P03-72 - Disorders of sexual preference and schizophrenia

Abstract

In order to create hypotheses about the relationship between the dynamic of paraphilia and schizophrenic disorders we conducted a study of 15 males. To all patients has been diagnosed disorders of sexual preference and other mental disorders of schizophrenic spectrum (paranoid schizophrenia - 46,7% and pseudopsychopathic schizophrenia - 53,3%).

Results

Dynamic transformation of paraphilia (connection of new paraphilia‘s forms to already existing) has been connected with the psychotic symptoms and increase of negative symptoms of schizophrenia (r=0.51, p=0.03). Abnormal sexual imaginations appear during manifestation of schizophrenia in puberty age. A syndrome of a metaphysical intoxication, delusional depersonalization coexisted with available sexual perversion. In sexually mature age of patients with schizophrenia, dynamic transformation of paraphilia was associated with increase of negative symptoms. Anabatic of schizophrenia correspond with a degree of aggression sexual perversion. At episodic type of current paranoid schizophrenia with persistent but non-progressive negative symptoms in the intervals between psychotic episodes connected such types of paraphilias, as pedophilia, exhibitionism, visionism. At episodic type of current paranoid schizophrenia with a progressive development of negative symptoms in the intervals between psychotic episodes connected such types of paraphilias, as necrophilia, gomicidomania. In our research pseudopsychopathic schizophrenia combined with multiple disorders of sexual preference (exhibitionism and visionosm) only in two cases. In these cases we are showed connecting pedophilia.

Conclusion

Preliminary results showed relationship between dynamic transformation of paraphilia and clinic and dynamic of schizophrenia.