Forensic and Medico-legal Aspects of Sexual Crimes and Unusual Sexual Practices

440 Pages·2008·4.89 MB·English

by  Anil Aggrawal

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
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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