Unnatural sexual offences and paraphilias

FMT-teaching aid

1. UNNATURAL SEXUAL OFFENCES AND PARAPHILIAS Dr Dhritiman Nath Associate Professor, Dept of Forensic Medicine MGMC&RI, Pondicherry

2. Are of the following types – Male homosexuality (Sodomy) Female homosexuality (Lesbianism / Sapphism / Tribadism ) Buccal coitus Bestiality UNNATURAL SEXUAL OFFENCES:

3. MALE HOMOSEXUALITY (SODOMY) Derives its name from the historical city of Sodom – mentioned in the Bible Denotes penile – anal intercourse Offender is called ACTIVE AGENT and the other partner is called PASSIVE AGENT UNNATURAL SEXUAL OFFENCES (contd..):

4. MEDICOLEGAL EXAMINATION OF AN ALLEGED VICTIM OF SODOMY Preliminary particulars Examination of clothing for damage, loose pubic hair, stains of blood / semen / lubricant / faeces MALE HOMOSEXUALITY (SODOMY ): CONTD…

5. LOCAL EXAMINATION Victim not used to sodomy Pain and tenderness Smears of lubricant / foreign pubic hair in / around anus Perianal abrasions and bruising Anal lacerations – usually triangular and based at the external sphincter Fresh / dried semen around / in anus MALE HOMOSEXUALITY (SODOMY): CONTD…

6. LOCAL EXAMINATION Habitual passive agent Bloodstains usually not observed Loose foreign pubic hair may / may not be found Perianal hair usually shaved Perianal skin may be thickened and keratinized No pain or tenderness Lateral traction test Funnel shaped depression of the buttocks towards anus MALE HOMOSEXUALITY (SODOMY): CONTD…

7. LOCAL EXAMINATION (contd..) Habitual passive agent Anus Dilated and patulous Loss of rugosity of mucous membrane Fresh or old fissures / sinuses Rectum Prolapse of mucosa Evidence of STDs Digital examination – relatively painless MALE HOMOSEXUALITY (SODOMY): CONTD…

8. MEDICOLEGAL ASPECTS Legalized in many countries above the permissible age group Not legalized in India Under Hindu Marriage Act – ground for divorce Intense emotional upheaval and may lead to suicide / homicide MALE HOMOSEXUALITY (SODOMY): CONTD…

9. MEDICOLEGAL ASPECTS Legalized in England Under Sec 377 IPC – still a criminal offence in India Extremely difficult to prove Valid ground for divorce Morbid jealousies may lead to suicide / homicide FEMALE HOMOSEXUALITY (LESBIANISM / SAPPHISM / TRIBADISM)

10. MEDICOLEGAL ASPECTS Legalized in England Criminal offence in India If non – consensual and repetitive – legal ground for divorce Material evidence of commission- Spermatozoa in the buccal mucosa Saliva or buccal mucosal cells on the external genitalia - if none of this available – extremely difficult to prove in a court of law BUCCAL COITUS

11. MEDICOLEGAL ASPECTS Criminal offence Valid ground for divorce Accused – Young adult male, mentally challenged Injuries inflicted by animal Hair / feather / blood recovered BESTIALITY

12. These conditions together form one of the group of psychosexual disorders characterized by achievement of sexual gratification by means other than sexual intercourse SEXUAL PARAPHILIAS (SEXUAL DEVIATIONS / PERVERSIONS)

13. CATEGORIES Fetishism Transvestism Sadism and masochism Voyeurism Exhibitionism Paedophilia Miscellaneous disorders (necrophagia, necrophilia etc) SEXUAL PARAPHILIAS (SEXUAL DEVIATIONS / PERVERSIONS ) contd…

14. FETISHISM – Sexual focus on parts of body not normally associated with sexual arousal (hair, foot, nails etc) or on inanimate objects intimately associated with the human body (handbag, glove, shoe etc) 2. TRANSVESTISM – Defined as fantasized or actual dressing in the clothing of opposite sex for the purpose of sexual arousal SEXUAL PARAPHILIAS (SEXUAL DEVIATIONS / PERVERSIONS) contd…

15. 3. SADISM AND MASOCHISM Sadism applies to sexual arousal and orgasm linked to the active infliction , in fantasy or reality, of humiliation, subjugation, or torture of the sexual partner Masochism refers to sexual excitement linked with the passive experience of physical or emotional humiliation, subjugation, torture or danger SEXUAL PARAPHILIAS (SEXUAL DEVIATIONS / PERVERSIONS) contd…

16. 4. VOYEURISM Refers to the repetitive seeking out of situations in which unsuspecting women might be observed when they are bathing, undressing, or copulating 5. EXHIBITIONISM Sexual gratification by repeated acts of exposing one’s genitals to a stranger or unsuspecting person SEXUAL PARAPHILIAS (SEXUAL DEVIATIONS / PERVERSIONS) contd…

17. 6. PAEDOPHILIA A psychological disorder in which an adult experiences sexual gratification for prepubescent children 7. NECROPHILIA Sexual arousal and orgasm can be attained only by sexual intercourse with a corpse SEXUAL PARAPHILIAS (SEXUAL DEVIATIONS / PERVERSIONS) contd…