Presentation of Paraphilias and Paraphilia-Related Disorders in Young Adults With Mental Retardation: Two Case Profiles
James K. Luiselli, Ed.D., ABPP

Paraphilias are clinical disorders that encompass atypical sexual urges, fantasies, and behaviors, cause significant maladjustment, and frequently, involve criminal activity. Despite increased interest in the sexual functioning of people who have mental retardation, little is known about the presence of paraphilias among this population. This paper discusses diagnostic criteria and treatment considerations relative to paraphilias and paraphilia-related disorders, including two case profiles of young adults with mental retardation. These profiles highlight the clinical presentation of each adult and demonstrate differences in diagnostic screening and treatment formulation. Pertinent issues are discussed.