Sexual Life pp 144-162 | Cite as

Paraphilia, Dissociation, and Sexual Abuse

  • Stephen B. Levine
Part of the Critical Issues in Psychiatry book series (CIPS)


We are only now discovering the extent of sexual abuse of children. We are only now beginning to sense the adult sexual and emotional consequences of not protecting the young from overwhelming physical intimacies.


Sexual Behavior Sexual Abuse Child Sexual Abuse Child Molester Sexual Addiction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Freud S: Three essays on the theory of sexuality, in Strachy L (ed): The Standard Edition of the Complete Works of Sigmund Freud, Vol 7. London, Hogarth Press (1953) 1905, pp 125–243.Google Scholar
  2. 2.
    Kernberg OF: Aggression and love in the relationship of a couple, in Fogel GL Myers WA, (eds): Perversions and Near-Perversions in Clinical Practice: New Psychoanalytic Perspectives. New Haven, Yale University Press, 1991.Google Scholar
  3. 3.
    Stoller R: Perversion: The Erotic Form of Hatred. New York, Pantheon, 1975.Google Scholar
  4. 4.
    Abel GG, Becker JV, Mittelman MS, et al: Self-reported sex crimes of nonincarcerated parphiliacs. Journal of Interpersonal Violence, 1987; 2–3.Google Scholar
  5. 5.
    Pawlak AE, Boulet JR, Bradford JMW: Discriminant analysis of a sexual-function inventory with intrafamilial and extrafamilial child molesters. Archives of Sexual Behavior, 1991; 20 (1): 27–34.PubMedCrossRefGoogle Scholar
  6. 6.
    Abel GG: Paraphilias, in Kaplan HI and Sadock BJ (eds): Comprehensive Textbook of Psychiatry V. Baltimore, Williams & Wilkins, 1989, pp 1069–1085.Google Scholar
  7. 7.
    Freund K, Blanchard R: The concept of a courtship disorder. Journal of Sex and Marital Therapy, 1986; 12 (2): 79–92.PubMedCrossRefGoogle Scholar
  8. 8.
    Cooper AM: The unconscious core of perversion, in Fogel GI, Myers WA (eds): Perversions and Near-Perversions in Clinical Practice: New Psychoanalytic Perspectives. New Haven, Yale University Press, 1991, pp 17–35.Google Scholar
  9. 9.
    Kaplan LJ: Female Perversions: The Temptation of Emma Bovary. New York, Doubleday, 1991.Google Scholar
  10. 10.
    Freund K: A laboratory method of diagnosing predominance of homo-and hetero-erotic interest in the male. Behaviour Research and Therapy, 1963; 1: 85–93.PubMedCrossRefGoogle Scholar
  11. 11.
    Quinsey VL, Steinman CM, Bergersen SG, Homes TF: Penile circumference, skin conductance, and ranking responses of child molesters and normals to sexual and nonsexual visual stimuli. Behavior Therapy, 1975; 6: 213–219.CrossRefGoogle Scholar
  12. 12.
    Barbaree HE, Marshall WL: Erectile responses amongst heterosexual child molesters, father-daughter incest offenders and matched nonoffenders: Five distinct age preference profiles. Canadian Journal of Behavioral Science, 1989; 21: 70–82.CrossRefGoogle Scholar
  13. 13.
    Yates E, Barbaree HE, Marshall WL: Anger and deviant sexual arousal. Behavior Therapy, 1984; 15: 287–294.CrossRefGoogle Scholar
  14. 14.
    Becker JV, Hunter JA, Stein RM, Kaplan MS: Factors associated with erection in adolescent sex offenders. Journal of Psychopathology and Behavioral Assessment, 1989; 11 (4): 353–362.CrossRefGoogle Scholar
  15. 15.
    Becker JV, Kaplan MS, Tenke CE: The influence of abuse history and denial on erectile response profiles of adolescent sexual perpetrators. Behavior Therapy, 1992; 23: 87–97.CrossRefGoogle Scholar
  16. 16.
    Simon WT, Schouten PGW: Plethysmography in the assessment and treatment of sexual deviance: An overview. Archives of Sexual Behavior, 1991; 20 (1): 75–91.PubMedCrossRefGoogle Scholar
  17. Putnam FW, Guroff JJ, Silberman EK, et al.: The clinical phenomenology of multiple personality disorder: Review of 100 recent cases. Journal of Clinical Psychiatry,1986; 47:285–293.Google Scholar
  18. 18.
    Schultz R, Braun BG, Kluft RP: Multiple personality disorder; phenomenology of selected variables in comparison to major depression. Dissociation, 1989; 2: 45–51.Google Scholar
  19. 19.
    Coons PM, Millstein V: Psychosexual disturbances in multiple personality. Journal of Nervous and Mental Diseases, 1986; 47: 106–110.Google Scholar
  20. 20.
    Berlin F, Meinecke CF: Treatment of sex offenders with antiandrogenic medication: Conceptualization, review of treatment modalities, and preliminary findings. American Journal of Psychiatry, 1981; 138: 601–607.PubMedGoogle Scholar
  21. 21.
    Freund K, Watson R, Dickey R: Does sexual abuse in childhood cause pedophilia? An exploratory study. Archives of Sexual Behavior, 1990; 19 (6): 557–567.PubMedCrossRefGoogle Scholar
  22. 22.
    Wyatt GE: Child sexual abuse and its effects on sexual functioning, in Bancroft J, Davis CM, Ruppel HJ (eds): Annual Review of Sex Research: An Integrative and Interdisciplinary Review Vol II. Lake Mills, Iowa, Society for the Scientific Study of Sex, 1991, pp 249–266.Google Scholar
  23. 23.
    Peters SD, Wyatt GE, Finkelhor D: Prevalence, in Finkelhor D (ed): A Sourcebook on Child Sexual Abuse. Beverly Hills, Sage, 1986, pp 81–87.Google Scholar
  24. 24.
    Briere J, Zaidi LY: Sexual abuse histories and sequelae in female psychiatric emergency room patients. American Journal of Psychiatry, 1990; 146 (12): 1602–1606.Google Scholar
  25. 25.
    Conte JR: Overview of child sexual abuse, in Tasman A, Goldfinger SM (eds): Review of Psychiatry Volume 10. Washington, D.C., American Psychiatric Press, 1991.Google Scholar
  26. 26.
    Friedrich WN: Behavior problems in sexually abused children: An adaptional perspective, in Wyatt G, Powell G (eds): Lasting Effects of Child Sexual Abuse. Newbury Park, CA, Sage, 1988.Google Scholar
  27. 27.
    Wyatt GE, Newcomb M, Riederle M, Notgrass C: The Effects of Child Sexual Abuse on Women’s Sexual Functioning and Psychological Functioning. Newbury Park, CA., Sage, 1992.Google Scholar
  28. 28.
    Gold ER: Long-term effects of sexual victimization in childhood: An attributional approach. Journal of Consulting and Clinical Psychology, 1986; 54: 471–475.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • Stephen B. Levine
    • 1
  1. 1.Center for Human Sexuality, Department of Psychiatry, University Hospitals of ClevelandCase Western Reserve University School of MedicineClevelandUSA

Personalised recommendations