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題名 | Penile Tumescence Assessment Used for a Diagnosis of Paraphilia: A Pedophilia Case Report=以陰莖膨脹測量評估性偏好症--一戀童症個案報告 |
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作者 | 薛克利; 吳景寬; 洪琪發; 徐淳建; 文榮光; Hsueh, Ker-li; Wu, Ching-kuan; Hung, Chi-fa; Hsu, Chun-chien; Wen, Jung-kwang; |
期刊 | 長庚醫學 |
出版日期 | 20030200 |
卷期 | 26:2 2003.02[民92.02] |
頁次 | 頁122-127 |
分類號 | 415.8751 |
語文 | eng |
關鍵詞 | 性偏好症; 戀童症; 陰莖膨脹測量; 陰莖電生理阻抗容積評估; Paraphilia; Pedophilia; Penile tumescence assessment; Penile electrobioimpedence volumetric assessment; |
中文摘要 | 本報告以陰莖膨脹測量應用於出現否認的個案,來幫助診斷性偏好症。18歲男性,對一4歲之女童以手指插入陰道方式進行性侵害,接受精神鑑定施以完整之心性評估,個案仍出現否認性偏好經驗。利用陰莖電生理阻抗容積評估,分別於不同的時間區隔施以女幼童及成年好性圖像之視覺刺激,進行陰莖膨脹測量,發現兩者均有反應,且前者大於後者,判定應有戀童病之診斷。性偏好症之心性評估常因個案出現否認有其限制,臨床上利用陰莖膨脹測量來協助性偏好病之診斷,應比單獨施以心性評估更為可靠,為求能更正確診斷性偏好症仍須進一步研究。 |
英文摘要 | We report on the use of penile tumescence assessment to diagnose a paraphiliac client who was in denial about this problem. An 18-year-old male was accused of sexually assaulting a 4-year-old girl using physical restraint and vaginal penetration with a finger. During a psychiatric evaluation requested by the court, a comprehensive psychosexual assessment revealed that the subject was in denial about clarification of the paraphiliac experience. Penile tumescence under distinct visual stimulus was evaluated with electrobioimpedence volumetric assessment using child and adult female pictures in separate time frames. Both types of stimuli evoked arousal responses. However, child female stimuli demonstrated stronger responses than did adult female one. Deviant sexual interest in children as well as a diagnosis of pedophilia was implied. Paraphiliacclients tend to be in denial toward psychosexual assessment which limits the interpretation of its results. Penile tumescence assessment may be more reliable than psychosexual assessment alone for detecting and diagnosing paraphila. Further study is warranted in order to aid in more accurate diagnoses of paraphilia. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。