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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Although use of buprenorphine in the treatment of opioid dependence is expected to continue to increase, little is known about the optimal setting for providing the medical and psychosocial care required with buprenorphine pharmacotherapy. OBJECTIVE This study compared buprenorphine therapy delivered in three distinct treatment settings: an opioid-treatment program (OTP) offering individual counseling; a group counseling program utilizing the manualized Matrix Model (MMM) of cognitive-behavioral treatment; and a private clinic setting mirroring standard medical management for buprenorphine treatment provided specifically at a psychiatrist’s private practice (PCS). METHOD Participants were inducted on buprenorphine and provided with treatment over a 52-week study duration. All participants were scheduled for weekly treatment visits for the first 6 study weeks, and two sites reduced treatment to monthly visits for dispensing of medication and psychosocial counseling. Outcomes include opioid use, participant retention in treatment, and treatment participation. RESULTS Participants presenting for treatment at the sites differed only by race/ethnicity, and opioid use did not differ by site. Retention differed by treatment site, with the number of participants who stayed in the study until the end of 20 weeks significantly associated with treatment site. The mean number of minutes spent in each individual counseling session also differed by site. Although no difference in opioid use by treatment site was found, results document a significant association between opioid use and buprenorphine dose. DISCUSSION These results show some differences by treatment site, although the similarity and relative ease in which the sites were able to recruit participants for treatment with buprenorphine, and minor implementation problems reported suggests the feasibility of treatment with buprenorphine across various treatment settings. CONCLUSION Similar rates of continued opioid use across study sites and few qualitative reports of problems indicates that treatment with buprenorphine and associated psychosocial counseling are safe and relatively easy to implement in a variety of treatment settings.

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Sexual aggression is a serious and widespread problem in our society. Over the past 15 years considerable effort has been directed toward educating society about the problem and addressing the needs of victims of sexual crimes. Research efforts have focused on both adult and child victims and to a lesser extent on adult sexual offenders. Only recently have any research efforts focused on adolescent offenders. The present study describes the characteristics of 67 male adolescents referred to an outpatient clinic because of deviant sexual behavior. The results of this study indicate that the onset of sexually deviant interests is often in early adolescence and that an effective early treatment could reduce the widespread incidence of sexual crimes and prevent future victimization in our society.

M.P.), New YorkSixty diabetic males complaining of impotence were administered a structured interview and completed nocturnal penile tumescence (NPT) monitoring to categorize their impotence as either organic, psychogenic, or undetermined. A summary score of seven sexual symptoms was found to be effective in differentiating organic from psychogenic impotence. By relying upon these seven sexual symptoms as a screening test, 38% of male impotent diabetics can be spared the expense of NFT monitoring, since the outcome of such monitoring can be predicted from the summary score of these seven symptoms. The correlation between the seven sexual symptoms and the subjects' NPT monitoring results was 0.78, accounting for 61 96 of the variance. Therefore the seven sexual symptoms can be useful in predicting NPT monitoring results before the monitoring is completed. The sensitivity, specificity, and efficiency of the seven sexual symptoms is discussed, as well as the cost efficiency of utilizing this screening device.