This article will present data gathered by the authors through structured clinical interviews of 561 paraphiliacs regarding demographic characteristics, frequency and variety of deviant sexual acts, and number and characteristics of victims. Results show that nonincarcerated sex offenders (1) are well educated and socioeconomically diverse; (2) report an average number of crimes and victims that is substantially higher than that represented in the current literature; and (3) sexually molest young boys with an incidence that is five times greater than the molestation of young girls. The relevance of these findings is discussed.

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It is important to determine the sexual interests of those accused of child molestation. Visual reaction time and plethysmography are two means of measuring sexual interest with some objectivity, but there has been no direct comparison of these methodologies. The reliability and validity of visual reaction time and plethysmography were evaluated in groups of individuals with sexual interest in children of various ages and genders. Results showed that both methods of assessment had a high reliability and validity. Visual reaction time has the added advantages that it can be used without nude slides and is a briefer assessment.

A minority of people who test HIV seropositive continue to engage in sexual behaviour that places their partners at high risk for HIV infection. However, little is known about factors that contribute to sexual risk behaviour among. HIV-seropositive men. In this study, HIV-seropositive men participating in substance abuse support groups and HIV prevention programmes (n = 223) completed measures of demographic characteristics, sexual behaviour history, sensation-seeking (the propensity to seek optimal stimulation), and sexual compulsivity (persistent sexual preoccupations). Twenty-six per cent of the sample reported having recent multiple unprotected sexual intercourse partners. Across support group and prevention programme participants, men with multiple unprotected partners reported greater sexual compulsivity than men with one or no unprotected partners, but groups did not differ in terms of sensation-seeking. Results suggest that intensive therapeutic interventions are needed for a relatively small number of people who may contribute significantly to the HIV epidemic.

Evaluating how a client is doing in therapy is a problem faced by all therapists. This is an especially important issue when the client is a rapist or child molester, since not knowing that his control is poor or that he has failed to respond to treatment may jeopardize the safety of others. Therapists have traditionally relied on the client's selfreport to evaluate how he is doing. This traditional method of assessment in some cases is quite efficient and provides the therapist with extensive details that assist in outlining further treatment plans for the offender. In working with sexual deviates, however, it is quite apparent that in many cases this self-report is totally unreliable. As a consequence, the therapist must rely on other methods to assess his client's progress.For a number of years, penile transducer measures have been used to assess the sexual arousal of various sexual deviates. This is accomplished by the use of a small penile transducer which encircles the penis and records erection responses during the presentation of various sexual stimuli. In recent years, this method has been applied to the assessment of child molesters and sexual aggressives. Abel, Blanchard, Becker, and Djenderedjian summarize their recent work on the use of penile transducers with child molesters and rapists. The correlation of such measures with the sexual aggressive's history of sexual aggressive behavior, the frequency of that behavior, the likelihood of excessive force being used during the commission of a sexual assault, the likelihood of the client being a sadomasochist, and age of the aggressive's preferred victim is discussed. Preliminary data indicate that these physiologic measures have tremendous potential for assisting the therapist in assessing not only the treatment needs of the sexual aggressive, but also his response (or failure to respond) to treatment. valuating a patient's treatment needs and assessing his/her response to treatment has been an ever-present problem for psychiatry and psychology. These same issues develop during the assessment of patients who have raped or molested children.

In a systematic study, 372 sexual assault survivors and 99 women with no history of sexual assault were interviewed with regard to their sexual histories to determine the incidence and types of sexual dysfunctions in these two samples. The women also completed the Sexual Arousability Inventory. Of the sexual assault survivors, 58.6% of the women were experiencing sexual dysfunctions, with 71% of them reporting that their sexual assaults were related to their development of sexual problems. In contrast, only 17.2% of the nonassaulted women reported experiencing any sexual problems. Differences in the types of sexual problems experienced by the two samples are noted, as are treatment implications. The sensitivity of the Sexual Arousability Inventory to assault-related sexual dysfunctions was affected by the educational level of the sexual assault survivors.