Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices Anil Aggrawal Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2009 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number-13: 978-1-4200-4308-2 (Hardcover) This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the valid- ity of all materials or the consequences of their use. 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Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Dedication To my friend Sue Black of the University of Dundee, who has always encouraged me in my scientific endeavors Contents Preface.............................................................................................................................................xxi Acknowledgments.........................................................................................................................xxiii Special.Acknowledgment...............................................................................................................xxv About.the.Author..........................................................................................................................xxvii Chapter 1 Sexual Crimes and Unusual Sexual Practices: An Overview..................................1 Introduction.........................................................................................................................................1 Definitions...........................................................................................................................................3 What.Is.Normal.Sexual.Behavior?..........................................................................................3 Sex.and.Gender........................................................................................................................4 Intersexuality...........................................................................................................................5 Sexual.Orientation...................................................................................................................5 Gender.Role.and.Gender.Identity............................................................................................6 Sexual.Identity.........................................................................................................................7 Sexual.Minority.......................................................................................................................7 Sex.Addiction..........................................................................................................................8 Objective.Criteria.of.Sexual.Deviation....................................................................................8 Historical.Perspectives........................................................................................................................9 DSM.Classification.of.Paraphilias....................................................................................................10 International.Classification.of.Diseases.(ICD).................................................................................11 Other.Classifications.........................................................................................................................12 Sadoff’s.Classification...........................................................................................................14 Rosenham.and.Seligman’s.Classification..............................................................................14 Freund,.Seto,.and.Kuban’s.Classification..............................................................................15 John.Money’s.Paraphilia.Classifications...............................................................................16 Freeman’s.Classification........................................................................................................18 Shaffer.and.Penn’s.Classification...........................................................................................18 Miscellaneous.Classifications................................................................................................18 Etiology.............................................................................................................................................19 Voluntary.Choice...................................................................................................................20 Freud’s.Libido.Theory...........................................................................................................20 Biological.Theories................................................................................................................21 Conditioning.and.Imprinting.................................................................................................24 John.Money’s.Lovemap.theory..............................................................................................27 Miscellaneous.Theories.........................................................................................................29 Epidemiology....................................................................................................................................29 Prevalence.and.Incidence......................................................................................................29 Combinations.........................................................................................................................30 Age.........................................................................................................................................30 Sex.........................................................................................................................................31 Race.......................................................................................................................................31 Mortality.and.Morbidity........................................................................................................31 Relationship.with.Alcohol.and.Drugs...................................................................................31 Co-existence.with.Other.Disorders.......................................................................................32 Other.Significant.Features.....................................................................................................32 vii viii Contents Sex.Offenders....................................................................................................................................32 Offender.Characteristics...................................................................................................................33 Clinical.and.Laboratory.Assessment.of.Paraphiliacs.and.Sex.Offenders........................................33 Clinical.Interview..................................................................................................................33 Behavioral.Assessment.and.Measurement............................................................................33 Psycho-physiological.Assessment..........................................................................................34 Management......................................................................................................................................36 Pharmacological.Treatment...................................................................................................36 Paraphilic.Prevention........................................................................................................................37 References.........................................................................................................................................37 Chapter 2 Pedophilia and Child Sexual Abuse.........................................................................45 Introduction.......................................................................................................................................45 Proponents.of.Pedophilia.......................................................................................................46 Historical.Perspectives......................................................................................................................47 Pedophilia,.Child.Molestation.and.Child.Sexual.Abuse..................................................................47 Etiology.............................................................................................................................................48 Biological.Theories................................................................................................................48 Unfulfilled.Sexual.Needs......................................................................................................50 Conditioning..........................................................................................................................51 Miscellaneous.Causes............................................................................................................51 Prevalence.and.Incidence..................................................................................................................51 Satanism.and.Ritual.Sex.Abuse........................................................................................................52 Offender.Characteristics...................................................................................................................53 Victim.Characteristics......................................................................................................................53 Sequelae............................................................................................................................................54 Diagnosis.and.Investigation..............................................................................................................54 Medical.Examination............................................................................................................55 Management......................................................................................................................................55 Legal.Aspects....................................................................................................................................56 HIV/STDs.and.Child.Sexual.Abuse......................................................................................56 Recovered.Memory...............................................................................................................56 Legal.Provisions.in.Select.Jurisdictions...........................................................................................58 Australia................................................................................................................................58 Canada...................................................................................................................................61 Germany................................................................................................................................62 United.Kingdom....................................................................................................................64 United.States..........................................................................................................................65 References.........................................................................................................................................66 Chapter 3 Transvestic Fetishism................................................................................................71 Introduction.......................................................................................................................................71 Classification.....................................................................................................................................71 Class.I.Transvestites..............................................................................................................73 Class.II.Transvestites.............................................................................................................73 Class.III.Transvestites...........................................................................................................73 Class.IV.Transvestites...........................................................................................................73 Class.V.Transvestites.............................................................................................................74 Historical.Perspectives......................................................................................................................75 Contents ix Transvestism.in.Prehistory,.Legend,.and.Mythology............................................................76 Greco-Roman.Era..................................................................................................................76 The.Case.of.Chevalier.d’Eon.................................................................................................77 Modern.Era............................................................................................................................77 Etiology.............................................................................................................................................78 Psychoanalytic.Theories........................................................................................................78 Biological.Theories................................................................................................................79 Iatrogenesis............................................................................................................................79 Epidemiology....................................................................................................................................79 Prevalence.and.Incidence......................................................................................................79 Other.Significant.Characteristics...........................................................................................80 Management......................................................................................................................................80 Legal.Aspects....................................................................................................................................80 Suicide.by.Transvestites.........................................................................................................81 United.States..........................................................................................................................81 References.........................................................................................................................................81 Chapter 4 Exhibitionism.............................................................................................................85 Introduction.......................................................................................................................................85 Historical.Perspectives......................................................................................................................86 Medieval.Examples...............................................................................................................87 Behaviors.Mimicking.Exhibitionism................................................................................................88 Anasyrma...............................................................................................................................88 Candaulism............................................................................................................................88 Mooning.................................................................................................................................88 Nudism...................................................................................................................................88 Streaking................................................................................................................................89 Zoophilic.Exhibitionism........................................................................................................89 Exhibitionism.or.Indecent.Exposure?...............................................................................................90 Etiology.............................................................................................................................................90 Courtship.Disorder.Theory...................................................................................................90 Biological.Factors..................................................................................................................91 Conditioning..........................................................................................................................92 Psychoanalytical.Theories.....................................................................................................92 Classification.....................................................................................................................................93 Class.I.Exhibitionists:.Fantasizing.Exhibitionists.................................................................93 Class.II.Exhibitionists:.Pure.Exhibitionists...........................................................................93 Class.III.Exhibitionists:.Exhibitionistic.Criminals...............................................................93 Class.IV.Exhibitionists:.Exclusive.Exhibitionists.................................................................93 Prevalence.........................................................................................................................................93 Offender.Characteristics...................................................................................................................94 Onset.....................................................................................................................................94 Association.with.Gilles.de.la.Tourette’s.Syndrome...............................................................94 Family.Background...............................................................................................................95 Female.Exhibitionists............................................................................................................95 Exhibitionism.and.Pedophilia...............................................................................................95 Management......................................................................................................................................96 Legal.Aspects....................................................................................................................................96 Australia................................................................................................................................96 Canada...................................................................................................................................96
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