Prenatal alcohol exposure produces a broad range of primary disabilities that lead to adverse life course outcomes in children raised in adverse environments. Inappropriate sexual behaviors are a commonly occurring secondary disability, with a large minority of individuals with fetal alcohol spectrum disorder (FASD) displaying sexual aggression. Adults with FASD who commit repeated criminal sexual acts may be subject to legal proceedings for indefinite involuntary civil confinement as sexually violent predators/persons (SVP) in certain jurisdictions in the United States. Studies about the diagnostic practices among psychologists and psychiatrists retained by states to evaluate individuals as SVP do not recognize FASD as a mental disorder, despite the likelihood that hundreds of individuals petitioned for involuntary commitment suffer from FASD. Establishing an FASD diagnosis may provide exculpatory evidence to refute a government petition that an individual suffers from a mental condition that affects emotional or volitional capacity by predisposing the person to committing criminal sexual behavior. This article provides a framework for identifying, assessing, and deciding whether individuals with the FASD diagnosis suffer from the legally defined mental disorder that is necessary to indefinitely confine individuals as SVP.

中文翻译：

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不完美的契合：以胎儿酒精谱系障碍为基础，将个人非自愿地视为性暴力掠食者/人

产前酒精暴露会导致广泛的原发性残疾，从而导致在不利环境中长大的儿童的不良生命历程结果。不适当的性行为是一种常见的继发性残疾，大部分患有胎儿酒精谱系障碍 (FASD) 的人表现出性侵犯。在美国某些司法管辖区，反复犯下犯罪性行为的 FASD 成人可能会受到法律诉讼，以无限期非自愿民事监禁为性暴力掠夺者/人 (SVP)。尽管有数百名申请非自愿承诺的人可能患有 FASD，但各州聘请的心理学家和精神科医生的诊断实践研究并未将 FASD 视为一种精神障碍。建立 FASD 诊断可以提供开脱罪责的证据，以驳斥政府的请愿书，即个人患有影响情绪或意志能力的精神状况，使该人易于实施犯罪性行为。本文提供了一个框架，用于识别、评估和决定患有 FASD 诊断的个体是否患有法律定义的精神障碍，这是无限期地将个人限制为 SVP 所必需的。