A significant problem for clinical judicial experts when issuing court opinions is the possibility that the assessed person may be simulating, as well as lack of examination tools that would increase the objectivity and reliability of the assessment. This presentation covers studies on psychological characteristics of perpetrators of crimes against sexual freedom.

The participants were asked to complete psychological tools - Rosenberg Self-Esteem Scale, Satisfaction with Life Scale, Emotion Understanding Test, Revised NEO Personality Inventory, Attachment Style Questionnaire.

The participants of the study consisted of 225 men serving sentences of imprisonment in a dozen of Polish prisons. Two clinical populations were compared: of perpetrators diagnosed and not diagnosed with sexual preference disorders. The control group consisted of offenders of crimes other than against sexual freedom.

no personality and psychosocial variables were identified that would significantly differentiate offenders diagnosed and not diagnosed with parapaphilic disorder.

The results of this study justify the use of selected tools to complement the clinical diagnosis, allowing for obtaining additional data, independent from case files and interview, that would increase the probability of sexual preference disorders.

The study was approved by the ethical committee at the Institute of Psychiatry and Neurology in Warsaw and the Director General of the Prison Service. Scientific work was financed from the budget for science in the years 2017-2021, as a research project D

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized with difficulties in social interaction/communication, restricted interests, and repetitive behaviors. Sexual issues such as paraphilic behaviors in ASD have gained attention in recent years, however there is still a great paucity of research regarding this issue.

The aim of this presentation is to draw attention to a crucial dimension through a case of ASD with paraphilic disorder (pedophilic tendencies) and gender dysphoria.

One case from an inpatient unit of a psychiatric clinic in Lower Saxony, Germany will be reported.

Case: An 18-year-old male was referred to our acute psychiatric ward due to suicidal thoughts and other depressive symptoms. In further examination, he stated that he had pedophilic phantasies which he was trying to satisfy by using child pornography in the darknet. He had never been involved in any sexual relationship with a child and described this behavior as an addiction that he wanted to get rid of. Detailed psychiatric examination and developmental history yielded the diagnosis of high-functioning ASD. The compulsory paraphilic engagement is classified as a restrictive-repetitive interest in terms of ASD. In addition, the patient presented gender incongruence with moderate gender dysphoria, dressed in a skirt and wanted to be perceived and named rather gender-neutral, which was supported through the whole course.

Through systemic understanding of the high-functioning ASD structure and complex symptomatology, socio- and psychotherapeutic approaches were implemented which yielded an apparent stabilization. The detailed therapeutic process in the light of the present literature will be discussed.

No significant relationships.