Paraphilias: clinical and medical-legal considerations
Keywords:
PARAPHILIC, REHABILITATION.Abstract
Introduction: paraphilias, recognized as disorders of sexual preference, lead to a morbid relationship, sexual desire or behavior is aberrant, causing intense discomfort, extending over time for six months or more, determining behaviors that contravene good customs and social norms, causing discomfort that sometimes constitute crimes, which can be punished, needing specialized treatment for rehabilitation and enable social demands.
Objective: to underline the clinical peculiarities of paraphilias, the importance of their diagnosis, social significance in their repercussion on modern trends facilitated by the new information and communication technologies, peculiarities of specialized medical-legal treatment that includes rehabilitation and vindication of relations with the social environment.
Methods: logical-dialectical, reflexive and historical methods based on experiences and application of searching methods for up-to-date scientific information.
Results: the particularities of the clinical diagnosis, its specific guidelines and the interest these disorders arouse on the modern means of information, raising the measures that the law authorizes and recommending the best forms of application in these cases guaranteeing their rehabilitation and vindication when they disturb the order or contravene the norms of social coexistence.
Conclusions: the need for a specialized clinical diagnosis based on recognized guidelines is raised, which will provide the medical-legal treatment aimed at imposing measures that will promote continuous, specialized and rigorous treatment aimed at the rehabilitation and re-education of the patient.
Downloads
References
1. Asociación Psiquiátrica de América Latina. Sec. de Diagnóstico y Clasificación. Guía Latinoamericana de Diagnóstico Psiquiátrico. (GLADP). Guadalajara, Jalisco, México; 2004.
2. Mosquera H, Mendoza K, Zambrano E. Parafilias que no se encuentran tipificadas en el código orgánico integral penal. Revista de la Universidad Experimental Politécnica “Antonio José de Sucre” [Internet]. 2018 [citada: 01/09/2018]; (2): 101-108. Disponible en: http://www.uct.unexpo.edu.ve/index.php/uct/article/view/847/693
3. Campo Arias A, Herazo E. Innovations, Reviews and Proposals on the DSM-5: the Case of Sexual Dysfunctions, Gender Dysphoria and Paraphilic Disorders. Rev Colomb Psiquiatr [Internet]. 2018. Jan-Mar [citada: 01/09/2018]; 47(1): 56-64. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29428123
4. Marshall WL, Kingston DA. Diagnostic Issues in the Paraphilias. Curr Psychiatry Rep [Internet]. 2018. Jul-21 [citada: 01/09/2018]; 20(8): 54. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30032364
5. Robert de Carvalho Santos Silva F. Considerations on paraphilic disorder: the interface between psychiatry, psychology and criminal justice. Diagn Tratamento [Internet]. 2017. Jul-Aug [citada: 01/09/2018]; 22(3): 127-33. Disponible en: http://pesquisa.bvsalud.org/portal/resource/es/biblio-848021
6. De Dios Blanco E. Trastorno parafílico: características clínicas de pacientes masculinos atendidos por Sexología Clínica. Rev Hosp Psiq de La Habana [Internet] 2016. [citada 01/09/2018]; 13(3): [aprox. 12p.]. Disponible en: http://www.medigraphic.com/pdfs/revhospsihab/hph-2016/hph163i.pdf
7. Hsu S. Fanon and the New Paraphilias: Towards a Trans of Color Critique of the DSM-V. J Med Humanit [Internet]. 2018. Aug-4 [citada: 01/09/2018]; 40(1):53-68. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30076507
8. Watts AL, Nagel MG, Latzman RD, Lilienfeld SO. Personality Disorder Features and Paraphilic Interests Among Undergraduates: Differential Relations and Potential Antecedents. J Pers Disord [Internet]. 2017. Nov [citada: 01/09/2018]; 33(1):22-48. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29120276
9. Kolta B, Rossi G. Paraphilic Disorder in a Male Patient with Autism Spectrum Disorder: Incidence or Coincidence. Cureus [Internet]. 2018. May-16 [citada 01/09/2018]; 10(5): e2639. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30034961
10. Doshi SM, Zanzrukiya K, Kumar L. Paraphilic infantilism, diaperism and pedophilia: A review. J Forensic Leg Med [Internet]. 2018. May [citada: 2018 Sept 01]; 56: 12-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29525580
11. Codigo Penal. Ley No 62. Aasamblea Nacional del Poder Popular. La Habana. Cuba. Diciembre 29 de 1987.
12. Acoso, abuso y agresión sexual ¿como distinguirlos? [Internet]. EUROPA PRESS; 2018 [citado 18/11/2019]. Disponible en: https://www.europapress.es/epsocial/derechos-humanos/noticia-acoso-abuso-agresion-sexual-distinguirlos-20171104130449.html
13. Definición de agresión sexual y otros elementos [Internet]. 2011 [citado 18/11/2019]. Disponible en: http://www.endvawnow.org/es/articles/453-definicion-de-agresion-sexual-y-otros-elementos.html
14. Rodríguez M. Asalto sexual: qué es, ayuda para víctimas y consecuencias migratorias [Internet]. Thoughtco; 2020 [citado 18/11/2019]. Disponible en: https://www.thoughtco.com/asalto-sexual-que-es-ayuda-para-victimas-y-consecuencias-migratorias-1965276
15. Turner D, Briken P. Treatment of Paraphilic Disorders in Sexual Offenders or Men With a Risk of Sexual Offending With Luteinizing Hormone-Releasing Hormone Agonists: An Updated Systematic Review. J Sex Med [Internet]. 2018 Jan [Citada 01/09/2018]; 15(1): 77-93. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29289377
16. Turner D, Petermann J, Harrison K, Krueger R, Briken P. Pharmacological treatment of patients with paraphilic disorders and risk of sexual offending: An international perspective. World J Biol Psychiatry [Internet]. 2017 Nov [Citada 01/09/2018]; 20(8): 616-625. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29057702
17. Singy P. Cómo ser un Pervertido: una modesta crítica filosófica del Diagnostic and Statistical Manual of Mental Disorders (Manual diagnóstico y estadístico de trastornos mentales). Revista de Estudios Sociales [Internet]. 2012 [citada: 01/09/2018]; (43): 139-50. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0123-885X2012000200012&lng=en&tlng=es
18. Jiménez Díaz R. La génesis de las parafilias sexuales y la homosexualidad egodistónica: el Modelo de los Mecanismos Tensionales. Avances en Psicología Latinoamericana [Internet]. 2012 [citada: 01/09/2018]; 30(1): 146-58. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1794-47242012000100012&lng=en&tlng=es
19. Alfageme Redondo MS, Martínez Pérez-Crespo Á. El papel del impulso sexual como elemento mediador de la autoestima en un agresor sexual con múltiples parafilias. Cuad Med Forense [Internet]. 2016 Jun [citada: 01/09/2018]; 22(1-2): 40-5. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-76062016000100006&lng=es
20. Schöttle D, Briken P, Tüscher O, Turner D. Sexuality in autism: hypersexual and paraphilic behavior in women and men with high-functioning autism spectrum disorder. Dialogues Clin Neurosci [Internet]. 2017 Dec [Citada 01/09/2018]; 19(4): 381–93. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789215/
21. Alanko K, Gunst A, Mokros A, Santtila, P. Genetic Variants Associated With Male Pedophilic Sexual Interest. J Sex Med [Internet]. 2016 [Citada 01/09/2018]; 13(5): 835-42. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27114195/
22. Krueger RB, Reed GM, First MB, et al. Proposals for Paraphilic Disorders in the International Classification of Diseases and Health Problems, Eleventh Revesion (ICD-11). Arch Sex Behav [Internet]. 2017 [Citada 01/09/2018]; 46(5):1529-45. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5487931/
23. Serafim AP, Saffi F, Marques NM, Achá MFF, Oliveira MC. Avaliação neuropsicológica no direito penal. In: Saffi F, Achá MFF, Oliveira MC, Marques NM, Serafim AP, editores. Avaliação neuropsicológica forense. São Paulo: Pearson; 2017. p. 79-108.
24. McManus AM, Hargreaves P, Rainbow L, Alison JL. Paraphilias: definition, diagnosis and treatment. F1000Prime Reports [Internet]. 2013 [citado 20 /11/2014]; 5: [aprox.14 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3769077/
25. Joyal CC. Defining “Normophilic” and “Paraphilic” Sexual Fantasies in a Population-Based Sample: On the Importance of Considering Subgroups. Sex Med [Internet]. 2015 [Citada 01/09/2018]; 3(4): 321-30. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721032/
26. González R, Sandoval JE. Manual de Psiquiatría. La Habana: Editorial Ciencias Médicas; 2019.
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
