ISSN: 0022-1198
CODEN: JFSCA
Page Count: 6

Co-Morbidity of Alcoholism and the Paraphilias
Greenberg, DM
Director of Forensic Psychiatry, Assistant Professor of Psychiatry, and Research Assistant, Royal Ottawa Hospital, Ontario

Bradford, JMW
Director of Forensic Psychiatry, Assistant Professor of Psychiatry, and Research Assistant, Royal Ottawa Hospital, Ontario

Allnutt, SH
Consultant Forensic Psychiatrist, The Mason Clinic, Regional Forensic Psychiatric Services,

Curry, S
Director of Forensic Psychiatry, Assistant Professor of Psychiatry, and Research Assistant, Royal Ottawa Hospital, Ontario

(Received 31 January 1995; accepted 10 August 1995)

Abstract

Alcoholism has been related to a wide variety of crimes. Various authors have studied the prevalence of alcoholism in relationship to incest, rape and pedophilia. This study evaluates the co-morbidity of alcoholism and the specific paraphilias including sexual sadism, fetishism, incest, pedophilia, exhibitionism and transvestism. Rapists were included although by definition it is not strictly a paraphilic disorder. Seven hundred and twenty eight paraphilic individuals were evaluated. More than 50% of sexual sadists were alcoholics. Alcoholism in association with sexual sadists was statistically significant as compared to transvestites, rapists, pedophiles, and incest offenders. Transvestism had the lowest relative rate of alcoholism. The authors discuss these findings and the role alcoholism plays in causing violent sexual behavior in individuals with paraphilias.

Keywords:
forensic science, psychiatry, alcoholism, paraphilias

Paper ID: JFS15420J
DOI: 10.1520/JFS15420J
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