Paraphilias, problematic sexual behaviours and personality disorder-To what extent are they linked?

IF 2 3区医学 Q3 PSYCHIATRY Personality and Mental Health Pub Date : 2025-02-01 DOI:10.1002/pmh.1650

Jessica Yakeley, Felicitas Rost, Heather Wood, Safia Abid

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Abstract

Background: Since DSM-III, mental disorders have been classified based on overt symptoms and behaviours rather than underlying psychological and personality processes.

Aims: This study examines the occurrence of personality dysfunction in individuals with paraphilic disorders and problematic sexual behaviours.

Method: The Shedler-Westen Assessment Procedure (SWAP-200), a clinician-rated assessment measure of personality disorders, was administered in a sample of 303 patients referred to a specialist forensic psychotherapy clinic. Sixty-six percent (N = 200) of the sample were diagnosable with traits of one or more DSM-5 personality disorders, and 35% (N = 106) were diagnosable with categorical DSM-5 personality disorders. When an alternative set of empirically derived personality diagnoses was examined, 94% (N = 285) had significant traits of the personality syndromes, and 62% (N = 188) of the sample met criteria for categorical diagnoses.

Conclusions: Paraphilic fantasies and behaviours may be linked to underlying personality pathology, suggesting implications for assessment and treatment.

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性变态、有问题的性行为和人格障碍--它们在多大程度上有关联？

背景：自 DSM-III 以来，精神障碍的分类一直是基于明显的症状和行为，而不是潜在的心理和人格过程：方法：对转诊到法医心理治疗专科门诊的 303 名患者进行抽样调查，采用由临床医生评定的人格障碍评估方法--Shedler-Westen 评估程序 (SWAP-200)。66%的样本（样本数=200）可诊断为一种或多种DSM-5人格障碍，35%的样本（样本数=106）可诊断为DSM-5分类人格障碍。当研究另一套根据经验得出的人格诊断时，94%（N = 285）的样本具有显著的人格综合征特征，62%（N = 188）的样本符合分类诊断标准：结论：变态幻想和行为可能与潜在的人格病理学有关，这对评估和治疗具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Personality and Mental Health Multiple-

CiteScore

4.80

自引率

14.80%

发文量

期刊介绍： Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.