Recent studies have suggested an association of genetic and neurodevelopmental factors with development of paraphilia. In this case report on monozygotic twins with pedophilia, we aim to offer additional evidence indicating that genetic vulnerability may be a significant risk factor along with environmental influences on development of pedophilia. These twin pairs, who have been arrested for sexual offenses against boys, had experienced emotional and physical abuse during their childhood, and the older twin brother is reported to have a history of sexual abuse. Both showed homosexual tendencies, and the younger twin brother was also diagnosed as exhibitionism. This case implies greater involvement of genetic factors and associated vulnerabilities in the etiology of paraphilia, including pedophilia, than environmental factors such as childhood abuse. In the future, conduct of research will be needed in order to determine the biological markers related to the etiology of pedophilia.
Biomarkers ; Exhibitionism ; Homosexuality ; Humans ; Paraphilic Disorders ; Pedophilia* ; Risk Factors ; Sex Offenses ; Siblings ; Twins, Monozygotic*

Child abuse and neglect refers to any act or failure to act that violates the rights of children and affects their overall optimal health, survival or development. Also sexual abuse in children is defined as engaging a child in sexual acts that the child does not understand, to which the child cannot give informed consent, or which violate the taboos of our society. Sexual abuse may involve direct acts perpetrated against children as well as other non-touching abuses, which include exhibitionism, voyeurism, or the use of children for pornographic purposes. Although precise incidence and prevalence rate data are lacking, sexual abuse of children is common in our country and throughout the world. Child sexual abuse is a universal problem that has frequently passed unrecognized and its victims (both children and perpetrators) untreated. Child sexual abuse results in significant social damage. The physical and psychological consequences of child sexual abuse may result in trauma and has implications throughout the lifespan. Experiencing sexual abuse as a child also has the consequence of contributing to an increased risk of violent victimization, perpetration, self-directed violence and suicide later in life. Despite the importance of the issues, information about sexual abuse in children and amongst adults has not been commonly shared by health professionals. The purpose of this review article is to assist the physician in their investigation of child sexual abuse by exploring the important topics.
Adult ; Child Abuse ; Child Abuse, Sexual ; Child* ; Crime Victims ; Exhibitionism ; Health Occupations ; Humans ; Incidence ; Informed Consent ; Prevalence ; Sex Offenses* ; Suicide ; Taboo ; Violence ; Voyeurism

OBJECTIVES: Although there have been many studies in the academic fields outside theology about religious conversion experience, only a few objective methodological research efforts have been possible because of difficulties in scientific approach due to the subjective's individual and diverse characteristics. Recently, research from a psychological and psychiatric point of view has begun. There are many different viewpoints toward religious conversion: from a psychoanalytic perspective, regarding it as a projection of the father figure; to negative attitudes such as sexual repression, exhibitionism, neurosis, psychosis, dissociation, organic brain disease, aphasia and compensation for deprivation; and also to positive viewpoints that there is no psychopathology, that the experience of religious conversion exert an adaptive effect, and that it is a phenomenon which happens to persons who have a well-integrated personality. From the viewpoint of psychoanalytic self-psychology, religious conversion is self-object seeking behavior in people who have a narcissistic personality trend. In this study we tried to demonstrate the association between religious conversion and narcissistic personality trend. Particularly, we attempted to show the hypothesis that the crisis conversion group has a higher association with the narcissistic personality trend. METHOD: We divided the subjects into 3 groups (crisis conversion group, progressive conversion group, non-conversion group) and analyzed the differences in the scales of narcissistic personality according to the diagnostic criteria (diagnostic criteria for narcissistic personality disorder based on prototypicality rating and narcissistic personality inventory). RESULT: The results showed that the crisis conversion group had a significantly higher value than the other 2 groups for narcissistic personality inventory and factor II (Leadership/Authority) and factor III (Superiority/Arrogance), showing that the crisis conversion group had a higher narcissistic personality trend. CONCLUSION: The crisis conversion group has more narcissistic personality trend than other 2 groups and the narcissistic personality trend which was found in the crisis conversion group may have a more adaptive and functioning dimension in contrast to a pathological and maladaptive one.
Aphasia ; Brain Diseases ; Compensation and Redress ; Exhibitionism ; Fathers ; Humans ; Personality Disorders ; Personality Inventory ; Prothrombin ; Psychopathology ; Psychotic Disorders ; Repression, Psychology ; Theology ; Thromboplastin ; Weights and Measures