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A brief account is given of a person, small in stature, with retarded development, who, following the breakdown of marital intimacy and the failure of his efforts to adopt a child, found sexual satisfaction by defecating in unoccupied perambulators and subsequently inflicting damage on them.
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Forcible rape is a violent crime, as are all cases of sexual assault. In more than one-third of the cases, the victims are children, and a significant number of victims are elderly women. Although few of these victims have serious physical injuries, they all suffer psychological trauma that will affect their lives and the lives of those around them. All of these victims need medical care and psychologic counseling if they are to adjust and reenter society without difficulty.
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With regard to perversions, the pertinent question is not which acts and which object-preferences are to be deemed deviant, but when is deviance to be regarded as a simple variation or version of adult sexuality and when is it to be judged symptomatic. This paper proposes that only relationships may aptly be termed perverse. The term neosexualities is chosen to emphasize the innovative and somewhat unreal character of deviant sexual acts and relationships. These are a response to incoherent communications and unconscious problems on the part of parents. The concept of addictive sexuality or neoneeds is also introduced in reference to the compulsivity that invariably accompanies perverse sexuality. Its dynamic and economic aspects are summarized as follows: those who have created a neoreality in terms of sexual acts and objects in the service of libidinal homeostasis, and neoneeds in the service of narcissistic homeostasis, have short-circuited the elaboration of phallic-oedipal castration anxiety and at the same time through disavowing the problems of separateness and of infantile sadism have also circumvented what Klein termed the elaboration of the depressive position. A clinical vignette is given to illustrate the above theoretical propositions.
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In comparison with the literature causes and circumstances of juvenile delinquency of sodomy are examined by 5 cases. All of them were light weak-minded and badly educated, showed disorders of behaviour and personality. In two cases by violation and killing of animals as the result of sodomy a considerable economical loss was caused.
Ninety-five defendants charged with sexual offenses were evaluated in a forensic psychiatry clinic. Their psychiatric diagnoses, as well as social, demographic, and criminal characteristics, were studied. Almost half were found to have personality disorders, while one-fifth were given a diagnosis of schizophrenia, affective disorder, or an atypical psychosis. Surprisingly few were diagnosed as having a paraphilia.
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