Citation

Fedoroff JP, Hanson A, McGuire M, Malin HM, Berlin FS. J. Forensic Sci. 1992; 37(3): 902-911.

Affiliation

Forensics Division, Clarke Institute of Psychiatry, Toronto, Canada.

Copyright

(Copyright © 1992, American Society for Testing and Materials, Publisher John Wiley and Sons)

DOI

unavailable

PMID

1629684

Abstract

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.

Language: en