Daniel Turner

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Verified

Daniel verified their affiliation via an institutional email.

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• MSc; PhD; M.D.
• PostDoc Position at Universitätsmedizin der Johannes Gutenberg-Universität Mainz

Purpose of review: The recent implementation of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition introduced some important changes in the conceptualization of hypersexuality and paraphilic disorders. The destigmatization of nonnormative sexual behaviors could be viewed as positive, However, other changes are more controvers...

Research has identified stable and dynamic characteristics in child sexual abusers working with children (CSA-W) that may distinguish them from other child sexual abusers (CSA). However, in previous research CSA-W have usually been included in the group of extra-familial CSA (CSA-E). Two hundred and forty-eight forensic-sexological reports about CS...

Introduction: Different clinical guidelines suggest using testosterone-lowering medications (TLM) in sex offender treatment in addition to psychotherapy. Within Germany, there are two officially approved agents. So far, no current data exist about the routine use of TLM in a clinical context. Aim: The present observational study evaluates the fr...

Current theories view impulsivity as an important factor in the explanation of sexual offending. While impulsivity itself is a multidimensional construct, response inhibition and impulsive decision-making are two frequently discussed subcomponents. Impulsivity in sexual offenders could be triggered by sexual cues with high emotional significance. T...

Like nonaffected adults, individuals with autism spectrum disorders (ASDs) show the entire range of sexual behaviors. However, due to the core symptoms of the disorder spectrum, including deficits in social skills, sensory hypo- and hypersensitivities, and repetitive behaviors, some ASD individuals might develop quantitatively above-average or nonn...

Background Men convicted of sexual offenses (MCSO) can be treated with testosterone-lowering medications (TLM) in order to support the control of paraphilic sexual fantasies and to decrease the risk of sexual recidivism. However, due to partly severe side effects, TLM should not be a lifelong treatment. Aim The Change or Stop Testosterone-Lowering...

Our brains have evolved to represent and process sensory information from our environment and use it to guide behavior. The perception of sensory information and subsequent responses, such as boredom, however, vary across situations and individuals, impressively depicted by patients with attentional disorders who show extensive boredom across many...

There is some evidence that testosterone-lowering medications (TLM) may be an effective treatment for men convicted of sexual offenses by attenuating paraphilic sexual fantasies and behaviors and reducing the recidivism risk. To date, however, only little is known about the effects of TLM stopping on risk-relevant aspects. Therefore, the current st...

Intensive Forschungstätigkeit hat in den letzten Jahren zu einem starken Wissenszuwachs über die Aufmerksamkeitsdefizit/Hyperaktivitätsstörung (ADHS) geführt. Vor allem die Erkenntnisse über die Persistenz der Störung über das Kindes- und Jugendalter hinaus und ihre Bedeutung für die langfristige körperliche und psychische Gesundheit der Betroffene...

Introduction Treatment of individuals who have committed sexual offences with Testosterone-Lowering Medication (TLM) is a comparatively intrusive kind of intervention, which regularly takes place in coercive contexts. Thus, the question of efficacy, but also the question of who should be treated, when and for how long, are of great importance. Met...

Im vorliegenden Artikel wird auf der Grundlage aktueller Forschungsergebnisse das Phänomen der Hypersexualität vorgestellt. Mit Hypersexualität wird ganz allgemein quantitativ über der gesellschaftlichen Norm liegendes sexuelles Verhalten beschrieben, z. B. in Form exzessiver Masturbation. Geht das hypersexuelle Verhalten mit Leidensdruck einher od...

Previous research has found some peculiarities in sexual functioning of adults with attention deficit/hyperactivity disorder (ADHD). Using a set of questionnaires that had to be answered online, we assessed the prevalence of paraphilic fantasies and behaviors in a sample of 160 adults with ADHD in comparison to 75 adults without ADHD and evaluated...

One of the most important theoretical developments in the last decades in the field of sex research was the introduction of the Dual Control Model (DCM) by John Bancroft and Erick Janssen. The DCM postulates that the degree of sexual arousal depends on the individual responsiveness of two distinct neurophysiological systems: sexual excitation and s...

This presentation is the second part of a talk about pathways to sexual offending. In this part, the construction process of our newly developed rating scale for the assessment of four pathways to sexual offending is explained. First, the shortcomings of already existing item/indicator lists are addressed. Thus, our goal was to develop a structured...

Introduction: In offending populations, prevalence rates of mental disorders are much higher than in the general population. Nevertheless, it is unclear whether mental disorders can improve the prediction of recidivism beyond actuarial risk assessment tools. Methods: The present prospective-longitudinal study was conducted between 2001 and 2021 and...

Objective Despite the growing body of research on individuals convicted of child sexual exploitation material (CSEM), relatively little is known about the prevalence of mental disorders in this population. The aim of the present study was to describe the prevalence of mental disorders among individuals convicted of CSEM offenses. Methods This cros...

Introduction: In offending populations, prevalence rates of mental disorders are much higher than in the general population. Nevertheless, it is unclear whether mental disorders can improve the prediction of recidivism beyond actuarial risk assessment tools. Methods: The present prospective-longitudinal study was conducted between 2001 and 2021...

Background: Individuals convicted of a sexual offense (ICSO) can be treated with testosterone-lowering medication (TLM) in order to support the control of paraphilic sexual fantasies and to decrease the risk of sexual recidivism. However, due to partly severe side effects, TLM should not be a lifelong treatment. Aim: The aim of the current study...

Attention deficit hyperactivity disorder (ADHD) is still a neglected disorder in older adults. The aim of the present study was to examine the prevalence and symptomatology of ADHD and associated psychopathology in adults aged 40–80 years in a German community sample. We examined 539 participants in two age groups: (1) 40–59 years old ( n = 256) an...

Objectives The current guidelines aim to evaluate the role of pharmacological agents in the treatment of patients with compulsive sexual behaviour disorder (CSBD). They are intended for use in clinical practice by clinicians who treat patients with CSBD. Methods An extensive literature search was conducted using the English-language-literature ind...

Besides psychosocial interventions, like psychoeducation and specific psychotherapeutic treatments, e.g., cognitive-behavioral therapy, pharmacological treatments present a key element within the overall therapeutic concept of attention-deficit hyperactivity disorder (ADHD) in children, adolescents, and adults. Currently, three different pharmacolo...

Previous research has found some peculiarities in sexual functioning of adults with attention deficit/hyperactivity disorder (ADHD). So far, the prevalence of paraphilias in adults with ADHD is not known. We assessed the prevalence of paraphilic fantasies and behaviors in a sample of 160 adults with ADHD in comparison to 75 adults without ADHD. Fur...

Introduction ADHD is a neurodevelopmental disorder displaying inattention, hyperactivity, and impulsivity as core symptoms. It can affect several areas of life including sexual health. Clinicians have often made assumptions concerning the bound of specific ADHD symptoms affecting sexual desire by increasing its frequency and intensity. Yet, there i...

This paper comments three recent publications in the Journal of Behavioral Addictions (Brand et al., 2022; Gola et al., 2022; Sassover & Weinstein, 2022). It shortly discusses (1) the role of researcher biases and the significance of the naming of a disorder (here “sexual addiction” and “pornography use disorder”) for stigma and treatment, (2) the...

Im vorliegenden Artikel werden auf der Grundlage aktueller Forschungsergebnisse psychische Auffälligkeiten im Verhalten und Erleben bei Personen, die Abbildungen sexuellen Kindesmissbrauchs konsumieren, dargestellt und diskutiert. Insgesamt zeigt sich, dass sich bei Personen, die allein aufgrund des Konsums von Missbrauchsabbildungen verurteilt wur...

Mental health problems are common among young offenders but their role in predicting criminal recidivism is still not clear. Early identification and treatment of young offenders at risk of serious, violent, and chronic (SVC) offending is of major importance to increase their chances to develop into a healthy and non-criminal future and protect soc...

Background The number of individuals who sexually offended, and who are continued to be treated with pharmacological agents to reduce sex drive after their release from prison or forensic psychiatry, are not known. Furthermore, figures on the number of those who stop their sexdrive supressing antiandrogen treatment in the outpatient setting are unk...

Establishing a secure sexual identity is a major developmental goal of an individual's transition from childhood to adolescence and the years that follow. Attention deficit/hyperactivity disorder (ADHD) as a neurodevelopmental disorder defined by the core symptoms of inattention, hyperactivity, and impulsivity, but also with emotional dysregulation...

Hypersexual disorder (HD) is characterized by an excessively increased frequency and intensity of sexual fantasies, urges, or behaviors and is a recidivsm risk factor for sexual offenses. The present study examined the relevance of HD in predicting sexual recidivism using previously proposed diagnostic criteria for DSM-5. First, we investigated the...

Attention-deficit/hyperactivity disorder (ADHD) and co-existing psychiatric/psychological impairments as well as adverse childhood experiences (ACEs) are common among young offenders. Research on their associations is of major importance for early intervention and crime prevention. Intermittent Explosive Disorder (IED) warrants specific considerati...

In dem folgenden Übersichtsartikel wird ein Einblick in das Phänomen Hypersexualität bzw. der pathologisch gesteigerten Sexualität gegeben, das in den vergangenen Jahrzehnten zuneh-mend in den Fokus der Aufmerksamkeit im Kontext der forensischen Psychiatrie und Psycho-logie gerückt ist. Neben aktuellen Entwicklungen hinsichtlich diagnostischer,k li...

The VRAG-R is a well-established actuarial risk-assessment instrument, which was originally developed for assessing violent recidivism risk in adult male offenders. Whether or not the VRAG-R can also predict violent recidivism in young offenders is unclear so far. In the emergence of juvenile offending, attention-deficit/hyperactivity disorder (ADH...

Comprehensive German book about Psychiatry for medical students.

High rates of adverse childhood experiences (ACEs, e.g. abuse and neglect) have been found in young offenders. Furthermore, ACEs seem to increase the risk of developing relevant mental health problems, in non-offending juveniles and adults. However, this association has only seldomly been addressed in offending juveniles and young adults. The prese...

This chapter provides an overview of the different pharmacological therapeutic approaches in CSBD. It focuses on the following key aspects of an indication: to enhance sexual self-control, reduce sexual drive, treat comorbid psychiatric disorders, and treat a combination of paraphilic disorders with CSBD. The proposed medications include naltrexone...

The Explicit and Implicit Sexual Interest Profile (EISIP; Banse, Schmidt, & Clarbour, 2010) is a multimethod measure of sexual interest in children and adults. It combines indirect latency-based measures such as the Implicit Association Test (IAT), Viewing Time (VT) and explicit self-report measures. This study examined test-retest reliability and...

Zusammenfassung Menschen mit einer Autismus-Spektrum-Störung zeigen die gesamte Vielfalt sexueller Fantasien und sexuellen Verhaltens ebenso wie ihre nichtbetroffenen Peers. Dennoch finden sich auch einige Besonderheiten in sexuellem Erleben und Verhalten bei Menschen mit einer Autismus-Spektrum-Störung, die größtenteils auf die störungsspezifische...

Attention-Deficit/Hyperactivity Disorder (ADHD) is closely linked to the development of conduct problems during socialization in early life and to an increased risk for antisocial activities and delinquency over the lifespan. The interaction between ADHD and common comorbid disorders like substance use disorders as well as changing environmental co...

Objective: Impaired neuropsychological functioning is one possible factor contributing to sexual offending against children. Previous research showed that neuropsychological and especially executive functioning deficits could be related to the two most important risk factors for sexual (re-)offending, namely an antisocial lifestyle and deviant sexu...

Autismus-Spektrum-Störungen (ASS) werden in den letzten Jahren immer häufiger auch im Erwachsenenalter diagnostiziert. Gerade bei hochfunktionalen Menschen mit ASS und einer durchschnittlichen oder überdurchschnittlichen Intelligenz wird die Diagnose häufig übersehen oder durch die augenscheinlichen Komorbiditäten überdeckt 1. Entgegen der vorherrs...

Zusammenfassung Das Selbstregulationsmodell sexueller Rückfälligkeit („self-regulation model of the relapse process“, SRM) stellt eine Theorie zur Ätiologie sexueller Delinquenz und Rückfälligkeit dar, bei der sexuell motivierte Straftaten und Täter unterschiedlichen Rückfallpfaden und Entscheidungswegen zugeordnet werden, von denen aus wiederum au...

Die medikamentöse Behandlung der paraphilen Störung kann bei einigen Männern, die aufgrund einer Sexualstraftat verurteilt wurden oder ein hohes Risiko für die Begehung einer Sexualstraftat aufweisen, eine sinnvolle Ergänzung zur Psychotherapie darstellen. Derzeit werden folgende Pharmaka empfohlen: Selektive-Serotonin-Wiederaufnahme-Hemmer und Tes...

In the literature concerning the etiology of pedosexual interests, the potential role of early sexual experiences in childhood and adolescence has been discussed. Several studies demonstrated a link between own sexually abusive experiences in childhood and sexual offending later in life which tends to be even stronger for pedosexual offenders. Furt...

Stigmatization by health care professionals leads to decreased help-seeking behaviors in those being stigmatized. Prejudicial attitudes are especially pronounced concerning sexually transmitted infections (STIs), which is crucial in light of rising prevalence rates of STIs in recent years. We aimed to examine stigmatization against patients with se...

How does sexual attraction alter social interaction behavior? We examined the influence of sexual orientation on locomotor approach-avoidance behavior and interpersonal distance. We immersed androphilic and gynophilic male subjects into a virtual environment and presented various male and female virtual persons. In the first experiment, subjects to...

Impairments in neuropsychological functioning are emphasized among the core components in etiological models about sexual offending against children. In order to distinguish those neuropsychological deficits that can specifically be found in child sexual abusers, the present systematic review summarizes all studies published between 1980 and 2019 c...

For a particular subgroup of individuals with severe paraphilic disorders and a high risk of sexual recidivism the combination of sex-drive-reducing medications and psychotherapy is a promising treatment approach. The present quasi-experimental study aims at comparing differences in clinical characteristics and dynamic risk factors between persons...

Psychiatric diagnoses, static risk factors, and criminogenic needs at time of admission and release were examined in a mentally ill sample of psychiatrically detained sexual offenders. Although clinically found to be at low or even very low risk at discharge, 12% reoffended sexually over an average follow-up of 7 years. Psychotic disorders were pre...

The dual control model of human sexual behavior proposes that sexual responses involve an interaction between sexual excitatory and sexual inhibitory systems. The Sexual Inhibition/Sexual Excitation Scales (SIS/SES; Janssen, Vorst, Finn, & Bancroft, 2002) as well as its short form (SIS/SES-SF; Carpenter, Janssen, Graham, Vorst, & Wicherts, 2011) as...

https://www.uni-hildesheim.de/rechtspsychologie2019/index.php/programm/13-programm/abstracts/55-s2b-die-relevanz-sexualbiographischer-faktoren-fuer-die-aetiologie-der-paedosexuellen-praeferenzstoerung

Theories on narcissism are traditionally closely related to sexuality. Most research on the association between narcissism and sexual behavior, however, has focused on harmful/maladaptive outcomes. The aim of the present two studies was to examine the possible health-promoting influence of both global and sexual narcissism on sexual function and ge...

Patientinnen und Patienten mit einer Paraphilie berichten über dauerhaft von der sogenannten Norm abweichende sexuelle Fantasien und Verhaltensweisen. Liegt darüber hinaus ein ausgeprägter Leidensdruck vor, oder ein erhöhtes Risiko der Schädigung der eigenen oder anderer Personen, kann die Diagnose einer paraphilen Störung vergeben werden. Da besti...

[The majority of sexual offenders in Germany receive some form of mandatory treatment or community supervision after release from prison. We conducted an online survey to describe the current provision of outpatient aftercare in Germany. All institutions identified as potential treatment and supervision providers were asked to provide data on the c...

Many models of human behavior work in an interaction of a dual system. While one system usually represents controlled and reflective behavioral responses, the other system reflects automatic and impulsive actions. In the impulsive system, positive stimuli initiate approach reactions and negative cues avoidance reactions. Besides stimulus valence, t...

Adults with an Autism Spectrum Disorder (ASD) are characterized by impairments in social interaction and communication, repetitive and stereotyped interests and behaviours as well as hyper-and/or hyposensitivities. These disorder specific symptoms could be associated with the development of sexual disorders. The Dual Control Model of Sexual Respons...

Objective Mental disorders in sexual offenders are relevant in terms of risk assessment and psychotherapeutic and pharmacological treatment. Methods The present cross‐sectional study was conducted between 2001 and 2017 and included 1,511 sexual offenders who were assessed at the Federal Evaluation Center for Sexual and Violent Offenders in the Aus...

The prevalence of borderline personality disorder (BPD) and attention deficit/hyperactivity disorder (ADHD) is significantly higher among offenders compared to the prevalence found in the general population. Both disorders share important diagnostic characteristics and thus it has been suggested that they might follow a common developmental pathway...

Zusammenfassung Aktuelle Leitlinien empfehlen den Einsatz einer antiandrogenen Medikation parallel zu psychotherapeutischen Verfahren in der Behandlung von Patienten und Sexualstraftätern mit einer schweren paraphilen Symptomatik und einem hohen bis sehr hohen Risiko für die Begehung schwerer Sexualstraftaten. Der folgende Beitrag gibt einen Überbl...

Guidelines for pharmacological treatment of patients with paraphilic disorders have been developed by a working group of the World Federation of Societies of Biological Psychiatry (Thibaut et al. 2010 ). With an increasing duration of experience and number of treated patients as well as aging patients, change of or withdrawal from testosterone lowe...

In Germany, depending on a sexual offender's culpability and the severity of the offence, he can be placed either in the forensic-psychiatric or the correctional system. Numbers concerning the pharmacological treatment of sexual offenders for the correctional system are missing so far. In sexual offenders the pharmacological treatment of paraphilic...

Background: Different pharmacologic agents are used in the treatment of paraphilic disorders in sexual offenders or men with a risk of sexual offending, with luteinizing hormone-releasing hormone (LHRH) agonists being the agents introduced more recently to treatment regimens. Aim: To summarize the relevant literature concerning LHRH agonist trea...

Patienten mit einer hypersexuellen Störung präsentieren sich in der sexualmedizinischen und psychiatrischen Praxis mit quantitativ über der Norm befindlichem Sexualverhalten, das zu negativen sozialen und persönlichen Konsequenzen und persönlichem Leidensdruck bei den Betroffenen führt. Epidemiologische Schätzungen nehmen eine Prävalenz von 2% bis...

Objectives The present study aims to evaluate existing policy and practice relating to the use of pharmacological treatments with patients suffering from paraphilic disorders who are at risk of committing further sexual offences. Methods A systematic literature search was conducted to document current legal policies across 26 different countries....

Im Rahmen eines umfassenderen Forschungsprojektes zur Relevanz von psychischen Störungen bei Sexualstraftätern auf deren Rückfallgefahr sowie die entsprechenden Möglichkeiten zur deliktpräventiven Behandlung, wurden retrospektiv und explorativ 109 Sachverständigengutachten über Sexualstraftäter untersucht, die zwischen 2014 und 2016 an zwei univers...

Purpose of review: The combination of the core symptoms, characterizing individuals with autism-spectrum disorder (ASD), can lead to problems in romantic relationships and sexual functioning. The purpose of this article is to review studies on sexuality in individuals with ASD published since January 2016. Recent findings: Individuals with ASD a...

Background To investigate the prevalence of child sex tourism (CST) in a large German community sample, and to compare those who made use of CST with other child sexual abusers regarding established characteristics and risk factors for child sexual abuse. Methods Adult German men were recruited through a German market research panel and questioned...

Purpose of Review Impulsivity is a multifaceted construct and an important personality trait in various mental health conditions. Among personality disorders (PDs), especially cluster B PDs are affected. The aims of this review are to summarize the relevant findings of the past 3 years concerning impulsivity in cluster B PDs and to identify those...

Die diagnostische Kategorie der Störungen der Impulskontrolle vereint unterschiedliche psychische Erkrankungen, die durch sich wiederholende, impulsive Handlungen gekennzeichnet sind, und von den Betroffenen als ich-synton oder ich-dyston erlebt werden. Mit wenigen Ausnahmen beginnen die einzelnen Störungsbilder in der Kindheit oder Adoleszenz. Dif...

Identifying risk factors for sexual abuse in men who work with children and who have already abused a child could lead to more appropriate screening and prevention strategies and is thus of major scientific and societal relevance. A total of 8,649 German men from the community were assessed in an extensive anonymous and confidential online survey....

The present study aims at validating the German version of the Structured Assessment of PROtective Factors (SAPROF) for violence risk in a representative sample of incarcerated adult male sexual offenders. Sexual offenders (n = 450) were rated retrospectively with the SAPROF using the database of the Federal Evaluation Centre for Violent and Sexual...

Der wissenschaftlichen Untersuchung der Stigmatisierung von Menschen mit sexuellem Interesse an Kindern wurde lange Zeit wenig Aufmerksamkeit geschenkt. Im Hinblick auf die Pravention von sexuellem Kindesmissbrauch, die auch die psychotherapeutische Behandlung padophiler Personen einschliest, ist die Beforschung des Stigmas der Padophilie ein wicht...

The majority of medical students and medical healthcare providers do not feel comfortable when addressing sexual problems. It was suggested that more courses in sexual health are needed at medical schools to overcome this shortcoming. To assess medical students' interest in and attitude about sexual health education at medical schools in Germany, a...

An error in the last sentence of the Abstract occurred during the production process. The publisher apologizes for the error. Please see the correct Abstract text here: Although much is currently known about hypersexuality (in the form of excessive sexual behavior) among sexual offenders, the degree to which hypersexual behavior is linked to para-p...

Although much is currently known about hypersexuality (in the form of excessive sexual behavior) among sexual offenders, the degree to which hypersexual behavior is linked to paraphilic and especially pedophilic interests in non-forensic populations has not been established. The purpose of the present study was to elucidate the associations between...