Socially Dangerous Sexual Paraphilias: Description of the Problem

This article deals with the study of the prevalence, aetiology, pathogenesis, and treatment of paraphilias such as sexual sadism, exhibitionism, voyeurism, and autoerotic asphyxiation. The aim of this study was to summarise all available literature on socially dangerous paraphilias. Based on the PRISMA guidelines, the current review brings together all the existing literature on socially dangerous paraphilias. Socially dangerous paraphilias may be caused by biological, psychological, and social factors and are treated with antiandrogens, gonadotropin-releasing hormone analogues, and selective serotonin reuptake inhibitors as well as psychotherapy. High-quality placebo-controlled studies on the treatment of socially dangerous paraphilias are lacking. Clinicians should be aware that the prevalence of socially dangerous paraphilias is not negligible and that people with deviant sexual urges should be encouraged to seek professional help before committing a crime or a self-injurious act. More extensive epidemiological studies are required to clarify the actual prevalence of socially dangerous paraphilias in the population and methods of their treatment alongside with destigmatisation of patients with paraphilias.