Martin Kafka (rugby Player)
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Martin Paul Kafka (born 1947) is an
American American(s) may refer to: * American, something of, from, or related to the United States of America, commonly known as the "United States" or "America" ** Americans, citizens and nationals of the United States of America ** American ancestry, p ...
psychiatrist A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly ...
best known for his work on
sex offender A sex offender (sexual offender, sex abuser, or sexual abuser) is a person who has committed a Sex and the law, sex crime. What constitutes a sex crime differs by culture and legal jurisdiction. The majority of convicted sex offenders have convi ...
s,
paraphilia A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human ...
s and what he calls "paraphilia-related disorders" such as
sex addiction Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. The concept is contentious; sexual addiction is not a clinical diagnosis in ...
and
hypersexuality Hypersexuality is a proposed medical condition said to cause unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment., according to the website of ''Psychology Toda ...
.


Career

Kafka earned his undergraduate degree at
Columbia College of Columbia University Columbia College is the oldest Undergraduate education#United States system, undergraduate college of Columbia University, a Private university, private Ivy League research university in New York City. Established in 1754 as King's College on the ...
in 1968 and his
M.D. A Doctor of Medicine (abbreviated MD, from the Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of physician. This ge ...
cum laude in 1973 from the Medical College at
SUNY Downstate Medical Center SUNY Downstate Health Sciences University is a public medical school and hospital in Brooklyn, New York. It is the southernmost member of the State University of New York (SUNY) system and the only academic medical center for health education, ...
. He completed his psychiatric residency at the
University of Michigan The University of Michigan (U-M, U of M, or Michigan) is a public university, public research university in Ann Arbor, Michigan, United States. Founded in 1817, it is the oldest institution of higher education in the state. The University of Mi ...
Medical Center in 1977. He was Clinical Instructor of Psychiatry at University Hospital in
Ann Arbor, Michigan Ann Arbor is a city in Washtenaw County, Michigan, United States, and its county seat. The 2020 United States census, 2020 census recorded its population to be 123,851, making it the List of municipalities in Michigan, fifth-most populous cit ...
from 1977 to 1983. He has taught at
Harvard Medical School Harvard Medical School (HMS) is the medical school of Harvard University and is located in the Longwood Medical and Academic Area, Longwood Medical Area in Boston, Massachusetts. Founded in 1782, HMS is the third oldest medical school in the Un ...
since 1983 and is affiliated with
McLean Hospital McLean Hospital () (formerly known as Somerville Asylum and Charlestown Asylum) is a psychiatric hospital in Belmont, Massachusetts. McLean maintains the world's largest neuroscientific and psychiatric research program in a private hospital. It i ...
. In 1999 Kafka was elected a full member of the
International Academy of Sex Research The International Academy of Sex Research (IASR) is a scientific society for researchers in sexology. According to John Bancroft, retired director of the Kinsey Institute, IASR "can claim...most of the field's leading researchers." IASR is uniqu ...
. He joined the editorial board of ''Sexual Abuse: A Journal of Research and Treatment'' in 1999 and ''Sexual Addiction & Compulsivity: The Journal of Treatment and Prevention'' in 2001. Kafka was a charter member of the International Association for the Treatment of Sex Offenders (IATSO) in 2000. He has been president of the Massachusetts Chapter of the Association for the Treatment of Sexual Abusers (MATSA) from 2002 to 2008 and a member of the national ATSA ethics committee from 2004 to 2005. In 2010 he was named a Distinguished Life Fellow of the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 39,200 members who are in ...
. In 2008, Kafka was selected to be a member of the American Psychiatric Association's Work Group on Sexual and Gender Identity Disorder for the development of the ''
Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a com ...
'' Fifth Edition (2013) Kafka was the only American in a panel of eight non-Catholic scientists commissioned by the church to prepare a report on
Catholic sex abuse cases There have been many cases of sexual abuse of children by priests, nuns, and other members of religious life in the Catholic Church. In the late 20th and early 21st centuries, the cases have involved several allegations, investigations, t ...
.Bruni, Frank (February 24, 2004)
Experts' Report at Vatican Faults Sex Abuse Policy in U.S.
''
The New York Times ''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
''
His article questioned whether "Catholic clerical education and socialization could be associated with an increased risk of expressing or experimenting with socially immature but aberrant sexual behaviors."Kafka MP (2004). Sexual Molesters of Adolescents, Ephebophilia, and Catholic Clergy: A Review and Synthesis. In ''Sexual Abuse in the Catholic Church: Scientific and Legal Perspectives'', ed. R. Karl Hanson, Friedemann Pfäfflin, and Manfred Lütz (Vatican: Libreria Editrico Vaticana, 2004). Kafka notes that "we don't know" the causes of atypical sexual behaviors. He cautions that "the research is in infancy," but it appears that physiological factors and environmental factors may both play roles.Bergner, Daniel (January 23, 2005)
The Making of a Molester.
''The New York Times''
Though sexual abusers of children are more likely to have been child sexual-abuse victims themselves, "most pedophiles have not been sexually abused." Kafka believes "social skills deficits" can be a factor. Kafka's work on
hypersexuality Hypersexuality is a proposed medical condition said to cause unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment., according to the website of ''Psychology Toda ...
bases an evaluation on total sexual outlet. While previous treatments attempted to reduce
androgen An androgen (from Greek ''andr-'', the stem of the word meaning ) is any natural or synthetic steroid hormone that regulates the development and maintenance of male characteristics in vertebrates by binding to androgen receptors. This includes ...
levels via
chemical castration Chemical castration is castration via anaphrodisiac drugs, whether to reduce libido and sexual activity, management of cancer, to treat cancer, or otherwise. Unlike orchiectomy, surgical castration, where the gonads are removed through an incision ...
, Kafka uses drugs that regulate
monoamines Monoamine neurotransmitters are neurotransmitters and neuromodulators that contain one amino group connected to an aromaticity, aromatic ring by a two-carbon chain (such as -CH2-CH2-). Examples are dopamine, norepinephrine and serotonin. All m ...
such as
dopamine Dopamine (DA, a contraction of 3,4-dihydroxyphenethylamine) is a neuromodulatory molecule that plays several important roles in cells. It is an organic chemical of the catecholamine and phenethylamine families. It is an amine synthesized ...
and
norepinephrine Norepinephrine (NE), also called noradrenaline (NA) or noradrenalin, is an organic compound, organic chemical in the catecholamine family that functions in the brain and human body, body as a hormone, neurotransmitter and neuromodulator. The ...
, but especially
serotonin Serotonin (), also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter with a wide range of functions in both the central nervous system (CNS) and also peripheral tissues. It is involved in mood, cognition, reward, learning, ...
. He states that "sexual deviance is linked to an as-yet-unidentified disregulation affecting the serotonin system." After treating a sex offender among a group of people diagnosed with
eating disorder An eating disorder is a mental disorder defined by abnormal eating behaviors that adversely affect a person's health, physical or mental health, mental health. These behaviors may include eating too much food or too little food. Types of eatin ...
s, Kafka connected the two: "I began to see that the sex offenders were just like the bulimics. Both groups were suffering from a disregulation of appetite."Slater, Lauren (November 19, 2000). Th
How Do You Cure A Sex Addict?
''The New York Times''


Selected publications

* Kafka MP (1991). Successful antidepressant treatment of nonparaphilic sexual addictions and paraphilias in men. ''Clin Psychiatry'' 1991 Feb;52(2):60-5. * Kafka MP, Prentky RA (1992). Fluoxetine treatment of nonparaphilic sexual addictions and paraphilias in men. ''J Clin Psychiatry'' 1992 Oct;53(10):351-8. * Kafka MP, Prentky RA (1992). A comparative study of nonparaphilic sexual addictions and paraphilias in men. ''J Clin Psychiatry'' 1992 Oct;53(10):345-50. * Kafka MP, Prentky RA (1994). Sertraline pharmacotherapy for paraphilias and paraphilia-related disorders: an open trial. ''Ann Clin Psychiatry'' 1994 Sep;6(3):189-95. * Kafka MP, Prentky RA (1994). Preliminary observations of DSM-III-R axis I comorbidity in men with paraphilias and paraphilia-related disorders. ''J Clin Psychiatry'' 1994 Nov;55(11):481-7. * Kafka MP (1997). A Monoamine Hypothesis for the Pathophysiology of Paraphilic Disorders. ''
Archives of Sexual Behavior The ''Archives of Sexual Behavior'' is a bimonthly peer-reviewed medical journal in sexology. It is the official publication of the International Academy of Sex Research. History The journal was established in 1971 by Richard Green, who served a ...
'' Volume 26, Number 4, August 1997, pp. 343–358(16). * Kafka MP (1997). Hypersexual desire in males: an operational definition and clinical implications for males with paraphilias and paraphilia-related disorders. ''
Archives of Sexual Behavior The ''Archives of Sexual Behavior'' is a bimonthly peer-reviewed medical journal in sexology. It is the official publication of the International Academy of Sex Research. History The journal was established in 1971 by Richard Green, who served a ...
'' 1997 Oct;26(5):505-26. * Kafka MP, Prentky RA (1998). Attention-deficit/hyperactivity disorder in males with paraphilias and paraphilia-related disorders: a comorbidity study. ''J Clin Psychiatry''. 1998 Jul;59(7):388-96; quiz 397. * Kafka MP, Hennen J (2002). A DSM-IV Axis I comorbidity study of males (n= 120) with paraphilias and paraphilia-related disorders. ''Sexual Abuse: A Journal of Research and Treatment''. Volume 14, Number 4, October 2002, pp. 349–366(18).


Notes

5. American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington VA, American Psychiatric Association, 2013.


References

* Kafka, M.P.(2010) Hypersexual Disorder: a proposed diagnosis for DSM-V. Archives of Sexual Behavior 39;377-400 * American Psychiatric Association. (2013). The Diagnostic and Statistical Manual of Mental Disorders, (5th Edition): American Psychiatric Association


External links


Martin P. Kafka profile
via McLean Hospital {{DEFAULTSORT:Kafka, Martin 1947 births Living people American psychiatrists Columbia College (New York) alumni University of Michigan alumni Harvard Medical School faculty American sexologists SUNY Downstate Medical Center alumni McLean Hospital physicians