Simulated paraphilias: A preliminary study of patients who imitate or exaggerate paraphilic symptoms and behaviors

J. P. Fedoroff, A. Hanson, M. McGuire, H. M. Malin, F. S. Berlin

Research output: Contribution to journalArticle

Abstract

In a consecutive series of admissions to the Johns Hopkins Sexual Disorders Unit, 4 out of 20 patients appeared to have simulated paraphilic symptoms that further assessment indicated were either exaggerated or not present. The paper presents case histories of these 4 patients. A descriptive comparison is made between these patients and control groups of patients who admitted having paraphilic symptoms and a group of patients accused of having paraphilic symptoms but who denied them. Patients who simulated paraphilias tended to be self-referred (75%) and without current legal charges (100%). None of these patients was referred or sought treatment for pedophilia, in contrast to the other two patient groups, in which pedophilia accounted for 75% of the referrals. Several possible explanations for why patients might simulate paraphilias and implications for therapists who evaluate or treat sex offenders are discussed.

Original languageEnglish (US)
Pages (from-to)902-911
Number of pages10
JournalJournal of Forensic Sciences
Volume37
Issue number3
StatePublished - Jan 1 1992
Externally publishedYes

Keywords

  • criminal sex offenses
  • factitious disorders
  • paraphilia
  • psychiatry
  • sex offenders
  • simulation

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Genetics

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