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Ressler etal. “” MURDERERS WHO RAPE AND MUTILATE TABLE 3 Inhibition or Aversion to Sexual Activity of Sexually Abused and Nonabused Murderers (in percentages) Sexual Abuse Asa Child As an Adolescent Aversion to Yes No Yes No Sexual Activity (11) (15) (8) (18) In childhood 9 7 In adolescence 73 27 63 39 In adulthood 73 33 63 44 NOTE: n = numbers in parentheses. *p < 0.05 TABLE 4 Mutilation of Murder Victims and Sexual Victimization of Offender Mutilation of Victims Yes No Victimization % % N In childhood Yes 67 33 12 No 44 56 16 In adolescence Yes 78 22 9 No 42 58 19 *p = 0.07. and adulthood for abused and nonabused murderers. We note the consistently reported behavior of isolation as an outcome of child- hood sexual abuse with varied symptom clusters of sleep problems, nightmares, daydreams, poor body image, and convulsions; behaviors of self-mutilation, running away, temper tantrums, rebelliousness, fire setting, actions of cruelty to children and animals, and assault of adults. Some of the symptoms suggest internalized undisclosed sexual abuse (i.e., sleep problems, running away, self-mutilation, and poor body image) whereas other symptoms suggest externalized aggression. Although it would not be expected to see differences between murderers who were sexually molested in childhood reporting a greater peer sex aversion than the nonmolested as a child, those 90