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The prologue explains the meaning of involuntary sterilisation and castration and traces the origins of the practices back to the rise of the eugenics movement. It provides an overview of how involuntary sterilisation and castration have intersectionally targeted marginalised groups in different countries and sketches out how these laws and practices globally have prioritised assumed public interests over individual ones. Doing so, the prologue follows how medico-legal experts and public authorities have defined healthy and unhealthy bodies and behaviours throughout the twentieth century.
The present study examined the prevalence of DSM IV axis I disorders and DSM IV personality disorders among sexual offenders in Forensic State Hospitals in Germany.
Method
Current and lifetime prevalence rates of mental disorders were investigated based on clinical structured interviews among sexual offenders (n = 55). Additionally, subgroups were analyzed on the basis of diagnostic research criteria, with 30 sexual offenders classified as paraphiliacs and 25 sexual offenders as having an impulse control disorder (without paraphilia).
Results
Anxiety disorders, mood disorders, and substance use disorders were common among sexual offenders, as were cluster B and cluster C personality disorders. While social phobia was most common among paraphilic sexual offenders, major depression was most prevalent in impulse control disordered sexual offenders.
Conclusion
The results replicate recent findings of high psychiatric morbidity in sexual offenders placed in forensic facilities. Furthermore, differential patterns of co-morbid mental disorders were found in paraphiliacs and impulse control disordered sexual offenders. With regard to an effective therapy and relapse prevention co-morbid mental disorders should be a greater focus in the assessment of subgroups of sexual offenders.
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