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Is lesser severity of child sexual abuse a reason more males report having liked it? 儿童性虐待的严重性较轻是更多男性喜欢儿童性侵的原因吗?
Pub Date : 1991-04-01 DOI: 10.1177/107906329100400202
G. Fischer
The present study tested the possibility that more males than females have positive feelings about child sexual abuse and/or regard the experience as inconsequential because their abuse is less serious (i.e., less invasive) due perhaps to the lesser incidence of incestuous abuse in males. College students who self-reported child sexual abuse on an anonymous sex survey and who described the nature of their abuse were compared on two measures of severity of abuse: (1) the objective severity of what they said happened and (2) the subjective amount of stress they felt at the time it occurred and now. Results affirmed that males were more likely than females to report retrospectively having liked the child sexual abuse (28% vs. 5%), and absolutely more males than females reported having experienced no stress from the abuse in the past or now (21% vs. 7%). As expected, incestuous child sexual abuse was objectively more severe than non-incestuous abuse, and there was a much greater incidence of incestuous abuse of females. Unexpectedly, however, the abuse of males was not significantly less severe than the abuse of females, whether measured objectively or subjectively.In spite of the greater severity of incestuous child sexual abuse and its greater incidence in females, female victims subjectively rated incestuous abuse as less stressful than non-incestuous abuse, while males rated it more stressful. Because incestuous abuse of females was exclusively heterosexual, and 2 out of 3 cases of incestuous abuse of males was homosexual, females may defensively diminish the impact of incestuous abuse by older male relatives, while males are less able to use this defense, because their incestuous abuse is mostly homosexual.
目前的研究测试了一种可能性,即男性比女性对儿童性虐待有更积极的感觉,或者认为这种经历无关紧要,因为他们的虐待不那么严重(也就是说,侵犯性较小),这可能是由于男性乱伦虐待的发生率较低。在一项匿名性调查中,对自述儿童性虐待的大学生和描述其虐待性质的大学生进行了两项虐待严重程度的比较:(1)他们所说发生的事情的客观严重程度;(2)他们在事件发生时和现在感受到的主观压力程度。结果证实,男性比女性更有可能回顾报告喜欢儿童性虐待(28%比5%),并且男性比女性绝对更多地报告过去或现在没有受到虐待的压力(21%比7%)。正如预期的那样,乱伦儿童性虐待在客观上比非乱伦虐待更为严重,而且对女性的乱伦虐待发生率要高得多。然而,出乎意料的是,无论是客观地还是主观地衡量,虐待男性的严重程度并不明显低于虐待女性。尽管乱伦儿童性虐待的严重性更大,在女性中的发生率也更高,但女性受害者主观上认为乱伦虐待比非乱伦虐待的压力更小,而男性则认为它的压力更大。因为对女性的乱伦虐待完全是异性恋,而对男性的乱伦虐待三分之二是同性恋,女性可能会防御性地减少年长男性亲属乱伦虐待的影响,而男性则不太能够利用这种防御,因为他们的乱伦虐待大多是同性恋。
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引用次数: 18
A comparison of incestuous biological and stepfathers 乱伦亲生父亲和继父的比较
Pub Date : 1991-04-01 DOI: 10.1177/107906329100400203
R. Langevin, R. Watson
Biological and stepfathers who committed incestuous acts on their daughters were compared on sexual history and preference and on personality, using the Phallometric Test of Erotic Preference (Freund & Blanchard, 1989), the Clarke Sex History Questionnaire (Langevin, et al, 1990), and the Minnesota Multiphasic Personality Inventory (MMPI). The cases were drawn from a data base of 200 incest offenders seen for psychological assessment. Results showed that the two groups of fathers did not differ significantly in their penile responses to pictures of men, women, boys, and girls, and most showed largest responses to adult females. However a significant percentage of both groups showed largest responses to children, indicating pedophilia. Although there was considerable individual variation in sexual history, offenders in both groups had most of their sexual experiences with adult females. Experiences with males were infrequent and limited to adults. The two groups showed few differences in personality. Nevertheless substantial numbers of offenders in both groups showed anxiety, disturbed family background and confused thinking. The results overall showed few differences between incestuous biological and stepfathers in sexual history and preferences and in personality. Similar dynamics appear operative in the two groups, i.e., pedophilia, limited sexual history, and personality pathology are present in selected cases. Possible group differences in other factors prominent in sexual offenders, e.g., substance abuse or neuropsychological impairment, have yet to be examined.
采用情色偏好的性取向测试(Freund & Blanchard, 1989)、Clarke性史问卷(Langevin, et al, 1990)和明尼苏达多相人格量表(MMPI),比较对其女儿实施乱伦行为的亲生父亲和继父的性史、性偏好和个性。这些案例是从一个数据库中挑选出来的,该数据库包含200名被用于心理评估的乱伦罪犯。结果显示,两组父亲对男性、女性、男孩和女孩图片的阴茎反应没有显著差异,大多数父亲对成年女性的反应最大。然而,两组中都有很大比例的人对儿童的反应最大,这表明他们有恋童癖。尽管在性史上存在相当大的个体差异,但两组罪犯的性经历大多是与成年女性发生的。与男性的接触很少,而且仅限于成年人。这两组人在性格上几乎没有什么不同。然而,两组中都有相当数量的罪犯表现出焦虑、家庭背景混乱和思维混乱。结果显示,乱伦的亲生父亲和继父在性史、性偏好和个性方面几乎没有差别。在这两组中出现了相似的动态,即在某些病例中存在恋童癖、性史有限和人格病理学。在性犯罪者的其他突出因素上可能存在的群体差异,例如药物滥用或神经心理障碍,还有待研究。
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引用次数: 19
The use of Medroxyprogesterone Acetate to assist in the treatment of sexual offenders 使用醋酸甲孕酮协助治疗性犯罪者
Pub Date : 1991-04-01 DOI: 10.1177/107906329100400201
B. Maletzky
Within a population of 5132 sexual offenders referred to an outpatient sexual abuse clinic, the first 100 cases receiving Medroxyprogesterone Acetate (MPA) as a long-acting intramuscular injection were retrospectively reviewed and compared to a matching cohort which did not receive the drug. MPA appeared to be a safe and effective short-term supplement to an ongoing treatment program emphasizing behavioral, cognitive, group, and family therapy approaches. Data indicate no interference with concurrent treatment approaches and no irreversible side-effects, although caution is advised regarding prolonged use of this medicine, as long term effects of MPA were not examined.These findings also help in defining the characteristics of sexual offenders who are most likely to need, and to benefit from, MPA. Those with histories of hypersexuality, poor sexual impulse control, developmental disabilities, aggressive sexuality, homosexual pedophilia, multiple paraphilias, and predatory patterns of inappropriate sexual behavior merit consideration for MPA. However, the drug should be employed as an aid, particularly early in therapy, rather than as a treatment by itself.Findings are offered with the caution that data collection and statistical analyses were relatively unsophisticated. Recommendations for further investigation are offered.
在5132名性犯罪者中,我们对前100名接受醋酸甲羟孕酮(MPA)作为长效肌肉注射的患者进行了回顾性研究,并与未接受该药物的匹配队列进行了比较。对于正在进行的强调行为、认知、团体和家庭治疗方法的治疗方案,MPA似乎是一种安全有效的短期补充。数据显示,对同时使用的治疗方法没有干扰,也没有不可逆的副作用,但由于没有检查MPA的长期影响,建议谨慎长期使用该药。这些发现也有助于界定性犯罪者的特征,他们最有可能需要并受益于心理创伤治疗。那些有性欲亢进、性冲动控制能力差、发育障碍、攻击性性行为、同性恋恋童癖、多次性反常和掠夺性不当性行为模式的人值得考虑患MPA。然而,这种药物应该作为辅助手段,特别是在治疗的早期,而不是作为一种治疗手段。这些发现是在数据收集和统计分析相对简单的情况下提出的。提出了进一步调查的建议。
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引用次数: 28
Cardiovascular changes associated with sexual arousal and orgasm in men 心血管变化与男性性唤起和性高潮有关
Pub Date : 1991-04-01 DOI: 10.1177/107906329100400204
B. Graber, S. Balogh, D. Fitzpatrick, S. Hendricks
Indices of cardiovascular function were measured in seven men while they masturbated to ejaculation. Cardiac electrical activity, respiration, finger pulse, and anal contractions were monitored. Orgasm was determined by the onset of anal contractions. While there were marked individual differences, reliable changes were observed in heart rate, pulse transit time, pulse amplitude, and pulse rise velocity during masturbation. In addition, we were able to identify specific changes in some of these measures during the few seconds prior to the onset of anal contractions, during these contractions, and after their termination. Based upon these observations, we propose a characterization of the autonomic activity associated with sexual arousal and orgasm in men which differs from that currently provided in the literature. Specifically, we propose that the critical autonomic event associated with orgasm is an acute increase in parasympathetic activity in the presence of elevated sympathetic tone.
研究人员测量了7名男子从手淫到射精时的心血管功能指标。监测心电活动、呼吸、指脉和肛门收缩。高潮是由肛门收缩的开始决定的。虽然存在明显的个体差异,但在手淫过程中,心率、脉冲传递时间、脉冲幅度和脉冲上升速度都有可靠的变化。此外,我们能够在肛门收缩开始前的几秒钟内,在这些收缩中,以及在它们结束后,确定一些具体的变化。基于这些观察,我们提出了一种与男性性唤起和性高潮相关的自主神经活动的特征,这种特征与目前文献中提供的不同。具体来说,我们提出与性高潮相关的关键自主神经事件是在交感神经张力升高的情况下副交感神经活动的急剧增加。
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引用次数: 3
Sexual abusers: The case for treatment 性虐待者:治疗的案例
Pub Date : 1991-01-01 DOI: 10.1007/BF00850137
Robert D. Card
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引用次数: 2
Denial and minimization among sex offenders 性犯罪者的否认和最小化
Pub Date : 1991-01-01 DOI: 10.1177/107906329100400103
R. Rogers, R. Dickey
Defensiveness in sex offenders (DISO), although a very common phenomenon, is poorly understood by clinicians. Three explanatory models of DISO are explored. Thepathogenic model postulates from a psychodynamic perspective massive repression and denial are operative in the service of ego functions. Thecriminogenic model associates deception with the antisocial characteristics of sex offenders. Theadaptational model assumes that the sex offender is faced with a highly adversarial setting and chooses defensiveness based on its expected utility. Models of malingering are compared and implications of DISO for clinical treatment and management are discussed.
性犯罪者的防卫心理(DISO)虽然是一种非常普遍的现象,但临床医生对其了解甚少。探讨了DISO的三种解释模型。从心理动力学的角度来看,致病模型假设大量的压抑和否认是为自我功能服务的。犯罪源模型将欺骗与性犯罪者的反社会特征联系起来。适应性模型假设性犯罪者面临高度敌对的环境,并根据预期效用选择防御。比较了装病的模型,并讨论了DISO对临床治疗和管理的影响。
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引用次数: 82
Development of the Sexual Awareness Questionnaire: Components, reliability, and validity 性意识问卷的编制:成分、信度与效度
Pub Date : 1991-01-01 DOI: 10.1177/107906329100400104
W. Snell, T. Fisher, Rowland S. Miller
Two separate investigations were conducted to develop an objective self-report instrument, the Sexual Awareness Questionnaire (SAQ), designed to measure four personality tendencies associated with sexual awareness and sexual assertiveness: sexual-consciousness (attention to internal private sexual cues), sexual-monitoring (sensitivity to others' evaluation of one's sexuality), sexual-assertiveness (self-reliance in sexual decision making), and sex appeal-consciousness (awareness of one's own public sexiness). Factor and reliability analyses from both studies confirmed the factorial validity and reliability of the Sexual Awareness Questionnaire. Other results provided evidence supporting the convergent and discriminant validity of the SAQ. All four SAQ subscales tended to be negatively related to measures of sex-anxiety and sex-guilt for both males and females, and sexual-consciousness was directly related to erotophilic feelings. Other findings indicated that men's and women's responses to the four SAQ subscales were related in a predictable fashion to their sexual attitudes, dispositions, and behaviors. Research and clinical applications are discussed.
为了开发一种客观的自我报告工具——性意识问卷(SAQ),我们进行了两项独立的调查,旨在测量与性意识和性自信相关的四种人格倾向:性意识(关注内心私密的性暗示)、性监控(对他人对自己性行为评价的敏感性)、性自信(在性决策上的自立)和性吸引力意识(意识到自己在公共场合的性感)。两项研究的因子和信度分析均证实了性意识问卷的因子效度和信度。其他结果为SAQ的收敛效度和判别效度提供了证据。所有四个SAQ分量表都倾向于与性焦虑和性内疚的测量负相关,而性意识与性喜感直接相关。其他研究结果表明,男性和女性对四个SAQ分量表的反应与他们的性态度、性倾向和性行为有可预测的关系。讨论了研究和临床应用。
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引用次数: 91
The long-term psychological effects of child sexual abuse 儿童性虐待的长期心理影响
Pub Date : 1991-01-01 DOI: 10.1177/107906329100400102
C. Bagley
Work on the long-term mental health sequels of child sexual abuse in Britain and Canada, in relation to family context, is reviewed. It is argued that the Canadian data show that sexual abuse in childhood is quite prevalent for both males and females, and is particularly prevalent in dysfunctional families. Such abuse often has a negative impact on self-esteem, and increases depression, suicidal feelings and behavior, and poor mental health. Further cross-cultural work in this field is proposed.
本文审查了英国和加拿大在家庭背景下关于儿童性虐待的长期心理健康后果的工作。有人认为,加拿大的数据表明,儿童时期的性虐待在男性和女性中都相当普遍,在功能失调的家庭中尤其普遍。这种虐待往往对自尊产生负面影响,并增加抑郁、自杀的感觉和行为,以及精神健康状况不佳。建议在这一领域进一步开展跨文化工作。
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引用次数: 28
The types of heterosexual gender identity disorder 异性恋性别认同障碍的类型
Pub Date : 1991-01-01 DOI: 10.1177/107906329100400105
K. Freund, R. Watson, R. Dickey
The rationale for dividing the clinical spectrum of DSM-III-R male heterosexual gender identity disorder into three types was examined. The DSM-III-R category of fetishism for female attire, was included in the analysis. There were 266 male participants divided into three groups: 172 fetishists for female attire or gender identity patients, 52 androphiles, and 42 gynephiles. A 16 item questionnaire was used to examine the groups. A three factor scale ("Fetishism", "Gender Dysphoria" and "Androphilia") was derived from the questionnaire. Only the Gender Dysphoria Factor Scale successfully differentiated between all four conditions, supporting the notion that the three types of gender identity disorder represent a continuum of degree of severity of gender dysphoria. Defining two of the three types of gender identity disorder in terms of the patients' self-reports on fetishism, as DSM-III-R does, is therefore unnecessary.
将DSM-III-R男性异性恋性别认同障碍的临床谱划分为三种类型的基本原理进行了检验。DSM-III-R中对女性服饰的拜物教也被纳入了分析。266名男性参与者被分为三组:172名女性服装或性别认同患者恋物癖者,52名男性恋物癖者,42名女性恋物癖者。采用16项问卷对各组进行调查。从问卷中得出了一个三因素量表(“恋物癖”、“性别不安”和“恋男癖”)。只有性别焦虑因素量表成功地区分了这四种情况,支持了这三种性别认同障碍代表了性别焦虑严重程度的连续体的观点。因此,像DSM-III-R那样,根据患者对恋物癖的自我报告来定义三种性别认同障碍中的两种是不必要的。
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引用次数: 7
Detecting faked penile responses to erotic stimuli 检测假阴茎对色情刺激的反应
Pub Date : 1990-10-01 DOI: 10.1177/107906329000300401
Robert D. Card, William R. Farrall
Eighteen men were instructed to fake penile responses to discrete sexual stimuli presented auditorily or visually. The same stimuli were presented a second time following instruction on faking. Sexual responses were monitored using a penile plethysmograph (PPG). Further physiological response measures to detect faking attempts included the Galvanic Skin Response (GSR) and respiration (RESP). Faking attempts were found to be more successful to audio than visual stimuli, especially if the stimuli were relatively weaker. Arousal was much more difficult to fake than suppression. The more intense the efforts to fake, and especially following faking instructions, the more transparent the faking efforts. GSR and RESP added measurably to the detection of faked PPG responses which would have appeared otherwise to be genuine responses.
18名男性被要求假装阴茎对听觉或视觉上的性刺激的反应。同样的刺激物在伪装的指导下被呈现了第二次。使用阴茎体积描记仪(PPG)监测性反应。进一步的生理反应检测包括皮肤电反应(GSR)和呼吸(RESP)。研究发现,在声音刺激下假装比在视觉刺激下更容易成功,尤其是在视觉刺激相对较弱的情况下。兴奋比压抑更难伪装。造假的力度越大,尤其是在遵循造假指令的情况下,造假的力度就越明显。GSR和RESP显著地增加了对伪造的PPG反应的检测,否则这些反应会出现真实的反应。
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引用次数: 23
期刊
Annals of sex research
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