Discussion about this post

User's avatar
Charles's avatar

This story (I was unaware) should be as prominent as the Epstein/Trump story, setting off a million alarm bells! Cy Canterel wrote (on Substack, etc.) about The Zone of Impunity, and I’d like to share it with them (pronoun). I might characterize these as conspiracies within a zones of impunity.

M. Stankovich, MD, MSW's avatar

I have been a forensic psychiatrist for three decades - a medical school instructor & resident supervisor for a decade - and the single best presentation I have heard was by a longtime faculty member who proposed a DSM-5 classification for what he termed "Paraphilic Coercive Disorder" that I have seen published in a volume on sex offenders. They describe the proposed classification as:

"The essential elements of Paraphilic Coercive Disorder could then be described as follows:

(A) Over a period of at least 6 months, recurrent sexually arousing fantasies, urges, or behaviors involving coercive sexual acts with nonconsenting persons, typially including genital contact.

(B) The experience of power, dominance, and control are sexually arousing because the sexual behavior is forced upon a person who is deprived the liberty of consent and would otherwise refuse the sex if given a free choice.

(C) The individual has acted on these sexual urges (committed sexual assault), or the sexual urges or fantasies cause marked distress or interpersonal difficulty.

(D) The disorder is distinguished from sexual sadism in which the physical suffering and/or psychological humiliation of the nonconsenting person is the source of sexual arousal.

To summarize, PCD as a diagnosis applies to serial rapists who demonstrate persistent , repetitive acts of coercive sex over time with multiple victims. At the core of PCD is the deviant arousal to the abusive power of sex with a nonconsenting person. Note that the nonconsenting person need not be actively physically resisting the sexual assault (fi ghting, struggling, etc.). In some rape situations a fearful victim may “surrender” and never physically resist, accepting that she or he would lose the struggle, and passively submit to the rape. This is particularly true of vulnerable victims who are small in stature, elderly,

physically disabled, or when the perpetrator uses weapons. In addition, PCD cam be present in serial rapists who target unconscious or mentally incompetent victims who are incapa-

ble of consent due to their lack of awareness that a sexual assault is being committed upon them. Whereas sexual sadists are erotically aroused by the use of force greater than neces-

sary to subdue the victim, the need for excessive force or the infliction of pain are not necessarily characteristic of PCD."

Having personally interviewed patients in the CA correctional system who seemed to, more or less, be aligned with these criteria, I further found them to be highly manipulative (e.g. faking "seizures" to obtain lower bunks or single cells); entitled; demanding; "service-seeking," (e.g. seeking transfer to the "sensitive needs" units where they could be segregated from other inmates because they claimed "whistleblower" status, when in fact they were simply frightened); medication-seeking (notably benzodiazepines, because they had "undiagnosed anxiety disorders," but, again, were suspected of merely being frightened); special dietary restrictions, etc. etc.

As far as I know, after twice being rejected for inclusion to updates to the DSM-5, there does not appear to be an active movement to again pursue inclusion. Nevertheless, it is easy to see where its application certainly seems to apply to this case and other similar cases, or at least seems to promote a a typology worth another examination.

19 more comments...

No posts

Ready for more?