الفهرس 
psychopathology of sexual DeviationsOnly 14 pages are availabe for public view
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Abstract
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SUMMARY AND CONCLUSIONS
I.The aim of this work is to get more informations about the sexual behaviour among cases of hebephrenic schizophrenia before and after illness.
II.The review of literature includes a general concept about the psychopathology of sexual deviations, followed by considerations about the psychosexual development in schizophrenia; then considerations about the sexual inclinations and practices in schizophrenic patients before and after their illness.
III.The practical part of this work includes a study of 40 patients with hebephrenic schizophrenia. The study takes into account some factors that have been implicated in the sexual adjustment of such patients such as duration of illness; hospitalized or non hospitalized and receiving drugs or early without drugs.
* The patients were choosen according to these factors and were divided into:
a) Group A: of 20 outpatients, with less than 2 years
duration of illness, using no antipsychotic drugs. This
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group is further subdivided into:
Subgroup 1 = 10 males and subgroup 2 = 10 females.
b) Group B: of 20 hospitalized patients; with more than
2 years duration, using antipsychotic drugs. This group is further subdivided into:
Subgroup 3 = 10 males and subgroup 4 = 10 females.
* They were subjected to a questionnaire investigating the determinant factors of sexual behaviour in the form of 4 groups of questions:-
a)Group determining the gender identity.
b)Group determining the sexual behaviour of the patients in their earlier and later years.
c)Group determining the sexual aspects in the schizo-phrenic’s thought and perception.
d)Group determining the sexual deviations and difficulties.
IV. The main results can be summarized in:-
1. The onset of the disease often causes a release of sexual impules, regarding the interest in sex, frequency and enjoyment of heterosexual relations, and the masturbation.
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2.The length of illness, hospitalization and the use of antipsychotic drugs usually cause a decrease of sexual impulse, interest in sex, frequency and enjoyment of heterosexual relations, and also masturbation.
3.Many types of deviations of sexual behaviour have been
reported in these patients. Homosexuality was found to
be the most common sexual deviation, followed by
pornography, exhibitionism, transvestism, transsexualism, frotteurism, pedophilia, masochism, scoptophilia, zoophilia, incest and fetishism.
4.Many variations of sexual content in thought and percept-ion have been reported in these patients.
- The most common sexual content in thought is preoccupation with heterosexual matters; followed by homosexual fears, ideas of change in size or shape of genitals, thoughts of being sexually persecuted, sexual obsessions and ideas of sexual metamorphosis.
- The most common sexual content in perception is auditory hallucinations, then visual hallucinations and least common is olfactory hallucinations.
5.Some patients complain of sexual dysfunctions; and they
owe these dysfunctions back to the use of some
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antipsychotic medications. The most common sexual
dysfunction for both males and females was the failure to reach orgasm, then the decreased sexual desire. The most common dysfunction for males only was difficult erection, then difficult ejaculation.
V. We can concluded that:
1.There is a reversible type of relationship between the length of schizophrenic illness and the sexual activites of the patients regarding heterosexual relations.
2.Many variations of sexual content in thought and perception of patients have been reported in hebephrenic patients.
3.Many deviations of sexual behaviour have been reported in hebephrenic patients.
4.Patients with hebephrenic schizophrenia with sexual symptoms may consider their problems sexual in nature and seek help regarding the sexual symptoms ignoring completely the original process of schizophrenia.
5.Forensic considerations must be putt in mind; some hebephrenic patients may commite indecent exposure, child molestation, incest sexuality, and even attaking animals.
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Clearly more in formations about these dangerous issues are needed and isolation of those patients in hospitals is
advisable.
6. A reasonable number of patients reported presence of some sexual dysfunctions and they owe this to the long use of the antipsychotic drugs. Further studies are recommended to uncover the underlying etiology of sexual dysfunctions appearing in some hebephrenic patients. This may help in using this etiological factors in the treatment of patients with prominant sexual concerns.