Treatment of sexual paraphilias: a review of the 1999-2000 literature

Multiplex Versus Multiple Taxonomy of Paraphilia: Case Example

“…The issue of comorbid psychiatric disorders is important, because it may help explain different responses to treatment of men with paraphilia. Antiandrogen treatment, combined with counseling, as in the present case example, is one helpful approach for the management of paraphilias where the individual experiences difficulty in controlling behavior because of the strength of the sexual urges (Lehne, Thomas, & Berlin, 2000;Prentky, 1997;Rosler & Witztum, 2000;Thibaut, Cordier, & Kuhn, 1996). But paraphilias may be expressed in other situations where strong sexual urges are less of a determining factor.…”

Sexuality and intimacy.

“…Within this framework, masochism is considered illegal if one partner does not consent to participate. However, individuals with this particular sexual preference rarely get into legal trouble (Krueger, 2010), and they are much more likely to seek the support of others who share their preference rather than clinicians or other mental health professionals (Lehne, Thomas, & Berlin, 2000).…”

Exploring Potential 'Extra-Familial' Child Homicide Assailants in the UK and Estimating their Homicide Rate: Perception of Risk--The Need for Debate

“…Yet there is evidence that some child sex abusers can be effectively treated, especially via cognitive therapy for the `Sex Only Criminal' type (Becket et al, 1994;Lehne et al, 2000;Nurcombe et al, 2000;Maletzsky & Steinhauser, 2002;Ward et al, 2002), although for the others, as yet, there appears to be nothing in the treatment armoury that can guarantee making them safe (Becket et al, 1994;Bauriedi, 2002). `Sex Only Criminal' offenders are believed to be the most promising to treat because, relative to other abusers, their lives are less chaotic, as evidenced by having no other criminal convictions.…”