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Exhibitionism

MedGen UID:
41913
•Concept ID:
C0015269
•
Mental or Behavioral Dysfunction
Synonym: Exhibitionisms
SNOMED CT: Exhibitionism (58349009)
 
Monarch Initiative: MONDO:0000983

Definition

A disorder characterized by recurrent sexual urges, fantasies, or behaviors involving the exposure of one''s genitals to an unsuspecting stranger. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVExhibitionism

Professional guidelines

PubMed

Disregarding science, clinical utility, and the DSM's definition of mental disorder: the case of exhibitionism, voyeurism, and frotteurism.
Hinderliter AC
Arch Sex Behav 2010 Dec;39(6):1235-7. doi: 10.1007/s10508-010-9654-8. PMID: 20703788
The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism.
Långström N
Arch Sex Behav 2010 Apr;39(2):317-24. doi: 10.1007/s10508-009-9577-4. PMID: 19924524
Exhibitionism: etiology and treatment.
Blair CD, Lanyon RI
Psychol Bull 1981 May;89(3):439-63. PMID: 7255626

Recent clinical studies

Etiology

Portrait of an Exhibitionist.
Seeman MV
Psychiatr Q 2020 Dec;91(4):1249-1263. doi: 10.1007/s11126-020-09810-w. PMID: 32870489
Gender differences in narcissism: a meta-analytic review.
Grijalva E, Newman DA, Tay L, Donnellan MB, Harms PD, Robins RW, Yan T
Psychol Bull 2015 Mar;141(2):261-310. Epub 2014 Dec 29 doi: 10.1037/a0038231. PMID: 25546498
The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism.
Långström N
Arch Sex Behav 2010 Apr;39(2):317-24. doi: 10.1007/s10508-009-9577-4. PMID: 19924524
Sexual recidivism in sex offenders.
Greenberg DM
Can J Psychiatry 1998 Jun;43(5):459-65. doi: 10.1177/070674379804300502. PMID: 9653528
Cotherapy: a review of current literature (with special reference to therapeutic outcome).
Roman M, Meltzer B
J Sex Marital Ther 1977 Spring;3(1):63-77. doi: 10.1080/00926237708405349. PMID: 325218

Diagnosis

Gender differences in narcissism: a meta-analytic review.
Grijalva E, Newman DA, Tay L, Donnellan MB, Harms PD, Robins RW, Yan T
Psychol Bull 2015 Mar;141(2):261-310. Epub 2014 Dec 29 doi: 10.1037/a0038231. PMID: 25546498
Androgen deprivation treatment of sexual behavior.
Houts FW, Taller I, Tucker DE, Berlin FS
Adv Psychosom Med 2011;31:149-163. Epub 2011 Oct 10 doi: 10.1159/000330196. PMID: 22005210
The DSM diagnostic criteria for exhibitionism, voyeurism, and frotteurism.
Långström N
Arch Sex Behav 2010 Apr;39(2):317-24. doi: 10.1007/s10508-009-9577-4. PMID: 19924524
Recognition and management of addictive sexual disorders: guide for the primary care clinician.
Carnes P, Schneider JP
Lippincotts Prim Care Pract 2000 May-Jun;4(3):302-18. PMID: 11271127
Phallometric diagnosis of pedophilia.
Freund K, Blanchard R
J Consult Clin Psychol 1989 Feb;57(1):100-5. doi: 10.1037//0022-006x.57.1.100. PMID: 2925958

Therapy

Pharmacological treatment of paraphilias.
Thibaut F
Isr J Psychiatry Relat Sci 2012;49(4):297-305. PMID: 23585467
Androgen deprivation treatment of sexual behavior.
Houts FW, Taller I, Tucker DE, Berlin FS
Adv Psychosom Med 2011;31:149-163. Epub 2011 Oct 10 doi: 10.1159/000330196. PMID: 22005210
Dopamine agonist: pathological gambling and hypersexuality.
Prescrire Int 2008 Oct;17(97):200-1. PMID: 19536937
Paraphilias: phenomenology and classification.
Money J
Am J Psychother 1984 Apr;38(2):164-79. doi: 10.1176/appi.psychotherapy.1984.38.2.164. PMID: 6234812
Indecent exposure and exhibitionism.
Rooth FG
Br J Psychiatry 1975;Spec No 9:212-22. PMID: 1102016

Prognosis

Encountering an Exhibitionist: The Female Victim's Perspective.
Szumski F, Kasparek K
J Sex Res 2020 May-Jun;57(5):610-623. Epub 2019 Oct 2 doi: 10.1080/00224499.2019.1669523. PMID: 31577155
Narcissism is associated with weakened frontostriatal connectivity: a DTI study.
Chester DS, Lynam DR, Powell DK, DeWall CN
Soc Cogn Affect Neurosci 2016 Jul;11(7):1036-40. Epub 2015 Jun 5 doi: 10.1093/scan/nsv069. PMID: 26048178Free PMC Article
The treatment of men with a learning disability convicted of exhibitionism.
Lindsay WR, Marshall I, Neilson C, Quinn K, Smith AH
Res Dev Disabil 1998 Jul-Aug;19(4):295-316. doi: 10.1016/s0891-4222(98)00010-9. PMID: 9690277
Sexual recidivism in sex offenders.
Greenberg DM
Can J Psychiatry 1998 Jun;43(5):459-65. doi: 10.1177/070674379804300502. PMID: 9653528
Indecent exposure and exhibitionism.
Rooth FG
Br J Psychiatry 1975;Spec No 9:212-22. PMID: 1102016

Clinical prediction guides

THE USE AND ABUSE OF OMNIPOTENCE IN THE JOURNEY OF THE HERO.
Steiner J
Psychoanal Q 2015 Jul;84(3):695-717. doi: 10.1002/psaq.12025. PMID: 26198606
Gender differences in narcissism: a meta-analytic review.
Grijalva E, Newman DA, Tay L, Donnellan MB, Harms PD, Robins RW, Yan T
Psychol Bull 2015 Mar;141(2):261-310. Epub 2014 Dec 29 doi: 10.1037/a0038231. PMID: 25546498
Assessment of the paraphilias.
Seto MC, Kingston DA, Bourget D
Psychiatr Clin North Am 2014 Jun;37(2):149-61. Epub 2014 Apr 18 doi: 10.1016/j.psc.2014.03.001. PMID: 24877702
Sexual recidivism in sex offenders.
Greenberg DM
Can J Psychiatry 1998 Jun;43(5):459-65. doi: 10.1177/070674379804300502. PMID: 9653528
Anna Freud: observation and development.
Colonna AB
Psychoanal Study Child 1996;51:217-34. doi: 10.1080/00797308.1996.11822428. PMID: 9029958

Recent systematic reviews

Pharmacological interventions for those who have sexually offended or are at risk of offending.
Khan O, Ferriter M, Huband N, Powney MJ, Dennis JA, Duggan C
Cochrane Database Syst Rev 2015 Feb 18;2015(2):CD007989. doi: 10.1002/14651858.CD007989.pub2. PMID: 25692326Free PMC Article
Gender differences in narcissism: a meta-analytic review.
Grijalva E, Newman DA, Tay L, Donnellan MB, Harms PD, Robins RW, Yan T
Psychol Bull 2015 Mar;141(2):261-310. Epub 2014 Dec 29 doi: 10.1037/a0038231. PMID: 25546498
The Effectiveness of Psychological Treatment for Reducing Recidivism in Child Molesters: A Systematic Review of Randomized and Nonrandomized Studies.
Walton JS, Chou S
Trauma Violence Abuse 2015 Oct;16(4):401-17. Epub 2014 Jun 26 doi: 10.1177/1524838014537905. PMID: 24973229
WITHDRAWN: Psychological interventions for those who have sexually offended or are at risk of offending.
Kenworthy T, Adams CE, Bilby C, Brooks-Gordon B, Fenton M
Cochrane Database Syst Rev 2008 Oct 8;2008(4):CD004858. doi: 10.1002/14651858.CD004858.pub2. PMID: 18843670Free PMC Article
Psychological interventions for those who have sexually offended or are at risk of offending.
Kenworthy T, Adams CE, Bilby C, Brooks-Gordon B, Fenton M
Cochrane Database Syst Rev 2004;(3):CD004858. doi: 10.1002/14651858.CD004858. PMID: 15266545

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