title: Digital and divergent: sexual behaviors on the Internet.
abstract: A variety of sexual behaviors occur online, including those that are highly unusual or even plainly illicit. There is a growing body of literature pertaining to sexual abuse of minors that occurs or may be promoted online, but there is a paucity of information regarding other Internet-based sexual interactions, such as manufacturing, dissemination, and online viewing of other atypical sexual material. In this article, I explore and analyze these different practices, which include, but are not limited to, videos of rape, sadomasochism with bodily disfigurement, zoophilia, and necrophilia, with the intention of diminishing the gap in information about this industry. The impact that these behaviors may have on clinical or forensic psychiatric evaluations is discussed, along with pertinent legal regulations and ethics-related considerations.
authors.affiliation: Dr. Klein is Clinical Assistant Professor, Georgetown University Hospital, and Chief Medical Officer, The Maia Institute, Alexandria, VA. cklein@maiainstitute.org.
authors.forename: Carolina A
authors.initials: CA
authors.lastname: Klein
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003416:Criminal Law / Q000331:legislation & jurisprudence; D004882:Erotica / Q000331:legislation & jurisprudence / Q000523:psychology; D005260:Female; D006801:Humans; D020407:Internet / Q000331:legislation & jurisprudence*; D008297:Male; D033242:Minors / Q000331:legislation & jurisprudence / Q000523:psychology; D010262:Paraphilic Disorders / Q000523:psychology; D012742:Sex Offenses / Q000331:legislation & jurisprudence / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology*; D012932:Social Facilitation; D014481:United States