Exhibitionnists's Cognitive Mecanisms

Study Overview
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Brief Summary
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Exhibitionism is a paraphilia, which is defined according to the DSM 5. The estimated prevalence in men is between 2 to 4% (The prevalence of exhibitionistic disorder in females is even more uncertain but is generally believed to be much lower than in males). At judiciary level: approximately 30% of apprehended male sex offenders are exhibitionists. They have the highest recidivism rate of any sex offender; about 20-50% are arrested again. The studies are old and not very prolific on the subject of exhibition. The available data are lacking, there is no clinical evaluation scale for exhibitionism. The diagnosis is essentially based on facts with judicial characteristics did patient show himself? , Does he enjoy showing off?. Investigators have no data on the cognitive distortions that support this particular acting out, the (specific) triggering factors and the potential psychological vulnerabilities of exhibitionists Some cognitive and sensory mechanisms may be involved in the origin and development of the processes underlying the act (Johnston and Ward 1996). The investigators will rely on the identification of anticipatory, relieving and permissive beliefs as a schema that can explain cognitive processes leading to acting out (Johnston and Ward, 1996). The goal is to apply this approach to exhibitionism. It should be noted that this model of thoughts (anticipatory, relieving and permissive) is taken up in the field of addiction. Exhibition is generally presented in the literature as a possible addictive disorder (Jon E. et al). The investigators will investigate whether there are specific factors precipitating exhibitionnism's acting out, other than the general precipitating factors or the recidivism risk factors known in sexual violence (SONAR, STATIC-99, PCL- R, SVR-20…). The investigators will also study the psychological vulnerabilies of these subjects.

Official Title
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Qualitative Study on Cognitive Mecanisms Involved in Exhibitionists's Acting Out

Conditions
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Paraphilic Disorders, Exhibitionism

Intervention / Treatment
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* Other: Semi-structured interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: male > 18 years followed in Resource Centre for Interveners with Perpetrators of Sexual Violence of Montpellier UH exhibitionnists agree to participate Exclusion Criteria: dementia severe intellectual desability decompensated psychiatric didease

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| exhibitionist patients<br> | Other: Semi-structured interview<br>* The semi-structured interview will take place during a standard follow-up appointment with the therapist already treating the patient after the patient has agreed to participate in the study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-questionnaire | collective and personal representation on the phenomeon, self-reflexivity in relation to personality, self reflexivity in relation to body and sexuality, exploration of the lived expérience of exhbition, exploration of evolution in term of addiction | Day 1 (inclusion) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sexual Addiction Screening Test : SAST-Fr | The Sexual Addiction Screening Test (SAST) is designed to assist in the assessment of sexually compulsive or addictive behavior. | Day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sex offender, sexual violence, acting out