You will be presented with the full text of a biomedical research paper. Please write an abstract for this paper. Your response should include the abstract and no additional text.

Paper text:
bestiality is a type of sexual offence in which animal is used as a medium for satisfying sexual desire without developing any kind of emotional bonding.(1 ) bestiality is perceived in some society as a modality to cure sexually transmitted disease but in reality it is a punishable offence as per indian legal system ( sec 377 ipc).(2 ) moreover , a person who had engaged in childhood bestiality is more likely to commit adult interpersonal crimes and should be taken as a warning signal by the society.(3 ) early identification of risk factors and psychopathology in bestiality case by psychological analysis are lacking in india , making this case worth to publish .
an 18-year old unmarried , non - literate male of low socioeconomic status brought to the emergency department for medical examination with an alleged history of bestiality .
he had committed sexual intercourse with two calves and during the act one calf died .
human dna was detected from the anal and vaginal swabs of calves in a forensic science laboratory which confirmed the allegation .
the patient had not shown any feeling of guilt or remorse associated with the death of a calf and admited about the heterosexual practice which listed the case in the category of bestiality .
as reported by the patient , the significant life events during his childhood and adolescence contained witnessing domestic violence ( father and brother beating their wives ) , death of mother when he was 13 years old , and started consuming alcohol at the age of 16 years .
another key life experience warranted a special mention was that he was sexually abused ( sodomy ) by adult males multiple times at the age of 10 - 11 years . after taking written consent ( left thumb impression after patient information sheet ) , the interviews and psychological assessments were carried out . for cognitive functioning ,
pgi memory scale , bhatia short battery of performance- revised , and verbal adult intelligence ( vais ) , were used .
along with that draw a person test 16 personality factors ( 16-pf ) , millon 's clinical multiaxial inventory - iii ( mcmi - iii ) were administered as part of personality test ( both objective and projective ) .
during interview it was reported by the patient and his father , that nobody except the patient in the existing family had a habit of alcohol consumption . besides being a victim of child sexual abuse at the age of 10 - 11 years , patient also reported to have been engaged in an illicit ( as considered socially in india ) sexual relationship ( first attempt force sexual intercourse and then consensual sexual intercourse ) within the family and also continued having sexual intercourse ( infrequently ) with a female in his village since when he was 14 - 15 years old .
he had watched people engaging in penile - vaginal intercourse ( sexual voyeurism ) many times .
he visits internet caf very regularly to watch pornographic movies and pictures ; however , he preferred to watch sexual activities of animals ( only of cow , dog , and hen ) .
cognitive functioning by pgi- bbd ( pgi battery of brain dysfunction ) revealed no cognitive dysfunction .
the overall assessment suggested of absence of any brain dysfunction and active psychopathology , average intelligence ( iq ) and intact cognitive functioning .
the drawing of a male figure aged 25 years in the first attempt [ figure 1 ] , while administering draw a person test ( dapt ) , indicated good gender identification .
the type of figure revealed feelings of physical inadequacy , rejection , internalized hostility , low self esteem , immaturity and self - contempt .
mild pressure on the drawn line indicated possible acting out tendencies and mildly vacillating directions of the line stroke indicated insecurity and vacillating tendencies .
in addition , a very small figure drawing presented feeling of inferiority , ineffectiveness or inadequacy , insecurity , regressive tendencies .
the picture was high on the page , which indicated lack of insight and unjustified optimism . while large eyes without pupil portrayed voyeuristic tendencies , childlike facial features suggested infantile social behaviour and passive dependency was evident from concave mouth . in this line ,
long and weak arms revealed dependency and nurturance needs and petal like fingers also indicated infantile traits .
lot of other features in the drawing ( emphasis on nose and triangle shaped nose , distorted mouth , etc . ) presented sexual difficulties , sexual immaturity and sexual insufficiency . nevertheless , the patient 's drawing of a proportionate head indicated absence of any brain damage , which was corroborated with the pgibbd findings . while asked to draw a female figure [ figure 2 ] , the patient first refused , however , with request he attempted three times but failed to draw anything meaningful .
however , on the 4 attempt , he drew a very unkempt and vague figure , which did not have any female like feature .
this indicated that the person is currently having difficulties with the opposite sex and felt physical and sexual inadequacies with females .
this also may indicate difficultly in establishing emotional and sexual intimacy with the sexual partner on 16-pf global factors , it was found that he may focus on cold , hard facts than on subjective or emotional considerations .
he possessed very poor self - discipline , less and conscientiousness and was also rigid although shown respect to externally imposed rules and conventions . draw a person test for a male figure draw a person test for a female figure on administering mcmi - iii it was found that he is untrustworthy , attention and excitement seeker , passive aggressive , impulsive and uncontrollable , restless , duplicitous ( illegal behaviour designed to exploit the environment for self - gain ) , violent , exhibitionistic and often engaged in self - dramatizing behaviour .
in this current case report , we have analysed psychological abnormality and different contextual factors which could explain the development and sustenance of bestiality behaviour .
some perceived it in a very stigmatized way while other as a modality to cure sexually transmitted disease in indian context .
but as reported earlier , it is a sexually deviant behaviour found highest among rural males with low level of education and working in farms where animals are staying.(45 ) usually the person has low education level , have low social control and less social attachment , hence more likely to engage in sexual deviant behaviours like bestiality.(6 ) peretti and rowan have pointed out various possible reasons behind such type of behaviours , like abnormal sexual expression , abnormal sexual fantasy , does nt require any human interaction , financial reason and emotional involvement.(7 ) person staying near diary firm or going out to graze animal in the field may be excited or novelty seeking when left alone with the animals .
this was a case of an illiterate adolescent male , from a low socioeconomic status and living arrangements near a rural diary farm .
alcohol may have been a contributing factor which caused loss of insight in this specific incident of bestiality , which resulted in a serious outcome of death of a calf .
this finding was in line of study which reported substance abuse as an associate factor in case of bestiality.(8 ) the childhood sexual abuse , exposure to various internet based pornography sites containing bestiality and voyeurism contents , could have strongly affected his psycho - socio - sexual and personality development .
repeated sexual abuse in a pre - pubertal stage could have been the culprit for the patient 's internalized aggressive behaviour , which in turn might have resulted in the adopting displacement defence mechanism by the patient i.e. displacing his internal anger towards the animals .
this , in turn , could have resulted in the forceful sexual imposition and committing injuries to the calves to such an extent .
sexual abuse in early relationships could manifest itself as subsequent problems in the ability to establish and maintain healthy intimate relationships .
this was also reflected in the personality analysis , which outlined him as a highly vigilant and less trusting person .
instead , the patient sought to satisfy sexual urges through pseudo - relationships ( e.g. , voyeurism ) or relationships with partners that are based on disproportionate power ( e.g. , bestiality , pedophillia ) . during psychological analysis ,
the findings such as physical and sexual inadequacies , emotional and sexual immaturity , difficulty in emotional attachment , low self - esteem , voyeuristic tendencies , infantile social behaviour , excitement seeker , inability to delay gratification of impulses , aggressiveness , very poor self - discipline , less conscientiousness and less sensitive to criticism are revealed in the present case which were in accordance to findings of study by beetz.(9 ) in addition , the findings of this present case also revealed the absence of any current mental illness or underlying psychopathology , although axis - i and ii traits were qualifying antisocial personality disorders as reported by reiss et al.(10 ) were evident from the assessments .
this was a very warning signal for the community the patient belonged to , as bestiality may be associated with psychological disorder , including aggressive tendencies and behaviours towards children and other human .
children or less powerful individuals may be at a heightened risk of being sexually abused or interpersonal violence in later life.(11 )
miletski(12 ) has reported that people with bestiality interests have average sociability , in our case too , the patient was having low social interaction , but he was comfortable in talking to the interviewer .
this was helpful in psycho - educating the person on the risks ( legal and health ) of bestiality .
they were also asked to opt for cognitive behavioural therapy sessions for the patient , which may help him in dealing with alcohol as well as with current sexually deviant behaviour and associated issues .
sexual deviant behaviour is an important community health concern as it is a preventable offence . to understand a sexual deviant behaviour
one should see the perspective as a whole rather than the psychological factors alone or contextual factor alone .
early identification of risk factors by various cognitive and psychometric testing may help to prevent future offences through various hospital or community based psychotherapeutic interventions for such people .
awareness and appropriate psycho - education , of community youths residing in and around isolated farming areas , focusing on bestiality and other associated health concerns such as alcoholism , child sexual abuse , personality disorders , and other mental illnesses which can pose threat to the cohesiveness , safety and security of a particular comunity .
although , bestiality no longer remained as an important mental health concerns it still can be considered as a crucial community health concern .
bestiality is a serious but less commonly reported form of animal cruelty occurring in a society . 
 it is a punishable sexual offence in india . 
 bestiality has received little attention in recent psychiatric literature , and even though case reports have been published , an elaborate psychological assessment is often missing . 
 this case report of 18 year old male presented here highlighted the importance of psychological assessment to emphasize on its implications for the further risk assessment of the person , family psycho - education and non - pharmacological intervention for bestialists . 
 the overall assessment suggested of absence of any brain dysfunction and active psychopathology , average intelligence ( iq ) and intact cognitive functioning . 
 the findings portrayed physical and sexual inadequacies , emotional and sexual immaturity , difficulty in emotional attachment , internalized hostility , voyeuristic tendencies and infantile social behaviour , excitement seeker , inability to delay gratification of impulses , lacks empathy , poor self - discipline , less conscientiousness and less sensitive to criticism . 
 the report also emphasized the role of child sexual abuse on sexual behavior later life . 
 the importance of including the topic within the community health / sexual and reproductive health education programmes was highlighted .