Document Detail

Simulated paraphilias: a preliminary study of patients who imitate or exaggerate paraphilic symptoms and behaviors.
MedLine Citation:
PMID:  1629684     Owner:  NLM     Status:  MEDLINE    
In a consecutive series of admissions to the Johns Hopkins Sexual Disorders Unit, 4 out of 20 patients appeared to have simulated paraphilic symptoms that further assessment indicated were either exaggerated or not present. The paper presents case histories of these 4 patients. A descriptive comparison is made between these patients and control groups of patients who admitted having paraphilic symptoms and a group of patients accused of having paraphilic symptoms but who denied them. Patients who simulated paraphilias tended to be self-referred (75%) and without current legal charges (100%). None of these patients was referred or sought treatment for pedophilia, in contrast to the other two patient groups, in which pedophilia accounted for 75% of the referrals. Several possible explanations for why patients might simulate paraphilias and implications for therapists who evaluate or treat sex offenders are discussed.
J P Fedoroff; A Hanson; M McGuire; H M Malin; F S Berlin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of forensic sciences     Volume:  37     ISSN:  0022-1198     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-08-20     Completed Date:  1992-08-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  902-11     Citation Subset:  IM    
Forensics Division, Clarke Institute of Psychiatry, Toronto, Canada.
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MeSH Terms
Exhibitionism / complications,  psychology*
Hallucinations / complications
Homosexuality / complications,  psychology*
Malingering / complications
Paraphilias / complications,  psychology*
Pedophilia / complications,  psychology*
Schizophrenia / complications*

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