Paraphilic Behaviors Research Articles

FACTORS INFLUENCING PARAPHILIA DEVELOPMENT: A REVIEW OF CURRENT METHODOLOGIES AND ASSESSMENT TOOLS – REVIEW ARTICLE

This review addresses the role of childhood experiences in the development of paraphilias, a topic insufficiently explored in current research. It proposes the examination of the influence of attachment styles and boundary-setting with parents and caregivers on the onset of paraphilic behaviors, as highlighted in the Diagnostic and Statistical Manual of Mental Disorders (DSM). By broadening the scope of research on the etiology of paraphilias, this review aims to identify a wider range of causal factors, ultimately aiding in the creation of more accurate treatment plans. Key studies reviewed include "Childhood Abuse and Sadomasochism" by Abrams et al. (2022) and "The Impact of Childhood Trauma, Personality, and Sexuality on the Development of Paraphilias" by Longpré et al. (2022). KEYWORDS: Paraphilias, DSM, Childhood abuse, Parenting styles, Boundaries

Compulsive sexual behaviour in Iranian married women: Prevalence, sociodemographic, sexual, and psychological predictors across-country.

This study addresses the scarcity of research on Compulsive Sexual Behavior Disorder (CSBD) in non-Western cultures and women, exploring its prevalence, sociodemographic, sexual history characteristics, and sexual and psychological health factors in Iranian married women. A cross-sectional study involving 772 heterosexual married women was conducted between 2022 and 2023, covering all 31 provinces of Iran. Participants were categorized as CSBD+ (at-risk individuals) and CSBD- (low-risk individuals) based on a pre-established cut-off point of ≥18 by the Compulsive Sexual Behavior Disorder Scale -7. Depression, anxiety, obsessive-compulsive disorder, self-esteem, sexual distress, sexual satisfaction, relationship satisfaction, and sexual dysfunction were assessed as psychological and sexual health variables by standardized scales. The prevalence of CSBD was 3.8% in women. Linear regression analysis showed that lower education, being jobless, substance use, pornography use, paraphilic behaviors, conflict on sex frequency, relationship, orgasm and sexual dissatisfaction, higher sexual arousal, depression, and obsessive-compulsive symptoms were positively associated with CSBD. The univariate analysis, at a stringent significance level of 0.005, mirrored the regression findings. Additionally, women with CSBD+ exhibited lower religiousness and higher anxiety compared to those without CSBD-. Raising awareness of CSBD is crucial for health systems and individuals for better policy-making and help-seeking behavior. Identifying risk factors like substance use presents opportunities for prevention, and the association of CSBD with sexual and mental health variables suggests addressing co-occurring issues for improved treatment outcomes. Recognizing culture and gender-specific sexual and psychological correlates enables targeted and effective treatment approaches.

Dark Tetrad personality traits, paraphilic interests, and the role of impulsivity: an EEG-study using a Go/No-Go paradigm

Maladaptive personality traits, such as ‘dark personalities’ are found to result in a diverse set of negative outcomes, including paraphilic interests and associated (illegal) behaviors. It is however unclear how these are exactly related, and if related, if then only those individuals higher on dark personality traits and higher impulsivity engage in paraphilic behaviors. In the current study, 50 participants were recruited to investigate the relationship between Dark Tetrad personality traits (i.e., narcissism, psychopathy, Machiavellianism and everyday sadism), paraphilic interests (arousal and behavior) and the moderating role of impulsivity. Personality and paraphilic interests were investigated through self-report questionnaires. Impulsivity was measured both through self-reported dysfunctional impulsivity and the P3 event related potential using electroencephalography during the Go/No-Go task (i.e. response inhibition). The results showed that there was a positive association between psychopathy, sadism and paraphilic interests. Whereas everyday sadism was associated with paraphilic (self-reported) arousal, psychopathy was associated with paraphilic behavior. Although P3 amplitude was not associated with paraphilic interests, self-reported dysfunctional impulsivity was associated with paraphilic behavior specifically. However, there was no moderating role of dysfunctional impulsivity and response inhibition (P3) in the relationship between psychopathy and paraphilic behavior. Findings indicate that the relation between specific dark personalities and paraphilic interests may be more complex than initially thought. Nevertheless, risk assessment and intervention approaches for paraphilia and related behavior both may benefit from incorporating Dark Tetrad and impulsivity measurements.

Paraphilic fantasies and behavior in attention deficit/hyperactivity disorder and their association with hypersexuality.

Previous research has found some peculiarities in sexual functioning of adults with attention deficit/hyperactivity disorder (ADHD). Using a set of questionnaires that had to be answered online, we assessed the prevalence of paraphilic fantasies and behaviors in a sample of 160 adults with ADHD in comparison to 75 adults without ADHD and evaluated the association between paraphilias and hypersexuality in the ADHD group. Both groups reported high rates of paraphilic fantasies and behaviors. ADHD individuals were more likely to report about very sexually arousing paraphilic fantasies (ADHD: 58.2% vs. non-ADHD: 40.5%; χ2 = 6.323, p = 0.01) and behaviors (ADHD: 44.9% vs. non-ADHD: 28.4%; χ2 = 5.774, p = 0.02). Furthermore, ADHD individuals reported on average about more very sexually arousing paraphilic behaviors compared to non-ADHD individuals (ADHD: M = 1.28, SD = 0.10 vs. non-ADHD: M = 0.81, SD = 0.09; T = 2.68, p < 0.01). Furthermore, in ADHD individuals both very sexually arousing paraphilic interests in masturbation fantasies (r(158) = 0.17, p = 0.03) and in sexual behaviors (r(158) =0.19, p = 0.02) showed a significant correlation with hypersexuality. In non-ADHD individuals no such significant correlation could be found. Altogether, it can be concluded that individuals with ADHD seem to be more prone to develop and act out paraphilic sexuality than those without ADHD, however, found differences were rather small. The results of the present study add to the current trend to depathologize paraphilic sexuality in the general as well as in clinical populations.

When Kinks Come to Life: An Exploration of Paraphilic Behaviors and Underlying Predictors

ABSTRACT Paraphilia is defined as a condition in which sexual excitement relies on fantasizing about and/or participating in unusual sexual behavior. Although recent studies have assessed the concordance between paraphilic interests and paraphilic behaviors, few studies have studied which individual traits and demographics predict engaging in paraphilic behaviors, or the level of concordance between arousal and behavior. The current study replicated and expanded Joyal and Carpentier’s 2022 study. We assessed concordance between paraphilic arousal and behavior. Further, we assessed the impact of Dark Tetrad traits, impulsivity, social desirability and demographic variables on engaging in paraphilic behaviors using self-report questionnaires in a sample from the general population and FetLife. Finally, we were interested in whether these individual differences moderated the concordance between arousal and behavior. Results indicated high concordance between paraphilic arousal and behavior for all paraphilias except pedophilia and hebephilia. Younger, male participants were more likely to engage in various paraphilias than women and older participants. Machiavellianism was linked with lower paraphilic behavior, particularly impulsive or risky ones. Psychopathy predicted engaging in more deviant or illegal paraphilias, whereas sadism only showed an association for engaging in frotteurism and narcissism was not a predictor for engaging in any paraphilia. For several paraphilias, individual traits moderated the effect of arousal on behavior. Implications of these findings and future directions are discussed.

Prevalence of paraphilic interests among adults in Egypt

Background: The Paraphilia now around the world occupy an important position in medicine. Term “paraphilia” (from the Greek “para,” meaning “beside, aside,” and “philia,” meaning “love”) is currently used in psychiatry to define “anomalous” sexual interests. Objectives: Studying prevalence of paraphilic behaviors and interests in a sample of 200 males and 200 females in the population aged from (18 – 45). Methods: Communication was done with different online groups and sites to conduct this cross sectional study. These aimed to orient them about the aim and procedures of the study and explained its benefits. Admins of these groups were helpful but refused to put the name of the groups in the work. admins collected the answered questionnaire to protect identity and privacy of respondents. This study was approved by ethical committee of the Faculty of Medicine Menoufia University. Results: The overall prevalence of paraphilic behavior experience was found 21% with prevalence significantly higher in men than women. The most common paraphilic experience was frotteurism then voyeurism followed by fetishism then pedophilia. Conclusion: It was concluded that paraphilia is not an uncommon behavior in our community. It exists in both sexes but higher among men.&#x0D;

Comparison of Clinical Characteristics, Gender Perceptions, and Rape-Related Beliefs of People Assessed for Criminal Liability for Rape Against Children and Adults.

This study aimed to compare the criminal, sociodemographic and clinical characteristics, paraphilic behaviors, sexual attitudes, gender perceptions, and rape-related beliefs of people assessed for criminal liability for rape against adults and children. The study compared 40 people investigated for criminal liability for rape against an adult (RAA) with 40 individuals investigated for criminal liability for crime of rape against a child (RAC), and 43 age, sex and education matched individuals without any sexual crime history using the Structured Clinical Interview form for DSM-5 disorders, Hendrick Brief Sexual Attitude Scale, Gender Perception Scale, Illinois Rape Myth Acceptance Scale, and Barratt Impulsiveness Scale-11. All participants were male. There was no difference between the groups in terms of lifelong or existing psychiatric diseases. All participants had full criminal responsibility during the crime. No participant in any group was diagnosed with a paraphilic disorder. It was determined that people in both RAC and RAA groups tended to use sexuality as a tool, paid less attention to birth control methods, had a far less egalitarian perception of gender, and their myths about rape were significantly higher compared to the control group. The control group was much more impulsive than the sex offenders. Our results show that the act of sexual assault should not be explained only by impulsivity or psychiatric disorders, and that gender perception and sexual myths may also be influential. The fact that all individuals had full criminal responsibility emphasizes the need for more research on the social and cultural origins of sexual violence.

Consequences of Reproductive and Sexual health in Victims of Child-adolescent Sexual Deviations and Preventive Strategies: A Review Study

Background and Objective Paraphilia is one of the disorders without precise statistics in Iran. One of the most important sexual injuries is the lack of abilities and skills required in the sexual management of children and adolescents. Paraphilic behavior, especially child sexual abuse, produces dire consequences in children and adolescents. Materials &amp; Method The research was done by searching in PubMed, CINAHL, Web of Science, Google Scholar, ScienceDirect, Scopus, Magiran, and SID using the keywords of “sexual deviance,” “consequence,” “victim,” “sexual education,” “child,” “adolescent,” “COVID-19,” and “reproductive and sexual health.” Results The consequences of deviant behaviors of paraphilia in child and adolescent victims include various sexually transmitted diseases, unwanted pregnancy, obstetric complications, reluctance to marry and have children, posttraumatic stress syndrome, and sexual dysfunction. Preventive solutions include school-based sex education with the family-school-peer triangle, teaching parenting skills to parents, using family-centered sex education models, promoting sexual restraint in adolescents, monitoring the impact of the media on child sex education, paying attention to the early diagnosis of disorders, such as depression or anxiety in children and parents, avoiding destructive parenting styles, such as controlling or banning extreme freedom and teaching life skills to children and adolescents. Conclusion Considering the dreadful consequences of paraphilic behaviors in children and adolescent victims, there is a need for sexual education by taking preventive measures at the level of macro-policies in families, kindergartens, and schools through relevant experts, training child sex educators.

Subcultural Representations of Perpetrators and Victims of Crime and Violence Associated with Mental Disorders

Introduction and objectivesThe beliefs and opinions of the general population are based substantially on mass media, which often equates mental disorders with violence and criminality. These stigmatising depictions contribute to the development and persistence of negative attitudes towards people with psychiatric conditions. The objective was to examine, through popular music, the subcultural representations of crime and violence in the context of mental disorders, focusing on depictions of victims and offenders. MethodsStrategy of analysis: Content analysis of Spanish punk lyrics (1981-2010) with references to violent and criminal behaviour associated with mental disorders. Results257 Spanish punk bands were identified. The discographies included 7,777 songs, of which 190 were related to aggression, violence, or crime. A predilection for violent crimes and descriptions of the perpetrator as “mentally disturbed” was observed. Although they were present, psychotic symptoms were not the main psychiatric symptoms associated with violent crime, but instead it was substance use, antisocial personality traits and paraphilic behaviour. There was less attention paid to victims than to perpetrators. ConclusionsThe relationships between mental disorders and criminality/violence are overemphasised in the analysed subculture. A positive connotation of social deviance and violent content (particularly serial murder) in service to the provocative nature of this type of music was observed.

Risky Business: Deadliest Predictors of Sex-Trade Worker Sexual Victimization

ABSTRACT Although relatively rare, sexual homicide has stimulated research efforts to better understand and intervene in the prevention of such crime. However, specific high-risk victims such as sex-trade workers have been understudied. To contribute to the limited scientific literature on this topic, the current study examines the characteristics of the sexual victimization of sex-trade workers using a sample of 402 lethal and non-lethal cases. Bivariate and multivariate analyses indicated that the lethal outcome associated with the sexual victimization of sex-trade workers may not be associated with sadism and paraphilic behaviors, but rather by excessive violence and victim’s vulnerabilities. Conjunctive analysis further indicated that the combination of excessive violence, victim’s intoxication, situational factors, and crime characteristics was associated with lethal sexual victimization of sex-trade workers. Findings suggest strategies in the development of situational prevention and intervention strategies.

Paraphilic Interests Versus Behaviors: Factors that Distinguish Individuals Who Act on Paraphilic Interests From Individuals Who Refrain.

Little is known about distinct factors linked with acting on paraphilic interests or refraining from engaging in paraphilic behaviors. Participants from Canada and the United States (N = 744), aged 19-42years (M = 29.2; SD = 3.18), were recruited through Amazon's Mechanical Turk. Participants completed questionnaires about their paraphilic interests and behaviors, as well as potential key factors linked to behavioral engagement (i.e., perceptions of consent, sexual excitation/inhibition, impulsivity, moral disengagement, empathy). Results indicated that higher moral disengagement and impulsivity, lower sexual control (i.e., high sexual excitation, low sexual inhibition), and maladaptive understandings of consent were best able to differentiate individuals who reported highly stigmatized (e.g., hebephilia, pedophilia, coprophilia) or Bondage and Dicipline, Dominance and Submission, Sadism and Masochism(BDSM)/Fetish paraphilic interests and engagement in the paraphilic behaviours associated with these interests relative to individuals who did not report such paraphilic interests or behaviors. Moreover, higher moral disengagement, impulsivity, and maladaptive perceptions of consent were best able to differentiate non-consensual paraphilic interests and behaviours (e.g., voyeurism, exhibitionism) compared to individuals who did not report these paraphilic interests or behaviours. These results provide future directions for the exploration of mechanisms that may contribute to engagement in paraphilic behaviors and may be targets for intervention aimed at preventing engagement in potentially harmful paraphilias.

Paraphilic Disorder and Gender Dysphoria in a Case with High-Functioning Autism Spectrum Disorder

IntroductionAutism spectrum disorder (ASD) is a neurodevelopmental disorder characterized with difficulties in social interaction/communication, restricted interests, and repetitive behaviors. Sexual issues such as paraphilic behaviors in ASD have gained attention in recent years, however there is still a great paucity of research regarding this issue.ObjectivesThe aim of this presentation is to draw attention to a crucial dimension through a case of ASD with paraphilic disorder (pedophilic tendencies) and gender dysphoria.MethodsOne case from an inpatient unit of a psychiatric clinic in Lower Saxony, Germany will be reported.ResultsCase: An 18-year-old male was referred to our acute psychiatric ward due to suicidal thoughts and other depressive symptoms. In further examination, he stated that he had pedophilic phantasies which he was trying to satisfy by using child pornography in the darknet. He had never been involved in any sexual relationship with a child and described this behavior as an addiction that he wanted to get rid of. Detailed psychiatric examination and developmental history yielded the diagnosis of high-functioning ASD. The compulsory paraphilic engagement is classified as a restrictive-repetitive interest in terms of ASD. In addition, the patient presented gender incongruence with moderate gender dysphoria, dressed in a skirt and wanted to be perceived and named rather gender-neutral, which was supported through the whole course.ConclusionsThrough systemic understanding of the high-functioning ASD structure and complex symptomatology, socio- and psychotherapeutic approaches were implemented which yielded an apparent stabilization. The detailed therapeutic process in the light of the present literature will be discussed.DisclosureNo significant relationships.

Hypersexual Disorder: an analysis of the common behavioral, social and psychological traits among people affected by compulsive sexual behavior disorder

Compulsive Sexual Behavior Disorder is categorized in the International Classification of Diseases and Health-Related Problems – ICD – 11 (2018) as an absence to contain sexual impulses, a fact that results in repetitive behaviors, which in turn cause various psychological damage to those who suffer from the so-called Hypersexual Disorder. The impacts caused by Hypersexual Disorder are many, mainly affecting the personal, family and affective lives of the subjects affected by it, and it is extremely important to identify the common traits among those who suffer from this psychopathology, in order to try to understand the cause of the psychic suffering of the individual, in order to refer him to the most appropriate treatment. Based on these assumptions, this research has the following guide question: what are the common behavioral, social and psychological characteristics among individuals who have Compulsive Sexual Behavior Disorder? And it has as general objective to weave a discussion about the disorder and analyze the behavioral, social and psychological characteristics among those who present it. For this, the methodology used was the literature review, covering the consultation of books, articles, manuals, among other sources. The work presents as a result the systematization of the discussion about this theme, highlighting that among the most common characteristics among those who have Compulsive Sexual Behavior Disorder are the feeling of guilt and anxiety, feeling of imprisonment for not being able to curb sexual impulses, traces of abstinence when there is, for some reason, absence of activities related to sex, distancing from family and friends, impairment of affective relationships, traces, in some cases, of paraphilic behaviors, in addition to the exchange of compulsions.

Sex Drive as a Possible Mediator of the Gender Difference in the Prevalence of Paraphilic Interests in a Nonclinical Sample.

There is a general gender difference in paraphilic interests, such that men report more interest (and greater engagement) in a variety of paraphilic behaviors. Using a nonclinical sample, Dawson et al. (Sexual Abuse, 28(1):20-45, 2016, https://doi.org/10.1177/1079063214525645 ) found that the gender difference in paraphilic interests was eliminated when scores on measures of sex drive were used as mediators. However, their measures of sex drive were about more than just sex drive and included a measure of hypersexuality (i.e., distress, perceived lack of control, and problematic consequences of one's sexuality). This study had two aims: to replicate Dawson et al.'s mediation results (using the same measures and scoring methods), and to discern the effect of sex drive itself (by replacing their measure of hypersexuality with a measure of sex drive). A nonclinical sample of 517 men and 615 women completed an online questionnaire. As expected, men reported less repulsion than women for most paraphilic themes. The gender difference in paraphilic interests was reduced (but not eliminated) both when reproducing Dawson et al.'s analysis and when examining a mediation model focused on sex drive specifically. The same results were obtained when examining the paraphilic interest with the largest gender difference (i.e., voyeurism). A full mediation effect was obtained in an unplanned supplementary analysis using a factor score (derived from eight measures) putatively assessing sex drive. While the main findings are consistent with Dawson et al.'s conclusions that sex drive is a possible mediator, they also suggest that other factors need to be considered to help explain the gender difference in the prevalence of paraphilic interests.

Concordance and Discordance between Paraphilic Interests and Behaviors: A Follow-Up Study

ABSTRACT Although paraphilic interests represent significant risk factors for recidivism among sexual offenders, little is known about the magnitude of concordance between paraphilic interests and behaviors in the general population. The goal of this follow-up study was to conduct secondary analyses based on a sample of 1040 adults (475 men; 565 women) recruited in the general population. Levels of associations and active concordance (having both interest and experience), passive concordance (having neither interest nor experience), active discordance (having experience without interest) and passive discordance (having interest without experience) between paraphilic interest and corresponding behavior were assessed. Concordance and discordance indexes were also computed, as well as regressions and moderation analyses. As expected, paraphilic interests predicted corresponding behaviors, although the mean active concordance rate was only approximately 50%. Concordance rates varied with gender and the criminal nature (legal vs. illegal) of paraphilia. Paraphilic interests in adults from the general population may not have the same predictive value as that observed in medico-legal contexts. The possible role of other moderators in the concordance between paraphilic interest and behavior in non-clinical populations should be assessed. These findings have implications for sexual abuse prevention programs aiming at individuals in the community.

Paraphilic Interests: The Role of Psychosocial Factors in a Sample of Young Adults in Hong Kong

BackgroundLittle is known about the prevalence and nature of paraphilic interests in the Hong Kong young adult population. This study explores the psychosocial factors associated with paraphilic interests.MethodsTesting the propositions of several criminological theories (i.e., the theories of self-control, general strain, social learning, social control, and routine activity), the study recruited 1171 participants (18–40 years old), from September 2018 through April 2020, to examine both general and 14 subtypes of paraphilic interest (i.e., voyeurism, exhibitionism, scatologia, fetishism, transvestic fetishism, frotteurism, sadism, masochism, biastophilia, urophilia, scatophilia, hebephilia, pedophilia, and zoophilia).ResultsThe findings indicate that males reported significantly higher levels of general and 12 subtypes of paraphilic interest than females, while females had a higher level of transvestic fetishism than males. No mean difference is found between males and females in interest in masochism. Relative to females, males reported significantly higher levels of negative temperament, alcohol and drug use, and risky sexual behavior, whereas females had higher levels of self-control, social bonds, and perceived neighborhood disorganization than males. Multivariate analyses indicate that in general, high levels of negative temperament, alcohol and drug use, risky sexual behavior, and perceived neighborhood disorganization and low levels of self-control and social bonds were important factors associated with the participants’ likelihood of having general and 14 subtypes of paraphilic interest.ConclusionsThese findings provide support to the significant role of psychosocial factors in understanding different paraphilic interests in the Hong Kong young adult population.Policy ImplicationsThis study has implications for practice, in the form of reducing, if not eliminating, the tendency to develop an interest in paraphilic behaviors. This may be more important when referring to paraphilic behaviors that are criminally oriented.

The Association of Childhood Sexual Abuse With Non-Paraphilic and Paraphilic Sexual Behaviors Among Adolescents Who Have Sexually Offended

ABSTRACT A history of childhood sexual victimization (CSV) is one of the most commonly examined factors in research on male adolescent sexual offending. Although CSV has been extensively researched in relation to the onset and maintenance of adolescent sexual offending, few studies have investigated the association of CSV with domains of adolescent sexuality outside of sexual offending. Understanding how CSV may be associated with the non-paraphilic, and paraphilic, sexual behaviors of adolescent males who commit sexual offenses has important implications for promoting healthy sexuality among this population. In a sample of 162 male adolescents (M age = 15.2 years, SD = 1.3) adjudicated for a sexual offense, we tested the association of CSV with a range of non-paraphilic (e.g., age of first consensual sex) and paraphilic (e.g., use of paraphilic pornography) sexual behavior variables. The results indicated CSV was associated with greater engagement in risky non-paraphilic sexual behaviors, as well as paraphilic sexual behaviors. CSV was also associated with specific offense characteristics, replicating previous research findings. The current study is a first step toward understanding the broader sexual context of adolescents who commit sexual offenses.

The Prevalence of Paraphilic Interests in the Czech Population: Preference, Arousal, the Use of Pornography, Fantasy, and Behavior

ABSTRACT The number of population-based studies focused on the prevalence of paraphilic sexual interests in men is very low and for women, the subject remains largely unexplored. The two main aims of this study are to investigate the prevalence of paraphilias and to explore sex differences in an online representative sample of Czech men and women using various dimensions of sexual experience. We collected data about sexual motivations and behavior from a representative online sample of 10,044 Czechs (5,023 men and 5,021 women). In a standardized online interview, participants answered questions about selected dimensions of sexual experience within specific paraphilic patterns: sexual preferences, sexual arousal, sexual fantasies in the past 6 months, pornography use in the past 6 months, and experience with paraphilic behaviors. Our results show that 31.3% of men (n = 1,571) and 13.6% of women (n = 683) admitted to at least one paraphilic preference. Moreover, 15.5% of men and 5% of women reported more than one paraphilic preference. Except for beating/torture and humiliation/submission, in terms of real experience with such behaviors almost all paraphilias were more common among men than among women. Our results indicate that the high prevalence of some paraphilic patterns might render their pathologization problematic.

Salirophilia and other co-occurring paraphilias in a middle-aged male: A case study

Salirophilia is a paraphilic sexual fetish in which individuals experience sexual arousal from soiling or disheveling the object of their desire. To date, there has been no academic or clinical research into salirophilia,and there are no published peer-reviewed papers – not even a single case study. Therefore, this paper presents the first case study account of a salirophile, a 58-year-old heterosexual male. The areas of interest that were examined included his background relating to childhood experiences of sex, other cooccurring paraphilic interests, and a detailed overview of his engagement in salirophilic acts. It was found that his interest in salirophilic acts dated back to his childhood, and based on the account given, the behavior is most likely explained by classical conditioning. It was also found that there were many other paraphilic behaviors that co-occurred with salirophilia, including sadism, urophilia, coprophilia, and zoophilia. The case study highlights the importance of online methods in the recruitment of individuals and the collection of data with sexually paraphilic behavior for academic study.

The association between slow cortical potentials preceding antisaccades and disturbances of consciousness in persons with paraphilic sexual behaviour

Saccade characteristics and slow potentials in antisaccade tasks were studied in 37 people with disorders of sexual interest, depending on the disturbances of self-consciousness. The study found a decreased level of frontal cortex activation in subjects with disorders of self-consciousness; in subjects without disturbances of self-consciousness a high level of frontal cortex activation was observed. The findings demonstrate the important role of the frontal cortex in providing self-consciousness.