# Kronik şizofrenide parafilik davranışlar ve hiperseksüalite: bir olgu sunumu ve yazın derlemesi (Paraphilic behaviors and hypersexuality in chronic schizophrenia: a case report and literature review)

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- Page title: Kronik şizofrenide parafilik davranışlar ve hiperseksüalite: bir olgu sunumu ve yazın derlemesi (Paraphilic behaviors and hypersexuality in chronic schizophrenia: a case report and literature review) | WCP 2026 Summary

> In chronic schizophrenia that has remained untreated for a prolonged period, hypersexuality and paraphilic behaviors can result in serious harm to families and…

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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV1202

E-PosterPsychosis and SchizophreniaCase Report

# Kronik şizofrenide parafilik davranışlar ve hiperseksüalite: bir olgu sunumu ve yazın derlemesi (Paraphilic behaviors and hypersexuality in chronic schizophrenia: a case report and literature review)

PARAPHILIC BEHAVIORS AND HYPERSEXUALITY IN CHRONIC SCHIZOPHRENIA: A CASE REPORT AND LITERATURE REVIEW

Presenter: Imtiaz Ahmad Dogar

Country: Pakistan

Institution: Faisalabad Medical University, Department of Psychiatry and Behavioral Sciences

In chronic schizophrenia that has remained untreated for a prolonged period, hypersexuality and paraphilic behaviors can result in serious harm to families and the wider community and require a multidisciplinary approach.

The aim of this report is to examine the clinical and ethical dimensions of co-occurring hypersexuality, paraphilia, and zoophilia in chronic schizophrenia, a rarely reported and inadequately studied presentation. The case concerns a 50-year-old male patient with an approximately 35-year history of illness; reported symptoms beginning in adolescence included disorganization and religious preoccupation, talking to himself, inappropriate laughter, unusual clothing, hoarding behaviors, and marked self-neglect. He had received no formal psychiatric treatment throughout the course of his illness and had instead been seen by religious healers and unqualified practitioners; he had a history of occasional cannabis use and chronic tobacco smoking. Hypersexuality beginning in adolescence progressed over time to uncontrolled sexual behavior, coercive sexual acts, and zoophilia; severe insomnia and markedly increased oral intake were also described. Mental status examination revealed an unkempt appearance, difficulty establishing rapport, formal thought disorder, loosening of associations and circumstantiality, overvalued ideas, impaired abstract thinking, and absent insight; his BPRS (Brief Psychiatric Rating Scale) score was 35 out of 126, indicating mild symptom severity. The discussion notes that pre-existing deviant sexual interests may intensify in the context of psychosis because of disinhibition, delusions, or hallucinations; that negative symptoms and sedating medications may indirectly reinforce paraphilic urges by reducing socially appropriate sexual expression; and that impaired impulse control associated with the frontal cortex may contribute. The ethical discussion emphasizes protective measures and urgent risk assessment, safeguarding family members, children, and animals, respecting legal boundaries, maintaining careful documentation, and collaboration among psychiatry, psychology, social work, and legal services; the authors highlight the importance of early diagnosis, timely psychiatric intervention, and multidisciplinary management integrating pharmacological and psychosocial interventions.

[View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1979)

How to cite this study

APA 7: Dogar, I. A., et al. (2026, September 23-26). Paraphilic behaviors and hypersexuality in chronic schizophrenia: a case report and literature review [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1979

Vancouver: Dogar IA, et al. Paraphilic behaviors and hypersexuality in chronic schizophrenia: a case report and literature review [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1979

Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use.

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