Paraphilias and paraphilic disorders in Parkinson's disease: A systematic review of the literature

“…7 Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported. 8 However, to the best of our knowledge, none of them was associated with a fatal outcome. There are also rare reports of pedophilic behavior in treated PD patients, but in these cases, insight seemed to be retained and the behavior occurred against a general background of marked hypersexuality.…”

Section: Discussion

mentioning

confidence: 72%

“…In addition, cases of paraphilia, including (transvestic) fetishism, have been described . Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported . However, to the best of our knowledge, none of them was associated with a fatal outcome.…”

Section: Discussion

mentioning

confidence: 99%

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Crime and Parkinson's: The jury is out

Santens

¹

,

De Letter

²

,

Lees

³

et al. 2018

Movement Disorders

Smart CitationsHow this paper cites the one you are viewing

“…7 Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported. 8 However, to the best of our knowledge, none of them was associated with a fatal outcome. There are also rare reports of pedophilic behavior in treated PD patients, but in these cases, insight seemed to be retained and the behavior occurred against a general background of marked hypersexuality.…”

Section: Discussion

mentioning

confidence: 72%

“…In addition, cases of paraphilia, including (transvestic) fetishism, have been described . Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported . However, to the best of our knowledge, none of them was associated with a fatal outcome.…”

Section: Discussion

mentioning

confidence: 99%

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Developments in impulse control behaviours of Parkinson's disease

Zurowski

¹

,

O’Brien

²

2015

Current Opinion in Neurology

Abstract

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“…These results are reassuring given that there have been some ethical questions raised about the advisability of using STN DBS in the treatment of ICDs for fear of hypersexuality exacerbation [22]. This is in the context of a number of Parkinson's disease patients being described as having paraphilias including pedophilia and sadism [23].…”

Section: Treatment

mentioning

confidence: 78%

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Addressing Care Partner Burden from the Underrecognition of Iatrogenic Sexual Behavior Changes in Parkinson's Disease

Silveira‐Moriyama

¹

,

Bruno

²

,

Schneider

³

et al. 2026

Movement Disorders

Smart CitationsHow this paper cites the one you are viewing

“…Routine screening and timely modification of dopaminergic regimens should be standard clinical practice. Reduction or discontinuation of DA often results in improvement or resolution of HS and paraphilic behaviors 6 but not universally. Some experience persistent or recurrent symptoms, and reduction may be limited by DA withdrawal syndrome.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Crime and Parkinson's: The jury is out

Santens

¹

,

De Letter

²

,

Lees

³

et al. 2018

Movement Disorders

Smart CitationsHow this paper cites the one you are viewing

“…7 Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported. 8 However, to the best of our knowledge, none of them was associated with a fatal outcome. There are also rare reports of pedophilic behavior in treated PD patients, but in these cases, insight seemed to be retained and the behavior occurred against a general background of marked hypersexuality.…”

Section: Discussion

mentioning

confidence: 72%

“…In addition, cases of paraphilia, including (transvestic) fetishism, have been described . Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported . However, to the best of our knowledge, none of them was associated with a fatal outcome.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Developments in impulse control behaviours of Parkinson's disease

Zurowski

¹

,

O’Brien

²

2015

Current Opinion in Neurology

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…These results are reassuring given that there have been some ethical questions raised about the advisability of using STN DBS in the treatment of ICDs for fear of hypersexuality exacerbation [22]. This is in the context of a number of Parkinson's disease patients being described as having paraphilias including pedophilia and sadism [23].…”

Section: Treatment

mentioning

confidence: 78%

Get access via publisher

Addressing Care Partner Burden from the Underrecognition of Iatrogenic Sexual Behavior Changes in Parkinson's Disease

Silveira‐Moriyama

¹

,

Bruno

²

,

Schneider

³

et al. 2026

Movement Disorders

Smart CitationsHow this paper cites the one you are viewing

“…Routine screening and timely modification of dopaminergic regimens should be standard clinical practice. Reduction or discontinuation of DA often results in improvement or resolution of HS and paraphilic behaviors 6 but not universally. Some experience persistent or recurrent symptoms, and reduction may be limited by DA withdrawal syndrome.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Crime and Parkinson's: The jury is out

Santens

¹

,

De Letter

²

,

Lees

³

et al. 2018

Movement Disorders

Smart CitationsHow this paper cites the one you are viewing

“…7 Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported. 8 However, to the best of our knowledge, none of them was associated with a fatal outcome. There are also rare reports of pedophilic behavior in treated PD patients, but in these cases, insight seemed to be retained and the behavior occurred against a general background of marked hypersexuality.…”

Section: Discussion

mentioning

confidence: 72%

“…In addition, cases of paraphilia, including (transvestic) fetishism, have been described . Although a novel interest in violent sexual acts such as sadomasochistic sexual activity and strangulation are not usually included in this list, such rare cases with even penal consequences have been reported . However, to the best of our knowledge, none of them was associated with a fatal outcome.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher

Developments in impulse control behaviours of Parkinson's disease

Zurowski

¹

,

O’Brien

²

2015

Current Opinion in Neurology

Abstract

Smart CitationsHow this paper cites the one you are viewing

“…These results are reassuring given that there have been some ethical questions raised about the advisability of using STN DBS in the treatment of ICDs for fear of hypersexuality exacerbation [22]. This is in the context of a number of Parkinson's disease patients being described as having paraphilias including pedophilia and sadism [23].…”

Section: Treatment

mentioning

confidence: 78%

Get access via publisher

Addressing Care Partner Burden from the Underrecognition of Iatrogenic Sexual Behavior Changes in Parkinson's Disease

Silveira‐Moriyama

¹

,

Bruno

²

,

Schneider

³

et al. 2026

Movement Disorders

Smart CitationsHow this paper cites the one you are viewing

“…Routine screening and timely modification of dopaminergic regimens should be standard clinical practice. Reduction or discontinuation of DA often results in improvement or resolution of HS and paraphilic behaviors 6 but not universally. Some experience persistent or recurrent symptoms, and reduction may be limited by DA withdrawal syndrome.…”

Section: Discussion

mentioning

confidence: 99%

Get access via publisher