{"title":"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？","authors":"Jessica Yakeley, Felicitas Rost, Heather Wood, Safia Abid","doi":"10.1002/pmh.1650","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Since DSM-III, mental disorders have been classified based on overt symptoms and behaviours rather than underlying psychological and personality processes.</p><p><strong>Aims: </strong>This study examines the occurrence of personality dysfunction in individuals with paraphilic disorders and problematic sexual behaviours.</p><p><strong>Method: </strong>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.</p><p><strong>Conclusions: </strong>Paraphilic fantasies and behaviours may be linked to underlying personality pathology, suggesting implications for assessment and treatment.</p>","PeriodicalId":46871,"journal":{"name":"Personality and Mental Health","volume":"19 1","pages":"e1650"},"PeriodicalIF":2.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Paraphilias, problematic sexual behaviours and personality disorder-To what extent are they linked?\",\"authors\":\"Jessica Yakeley, Felicitas Rost, Heather Wood, Safia Abid\",\"doi\":\"10.1002/pmh.1650\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Since DSM-III, mental disorders have been classified based on overt symptoms and behaviours rather than underlying psychological and personality processes.</p><p><strong>Aims: </strong>This study examines the occurrence of personality dysfunction in individuals with paraphilic disorders and problematic sexual behaviours.</p><p><strong>Method: </strong>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.</p><p><strong>Conclusions: </strong>Paraphilic fantasies and behaviours may be linked to underlying personality pathology, suggesting implications for assessment and treatment.</p>\",\"PeriodicalId\":46871,\"journal\":{\"name\":\"Personality and Mental Health\",\"volume\":\"19 1\",\"pages\":\"e1650\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Personality and Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/pmh.1650\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Personality and Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pmh.1650","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Paraphilias, problematic sexual behaviours and personality disorder-To what extent are they linked?
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.
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.
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