Meg S Kaplan

• Columbia University

This article presents information on the continuum of sexual behaviors and motivations that are relevant to the consideration of consent: from entities that are illegal and imposed without consent, to those that are legal but may involve civil violations or ambiguity. The complexity of erotic passion will also be discussed.

During the last decade, there has been heated debate regarding whether compulsive sexual behaviour should be classified as a mental/behavioural disorder. Compulsive sexual behaviour disorder has been proposed for inclusion as an impulse control disorder in the ICD-11. It is characterized by a persistent pattern of failure to control intense, repeti...

This chapter will review the noncontact crimes of exhibitionism, voyeurism, possession of child pornography, and interacting with children over the Internet. Epidemiology, comorbidity, offender characteristics, risk of recidivism, relevant diagnoses according to DSM-IV-TR and NB-DSM-5 including methods for making them, and relevant treatment modali...

This chapter reviews the major paraphilic disorders included in DSM-5. Voyeurism and exhibitionism are among the most common paraphilic disorders in clinical studies. The study of neurobiological factors and paraphilic disorders is in its infancy, but it is clear that they play a significant role in paraphilic behavior and paraphilic disorders. Tre...

Use of the Internet has been increasingly associated with sexual behaviors. Referred to as online sexual activity, these sexual behaviors include cybersexual behavior and pornography usage. Child custody evaluators are increasingly being asked to assess the impact of these behaviors on child custody and visitation determinations. In this article, w...

Background: The DSM-5 has been under revision since 1999 and is scheduled for publication in 2013. This article will review the major proposed modifications of the Paraphilias. Method: The information reviewed was obtained from PubMed, PsychInfo, the DSM-5.org website and other sources and reviewed. Results: Pedohebephilia, Hypersexual Disorde...

Background: Sexual offenders continue to occupy the public's attention; a significant proportion of this population is diagnosed with paraphilias. Cognitivebehavioral treatment has been the mainstay of treatment for sex offenders and for the paraphilias for the past three decades. This article will review the history of cognitivebehavioral therapy...

This article reviews the current evidence base for the diagnosis, assessment, and treatment of hypersexual conditions. Controversy concerning this diagnosis is discussed. Terminology and diagnostic criteria, as well as psychological, psychopharmacological, and other treatment approaches, are presented.

This study was conducted to describe Axis I sexual diagnoses of 60 males arrested for possession of child pornography obtained via the Internet and/or attempting to meet children via the Internet. Data was obtained from a chart review of evaluations conducted on 60 males referred for a psychosexual evaluation following an arrest for possession of c...

In this article, the second of a two-part series, the authors present information on the clinical assessment of individuals with paraphilias and hypersexual disorders. They review ethical considerations in the assessment and treatment of individuals with paraphilias. The role of interview and subjective and objective instruments in the assessment o...

In this article, the first of a two-part series, the authors present reasons for considering the paraphilic and hypersexual disorders together and provide an overview of these disorders. The DSM-IV diagnostic criteria for paraphilias are reviewed, and proposed criteria for hypersexual disorders are presented. The question of whether the paraphilic...

A new class of antiandrogen medications, gonadotropin-releasing hormone agonists, offers promise in the treatment of the paraphilias, with substantially less side effects than medroxyprogesterone acetate or cyproterone acetate. This paper reports the results of treatment using a depot suspension of leuprolide acetate on 12 patients with paraphilic...

This article reviews hypersexuality in individuals with neuropsychiatric disorders and its psychopharmacologic treatment. A brief review of the neurology, neuroendocrinology, and neuropharmacology of sexual behavior is presented. Literature describing the occurrence and treatment of hypersexuality in individuals with neuropsychiatric disorders is r...

A Brunswikian Evolutionary-Developmental model was developed to relate the sex offending behavior of adolescents to other forms of social deviance, tracing a history of repeated frustration and failure in various competitive sexual strategies and escalation to more extreme means of obtaining sexual gratification. Four hypothetical constructs were p...

In current clinical work, a comprehensive program for people with severe mental illness must include a component for AIDS prevention. Evidence for this position includes the elevated rates of injection drug use and high risk sexual behaviors as well as high HIV seroprevalence rates among psychiatric patients that confirm the spread of the epidemic...

Test-retest reliability and concurrent validity studies on the Adolescent Sexual Interest Card Sort (ASIC) were conducted in two samples of 38 juvenile sexual offenders, each. Of the 64 items of the ASIC, 60 were found to be significantly correlated across test administrations. Cronbach's coefficient alpha was employed to determine the internal con...

Although there is a body of literature on male sexual offenders, there is a paucity of data on female sexual offenders. In this study, 11 incarcerated female sexual offenders against children were matched with a comparison group of 11 female offenders incarcerated for nonsexual crimes regarding their own prior sexual and physical victimization expe...

As the demand for assessment and treatment of adolescent sexual offenders continues to grow, increasing numbers of clinicians are using penile circumference measures as an objective measure of arousal in this population. The purpose of this study was to examine the relationship between age and sexual arousal as assessed by penile plethysmography in...

Structural equation modeling was used to test a theoretical model of the etiology of deviant sexual aggression by adolescents. The subjects were 117 juvenile male sexual offenders who had been referred from either criminal justice or social service agencies to a clinic that treated offenders. The tested theoretical model included several family fac...

To assess psychiatric impairment and childhood victimization experiences in female child molesters. Eleven incarcerated female child molesters were compared to 11 women imprisoned for nonsexual offenses as to their psychiatric diagnoses based on interviews with the Structured Clinical Interview for DSM-III-R, Outpatient Version (SCID-OP), the SCID...

Describes a cognitive behavioral HIV-prevention program developed for state hospital patients and extended for use with staff members. The program includes 10 group sessions that focus on providing information about AIDS, confronting unsafe behaviors and motivations, and developing coping skills and emotional awareness. Preliminary evaluation indic...

Human sexuality is an integral part of life, and concerns about sexuality may affect an individual throughout the stages of life. Psychologists in clinical practice frequently encounter clients or patients with sexual disorders, and consequently, it is important that such practitioners understand aspects of sexual development and functioning. Many...

Various treatment techniques have been implemented in the attempt to modify atypical sexual interests of adolescent sex offenders. The current exploratory study was designed to measure the effectiveness of verbal satisfaction, one component used in an outpatient, cognitive-behavioral treatment program. Data are presented on 15 adolescent sexual off...

Erectile responses were examined among 83 inner-city male adolescent perpetrators of sexual offenses whose victims were female and ranged in age from children to adults. Responses to 19 audio cues portraying sexual and nonsexual interactions were measured. Profiles were produced from the responses to female cues depicting targets of different ages....

One hundred and sixty adolescent sexual offenders were evaluated by penile plethysmography, using two-minute audiotaped stimulus cues. Results indicate that 80.6% of the adolescents achieved greater than 20% of an erection response. Mean latency from stimulus onset to maximum tumescence was 95 seconds. Mean latency to detumescence from stimulus off...

Twenty adolescent male sexual offenders were evaluated by penile plethysmography on two separate occasions. Stimuli consisted of 19, two-minute audiotaped cues. Test-retest reliability was demonstrated for 15 of the 19 audiotaped vignettes. The highest correlations were found for those sexual behaviors in which the adolescents had engaged.

This study assessed general knowledge of AIDS, beliefs about preventing AIDS, and sexual behavior among two groups of male adolescents at high risk of HIV/AIDS: 60 sexually delinquent males and 57 non‐delinquent runaway males. Significantly fewer sexually delinquent than non‐delinquent (runaway) males had experienced sexual intercourse with a conse...

Studies were conducted on the reliability and discriminative utility of the Adolescent Cognitions Scale for juvenile sexual offenders. Results indicate that the scale had only marginal reliability from test to retest conditions, and did not discriminate between groups of juvenile sexual offenders and youth without a history of sexual perpetration....

Administered the Math Tech Sex Education Test (D. Kirby, 1984) to inner-city male adolescent sex offenders during an initial assessment and after participation in a 40-wk group treatment program, during which 4 weekly group sessions were devoted to sex education. Results indicate that the 45 Ss who completed the entire program significantly shifted...

Studies were conducted on the reliability and discriminative utility of the Adolescent Cognitions Scale for juvenile sexual offenders. Results indicate that the scale had only marginal reliability from test to retest conditions, and did not discriminate between groups of juvenile sexual offenders and youth without a history of sexual perpetration....

Two hundred sixty-four inner-city adolescent males undergoing an evaluation in an outpatient clinic for sex offenders were questioned as to their preference and comfort in talking about sex with a male versus a female interviewer. Overall these adolescents were significantly more comfortable with a female interviewer, p < .05. Of the 135 nonabused...

Depressive symptomatology was assessed in a sample of 246 male juvenile sex offenders using the Beck Depression Inventory. Of these participants, the racial composition was black = 147, Hispanic = 62, Caucasian = 34. Three adolescents elected not to identify their racial origin. Subjects were divided according to their self-reports of having been s...

Reviews research on the short- and long-term impact of sexual assault on a woman's depression level, fear level, sexual functioning, and interpersonal relationships and research on factors that mediate the response to rape. Theories and models proposed to explain patterns of response in sexual assault victims are discussed, with particular emphasis...

One hundred and thirty mothers of adolescent sexual perpetrators were interviewed. Mothers of incest perpetrators (n = 48) were compared to mothers of non-incest perpetrators (n = 82). Results indicated that significantly more mothers of incest perpetrators reported having been physically and sexually abused, having a sexual dysfunction, and having...

Parole officers who supervise sex offenders need to know if parolees continue to be a risk for child molestation after their incarceration. One hundred and twenty convicted child molesters under Parole Supervision were asked to participate in two interviews about their sexual offenses: first by a parolee officer in the parole office and then in a n...

Parole officers who supervise sex offenders need to know if parolees continue to be a risk for child molestation after their incarceration. One hundred and twenty convicted child molesters under Parole Supervision were asked to participate in two interviews about their sexual offenses: first by a parolee officer in the parole office and then in a n...

Sexual abuse occurs at a high rate in the United States. Exact figures are unknown, since incidence rates vary greatly depending upon whether they are obtained from victim surveys, self-reports of offenders, or arrest records.

A majority of adult child molesters report that their deviant interest began prior to the age of 18. This illustrates the need to evaluate adolescents who have molested children. Since self-report of deviant interest is rare in adolescent offenders, psychophysiologic assessment is necessary to help to determine the extent for a deviant interest pat...

Child molestation occurs at a rather high rate in the United States. A reduction may depend on the ability of law enforcement personnel to ascertain the extent to which a child molester continues to be interested in child molestation following incarceration. Seventyfour convicted child molesters under New York State Parole Supervision were intervie...

Twenty-seven parents of adolescent incest perpetrators were interviewed regarding demographic characteristics, prior victimization and abuse, and attitudes about their sons engaging in incestuous behavior. Results indicated that these parents: (a) under-reported physical and sexual abuse of their sons, (b) had a high incidence of being abused thems...

Crime statistics indicate that a high percentage of rapes and child molestations are committed by sexual perpetrators under the age of 18. To determine the psychiatric characteristics of this population, 58 outpatient male adolescent sex offenders were interviewed with structured instruments. Conduct Disorder was the most common diagnosis, while ra...

This paper has described a cognitive-behavioral outpatient treatment program for adolescent sexual offenders. The multicomponent treatment program consists of verbal satiation, cognitive restructuring, covert sensitization, social skills training, anger control training, sex education, and relapse prevention sessions. Data has been presented on 24...

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 recen...

Adolescent incest sexual perpetrators seen at an out-patient clinic were interviewed regarding demographic characteristics and occurrence of deviant and nondeviant sexual behaviors. Results indicate that subjects (1) committed more sexual crimes than they had been arrested for, (2) reported a very early onset of sexual behavior, (3) had additional...

The impact of one's culture on daily activities is inescapable. That impact, whether conscious or not, must in some ways extend to the commission of crimes as well as victim reactions. This category includes citations beyond those about death rituals and includes references about criminal psychology, cultural studies, and forensic psychiatry. A gre...