{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:06:17Z","timestamp":1773014777097,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp; Mental Health"],"published-print":{"date-parts":[[2025,2]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Since DSM\u2010III, mental disorders have been classified based on overt symptoms and behaviours rather than underlying psychological and personality processes.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n This study examines the occurrence of personality dysfunction in individuals with paraphilic disorders and problematic sexual behaviours.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n The Shedler\u2010Westen Assessment Procedure (SWAP\u2010200), a clinician\u2010rated assessment measure of personality disorders, was administered in a sample of 303 patients referred to a specialist forensic psychotherapy clinic.<\/jats:p>\n <\/jats:sec>\n \n \n \n Sixty\u2010six percent (\n N\u2009=<\/jats:italic>\n \u00a0200) of the sample were diagnosable with traits of one or more DSM\u20105 personality disorders, and 35% (\n N\u2009=<\/jats:italic>\n \u00a0106) were diagnosable with categorical DSM\u20105 personality disorders. When an alternative set of empirically derived personality diagnoses was examined, 94% (\n N\u2009=<\/jats:italic>\n \u00a0285) had significant traits of the personality syndromes, and 62% (\n N\u2009=<\/jats:italic>\n \u00a0188) of the sample met criteria for categorical diagnoses.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Paraphilic fantasies and behaviours may be linked to underlying personality pathology, suggesting implications for assessment and treatment.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmh.1650","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T22:25:24Z","timestamp":1732227924000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Paraphilias, problematic sexual behaviours and personality disorder\u2014To what extent are they linked?"],"prefix":"10.1002","volume":"19","author":[{"given":"Jessica","family":"Yakeley","sequence":"first","affiliation":[{"name":"Portman Clinic Tavistock and Portman NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicitas","family":"Rost","sequence":"additional","affiliation":[{"name":"Portman Clinic Tavistock and Portman NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Wood","sequence":"additional","affiliation":[{"name":"Portman Clinic Tavistock and Portman NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safia","family":"Abid","sequence":"additional","affiliation":[{"name":"Portman Clinic Tavistock and Portman NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The psychology of criminal conduct","author":"Andrews D. 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