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Penile trauma and genital exhibitionism: from castration anxiety to verbal potency

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In this clinical report, the author describes the case of an eighteen-year-old, intellectually disabled man who committed multiple acts of genital exhibitionism. The patient attended psychoanalytically orientated psychotherapy for a period of fourteen months, during which time he revealed an important traumatic experience, which he had never verbalised previously. This confession helped both parties to develop a much clearer understanding of the origin of the symptomatic enactment. The author discusses the ways in which the verbal inhibitions of disabled patients often render such individuals more susceptible to criminal offences, and he underscores that psychotherapy, specifically forensic disability psychotherapy, provides an opportunity to work through prior traumata and thus contribute to the prevention of future illegal activities.
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Keywords: CASTRATION ANXIETY; DISABILITY PSYCHOTHERAPY; FORENSIC DISABILITY PSYCHOTHERAPY; FORENSIC PSYCHOTHERAPY; GENITAL EXHIBITIONISM; INTELLECTUAL DISABILITY; TRAUMA

Document Type: Research Article

Publication date: December 1, 2019

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  • The International Journal of Forensic Psychotherapy (IJFP) is a leading-edge journal that promotes the health of offenders and victims through the use of psychotherapeutic understanding, risk assessment, and treatment techniques, and will also advance understanding about forensic psychotherapeutic practice.
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