Management of Sexual Deviation

Abstract

Few men go to their doctor complaining of a sexual deviation, and those who do are usually impelled by fear of discovery or pressure from their family or the law. Many who experience guilt or anxiety about their deviant sexual practices present their doctor with a variety of complaints and hope that he or she will perceive their underlying concern or provide them with an opporunity to reveal it. An unknown number seek help from the plethora of sex shops, counselling services, and special-interest self-help groups, which vary greatly in their competence and credibility. In a single article it is not possible to consider elaborate definitions or to explore current theories nor is it helpful to produce an extensive catalogue of the almost infinite variety of perversions practised by man. Instead I will try to outline some general principles of management. © 1975, British Medical Journal Publishing Group. All rights reserved.