Search results for ‘Subject term:"diagnosis"’ Sort:
Results 1 - 3 of 3
Diagnostic issues, multiple paraphilias, and comorbid disorders in sexual offenders: their incidence and treatment
- Author:
- MARSHALL W. L.
- Journal article citation:
- Aggression and Violent Behavior, 12(1), January 2007, pp.16-35.
- Publisher:
- Elsevier
This paper critically appraises the criteria for DSM diagnoses of the paraphilias relevant to sexual offenders. It is concluded that these criteria leave a lot to be desired and that a more helpful approach would be to rate the features of each type of sexual offender along dimensions ranging from normal to seriously problematic. Next consideration is given to the evidence on the incidence of multiple paraphilias and comorbid disorders. It is not yet completely clear from this evidence that sexual offenders typically have multiple sexual outlets although some obviously do. What is clear is that incidence of comorbid disorders is sufficiently high to warrant concerns about how to effectively address these additional disordered aspects of sexual offenders in treatment. Finally, suggestions are offered about how to address in treatment both multiple paraphilic offenders and those with associated comorbid disorders.
Sexual sadism in sexual offenders: an elusive diagnosis
- Authors:
- MARSHALL W. L., KENNEDY Pamela
- Journal article citation:
- Aggression and Violent Behavior, 8(1), January 2003, pp.1-22.
- Publisher:
- Elsevier
This article considers the various conceptual and operational definitions of sexual sadism as this has been diagnosed among sexual offenders. The most persistent problem this review identified concerns the criteria of the fusion of sexual arousal with one or more of the various features of the offenders' actions or of the victims' responses. Not only do the definitions of sadism vary considerably in what it is that is thought to provoke sexual arousal, the operationalization of these definitions also varies. Furthermore, none of the operational definitions appears to satisfactorily or reliably measure sadism. In face of these discouraging observations we recommend abandoning the present diagnostic criteria and shifting to a dimensional approach to defining sadism.
Issues concerning the reliability and validity of the diagnosis of sexual sadism applied in prison settings
- Authors:
- MARSHALL W. L., KENNEDY Pam, YATES Pamela
- Journal article citation:
- Sexual Abuse a Journal of Research and Treatment, 14(4), October 2002, pp.301-311.
- Publisher:
- Sage
... there were differences, the data indicated that the nonsadists were the most deviant. The results are discussed in terms of their meaning for both forensic practice in prisons and the value of the diagnosis of sexual sadism.