| Table 1: Motivations of offenders in sexual misconduct by physicians |
|---|
| Type of motivation | Characteristics of motivation |
| Psychosis[17] | Offender has loss of judgement as a result of impaired reality testing and delusions of grandiosity and love |
| Predatory psychopathy and paraphilia[17] | Offender uses patients to gratify own needs, has no concern for patients, has no remorse and has a sociopathic or narcissistic personality |
| "Lovesickness"[17] | Offender is emotionally dependent, has intrusive thoughts about the patient, has impaired judgement in regard to the loved one and feels incomplete without the loved one |
| Masochistic surrender[17] | Offender overidentifies with patient, is unable to set limits and denies anger with patient |
| Uninformed, naive approach[18] | Offender lacks knowledge or understanding of ethical standards or professional boundaries |