Abstract Purpose It has been hypothesized that paraphilic coercive disorder (PCD) constitutes a distinct preference for coercion that can be discriminated from a preference for sadism. Despite the repeated rejections of PCD as an acceptable diagnosis, it continues to be used. In 2013 Knight and colleagues reviewed the evidence that had been proffered to support the admission of PCD to the DSM-5 as a distinct diagnosis and proposed an alternative model that considers PCD and sadism as levels on a single dimension, called the Agonistic Continuum. They provided factor analytic data to support their argument for the unidimensionality of the proposed continuum, taxometrics to explore whether the construct was distributed categorically, and Item Response Theory to explore the ordinal structure of the dimension. Method The aim of the present study was to replicate the prior findings and to expand their analyses with latent profile analysis on 680 sexual offenders. Results The results supported the viability of an Agonistic Continuum, challenging the hypothesis that PCD and sadism constitute distinct disorders and corroborating the reconceptualization of both paraphilic coercion and sadism. Conclusion This dimension suggests important changes in the conceptualization and measurement of the construct of sadism. Implications are discussed.

中文翻译：

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嗜性强迫症是一种与虐待狂或激动连续体的下端不同的结构吗？

摘要 目的 假设嗜好性强迫症 (PCD) 构成了对强迫的明显偏好，可以将其与对虐待狂的偏好区别开来。尽管 PCD 作为可接受的诊断一再被拒绝，但它仍在继续使用。2013 年，Knight 及其同事审查了支持将 PCD 纳入 DSM-5 作为一种独特诊断的证据，并提出了一种替代模型，该模型将 PCD 和虐待狂视为单一维度上的水平，称为 Agonistic Continuum。他们提供了因子分析数据来支持他们对提议的连续统的单维性的论点，用分类学来探索构造是否按类别分布，并提供了项目响应理论来探索维度的序数结构。方法 本研究的目的是复制先前的研究结果，并通过对 680 名性犯罪者的潜在特征分析来扩展他们的分析。结果 结果支持了激动连续体的可行性，挑战了 PCD 和虐待狂构成不同疾病的假设，并证实了嗜好性胁迫和虐待狂的重新概念化。结论 该维度表明虐待狂的概念化和测量发生了重要变化。影响进行了讨论。挑战 PCD 和虐待狂构成不同疾病的假设，并证实了嗜好强迫症和虐待狂的重新概念化。结论 该维度表明虐待狂的概念化和测量发生了重要变化。影响进行了讨论。挑战 PCD 和虐待狂构成不同疾病的假设，并证实了嗜好强迫症和虐待狂的重新概念化。结论 该维度表明虐待狂的概念化和测量发生了重要变化。影响进行了讨论。