Is Paraphilic Coercion a Different Construct from Sadism or Simply the Lower End of an Agonistic Continuum?

Nicholas Longpre, Judith Sims-Knight, Craig Neumann, Jean-Pierre Guay, Raymond Knight

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Purpose: It has been hypothesized that paraphilic coercive disorder (PCD) constitutes a distinct preference for coercion that can be discriminated from a preference for sadism. Despite the repeated rejections of PCD as an acceptable diagnosis, it continues to be used. In 2013 Knight and colleagues reviewed the evidence that had been proffered to support the admission of PCD to the DSM-5 as a distinct diagnosis and proposed an alternative model that considers PCD and sadism as levels on a single dimension, called the Agonistic Continuum. They provided factor analytic data to support their argument for the unidimensionality of the proposed continuum, taxometrics to explore whether the construct was distributed categorically, and Item Response Theory to explore the ordinal structure of the dimension.

Method: The aim of the present study was to replicate the prior findings and to expand their analyses with latent profile analysis on 680 sexual offenders.

Results: The results supported the viability of an Agonistic Continuum, challenging the hypothesis that PCD and sadism constitute distinct disorders and corroborating the reconceptualization of both paraphilic coercion and sadism.

Conclusion: This dimension suggests important changes in the conceptualization and measurement of the construct of sadism. Implications are discussed.

© 2020 Elsevier Ltd. All rights reserved. The attached document (embargoed until 28/09/2022) is an author produced version of a paper published in JOURNAL OF CRIMINAL JUSTICE uploaded in accordance with the publisher’s self-archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.
Original languageEnglish
Article number101743
Number of pages11
JournalJournal of Criminal Justice
Early online date28 Sept 2020
Publication statusE-pub ahead of print - 28 Sept 2020

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