Sexually abusive behaviour in an adolescent boy with the 48,XXYY syndrome: a case study

✍ Scribed by Kevin J. Epps

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 72 KB
• Volume: 6
• Category: Article
• ISSN: 0957-9664
• DOI: 10.1002/cbm.81

✦ Synopsis

This paper describes the case of a sexually abusive adolescent boy with an unusual and rare chromosomal disorder, the 48,XXYY syndrome. Few such cases have been reported in the literature and there is no known association with sexually abusive behaviour. Following a presentation of his case history, the assessment and treatment of his sexually abusive behaviour is described, most of which occurred whilst he was detained in secure accommodation. Unfortunately, the cognitivebehavioural treatment programme appeared to have little effect in reducing his risk of reoffending. He lacked interest and motivation such that it proved difficult to engage him in interventions aimed at changing his attitudes and behaviour. Further, he appeared unable to understand the emotional consequences for the victims of his abusive behaviour. Consequently, he continues to be sexually aroused by children, experiencing sadistic sexual fantasies, and to hold beliefs supporting sexual involvement with children.