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Psychiatr Clin North Am. 2014 Jun;37(2):195-206. doi: 10.1016/j.psc.2014.03.005. Epub 2014 Apr 18.

Persons with intellectual disabilities and problematic sexual behaviors.

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International Dual Diagnosis Certificate Programme, Department of Child and Youth Studies, Centre of Applied Disability Studies, Brock University, 500 GlenRidge Avenue, St Catharines, Ontario L2S 3A1, Canada. Electronic address:
Sexual Behaviours Clinic, Division of Forensic Psychiatry, Institute of Mental Health Research, Royal Ottawa Mental Health Centre, University of Ottawa, 1145 Carling Avenue, Ottawa, Ontario K1Z 7K4, Canada.


Persons with intellectual disabilities who have been identified because they committed a sexual offense may have done so because of a sexual paraphilia. However, special consideration in assessment is required to determine whether the offense is caused by a paraphilia alone or whether other factors relating to the individual's intellectual disabilities may be especially significant. This article reviews some factors that have been identified as significant and provides an overview of treatment approaches from multiple perspectives.


Counterfeit deviance; Intellectual disability; Paraphilia; Sexual deviance

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