Case Series
Volume 7 Issue 8 - 2018
Sex Chromosome Abnormality and Sexual Behaviour: Selective Treatment Approaches - A Case Series of 5 Klinefelter’s Men
Dominique Bourget1*, Alain Labelle2, John MW Bradford3 and J Paul Fedoroff4
1Forensic Psychiatrist, Integrated Forensic Program and Sexual Behaviours Clinic, Royal Ottawa Mental Health Centre, Associate Professor of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada
2Psychiatrist, Royal Ottawa Mental Health Centre; Associate Professor of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada
3Founder, Forensic Psychiatry, Royal College of Physicians and Surgeons of Canada; Psychiatrist Forensic Program St. Joseph’s Healthcare Hamilton, Full Professor [Clinical] Department of Psychiatry and Behavioural Neurosciences, McMaster University; Emeritus Professor, University of Ottawa, Ottawa, Ontario, Canada
4Forensic Psychiatrist, Integrated Forensic Program, Director, Sexual Behaviours Clinic, Royal Ottawa Mental Health Centre; Professor of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada
*Corresponding Author: Dominique Bourget, Forensic Psychiatrist, Integrated Forensic Program and Sexual Behaviours Clinic, Royal Ottawa Mental Health Centre, Associate Professor of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada.
Received: July 06, 2017; Published: August 01, 2018
Citation: Dominique Bourget., et al. “Sex Chromosome Abnormality and Sexual Behaviour: Selective Treatment Approaches - A Case Series of 5 Klinefelter’s Men”. EC Psychology and Psychiatry 7.8 (2018): 586-594.
Abstract
The study of Klinefelter’s syndrome (XXY chromosome) in relation to sexual disorders is particularly relevant to forensic psychiatrists since various reports have suggested an association between these conditions [1-8]. However, the prevalence of sexual deviations or paraphilias in these men is not precisely known and may only be sporadic [2,4,9]. In 1981, Schroder., et al. found that men with extra sex chromosomes were more likely to have been involved in sexual crimes than other indictable offenses [10]. O’Donovan and Völmm [11] conducted a systematic review of research papers in order to establish the prevalence of sexual offending in Klinefelter men. They identified 53 papers, out of which 10 were relevant for their purposes. One of the papers, a Danish register-based cohort study, supported the notion of an increased risk of sex offending in Klinefelter men [8]. It further found that the prevalence of sexual offending was higher before diagnosis [8]. In the current paper, the authors discuss relevant aspects of sexual behaviours in a series of five men with Klinefelter’s syndrome.
In light of the chromosomal and hormonal abnormalities, specific factors must also be considered prior to initiating a treatment program. The traditional approach of hormonal replacement may not always represent a reasonable alternative in presence of a sexual deviation. These considerations deserve further discussion.
Keywords: Klinefelter’s Syndrome; Sexual Disorder; Paraphilia; Management
Copyright: © 2018 Dominique Bourget., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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