Yakeley, Jessica, Rost, Felicitas, Wood, Heather and Abid, Safia (2025) Paraphilias, problematic sexual behaviours and personality disorder-To what extent are they linked? Personality and Mental Health, 19 (1). ISSN 1932-863X; 19328621

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Abstract

Background: Since DSM-III, mental disorders have been classified based on overt symptoms and behaviours rather than underlying psychological and personality processes. Aims: This study examines the occurrence of personality dysfunction in individuals with paraphilic disorders and problematic sexual behaviours. Method: The Shedler-Westen Assessment Procedure (SWAP-200), a clinician-rated assessment measure of personality disorders, was administered in a sample of 303 patients referred to a specialist forensic psychotherapy clinic. Sixty-six percent (N = 200) of the sample were diagnosable with traits of one or more DSM-5 personality disorders, and 35% (N = 106) were diagnosable with categorical DSM-5 personality disorders. When an alternative set of empirically derived personality diagnoses was examined, 94% (N = 285) had significant traits of the personality syndromes, and 62% (N = 188) of the sample met criteria for categorical diagnoses. Conclusions: Paraphilic fantasies and behaviours may be linked to underlying personality pathology, suggesting implications for assessment and treatment.

Item Type:	Article
Uncontrolled Keywords:	Personality Disorders, Paraphilic Disorders, Sexual Behavior
Subjects:	Disabilities & Disorders (mental & physical) > Classification of Mental Disorders Disabilities & Disorders (mental & physical) > Personality Disorders (e.g. narcissism) Sex Psychology > Sex Behaviour
Department/People:	Adult and Forensic Services
URI:	https://repository.tavistockandportman.ac.uk/id/eprint/2940

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