title: Assessment of the paraphilias.
abstract: Paraphilias are recurrent, persistent, and intense sexual interests in atypical objects or activities. The most commonly encountered paraphilias in sexological or forensic settings are pedophilia, sexual sadism, exhibitionism, and voyeurism. Paraphilias are often comorbid with other sexual, mood, and personality disorders. Assessment and diagnosis require an integration of multiple sources of clinical information, given the limits and biases of self-report (through clinical interview or questionnaires). Clinicians ideally have access to more objective assessment methods, such as phallometric testing of sexual arousal. The accurate assessment and diagnosis of paraphilias is essential to effective treatment and management.
authors.affiliation: Royal Ottawa Health Care Group, uOttawa Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, Ontario K1Z 7K4, Canada. Electronic address: michael.seto@theroyal.ca.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Seto
authors.affiliation: Royal Ottawa Health Care Group, uOttawa Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, Ontario K1Z 7K4, Canada.
authors.forename: Drew A
authors.initials: DA
authors.lastname: Kingston
authors.affiliation: Royal Ottawa Health Care Group, uOttawa Institute of Mental Health Research, 1145 Carling Avenue, Ottawa, Ontario K1Z 7K4, Canada.
authors.forename: Dominique
authors.initials: D
authors.lastname: Bourget
mesh_terms: D000328:Adult; D015897:Comorbidity; D005084:Exhibitionism / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology; D015588:Observer Variation; D010262:Paraphilic Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D011569:Psychiatric Status Rating Scales; D014843:Voyeurism / Q000453:epidemiology / Q000523:psychology
keywords: Assessment; Diagnosis; Paraphilias; Pedophilia; Sexual sadism