Features of Sexual Self-Awareness in Patients with Organic Personality Disorder and Multiple Disorders of Sexual Preference

106

Abstract

The article analyzes the results of an empirical study aimed at assessing the dynamics of the parameters of sexual self-awareness and the tendency to aggressive behavior in interpersonal interaction in persons suffering from organic personality disorder with multiple disorders of sexual preference in the process of compulsory treatment. 30 patients were examined before and after the course of treatment (psychopharmacological effects in combination with antiandrogens and cognitive-behavioral psychotherapy). The following methods were used: “MyF”, “CTO”, “Coding”, the “Hands” test of Wagner. The changes in the psychological characteristics and parameters of sexual self-consciousness revealed in the course of the study allowed us to identify actual targets for psychotherapeutic influence and were taken into account by us when determining the assessment of the risk of relapse and the degree of social danger of patients.

General Information

Keywords: multiple disorders of sexual preference, organic personality and behavior disorderanti-androgens, sexual self-awareness, gender-role identity, antipsychotic therapy, forced treat-ment, paraphilia

Journal rubric: Interdisciplinary Studies

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2023130313

Received: 30.01.2023

Accepted:

For citation: Basinskaya I.A., Bezhenar N.V., Borisova T.Y. Features of Sexual Self-Awareness in Patients with Organic Personality Disorder and Multiple Disorders of Sexual Preference [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2023. Vol. 13, no. 3, pp. 175–192. DOI: 10.17759/psylaw.2023130313. (In Russ., аbstr. in Engl.)

References

  1. Tkachenko A.A., Vvedensky G.E. (eds.). Anomal’noe seksual’noe povedenie. Saint Petersburg: Yuridicheskii tsentr Press, 2003. 657 p. (In Russ.).
  2. Antonyan Yu.M. Prestupnoe nasilie kak global’naya problema. Bor’ba s prestupnym nasiliem: Materialy mezhvedomstvennoi nauchno-prakticheskoi konferentsii, posvyashchennoi 75-letiyu Yu.M. Antonyana. Moscow: Vserossiiskii nauchno-issledovatel’skii institut Ministerstva vnutrennikh del Rossiiskoi Federatsii Publ., 2008, pp. 13–15. (In Russ.).
  3. Arutyunyan A.V. O seksual’nykh perversiyakh pri tserebral’nom ateroskleroze. Materialy I s”ezda nevropatologov, psikhiatrov i neirokhirurgov Armenii. Yerevan, 1980, pp. 164–165. (In Russ.).
  4. Babina S.V., Dvoryanchikov N.V. Vozmozhnosti psikhokorrektsionnykh lechebnykh meropriya-tii v otnoshenii lits s anomal’nym seksual’nym predpochteniem [Possibility of psychotherapeutic interventions for people with abnormal sexual preferences] [Elektronnyi resurs]. Psikhologiya i parvo = Psychology and Law, 2015. Vol. 5, no. 2, pp. 53–66. doi:10.17759/psylaw.2015100204 (In Russ.).
  5. Babina S.V., Dvoryanchikov N.V. Vozmozhnosti psikhologicheskoi korrektsii seksual’nykh anomalii v statsionare [Possibility of psychological correction of sexual anomalies in hospital] [Elektronnyi resurs]. Psikhologiya i parvo = Psychology and Law, 2014. Vol. 4, no. 2, pp. 1–17. URL: https://psyjournals.ru/journals/psylaw/archive/2014_n2/69856 (Accessed 07.12.2022). (In Russ.).
  6. Batamirov I.I., Vvedensky G.E., Tkachenko A.A., Perezhogin L.O. Neiropsikhologicheskie osobennosti lits s deviantnym seksual’nym povedeniem. Anomal’noe seksual’noe povedenie. Moscow: Meditsina i pravo, 1997, pp. 174–217. (In Russ.).
  7. Bodalev A.A., Stolin V.V. Avanesov V.S. Obshchaya psikhodiagnostika. Saint Petersburg: Rech’, 2000. 440 p. (In Russ.).
  8. Booth B.D., Watts J. Potentsial’naya obshchestvennaya opasnost’ i upravlenie riskom povtornogo soversheniya pravonarushenii seksual’nogo kharaktera [Assessment and Risk Management of Sexual Offenders]. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 2018, no. 4, pp. 15–23. (In Russ.).
  9. Vvedensky G.E., Basinskaya I.A. Opyt primeneniya i perspektivy lecheniya antiandrogenami lits s parafiliyami (analiticheskii obzor) [The experience of application and outlook for antiandrogen treatment of paraphilias (analytical review)]. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 2013, no. 3, pp. 41–47. (In Russ.).
  10. Vvedensky G.E., Tkachenko A.A., Kamenskov M.Yu. Psikhofiziologicheskaya diagnostika rasstroistv seksual’nykh predpochtenii. Moscow, 2013, pp. 3–20. (In Russ.).
  11. Dvoryanchikov N.V. Ispol’zovanie psikhologicheskikh poznanii v seksologii [Application of psychological knowledge in sexology]. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 2002, no. 2, pp. 17–25. (In Russ.).
  12. Dvoryanchikov N.V. Polorolevaya identichnost’ u lits s deviantnym seksual’nym povedeniem: Avtoref. diss. kand. psikhol. nauk. Moscow, 1998. 20 p. (In Russ.).
  13. Dvoryanchikov N.V. Psikhologicheskoe issledovanie v seksologicheskoi ekspertize obvinyaemykh po seksual’nym pravonarusheniyam [Psychological research in sexological expertise of persons accused of sexual offences] [Elektronnyi resurs]. Psikhologicheskaya nauka i obrazovanie = Psychological-Educational Studies, 2012. Vol. 4, no. 2. URL: https://psyjournals.ru/journals/psyedu/archive/2012_n2/53470 (Accessed 07.12.2022). (In Russ.).
  14. Dvoryanchikov N.V. Psikhologicheskoe issledovanie v sudebnoi seksologii. In Dmitrieva T.B., Safuanov F.S. (eds.). Meditsinskaya i sudebnaya psikhologiya. Kurs lektsii: Uchebnoe posobie. 4th ed. Moscow: Genezis, 2016, pp. 89–111. (In Russ.).
  15. Dvoryanchikov N.V., Nosov S.S., Salamova D.K. Polovoe samosoznanie i metody ego diagnostiki. Moscow: FLINTA; Nauka, 2011. 216 p. (In Russ.).
  16. Dvoryanchikov N.V., Tkachenko A.A. Nekotorye dizontogeneticheskie mekhanizmy formirovaniya sadizma. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 1998, no. 3, pp. 4–9. (In Russ.).
  17. Demidova L.Yu., Dvoryanchikov N.V. Problema rasstroistv seksual’nogo predpochteniya po materialam zarubezhnykh issledovanii. Yuridicheskaya psikhologiya = Juridical Psychology, 2011, no. 4, pp. 36–40. (In Russ.).
  18. Demidova L.Yu., Dvoryanchikov N.V. Kognitivnaya i affektivnaya sostavlyayushchie mezhlichnostnogo vzaimodeistviya u lits s anomal’nym seksual’nym povedeniem [Cognitive and affective components of interpersonal interaction in patients with abnormal sexual behavior] [Elektronnyi resurs]. Psikhologicheskaya nauka i obrazovanie = Psychological-Educational Studies, 2014. Vol. 6, no. 1, pp. 323–334. doi:10.17759/psyedu.2014060134 (In Russ.).
  19. Demidova L.Yu. Polovoe samosoznanie pri rasstroistvakh seksual’nogo predpochteniya [Gender self-awareness in disorders of sexual preference]. Psikhologicheskie issledovaniya = Psychological Studies, 2019. Vol. 12, no. 64. (In Russ.).
  20. Enikolopov S.N., Dvoryanchikov N.V. Kontseptsii i perspektivy issledovaniya pola v klinicheskoi psikhologii [Concepts and perspectives of sex research in clinic psychology]. Psikhologicheskii zhurnal = Psychological Journal, 2001. Vol. 22, no. 3, pp. 100–115. (In Russ.).
  21. Imelinsky K. Seksologiya i seksopatologiya. Moscow: Meditsina, 1986. 424 p. (In Russ.).
  22. Kamenskov M.Yu. Kliniko-patogeneticheskie aspekty parafilii i ikh sudebno-psikhiatricheskoe znachenie: Diss. dokt. med. nauk. Moscow, 2017. 381 p. (In Russ.).
  23. Kamenskov M.Yu. Strukturno-dinamicheskie osobennosti parafilii kak modeli addiktivnykh rasstroistv [The clinical dynamical characteristics of paraphilias as the model of addictions]. Sotsial’naya i klinicheskaya psikhiatriya = Social and Clinical Psychiatry, 2017. Vol. 27, no. 3, pp. 56–62. (In Russ.).
  24. Kekelidze Z.I., Kachaeva M.A., Fastovtsov G.A., Danilova S.V., Talnikova E.S. Obsledovanie patsienta s psikhicheskimi rasstroistvami: Uchebnoe posobie. 2nd ed. Moscow: FGBU “GNTsSSP im. V.P. Serbskogo” Minzdrava Rossii Publ., 2013, pp. 5–39. (In Russ.).
  25. Petina T.V. Klinicheskie osobennosti parafilii u lits s psikhoorganicheskimi rasstroistvami: Voprosy diagnostiki i sudebno-psikhiatricheskoi otsenki: Avtoref. diss. kand. med. nauk. Moscow, 1996. 23 p. (In Russ.).
  26. Svalkovsky A.V. Ob”em obshchestvenno opasnykh deistvii bol’nykh organicheskim porazheniem golovnogo mozga i ikh klinicheskie predposylki. Molodoi uchenyi = Young Scientist, 2015, no. 22 (102), pp. 75–79. (In Russ.).
  27. Starovich Z. Sudebnaya seksologiya. Moscow: Yuridicheskaya literatura, 1991. 178 p. (In Russ.).
  28. Tkachenko A.A. Rukovodstvo po sudebnoi psikhiatrii: V 2 t. 4th ed. Moscow: Yurait, 2023. 523 p. (In Russ.).
  29. Tkachenko A.A., Vvedensky G.E., Dvoryanchikov N.V. Sudebnaya seksologiya. Moscow: Binom, 2020. 648 p. (In Russ.).
  30. Tkachenko A.A., Vvedensky G.E., Kamenskov M.Yu., Demidova L.Yu., Vasiliev N.G. Stanovlenie i razvitie sudebnoi seksologii v Tsentre imeni V.P. Serbskogo [Formation and development of forensic sexology in the Serbsky Centre] [Elektronnyi resurs]. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 2020, no. 6, pp. 4–12. doi:10.24411/1560-957X-2020-10601 (In Russ.).
  31. Tkachenko A.A., Dvoryanchikov N.V., Gerasimov A.V. Nekotorye mekhanizmy gomitsidnogo sadisticheskogo povedeniya. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 2000, no. 5, pp. 26–31. (In Russ.).
  32. Tkachenko A.A., Kamenskov M.Yu., Demidova L.Yu. Sovremennaya diagnostika rasstroistv seksual’nogo predpochteniya (mezhdunarodnyi opyt) [Contemporary diagnosis of sexual preference disorders (international practices)]. Rossiiskii psikhiatricheskii zhurnal = Russian Journal of Psychiatry, 2017, no. 6, pp. 60–69. (In Russ.).
  33. Tkachenko A.A., Shishkov S.N. Sudebno-psikhiatricheskaya ekspertiza po opredeleniyu rasstroistv seksual’nykh predpochtenii v svete Federal’nogo zakona ot 29.02.2012 No. 14-FZ “O vnesenii izmenenii v Ugolovnyi kodeks Rossiiskoi Federatsii i otdel’nye zakonodatel’nye akty Rossiiskoi Federatsii v tselyakh usileniya otvetstvennosti za prestupleniya seksual’nogo kharaktera, sovershennye v otnoshenii nesovershennoletnikh”: Informatsionnoe pis’mo. Moscow: FGBU “GNTsSSP im. V.P. Serbskogo” Minzdravsotsrazvitiya Rossii Publ., 2012. 10p. (In Russ.).
  34. Chuprikov A.P., Tsupryk B.M. Obshchaya i kriminal’naya seksologiya: Uchebnoe posobie. Kiev: MAUP, 2002. 248 p. (In Russ.).
  35. Etkind A.M. Tsvetovoi test otnoshenii. Obshchaya psikhodiagnostika. Saint Petersburg: Rech’, 2000, pp. 221–228. (In Russ.).
  36. Yakovleva E.Yu. Ugolovno relevantnye psikhoseksual’nye sostoyaniya: Avtoref. diss. dokt. med. nauk. Moscow, 2010. 37 p. (In Russ.).
  37. Allardyce S. Theories of Sexual Crime Prevention. In Lievesley R., Hocken K., Elliott H., Winder B., Blagden N., Banyard P. (eds). Sexual Crime and Prevention. Palgrave Macmillan Cham, 2018, pp. 1–25. doi:10.1007/978-3-319-98243-4_1
  38. Brittain R.P. The sadisti murderer. Medicine, Science and the Law, 1970. Vol. 10(4), pp. 198–207. doi:10.1177/002580247001000402
  39. Castro A., Ibáñez J., Maté B., Esteban J., Barrada J. Childhood Sexual Abuse, Sexual Behavior, and Revictimization in Adolescence and Youth: A Mini Review. Frontiers in Psychology, Vol. 10. doi:10.3389/fpsyg.2019.02018
  40. Clayton E., Jones C., Brown J., Taylor J. The aetiology of child sexual abuse: A critical review of the empirical evidence. Child Abuse Review, Vol. 27, no. 7. doi:10.1002/car.2517
  41. Craig L.A., Hutchinson R.B. Sexual offenders with learning disabilities: risk, recidivism and treatment. Journal of Sexual Aggression, Vol. 11, no. 3, pp. 289–304. doi:10.1080/13552600500273919
  42. Cucolo H.E., Perlin M.L. Preventing Sex-Offender Recidivism Through Therapeutic Jurisprudence Approaches and Specialized Community Integration. Temple Political & Civil Rights Law Review, doi:10.2139/ssrn.2116424
  43. Hucker S., Langevin R., Dickey R., Handy L., Chambers J., Wright S., Bain J., Wortzman G. Cerebral damage and dysfunction in sexually aggressive men. Annals of Sex Research, Vol. 1, pp. 33–47. doi:10.1007/BF00852881
  44. Langevin R. Sexual offenses and traumatic brain injury. Comparative Study. Brain and Cognition, 2006. Vol. 60, no. 2, pp. 206–207.
  45. Langevin R., Curnoe S. The Therapeutic Challenge of the Learning Impaired Sex Offender. Sexual Offender Treatment, 2007. Vol. 2, no. 1.
  46. MacCulloch M., Gray N., Watt A. Brittain’s Sadistic Murderer Syndrome reconsidered: An associative account of the aetiology of sadistic sexual fantasy. Journal of Forensic Psychiatry, 2000. Vol. 11, no. 2, pp. 251–262. doi:1080/09585180050142606
  47. Marshall W.L. Treatment of sexual offenders and its effects. 2006. The United Nations Asia and Far East Institute for the Prevention of Crime and the Treatment of Offenders (UNAFEI). URL: https://www.unafei.or.jp/publications/pdf/RS_No72/No72_12VE_Marshall.pdf (Accessed 07.12.2022).
  48. Simpson G., Blaszczynski A., Hodgkinson A. Sex Offending as a Psychosocial Sequela of Traumatic Brain Injury. The Journal of Head Trauma Rehabilitationб Vol. 14, no. 6, pp. 567–580. doi:10.1097/00001199-199912000-00005

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

Metrics

Views

Total: 342
Previous month: 28
Current month: 20

Downloads

Total: 106
Previous month: 6
Current month: 8