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International Journal of Offender Therapy and Comparative Criminology
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Sexualization and Lifestyle Impulsivity: Clinically Valid Discriminators in Sexual Offenders

Reinhard Eher, M.D.

Federal Documentation Centre for Sexual Offenders Justizanstalt Wien-Mittersteig

Wolfgang Neuwirth, Ph.D.

Federal Documentation Centre for Sexual Offenders Justizanstalt Wien-Mittersteig

Stefan Fruehwald, M.D.

Department of Social Psychiatry Vienna University Medical School

Patrick Frottier, M.D.

Justizanstalt Wien-Mittersteig

Following clinical observations in this study a comparison was undertaken between nonsexualized rapists, sexualized rapists, and pedophilic child molesters in terms of psychometric measures, criminological data, and DSM-IV diagnoses following the authors' hypotheses that nonsexualized and sexualized rapists differ in respect of psychiatric comorbidity and criminal history and sexualized rapists and pedophilic child molesters are more similar as regards to psychiatric comorbidity (anxiety, depression, and aggression) and criminal history variables than nonsexualized and sexualized rapists are. Preliminary findings confirmed the hypotheses: the authors found significant differences between paraphilic and sexualized sex offenders on one hand—regardless whether they had offended against minors or adults—and a group of sex offenders exhibiting a history of high lifestyle impulsivity on the other hand. From a psychiatric clinical point of view, paraphilic or sexualized rapists could be shown to resemble more the pedophilic child molesters. Therapeutic approaches should take these findings into account.

Key Words: sex offenders • sexualization • paraphilia • psychiatric diagnoses • comorbidity

International Journal of Offender Therapy and Comparative Criminology, Vol. 47, No. 4, 452-467 (2003)
DOI: 10.1177/0306624X03253844
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