Fetishism in Forensic Psychiatric Evaluation

Objective: In this article, we present a forensic patient whose fetishistic behaviors apply to reduced criminal responsibility. Case Report: A 47-year-old married man developed fetishism for female undergarments during his adolescent age. Stress and negative emotional states frequently provoked more paraphilic behaviors. He was accused of theft due to stealing more than one thousand pieces of female undergarments. Conclusion: Insanity defense may be successful if the fetishist has another comorbid mental illness or difficulties in impulse control over paraphilic urges. Experts such as psychiatrists are important in successful treatment. Major treatment modalities in Taiwan include cognitive-behavioral approaches and sex education. In USA, pharmacotherapy such as antidepressants or antiandrogens is proved effective.

並列關鍵字

fetishism ； paraphilia ； forensic evaluation ； forensic psychiatry

參考文獻

Brown, JR(1983).Paraphilias. Sadomasochism, fetishism, transvestism and transsexuality.Br J Psychiatry.143,227-31.

Google Scholar

Kohon, G(1987).Fetishism revisited.Int J Psychoanal.68,213-28.

Google Scholar

Ward, T,Beech, A(2006).An integrated theory of sexual offending.Aggress Violent Behav.11,44-63.

Google Scholar

Lieblum, SR(ed.)(2000).Principles and Practice of Sex Therapy.New York:Guilford Press.

Google Scholar

Zonana, H,Abel, G,Bradford, J(1999).Dangerous Sex Offenders.Washington DC:American Psychiatric Association.

Google Scholar

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Fetishism in Forensic Psychiatric Evaluation

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