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국내 성폭력 가해자의 정신의학적, 심리학적 특성

Psychiatric and Psychological Characteristics of Sexual Offenders in Korea

이영준|김현정|송동호|김경란|신경백
대한신경정신의학회 (Korean Neuropsychiatric Association)|2012.07|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제51권 제4호|pp. 170-177

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참고문헌

키워드

정신질환Pedophilia강간 통념ParaphiliaMental illness성도착증성폭력 가해자소아성애증Sex offenderRape myth
주제분류정신과학

초록

본 연구는 성폭력 가해자의 정신의학적 및 심리학적 특성에 관한 첫 번째 국내 연구 결과라는 점에서 의의가 있다. 성범죄는 법적, 사회적, 보건의료적으로 심각한 위협이기 때문에, 성폭력 가해자의 정신 병리에 대한 이해가 중요하다. 향후 추가적인 조사를 통해 성폭력 가해자의 정신 병리에 대한 충분한 자료와 치료 효과에 대한 근거에 바탕을 둔 전향적 연구가 필요할 것으로 생각된다.

Abstract

Objectives In an effort to increase understanding of the relationship between sexual violence and mental illness, we conducted an investigation of the prevalence of psychiatric illness and associated psychological features of sexual offenders. Methods Twenty-two male sex offenders were referred for psychiatric diagnosis from the prosecutor’s office and admitted to the hospital between August 2010 and May 2011. In order to identify Axis I and II disorders, including sexual disorders, we conducted the Korean version of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition. All participants completed psychological assessment batteries, including the Korean-Wechsler Adult Intelligence Scale, and self-report scales, including the Barratt Impulsiveness Scale, State-Trait Anger Expression Inventory, and the Rape Myth Acceptance Scale. Information on participants’ legal, personal, and psychiatric family histories was also gathered. Results Many of the participants received diagnosis of Axis I disorders : Eight subjects (36.4%) had paraphilia, and five (22.7%) had pedophilia. Two subjects (9.1%) had schizophrenia, five (22.7%) had depressive disorder, and three (13.6%) had alcohol dependence. Participants also showed high rates of Axis II disorders : four of them (18.2%) had mental retardation or borderline intellectual functioning and seven (31.8%) had cluster B personality disorders. Participants’ serum free testosterone level showed statistically significant correlation with motor impulsiveness (p<0.05). Conclusion Sex offenders included in this study displayed high rates of mental illness, including paraphilia and intellectual disability. On the basis of our findings, we asserted that sex offenders should undergo careful evaluation for mental illness, and that management programs for sex offenders should include psychiatric evaluation and intervention.

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