Open in a separate window Paraphilic fantasies and behaviors Altogether, paraphilic sexual fantasies and behaviors were reported more frequently in male patients with ASD than in male HCs. After correcting for multiple testing, significant differences were still present in the number of individuals reporting masochistic fantasies, sadistic fantasies, voyeuristic fantasies and behaviors, frotteuristic fantasies and behaviors, and pedophilic fantasies with female children see Table IV. Female patients with ASD showed no differences in the frequency of paraphilic fantasies or behaviors in comparison with their HC counterparts, except in the frequency of masochistic behaviors, where more female HCs indicated masochistic behaviors than the female ASD patients. Discussion To our knowledge, this is the first study to explore gender-specific aspects of hypersexual and paraphilic fantasies and behaviors in a cohort of high-functioning individuals with ASD in comparison with a matched control group.
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