Psychodiagnostics of Sexual Awareness and of Interpersonal Interaction Attitudes in the Practice of Compulsory Treatment of Patients with Pedophilia and Comorbid Mental Disorders

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Abstract

This article presents the results of a study that assesses the dynamics of the parameters of sexual awareness in mentally sick patients (sexual criminals with pedophilia and comobrid mental disorders in the process of compulsory treatment). 52 patients were examined before and after the course of treatment (psychopharmacological effect combined with antiandrogens and cognitive-behavioral psychotherapy); among which there are 32 subjects with heterosexual pedophilia, 11 subjects - with homosexual pedophilia, 9 subjects - with bisexual pedophilia; 22 subjects (43,3 %) diagnosed with schizophrenia, 18 subjects (34,6%) - with organic personality disorder, 12 subjects (23%) - with mild mental retardation. Methods used: “MiF” - a modified gender identity test; “TsTO” - “Color Test”; "Coding"; Vagner Test (a computer version of the HAND test) and the Drawing Test “Man. Woman. Child». The identified changes make it possible to detect actual targets for psychotherapeutic intervention and can be taken into account when determining the risk of recidivism and of patients’ danger degree.

General Information

Keywords: pedophilia, antiandrogens, psychotherapy, sexual awareness.

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2020100103

For citation: Basinskaya I.A., Bezhenar N.V., Borisova T.Y. Psychodiagnostics of Sexual Awareness and of Interpersonal Interaction Attitudes in the Practice of Compulsory Treatment of Patients with Pedophilia and Comorbid Mental Disorders [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2020. Vol. 10, no. 1, pp. 30–43. DOI: 10.17759/psylaw.2020100103. (In Russ., аbstr. in Engl.)

References

  1. Bodalev A.A., Stolin V.V. Avanesov V.S. Obshchaya psikhodiagnostika [General psychodiagnostics]. Saint-Petersburg: Izd-vo Rech', 2000. 440 p.
  2. Vvedenskii G.E, Kamenskov M.Yu., Shtark L.N., Demidova L.Yu., Makarova T.E., Pavlov G.A. Kompleksnaya seksologo-psikhiatricheskaya otsenka lits s pedofiliei. Sudebno psikhiatricheskaya diagnostika [Complex sexological and psychiatric assessment of persons with pedophilia. Forensic psychiatric diagnostics] / In E.V.Makushkin, A.A.Tkachenk (eds.). Moscow: 2017. pp.247-287.
  3. Dvoryanchikov N.V. Polorolevaya identichnost' u lits s deviantnym seksual'nym povedeniem.  Avtopef. diss. kand. psikhol. nauk. [Gender-role identity in persons with deviant sexual behavior. Ph. D. (Psychology) Thesis]. Moscow, 1998. 28 p.
  4. Dvoryanchikov N.V., Gerasimov A.V., Tkachenko A.A. Psikhologicheskie osobennosti lits s parafiliyami [Psychological features of persons with paraphilia] // Anomal'noe seksual'noe povedenie [Abnormal sexual behavior] / In A.A. Tkachenko (eds.). Moscow:1997. pp.60-91.
  5. Makarova T.E., Dvoryanchikov N.V. Age and gender identity in the perpetrators of sexual violence against children [Elektronnyi resurs]. Psikhologiia i pravo [Psychology and Law], 2013. Vol. 3, no. 3 (In Russ., аbstr. in Engl.)
  6. Dvoryanchikov N.V., Makarova T.E., Yushina N.N. Perception features of the sexual preference object in persons with pedophilia depending on the attitude to sexual desire [Elektronnyi resurs]. Psikhologiia i pravo [Psychology and Law], 2016. Vol. 6, no. 1, pp. 120–131. doi:10.17759/psylaw.2016060110. (In Russ., аbstr. in Engl.)
  7. Dvoryanchikov N.V., Yushina N.N., Makarova T.E. Gender identity of pedophiles and its role in the implementation of abnormal sexual attraction  [Elektronnyi resurs]. Psikhologiia i pravo [Psychology and Law], 2018. Vol. 8, no. 3, pp. 179–189. doi:10.17759/psylaw.2018080313. (In Russ., аbstr. in Engl.)
  8. Makushkina O.A.,Kazakovtsev B.A. Otsenka effektivnosti profilaktiki obshchestvenno-opasnykh deistvii psikhicheski bol'nykh [Evaluation of the effectiveness of prevention of socially dangerous actions of mentally ill people] //  Psikhicheskoe zdorov'e [Mental health] . 2012. no. 4. pp.3-11.
  9. Makushkina O.A., Simbirtsev A.A. Kharakteristiki i prediktory povtornogo opasnogo povedeniya bol'nykh s tyazhelymi psikhicheskimi rasstroistvami [Characteristics and predictors of repeated dangerous behavior of patients with severe mental disorders] // Psikhicheskoe zdorov'e [Mental health]. 2014. no. 11. pp. 26-33.
  10. Makhover K. Proektivnyi risunok cheloveka [Proektivnye drawing of a man]. Moscow: Izd-vo Smysl, 2014. 160 p.
  11. Safuanov F.S. Topical Theoretical and Methodological Issues of Complex Psychological and Psychiatry Inquiry [Elektronnyi resurs]. Psikhologiia i pravo [Psychology and Law], 2011. Vol. 1, no. 2 (In Russ., аbstr. in Engl.)
  12. Starovich Z. Sudebnaya seksologiya [Judicial sexology]. Moscow: Yuridicheskaya literatura, 1991. 178 p. 
  13. Tainstvnnyi A. Pedofiliya i detskaya pornografiya v kontekste sovremennogo obshchestva [Pedophilia and child pornography in the context of modern society] // Nezavisimyi psikhiatricheskii zhurnal [Independent psychiatric journal]. 2016. no.1. pp.18-39.
  14. Tkachenko A.A., Kamenskov M.Yu., Demidova L.Yu. Sovremennaya diagnostika rasstroistv seksual'nogo predpochteniya (mezhdunarodnyi opyt) [Modern diagnostics of disorders of sexual preference (international experience)] // Rossiiskii psikhiatricheskii zhurnal [Russian psychiatric journal]. 2017. no.6.  pp. 60-69. 
  15. Etkind A.M. Tsvetovoi test otnoshenii [Color test against]. Moscow:1987. pp. 221-227.
  16. Codispoti V. Pharmacology of sexual compulsive behavior. Shrink The Wedge North, 2008. Vol. 31(4), pp. 671-9. doi :10.1016/ j.psc.2008.06.002.
  17.  Guay Dr. Medical treatment of paraphilic and non-paraphilic sexual disorders // Clin Ther. 2009. Vol. 31(1).P.1-31. doi:10.1016 /j.clinthera.2009.01.009.
  18. Moertl K., Buchholz M., Lamott F. Gender constructions of male sex offenders in Germany: narrative analysis from group psychotherapy //  Arch Sex Behavior. 2010. Vol. 39(1). P.203-12. doi: 10.1007 / s10508-009-9588-1
  19. Turner D., Gregorio Hert P, Sauter J. et al. Pharmacological treatment of sexual offenders in German outpatient treatment centers // Int Clin Psychopharmacology. 2018. Vol. 33(6). P. 349-352   doi: 10.1097 / YIC.0000000000000222.
  20. Verdon M.M., Wysocki V.A., Wysocki A.S. Human figure drawing of sex offenders // J Clin Psychol. 1977. Vol. 33(1). P. 278-84.

Information About the Authors

Irina A. Basinskaya, PhD in Medicine, Chief Physician, Orel Psychiatric Hospital of a Specialized Type with Intensive Supervision, Assistant Professor of the Department of Psychiatry and Neurology, Orel State University named after I.S. Turgenev ”(Orel), Orel, Russia, ORCID: https://orcid.org/0000-0003-3445-9285, e-mail: opbstin@ya.ru

Nataliya V. Bezhenar, Medical Psychologist, Orel Psychiatric Hospital of a Specialized Type with Intensive Supervision, Orel, Russia, ORCID: https://orcid.org/0000-0002-4530-9103, e-mail: natali.bejenar@yandex.ru

Tatyana Y. Borisova, Medical Psychologist, Orel Psychiatric Hospital of a Specialized Type with Intensive Supervision, Orel, Russia, ORCID: https://orcid.org/0000-0002-5918-9034, e-mail: tat-logvinova@yandex.ru

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