Courtship disorder is a theoretical construct insexology developed byKurt Freund in which a certain set ofparaphilias are seen as specific instances of anomalouscourtship instincts in humans.[1] The specific paraphilias arebiastophilia (paraphilicrape),exhibitionism,frotteurism,telephone scatologia, andvoyeurism. According to thecourtship disorder hypothesis, there is a species-typical courtship process in humans consisting of four phases, and anomalies in different phases result in one of these paraphilic sexual interests. According to the theory, instead of being independent paraphilias, these sexual interests are individual symptoms of a single underlying disorder.[2]
According to thecourtship disorder hypothesis, there is a species-typical courtship process in humans consisting of four phases.[3][4] These phases are: "(1) looking for and appraising potential sexual partners; (2) pretactile interaction with those partners, such as by smiling at and talking to them; (3) tactile interaction with them, such as by embracing or petting; (4) and then sexual intercourse."[5]
The associations between these phases and these paraphilias were first outlined byKurt Freund,[6][7] the originator of the theory: A disturbance of the search phase of courtship manifests asvoyeurism, a disturbance of the pretactile interaction phase manifests asexhibitionism ortelephone scatologia, a disturbance of the tactile interaction phase manifests as toucheurism orfrotteurism, and the absence of the courtship behavior phases manifests as paraphilicrape (i.e.,biastophilia). According to Freund, these paraphilias "can be conceptualized as a preference for a pattern of behavior orerotic fantasy in which one of these four phases of sexual interaction is intensified and distorted to such an extent that it appears to be a caricature of the normal, while the remaining phases are either omitted entirely or are retained only in a vestigial way."[8]
Freund noted thattroilism (a paraphilia for observing one's sexual/romantic partner sexually interacting with a third party, usually unbeknownst to the third party)[9] might also be a courtship disorder,[8][10] troilism being a variant of voyeurism.
Appropriate behaviors depend on the social and cultural context, including time and place. Some behaviors that are unacceptable under most circumstances, such aspublic nudity or sexual contact between dancers, may be accepted or even encouraged during celebrations likeCarnival orMardi Gras. Where such cultural festivals alter normative courtship behaviors, the signs of courtship disorder may be masked or altered.[11]
Paraphilias within the Courtship Disorder spectrum co-occur with each other more frequently than with paraphilias outside the courtship disorder spectrum.[12][13][14][15] The courtship disorder model offers an underlying common cause for these paraphilias in men to explain this co-occurrence.[6][7]
Courtship disorder is widely cited bysexologists and forensic scientists as one of the predominant models of the paraphilias.[16][17][18][19][20] Murphy and Page wrote that "The 'Courtship Disorder Theory' of Freund is one of the only theories specific to exhibitionism."[21] According to Lavin (2008), "Freund's theory, more than the others, makes it clear that the ordering of activities ... has clinical significance."[22]
Another theoretically based taxonomy of the paraphilias was proposed byJohn Money, who described the range of paraphilic interests aslovemaps.[23]
^Freund, K.; Kolářský, A. (1965). "Grundzüge eines einfachen bezugsystems für die analyse sexueller deviationen ['Basic features of a reference system for considering anomalous erotic preferences']".Psychiatrie, Neurologie, und Medizinische Psychologie.17:221–225.
^Freund, K. (1976). "Diagnosis and treatment of forensically significant anomalous erotic preferences."Canadian Journal of Criminology and Corrections, 18, 181–189.
^Freund, K., & Blanchard, R. (1986). "The concept of courtship disorder."Journal of Sex & Marital Therapy, 12, 79–92.
^Cantor, J. M., Blanchard, R., & Barbaree, H. E. (2009). Sexual disorders. In P. H. Blaney & T. Millon (Eds.),Oxford Textbook of Psychopathology (2nd ed.) (pp. 527–548). New York: Oxford University Press.
^abFreund, K. (1988). "Courtship disorder: Is the hypothesis valid?"Annals of the New York Academy of Sciences, 528, 172–182.
^abFreund, K., Scher, H., & Hucker, S. (1983). The courtship disorders.Archives of Sexual Behavior, 12, 369–379.
^abFreund, K. (1990). "Courtship disorder." In W. L. Marshall, D. R. Laws, & H. E. Barbaree (Eds.),Handbook of Sexual Assault: Issues, Theories, and Treatment of the Offender (pp. 195–207). NY: Plenum.
^Hirschfeld, M. (1938).Sexual Anomalies and Perversions: Physical and Psychological Development, Diagnosis and Treatment (new and revised ed.). London: Encyclopaedic Press.
^Freund, K., & Watson, R. (1990). "Mapping the boundaries of courtship disorder."The Journal of Sex Research, 27, 589–606.
^Abel, G. G., & Osborn, C. (1992). "The paraphilias: The extent and nature of sexually deviant and criminal behavior."Psychiatric Clinics of North America, 15, 675–689.
^Abel, G. G., Becker, J. V., Cunningham-Rathner, J., Mittelman, M., & Rouleau, J.-L. (1988). "Multiple paraphilic diagnoses among sex offenders".Bulletin of the American Academy of Psychiatry and the Law.16 (2):153–168.PMID3395701.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^Templeman, T. L., & Stinnet, R. D. (1991). "Patterns of sexual arousal and history in a "normal' sample of young men".Archives of Sexual Behavior.20 (2):137–150.doi:10.1007/BF01541940.PMID2064539.S2CID7570236.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^Fedora, O., Reddon, J. R., Morrison, J. W., Fedora, S. K., Pascoe, H., Yeudall, L. T. (1992). "Sadism and other paraphilias in normal controls and nonaggressive sex offenders".Archives of Sexual Behavior.21 (1):1–15.doi:10.1007/BF01542713.PMID1546932.S2CID29725978.{{cite journal}}: CS1 maint: multiple names: authors list (link)
^Maea, M., & Coccaro, E. F. (1998).Neurobiology and clinical views on aggression and impulsivity (Clinical & neurobiological advances in psychiatry series). New York: Wiley.
^McConaghy, N. (1993).Sexual Behavior: Problems and Management. New York: Plenum.
^Coleman, E., Dwyer, S. M., & Pallone, N. J. (Eds.) (1996).Sex Offender Treatment: Biological Dysfunction, Intrapsychic Conflict, and Interpersonal Violence.
^Krueger, R. B., Kaplan, M. (2001). "The paraphilic and hypersexual disorders: An overview."Journal of Psychiatric Practice, 7, 391–403.
^Murphy, W. D., & Page, I J. (2008). "Exhibitionism: Psychopathology and theory." In D. R. Laws and W. T. O'Donohue (Eds.),Sexual deviance: Theory, assessment, and treatment (2nd ed.). New York: Guilford
^Lavin, M. (2008). D. R. Laws; W. T. O'Donohue (eds.). "Voyeurism: Psychopathology and theory".Sexual Deviance: Theory, Assessment, and Treatment (2nd ed.). New York: Guilford.
^Money, John (1986).Love Maps: Clinical Concepts of Sexual/Erotic Health and Pathology, Paraphilia, and Gender Transposition in Childhood, Adolescence, and Maturity. New York:Prometheus Books.