence of PTSD, Gender Identity, Atypical Depersonalization and Schizoid Personality Trait Disorders should also be investigated when encountering cases of koro. A comprehensive history and dynamics of the case are presented to add to the limited fund of information regarding these types of rare forensic-clinical cases.
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