The “Science” of Sex Abuse

Posted on by

Severe Mental IllnessThe unjustified use of psychiatry for preventive detention?

‘According to the largest study of released prisoners, conducted by the Bureau of Justice, the re-arrest rate for sex offenders is lower than that for perpetrators of any violent crime except murder. But the notion that sex offenders have a unique lack of self-control has been repeated so frequently that it has come to feel like common sense. In 1997, the Supreme Court ruled that sexually-violent-predator state laws are constitutional, because they adhere to the medical model of commitment, by which patients who pose a danger to themselves or others can be prevented from leaving a hospital. To be detained, inmates must have a psychiatric illness or “mental abnormality”—typically sexual in nature—that renders them out of control.

…

The science of perversion is decades behind the rest of the field. The diagnostic criteria for sexual disorders were tested on only three patients before being added to the Diagnostic and Statistical Manual of Mental Disorders, in 1980. No field trials have since been conducted. Most offenders labelled “sexually dangerous” receive a diagnosis of pedophilia, sadism, exhibitionism, fetishism, hebephilia (attraction to pubescents), or “not otherwise specified,” a category in the D.S.M. reserved for insufficiently studied disorders. Michael First, the editor of the two most recent editions of the D.S.M., told me that there is no scientific research establishing that abnormal desires are any harder to control than normal ones. “People choose to do bad things all the time,” he said. “Psychiatry is being coöpted by the criminal-justice system to solve a problem that is moral, not medical.” ( — Rachel Aviv, The New Yorker).

Related articles