An introduction to the analysis of sexual sadism

Sexual Medicine published by Wiley Periodicals, Inc. This article has been cited by other articles in PMC.

An introduction to the analysis of sexual sadism

Krueger View PDF of this publication includes tables and references. The results of this review were tabulated into a general summary of the criticisms relevant to the DSM diagnosis of Sexual Sadism, the assessment of Sexual Sadism utilizing the DSM in samples drawn from forensic populations, and the assessment of Sexual Sadism using the DSM in non-forensic populations.

I conclude that the diagnosis of Sexual Sadism should be retained, that minimal modifications of the wording of this diagnosis are warranted, and that there is a need for the development of dimensional and structured diagnostic instruments.

Indeed, Sweden recently took the step of removing transvestism, fetishism, and sadomasochism from its official list of diseases and mental disorders The Associated Press, to avoid such discrimination. Further, although the diagnosis of Sexual Sadism is widely used for forensic purposes, it is not reported in diagnostic codes for outpatient ambulatory care.

Survey information from the U. National Ambulatory Medical Care Survey was obtained for outpatient visits for diagnoses involving the sexual and gender identity disorders W. Narrow, personal communication, December 16, Strikingly, no visits with the diagnoses of Sexual Sadism or Sexual Masochism were recorded.

This may reflect concerns about stigmatizing individuals with the application of these diagnoses, as well as absence of presentation of individuals for treatment for these problems.

This article will review the changes in narrative and the critiques of the diagnostic entity of Sexual Sadism, examine existing studies that have used the DSM criteria for Sexual Sadism, and review in particular studies that have examined the reliability, validity, and discriminant validity of such criteria.

Because most of the studies have been conducted on forensic populations consisting of subjects who have been arrested or incarcerated for sexual crimes who one might expect could differ substantially from non-forensic populations, studies done using the DSM on forensic populations will be examined separately from studies done on non-forensic populations.

Finally, discussion and recommendations will be based on the use of this diagnosis for both populations. Further, for ease of reference, several tables have been developed. Articles were culled and attention was focused on articles using the DSM to make diagnoses of Sexual Sadism or offering critiques of the diagnostic criteria for Sexual Sadism or the paraphilias.

Discussion of this literature and the diagnostic criteria were engaged in with colleagues. Over a period of at least six months, recurrent intense sexual urges and sexually arousing fantasies involving acts real, not simulated in which the psychological or physical suffering including humiliation of the victim is sexually exciting to the person; B.

The person has acted on these urges, or is markedly distressed by them see Appendix 1. He proposed an alternative classification, Sexual Interest Disorder, to focus on sexual behavior that becomes a problem that would not identify specific sexual interests, such as sadism, as being pathological in and of themselves.

This would have two criteria: Specific fantasies, sexual urges, or behaviors that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning; B: The sexual interest is not better accounted for by another Axis I disorder, not due to the effects of a general medical disorder, and is not the result of substance use, misuse, or abuse.

Doren discussed many issues related to the diagnosis of paraphilias in forensic settings. He made the point that in the case of pedophilia one could define a numerical threshold such as being caught more than 2 or 3 times for this diagnosis because the penile plethysmographic PPG literature suggested that if a child molester had been caught on several occasions, there was a very strong likelihood i.

On the other hand, attempts to develop the same sort of behavioral definition based on PPG literature had not shown consistent results for men who had assaulted adults. Some rapists showed clear sexual arousal to depictions of rape in PPG laboratories, and some did not, and this precluded using a numerical threshold for defining a rape-related paraphilia in the same way that one could for pedophilia.

An introduction to the analysis of sexual sadism

They rather pessimistically concluded: In conclusion then, after more than years of research and clinical observations we seem no closer to a satisfactory, agreed upon, and reliable diagnosis of sadism than was true when [von] Krafft-Ebing …first described a series of cases he called sadistic.

Our review of the evidence does not encourage confidence that things will improve in the future, so we recommend abandoning the diagnosis. Instead, we suggest that researchers rely on behavioral data to identify their subjects along various dimensions of brutality.

They suggested that more recently there had evolved a different distribution of Sexual Sadism versus Sexual Masochism, with masochism being predominant in outpatient psychiatric facilities and sadism prevailing in forensic settings, supporting the concept of separated diagnoses of sadism versus masochism.

They opined that the paraphilias section was so flawed that it should be removed from the DSM. They suggested that an alternative would be to change the definition of a mental disorder or of paraphilia or both, correct factual statements, adjust criteria for inclusion of a diagnosis, and add safeguards to prevent the misuse of the diagnoses.

They indicated that other psychological characteristics described individuals now diagnosed with a paraphilia who sought psychotherapy, and said that these concerns more accurately reflected their concerns than their sexual interests did.Summary Remember: Do it right the first time.

You only get one chance. —Vernon J. Geberth, M.S., M.P.S., , Homicide and Forensic Consultant, Author of Practical Homicide Investigation®, and the Series Editor of Practical Aspects of Criminal and Forensic Investigations.

The DSM Diagnostic Criteria for Sexual Sadism. Introduction. identified from the media and the FBI’s National Center for the Analysis of Violent Crime. They used a case history protocol based upon the DSM-IV criteria of antisocial personality disorder and sexual sadism, and found that 68 cases met the criteria for antisocial.

An Analysis of Sexual Sadism Albert Fish a psychiatric phenomenon, known for his sexual fetishes is what interested me to research sexual abnormalities. Wide Sargasso Sea is both a response and a prequel to Charlotte Brontë’s Jane Eyre, set in the West Indies and imagining the lives of Bertha Mason and her family.

Bidisha describes how Jean Rhys’s novel portrays the racial and sexual exploitation at the heart of western civilisation and literature.

The author (together with collaborators) describes the skills, techniques, and methods of this scientifically-oriented criminal profiling in 25 chapters organized into sections on introductory issues, forensic victimology, crime scene analysis, offender characteristics, and professional issues (i.e., ethics and trial testimony).".

INTRODUCTION Statement of the Problem Purpose of the Study Definition of a Sex Offender LITERATURE REVIEW Sexual Masochism (receiving humiliation or suffering), Sexual Sadism (inflicting humiliation or suffering), Transvestic Fetishism (cross dressing), and Voyeurism (observing sexual activity) (DSM-IV, ).

Very often, individuals have.

Criminal Profiling: An Introduction to Behavioral Evidence Analysis - Google Books