9 William and Marie: Sibling Incest, Sexual Masochism, and Sexual Sadism (DSM-III-R-302.83; DSM-III-R-302.84) William and Marie experienced abnormal sexual inclinations and behaviors. Brother and sister, they felt strong sexual arousal for each other but no one else. They had sexualized their relationship when they were children. William was seven years older than his sister, Marie, and had begun to initiate her into sex play when she was five. He knew he was doing something "wrong," but she had had no idea that she was misbehaving. She thought it was just a game, a secret game that they did in private and never talked about. It wasn't until she was nine that she realized she was "bad" for "playing nasty" with William. Marie enjoyed the feelings she had during their sex play but began to think of herself as "bad" be- cause of the secrecy involved. Sex was bad, and she was bad. William also felt guilty, doubly so because he had taught his little sister to "play nasty" with him. He had been initiated into sex play by a teenage babysitter when he was nine. The babysitter had fondled him and taught him how to masturbate himself. Unlike his sister Marie, at the outset he knew it was wrong, but he enjoyed the feelings and told no one. Later he repeated what he had learned and eroticized his sister's response, giving her the same inclination. Incidents like these are common enough and do not always lead to psychosexual disorder. Usually children go on to have sexual ex- periences with appropriate partners and the guilt recedes into the past, along with the memories of the incidents themselves. This did -79- |