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December 1967

Male Sexual Deviation: Association With Early Temporal Lobe Damage

Author Affiliations

From the Psychiatric Research Institute (Drs. Kolářský, Freund, and Polák) and the Physiological Institute of the Czechoslovak Academy of Sciences, Prague (Dr. Machek). Dr. Freund is a Reader in Psychiatry, Charles University, Prague.

Arch Gen Psychiatry. 1967;17(6):735-743. doi:10.1001/archpsyc.1967.01730300095012

THE ASSOCIATION of male sexual deviation with temporal lobe epilepsy has been noted in a considerable number of cases described in the literature.1-8 The inference that the temporal lobe lesion plays a causative role in the development of sexual deviations seemed warranted, especially in the case presented by Mitchell et al,6 but there was no evidence against the possibility that these cases of association of temporal lobe lesion and sexual deviation are only a matter of chance.

Since sexual deviation is viewed as a developmental disorder, it was hypothesized that for a brain lesion to have etiological significance, for its development it would need to have been present since early childhood.9-12 Because of the reported association of sexual deviation and temporal lobe lesion, it was predicted that in a sample of subjects with various brain lesions the sexual deviations will predominantly be

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