Sexual Addiction and Psychiatric Comorbidity

Abstract

In order to create hypotheses about the relationship between the dynamic of paraphilia and the other mental disorders we conducted a study of 60 males with paraphilia. All the patients were distributed in 3 diagnostic groups:

1. 1. Paraphilia and organic mental disorders (dementia - 10%; organic asthenic disorder - 5%; syndrome of limbic epilepsy personality - 18,3%; organic pseudopsychopathic disorder - 26,7%).

2. 2. Paraphilia and schizophrenic disorders (paranoid schizophrenia - 15%; pseudopsychopathic schizophrenia - 10%).

3. 3. Paraphilia and mixed and other personality disorders - 15%.

Results:

Dynamic transformation of paraphilia (connection of new paraphilia’s forms to already existing) has been connected with the psychotic symptoms, convulsive attacks and increase of negative symptoms of schizophrenia, epilepsy and dementia (r=0.87, p=0.02 - canonical analysis).

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 (in remission). Anabatic of schizophrenia correspond with a degree of aggression sexual perversion.

New forms paraphilia of patients with epilepsy appear after repeatedly transferred convulsive attacks.

In persons with other organic mental disorders, dynamic transformation of paraphilia was observed in cases of formation dementia against a background of the impairments of cognitive function, deterioration in emotional control, social behavior, motivation and prognosis.

Conclusion:

Dynamic transformation of paraphilia corresponds with a clinic and dynamic of mental disease: schizophrenia, epilepsy and dementia.