07c_Paraphilic Disorders

Question 1

Frotteuristic Disorder:

Overview

Answer 1

Intense sexual arousal from touching or rubbing against a nonconsenting adult

Fantasies, urges, and/or behaviors

History of acting on the urges with the nonconsenting person or experiencing significant distress as a result of the fantasies and urges

Usually begins in adolescence and declines with age

Question 2

Transvestic Disorder:

Overview

Answer 2

Cross-dressing for the purpose of sexual arousal

Manifested by fantasies, urges, and her behaviors that cause significant distress or impaired functioning

Question 3

Transvestic Disorder:

Gender prevalence

Answer 3

Almost exclusively in males

Question 4

Transvestic Disorder:

Sexual orientation

Answer 4

Majority of males identify as heterosexuals

Some have occasional sexual interaction with other males, especially when cross-dressed

Question 5

Paraphilic Disorder:

Treatment

Answer 5

In vivo aversion therapy
*short-term benefits, not used as frequently present day

CBT

Question 6

Paraphilic Disorder:

Cognitive techniques

Answer 6

Reduce cognitive distortions

Develop empathy toward victims and others

Tolerate strong emotions that precipitate inappropriate sexual behaviors

Question 7

Paraphilic Disorder:

Behavioral techniques

Answer 7

Covert sensitization
(Aversive imaginal conditioning)

Orgasmic reconditioning

Question 8

Orgasmic reconditioning

Answer 8

Individual replaces unacceptable sexual fantasy with a more acceptable one while masturbating

Question 9

Paraphilic Disorder:

Pharmacotherapy

Answer 9

Medroxyprogesterone acetate (Depo-Provera)

Reduces paraphilia behaviors in many men

*Benefits stop as soon as it is discontinued

Question 10

Paraphilic Disorder:

Full list of Disorder types

Answer 10

Voyeuristic disorder

Exhibitionistic disorder

Sexual sadism disorder

Pedophilia disorder

Fetishistic disorder

Frotteuristic disorder

Transvestic disorder