15 Flashcards

1
Q

Persistent erection

A

Priapism

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2
Q

Poo fetish

A

Coprophilia

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3
Q

Animal fetish

A

Zoophilia

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4
Q

Enema fetish

A

Klismaphilia

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5
Q

Tattoo fetish

A

Stigmatophilia

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6
Q

Psychoanalytic explanations for paraphilias

A
  • castration anxiety

* object-relations theorists: childhood abuse, trauma, attachments

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7
Q

Behavioural theory of paraphilias

A

Occur thru classical conditioning

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8
Q

Hebephilic

A

Attracted to pubescent children

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9
Q

Classic pedophile

A

Attracted to prepubescent children

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10
Q

Pedohebephilic type pedophile`

A

Attracted to both pubescent and prepubescent children

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11
Q

Only ___% of people who sexually abuse children are pedophiles

A

40-50%

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12
Q

Are pedophiles violent?

A

Most aren’t, most groom and coerce a child in their family or neighbourhood

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13
Q

Greatest predictor of recidivism for pedophiles

A

Measure of arousal to children, by penile plethysmography

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14
Q

Recent study reported that __% of participants had a foot or toe fetish

A

47%

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15
Q

At what stage of life do most fetishes develop?

A

Childhood and adolescence

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16
Q

Men with transvestism fetish are usually…

A

Married and educated!

17
Q

Men usually start cross-dressing at what age?

A

8.5

18
Q

Pedophilia in which one imagines oneself as a child

A

Paraphilic infantilism

(Autoerotic form of pedophila

19
Q

Arousal by amputees

A

Acrotomophilia

20
Q

Autoerotic form of amputee-attraction

A

Apotemnophilia

21
Q

“Target location error” paraphilias

A

Autogynephilia
Paraphilic infantilism
Apotemnophilia

22
Q

Paraphilias are highly comorbid, indicating that…

A

Different paraphilia may have common etiologies

23
Q

__% of pedophiles abused as children

A

35

24
Q

3 traits that make it more likely for someone to abuse children

A

Sexual deviance
Antisocial traits
Intimacy deficits

25
Q

How to treat paraphilic offenders?

A
  • CBT
  • Relapse prevention techniques: devising a safety plan to avoid risk
  • empathic and warm therapist
  • self-esteem and social skills training
  • mindfulness and emotion regulation
  • satiation therapy
  • orgasmic reconditioning
  • aversion therapy
  • community support programs (Like AA)
  • medical treatments
26
Q

CBT techniques in paraphilic treatment

A
  • challenging offenders’ distorted thinking
  • encouraging them to feel empathy for victims
  • having offender take responsibility in a group setting
  • devising safety plan
  • potentially mindfulness, but mindfulness research is in infancy
27
Q

Therapist demeanour that support rehabilitation for paraphilic offenders

A

Warm, empathetic, directive, and provides rewards

28
Q

Self-esteem and social skills training for paraphilic offenders

A
  • usually done with CBT
  • typically done in group setting
  • aims at risk factors of loneliness and intimacy deficits
  • helps build social skills for age-appropriate relationships
  • facilitates reintegration into society, important in reducing recidivism
29
Q

Mindfulness and emotion regulation in paraphilic treatment: why is it recommended?

A

Sexual offenders have difficulty with emotional regulation

30
Q

Satiation therapy

A

Masturbating to acceptable target, then masturbating again to undesirable paraphilic target right afterward

31
Q

Orgasmic reconditioning

A

Masturbating to paraphilic fantasy until point of orgasm, then switching to a more appropriate stimulus

32
Q

Medical treatments used to treat paraphilias

A

Antidepressants sometimes used

Chemical castration with anti-androgen therapy

33
Q

Problems with chemical castration for paraphiles?

A
  • adherence

* might not work for violent offenders