Paraphilia‐Related Disorders—Common, Neglected, and Misunderstood

@article{Kafka1994ParaphiliaRelatedDN,
  title={Paraphilia‐Related Disorders—Common, Neglected, and Misunderstood},
  author={Martin P. Kafka},
  journal={Harvard Review of Psychiatry},
  year={1994},
  volume={2},
  pages={39–40}
}
  • M. Kafka
  • Published 1 May 1994
  • Psychology
  • Harvard Review of Psychiatry
Although Freud’s‘ groundbreaking psychoanalytic formulations regarding normal and pathological infantile and childhood sexuality were central to his etiologic hypotheses regarding neurosis, we still lack a rigorous, data-based science of human sexual behaviors. Determining the prevalence, form, and frequency of sexual behaviors that are culturally proscribed is therefore a formidable undertaking. Paraphilias are a group of sexual impulse disorders currently characterized by four dimensional… 
The Paraphilia-Related Disorders: A Proposal for a Unified Classification of Nonparaphilic Hypersexuality Disorders
This article introduces a description of a group of nonparaphilic hypersexual behavior disorders, the paraphilia-related disorders (PRDs). The rationale for the definition and characterization of
The paraphilia-related disorders: an empirical investigation of nonparaphilic hypersexuality disorders in outpatient males.
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The data suggest that social disadvantage, as assessed in this sample, is associated with the cumulative incidence of SIDs but not necessarily with the diathesis to develop paraphilic disorders.
The Paraphilia‐Related Disorders: An Investigation of the Relevance of the Concept in Sexual Murderers *
TLDR
The PA+PRD group had the most lifetime cumulative sexual impulsivity disorders, more developmental problems, the highest persistent frequency of sexual activity, thehighest number of previous sexual offences, more sexual sadism, and compulsive masturbation.
Hypersexual Desire in Males: Are Males With Paraphilias Different From Males With Paraphilia-Related Disorders?
  • M. Kafka, J. Hennen
  • Psychology, Medicine
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  • 2003
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Although hypersexual desire, a quantitative measure of enacted sexual behaviors, may be a meaningful construct for clinically derived samples, the incidence and prevalence of hyper sexual desire in community samples of males with paraphilias and paraphilia-related disorders is unknown.
Current Concepts in the Drug Treatment of Paraphilias and Paraphilia-Related Disorders
TLDR
Based on the available animal and clinical literature, diminished central serotonin (5-hydroxytryptamine; 5-HT) neurotransmission may be involved in the aetiology of human sexual impulse disorders.
Sex Offending and Sexual Appetite: The Clinical and Theoretical Relevance of Hypersexual Desire
  • M. Kafka
  • Psychology
    International journal of offender therapy and comparative criminology
  • 2003
TLDR
Data are presented suggesting that clinical samples of males with paraphilias, paraphilia-related disorders, and sexual coercion may be associated with disinhibited sexual appetite, and an integrated combination of psychotherapeutic and psychopharmacologic interventions are needed to address these conditions.
Sexual Deviancy: Diagnostic and Neurobiological Considerations
TLDR
Clinical and neurobiological characteristics of the paraphilias are discussed and an overview of basic principles that are germane to the subject matter are presented.
Hypersexual Desire in Males: An Operational Definition and Clinical Implications for Males with Paraphilias and Paraphilia-Related Disorders
  • M. Kafka
  • Psychology
    Archives of sexual behavior
  • 1997
TLDR
Clinical implications of reconceptualizing PAs and PRD as sexual desire disorders are discussed.
Sexual Disorders: Dysfunction, Gender Identity, and Paraphilias
Sexual disorders in the Diagnostic and Statistical Manual for DSM-5 are divided into three major categories: 1) sexual dysfunctions, problems in sexual desire or disturbances in the psychophysiologic
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