대한불안의학회지 (Anxiety and mood)

  • 제12권2호
  • /
  • Pages.86-96
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  • 2016
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  • 2586-0151(pISSN)
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  • 2586-0046(eISSN)
대한불안의학회 (Korean Academy of Anxiety Disorders)
권호 표지

성도착증과 성도착 장애의 평가

The Evaluation of Paraphilia and Paraphilic Disorder

  • 이장규 (법무부 국립법무병원 정신과) ;
  • 이수정 (경기대학교 범죄심리학과) ;
  • 임명호 (단국대학교병원 해바라기센터)
  • Lee, Jang Kyu (Department of Psychiatry, National Forensic Hospital) ;
  • Lee, Soo Jung (Department of Forensic Psychology, Kyonggi University) ;
  • Lim, Myung Ho (Department of Psychology, Dankook University)
  • 투고 : 2016.05.14
  • 심사 : 2016.10.14
  • 발행 : 2016.10.30
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초록

Paraphilia and paraphilic disorder is one of mental disorders making it difficult to assess and treat. Recently, a number of methods for assessing the paraphilia are being developed gradually outside south Korea. And the reliability and validity of various assessment tools are being reported. The standardization of the assessments and questionnaires was not made yet. For assessment of paraphilia that has been reported from abroad, the author comprehensively organized clinical interview, physical examination, psycho-physiological methods, self-reporting scale of sexual thoughts, fantasies and attitudes and multiple self-reporting scale of sexual interests and described the clinical significance of the assessment tools. The national standardization of both self-reported questionnaire and physical evaluations is expected to be completed later.

키워드

참고문헌

  1. Garcia FD, Thibaut F. Current concepts in the pharmacotherapy of paraphilias. Drugs 2011;71:771-790. https://doi.org/10.2165/11585490-000000000-00000
  2. Saleh FM, Grudzinskas AJ Jr, Malin HM, Dwyer RG. The management of sex offenders: perspectives for psychiatry. Harv Rev Psychiatry 2010;18:359-368. https://doi.org/10.3109/10673229.2010.533003
  3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Text Revision Edition (DSM-IV-TR). Washington: American Psychiatric Association;2000.
  4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Washington: American Psychiatric Association;2013.
  5. Blanchard R. The DSM diagnostic criteria for pedophilia. Arch Sex Behav 2010;39:304-316. https://doi.org/10.1007/s10508-009-9536-0
  6. Home Office. Home Office statistical bulletin : statistics of mentally disordered offenders in England and Wales. London: Home Office; 1998-2001.
  7. Seto MC, Kingston DA, Bourget D. Assessment of the paraphilias. Psychiatr Clin North Am 2014;37:149-161. https://doi.org/10.1016/j.psc.2014.03.001
  8. Pearson HJ. Paraphilias, impulse control and serotonin. J Clin Psychopharmacol 1990;10:133-134. https://doi.org/10.1097/00004714-199004000-00011
  9. Stein DJ, Hollander E, Anthony DT, Schneier FR, Fallon BA, Liebowitz MR, et al. Serotoninergic medications of sexual obsessions, sexual addictions, and paraphilias. J Clin Psychiatry 1992;53:267-271.
  10. Gordon H. Grubin D. Psychiatric aspects of the assessment and treatment of sex offenders. Adv Psychiatr Treat 2004;10:73-80. https://doi.org/10.1192/apt.10.1.73
  11. Bradford JM. The neurobiology, neuropharmacology, and pharmacological treatment of the paraphilias and compulsive sexual behaviour. Can J Psychiatry 2001;46:26-34. https://doi.org/10.1177/070674370104600104
  12. Kennedy HG, Grubin DH. Patterns of denial in sex offenders. Psychological Medicine 1992;22:191-196. https://doi.org/10.1017/S0033291700032840
  13. Perillo AD, Spada AH, Calkins C, Jeglic EL. Examining the scope of questionable diagnostic reliability in sexually violent predator (SVP) evaluations. Int J Law Psychiatry 2014;37:190-197. https://doi.org/10.1016/j.ijlp.2013.11.005
  14. Schmidt A, Gykiere K, Vanhoeck K, Mann RE, Banse R. Direct and indirect measures of sexual maturity preferences differentiate subtypes of child sexual abusers. Sex Abuse 2014;26:107-128. https://doi.org/10.1177/1079063213480817
  15. Gray NS, Brown AS, MacCulloch MJ, Smith J, Snowden RJ. An implicit test of the associations between children and sex in pedophiles. J Abnorm Psychol 2005;114:304-308. https://doi.org/10.1037/0021-843X.114.2.304
  16. Banse R, Schmidt AF, Clarbour J. Indirect measures of sexual interest in child sex offenders: a multimethod approach. Crim Justice Behav 2010;37:319-335. https://doi.org/10.1177/0093854809357598
  17. Hempel IS, Buck NML, Goethals KR, van Marle HJC. Unraveling sexual associations in contact and noncontact child sex offenders using the single category-implicit association test. Sex Abuse 2013;25:444-460. https://doi.org/10.1177/1079063212464660
  18. Mokros A, Gebhard M, Heinz V, Marschall RW, Nitschke J, Glasgow DV, et al. Computerized assessment of pedophilic sexual interest through self-report and viewing time: reliability, validity, and classification accuracy of the affinity program. Sex Abuse 2013;25:230-258. https://doi.org/10.1177/1079063212454550
  19. Babchishin KM, Nunes K, Kessous N. A multimodal examination of sexual interest in children: a comparison of sex offenders and nonsex offenders. Sex Abuse 2013;26:343-374.
  20. Schmidt A, Gykiere K, Vanhoeck K, Mann RE, Banse R. Direct and indirect measures of sexual maturity preferences differentiate subtypes of child sexual abusers. Sex Abuse 2014;26:107-128. https://doi.org/10.1177/1079063213480817
  21. Van Leeuwen ML, van Baaren RB, Chakhssi F, Loonen MG, Lippman M, Dijksterhuis A. Assessment of implicit sexual associations in nonincarcerated pedophiles. Arch Sex Behav 2013;42:1501-1507. https://doi.org/10.1007/s10508-013-0094-0
  22. Briken P, Rettenberger M, Dekker A. What do 'objective' measurements reveal about sexual offenders? Forensische Psychiatr Psychol Kriminologie 2013;7:28-33. https://doi.org/10.1007/s11757-012-0192-1
  23. Bourget D, Bradford JM. Evidential basis for the assessment and treatment of sex offenders. Brief Treat Crisis Interv 2008;8:130-146. https://doi.org/10.1093/brief-treatment/mhm022
  24. Blanchard R, Klassen P, Dickey R, et al. Sensitivity and specificity of the phallometric test for pedophilia in nonadmitting sex offenders. Psychol Assess 2001;13:118-126. https://doi.org/10.1037/1040-3590.13.1.118
  25. Kingston DA, Seto MC, Ahmed AG, Fedoroff P, Firestone P, Bradford JM. Central and peripheral hormones in sexual and violent recidivism in sexual offenders. J Am Acad Psychiatry Law 2012;40:476-485.
  26. Studer LH, Aylwin AS, Reddon JR. Testosterone, sexual offense recidivism, and treatment effect among adult male sex offenders. Sex Abuse 2005;17:171-181. https://doi.org/10.1177/107906320501700207
  27. Krueger RB, Kaplan MS. Depot-leuprolide acetate for treatment of paraphilias: a report of twelve cases. Arch Sex Behav 2001;30:409-422. https://doi.org/10.1023/A:1010213432606
  28. Thibaut F, De La Barra F, Gordon H, Cosyns P, Bradford JM; WFSBP Task Force on Sexual Disorders. The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the biological treatment of paraphilias. World J Biol Psychiatry 2010;11:604-655. https://doi.org/10.3109/15622971003671628
  29. Arnow BA, Desmond JE, Banner LL, Glover GH, Solomon A, Polan ML, et al. Brain activation and sexual arousal in healthy, heterosexual males. Brain 2002;125:1014-1023. https://doi.org/10.1093/brain/awf108
  30. Mendez MF, Chow T, Ringman J, Twitchell G, Hinkin CH. Pedophilia and temporal lobe disturbances. J Neuropsychiatry Clin Neurosci 2000;12:71-76. https://doi.org/10.1176/jnp.12.1.71
  31. Cohen LJ, Nikiforov K, Gans S, Poznansky O, McGeoch P, Weaver C,et al. Heterosexual male perpetrators of childhood sexual abuse: a preliminary neuropsychiatric model. Psychiatr Q 2002;73:313-36. https://doi.org/10.1023/A:1020416101092
  32. Schiffer B, Krueger T, Paul T, de Greiff A, Forsting M, Leygraf N, et al. Brain response to visual sexual stimuli in homosexual pedophiles. J Psychiatry Neurosci 2008 Jan;33:23-33.
  33. Bufkin JL, Luttrell VR. Neuroimaging studies of aggressive and violent behavior: current findings and implications for criminology and criminal justice. Trauma Violence Abuse 2005;6:176-91. https://doi.org/10.1177/1524838005275089
  34. Seto MC. Pedophilia and sexual offending against children: theory, assessment, and intervention. Washington, DC: American Psychological Association;2008.
  35. Seto MC. Pedophilia. Annu Rev Clin Psychol 2009;5:391-407. https://doi.org/10.1146/annurev.clinpsy.032408.153618
  36. Seto MC. Child pornography use and internet solicitation in the diagnosis of pedophilia. Arch Sex Behav 2010;39:591-593. https://doi.org/10.1007/s10508-010-9603-6
  37. Hanson RK, Morton-Bourgon KE. The characteristics of persistent sexual offenders: a meta-analysis of recidivism studies. J Consult Clin Psychol 2005;73:1154-1163. https://doi.org/10.1037/0022-006X.73.6.1154
  38. Seto MC, Lalumie're ML, Harris GT, Chivers ML. The sexual responses of sexual sadists. J Abnorm Psychol 2012;121:739-753. https://doi.org/10.1037/a0028714
  39. Seto MC, Murphy WD, Page J, Ennis L. Detecting anomalous sexual interests in juvenile sex offenders. Ann N Y Acad Sci 2003;989:118-130.
  40. Harris GT, Lalumie're ML, Seto MC, Rice ME, Chaplin TC. The sexual arousal of rapists to rape stories: the contributions of sex, nonconsent, and injury. Arch Sex Behav;2012.
  41. Harris GT, Rice ME. The science in phallometric testing of male sexual interest. Curr Dir Psychol Sci 1996;5:156-160. https://doi.org/10.1111/1467-8721.ep11512355
  42. Lalumiere ML, Harris GT, Quinsey VL, et al. The causes of rape: understanding individual differences in male propensity for sexual aggression. Washington, DC: American Psychological Association; 2005.
  43. Marshall WL, Fernandez YM. Sexual preferences: are they useful in the assessment and treatment of sexual offenders? Aggress Violent Behav 2003;8:131-143. https://doi.org/10.1016/S1359-1789(01)00056-8
  44. Marshall WL, Payne K, Barbaree HE, Eccles A. Exhibitionists: sexual preferences for exposing. Behav Res Ther 1991;29:37-40. https://doi.org/10.1016/S0005-7967(09)80005-3
  45. Freund K, Seto MC, Kuban M. Two types of fetishism. Behav Res Ther 1996;34:687-694. https://doi.org/10.1016/0005-7967(96)00047-2
  46. Chivers ML, Roy C, Grimbos T, Cantor JM, Seto MC. Specificity of sexual arousal for sexual activities in men and women with conventional and masochistic sexual interests. Arch Sex Behav 2014;43:931-940. https://doi.org/10.1007/s10508-013-0174-1
  47. McGrath RJ, Cumming GF, Burchard BL, Zeoli S, Ellerby L. Current practices and emerging trends in sexual abuser management: the Safer Society 2009 North American survey. Brandon (VT): Safer Society;2010.
  48. Glasgow DV. Affinity: the development of a self-report assessment of paedophile sexual interest incorporating a viewing time measure. In: Thornton D, Laws DR, editors. Cognitive approaches to the assessment of sexual interest in sexual offenders. Chichester (United Kingdom): Wiley-Blackwell;2009. p.59-84.
  49. Abel GG, Huffman J, Warberg B. Visual reaction time and plethysmography as measures of sexual interest in child molesters. Sex Abuse 1998;10:81-95. https://doi.org/10.1177/107906329801000202
  50. Quinsey VL, Ketsetzis M, Earls C, Karamanoukian A. Viewing time as a measure of sexual interest. Ethol Sociobiol 1996;17:341-354. https://doi.org/10.1016/S0162-3095(96)00060-X
  51. Harris GT, Rice ME, Quinsey VL, Chaplin TC. Viewing time as a measure of sexual interest among child molesters and normal heterosexual men. Behav Res Ther 1996;34:389-394. https://doi.org/10.1016/0005-7967(95)00070-4
  52. Harris GT, Rice ME, Quinsey VL, Chaplin TC, Earls C. Maximizing the discriminant validity of phallometric assessment. Psychol Assess 1992;4:502-511. https://doi.org/10.1037/1040-3590.4.4.502
  53. Hill A, Habermann N, Berner W, Briken P. Psychiatric disorders in single and multiple sexual murderers. Psychopathology 2006;40:22-28.
  54. Holt SE, Meloy JR, Strack S. Sadism and psychopathy in violent and sexually violent offenders. J Am Acad Psychiatry Law 1999;27:23-32.
  55. Abel GG, Jordan A, Rouleau JL, Emerick R, Barboza-Whitehead S, Osborn C. Use of visual reaction time to assess male adolescents who molest children. Sex Abuse 2004;16:255-265. https://doi.org/10.1177/107906320401600306
  56. Smith G, Fischer L. Assessment of juvenile sexual offenders: reliability and validity of the Abel Assessment for Interest in Paraphilias. Sex Abuse 1999;11:207-216. https://doi.org/10.1177/107906329901100304
  57. Gray SR, Abel GG, Jordan A, Garby T, Wiegel M, Harlow N. Visual Reaction Timeas a predictor of sexual offense recidivism. Sex Abuse 2015;27:173-188 https://doi.org/10.1177/1079063213502680
  58. Gress CL, Anderson JO, Laws DR. Delays in attentional processing when viewing sexual imagery: the development and comparison of two measures. Legal Criminol Psych 2013;18:66-82. https://doi.org/10.1111/j.2044-8333.2011.02032.x
  59. Koss MP, Gidycz CA. Sexual experiences survey: reliability and validity. J Consult Clin Psychol 1985;53:422-423. https://doi.org/10.1037/0022-006X.53.3.422
  60. Bumby KM. Assessing the cognitive distortions of child molesters and rapists: Developments and validation of the MOLEST and RAPE scales. Sexual Abuse. J Res Treat 1996;8:37-54.
  61. Arkowitz S, Vess J. An evaluation of the Bumby RAPE and MOLEST scales as measures of cognitive distortions with civilly committed sexual offenders. Sex Abuse 2003;15:237-249. https://doi.org/10.1177/107906320301500402
  62. Pervan S, Hunter M. Cognitive distortions and social self-esteem in sexual offenders. App Psychol Crim Justice 2002;3:75-91.
  63. Abel GG, Gore DK, Holland CL, Camp N, Becker JV, Rathner J. The measurement of the cognitive distortions of child molesters. Ann Sex Res 1989;2:135-153. https://doi.org/10.1007/BF00851319
  64. Wilson GD. Measurement of sex fantasy. Sex Mari Ther 1988;3:45-55. https://doi.org/10.1080/02674658808407692
  65. Plaud JJ, Bigwood SJ. A multivariate analysis of the sexual fantasy themes of college men. J Sex Marit Ther 1997;23:221-230. https://doi.org/10.1080/00926239708403927
  66. Wilson GD: Measurement of sex fantasy. Sex Marit Ther;1988. p.45-55.
  67. Burt M. Cultural myths and supports for rape. J Pers Soc Psychol 1980;38:217-230. https://doi.org/10.1037/0022-3514.38.2.217
  68. Lee SJ. Development of a Rape Myths Scale. Korean J Soc Pers Psychol 1999;13:131-148.
  69. Lee SJ, Choi SJ. Rape Myths Acceptance and Violent Sexual Behaviors. Korean J Soc Pers Psychol 2001;15:97-116.
  70. Cortoni F, Marshall WL. Sex as a coping strategy and its relationship to juvenile sexual history and intimacy in sexual offenders. Sexual Abuse: J Res Treat 2001;13:27-43. https://doi.org/10.1177/107906320101300104
  71. Check JVP. The Hostility Toward Women Scale. Unpublished doctoral dissertation, University of Manitoba, Winnipeg;1984.
  72. Lonsway KA, Fitzgerald LF. Attitudinal antecedents of rape myth acceptance: A theoretical and empirical reexamination. J Pers Soc Psychol 1995;68:704-711. https://doi.org/10.1037/0022-3514.68.4.704
  73. Carnes P. Sexual addiction screening test. Tenn Nurse 1991;54:29.
  74. Carnes PJ, Hopkins TA, Green BA. Clinical relevance of the proposed sexual addiction diagnostic criteria: relation to the Sexual Addiction Screening Test-Revised. J Addict Med 2014;8:450-461. https://doi.org/10.1097/ADM.0000000000000080
  75. Holland LA, Zolondek SC, Abel GG, Jordan AD, Becker JV. Psychometric analysis of the Sexual Interest Cardsort Questionnaire. Sex Abuse 2000;12:107-122. https://doi.org/10.1177/107906320001200203
  76. Laws DR, Hanson RK, Candice AO, Greenbaum EP. Classification of Child Molesters by Plethysmographic Assessment of Sexual Arousal and a Self-Report Measure of Sexual Preference. J Interpers Viol 2000;15:1297-1312. https://doi.org/10.1177/088626000015012004
  77. Multidimensional Inventory of Development, Sex, and Aggression (MIDSA). MIDSA clinical manual. Bend (OR): Augur Enterprises; 2011. Available at:http://www.midsa.us.
  78. Knight RA, Sims-Knight JE. The developmental antecedents of sexual coercion against women: testing alternative hypotheses with structural equation modeling. Ann N Y Acad Sci 2003;989:72-85.
  79. Multidimensional Inventory of Development, Sex, and Aggression (MIDSA). MIDSA clinical manual. Bend (OR): Augur Enterprises; 2011. Available at:http://www.midsa.us.
  80. Knight RA, Sims-Knight JE. The developmental antecedents of sexual coercion against women: testing alternative hypotheses with structural equation modeling. Ann N Y Acad Sci 2003;989:72-85.
  81. Knight RA, Prentky RA, Cerce DD. The development, reliability, and validity of an inventory for the Multidimensional Assessment of Sex and Aggression. Crim Justice Behav 1994;21:72-94. https://doi.org/10.1177/0093854894021001006
  82. Miner HM, Robinson BE, Knight RA, Berg D, Romine RS, Netland J. Understanding sexual perpetration against children: effects of attachment style, interpersonal involvement, and hypersexuality. Sex Abuse 2009;22:58-77.
  83. Mokros A, Dombert B, Osterheider M, Zappala A, Santtila P. Assessment of pedophilic sexual interest with an attentional choice reaction time task. Arch Sex Behav 2010;39:1081-1090. https://doi.org/10.1007/s10508-009-9530-6
  84. Schatzel-Murphy EA, Harris DA, Knight RA, Milburn MA. Sexual coercion in men and women: similar behaviors, different predictors. Arch Sex Behav 2009;38:974-998. https://doi.org/10.1007/s10508-009-9481-y
  85. Yoon JS, Knight RA. Development of K-MIDSA and sex offender treatment manuals(I). Korean Institute of Criminology, Seoul;2014.
  86. Nichols H, Molinder I. Manual for the multiphasic sex inventory. Tacoma (WA): Crime and Victim Psychology Specialists;1984.
  87. Kalichman SC, Henderson MC, Shealy LS, Dwyer M. Psychometric properties of the Multiphasic Sex Inventory in assessing sex offenders. Crim Justice Behav 1992;19:384-396. https://doi.org/10.1177/0093854892019004003
  88. Craig LA, Browne KD, Beech A, Stringer I. Psychosexual characteristics of sexual offenders and the relationship to sexual reconviction. Psychol Crime Law 2006;12:231-243. https://doi.org/10.1080/10683160500151084
  89. Nichols HR, Molinder I. Manual for the multiphasic sex inventory. 2nd edition. Tacoma (WA): Crime and Victim Psychology Specialists; 2000. Available from Nichols & Molinder, 437 Bowes Drive, Tacoma, WA 98466-70747, USA.
  90. Langevin R, Paitich D. Clarke sex history questionnaire for malesrevised (SHQ-R). North Tonawanda (NY): Multi-Health Systems; 2002.
  91. Curnoe S, Langevin R. Personality and deviant sexual fantasies: an examination of the MMPIs of sex offenders. J Clin Psychol 2002;58:803-815. https://doi.org/10.1002/jclp.2006
  92. Bradford JMW, Pawlak A, Boulet JR. Bradford Sexual History Inventory (BSHI). Ottawa, Ontario, Canada: Royal Ottawa Hospital; 2002. Unpublished inventory.
  93. Kingston DA, Seto MC, Ahmed AG, Fedoroff P, Firestone P, Bradford JM. Central and peripheral hormones in sexual and violent recidivism in sexual offenders. J Am Acad Psychiatry Law 2012;40:476-85.
  94. Firestone P, Bradford JM, Greenberg DM, Larose MR. Homicidal sex offenders: psychological, phallometric, and diagnostic features. J Am Acad Psychiatry Law 1998;26:537-552
  95. Seto MC, Harris GT, Rice ME, Barbaree HE. The screening scale for pedophilic interests predicts recidivism among adult sex offenders with child victims. Arch Sex Behav 2004;33:455-466. https://doi.org/10.1023/B:ASEB.0000037426.55935.9c
  96. Seto MC, Lalumie're ML. A brief screening scale to identify pedophilic interests among child molesters. Sex Abuse 2001;13:15-25. https://doi.org/10.1177/107906320101300103
  97. Seto MC, Lalumie're ML, Blanchard R. The discriminative validity of a phallometric test for pedophilic interests among adolescent offenders against children. Psychol Assess 2000;12:319-327. https://doi.org/10.1037/1040-3590.12.3.319
  98. Nunes KL, Babchishin KM. Construct validity of Stable-2000 and Stable-2007 scores. Sex Abuse 2012;24:29-45. https://doi.org/10.1177/1079063211404921
  99. Canales DD, Olver ME, Wong SC. Construct validity of the violence risk scale-Sexual Offender Version for measuring sexual deviance. Sex Abuse 2009;21:474-492. https://doi.org/10.1177/1079063209344990