15 Flashcards
Persistent erection
Priapism
Poo fetish
Coprophilia
Animal fetish
Zoophilia
Enema fetish
Klismaphilia
Tattoo fetish
Stigmatophilia
Psychoanalytic explanations for paraphilias
- castration anxiety
* object-relations theorists: childhood abuse, trauma, attachments
Behavioural theory of paraphilias
Occur thru classical conditioning
Hebephilic
Attracted to pubescent children
Classic pedophile
Attracted to prepubescent children
Pedohebephilic type pedophile`
Attracted to both pubescent and prepubescent children
Only ___% of people who sexually abuse children are pedophiles
40-50%
Are pedophiles violent?
Most aren’t, most groom and coerce a child in their family or neighbourhood
Greatest predictor of recidivism for pedophiles
Measure of arousal to children, by penile plethysmography
Recent study reported that __% of participants had a foot or toe fetish
47%
At what stage of life do most fetishes develop?
Childhood and adolescence
Men with transvestism fetish are usually…
Married and educated!
Men usually start cross-dressing at what age?
8.5
Pedophilia in which one imagines oneself as a child
Paraphilic infantilism
(Autoerotic form of pedophila
Arousal by amputees
Acrotomophilia
Autoerotic form of amputee-attraction
Apotemnophilia
“Target location error” paraphilias
Autogynephilia
Paraphilic infantilism
Apotemnophilia
Paraphilias are highly comorbid, indicating that…
Different paraphilia may have common etiologies
__% of pedophiles abused as children
35
3 traits that make it more likely for someone to abuse children
Sexual deviance
Antisocial traits
Intimacy deficits
How to treat paraphilic offenders?
- 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
CBT techniques in paraphilic treatment
- 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
Therapist demeanour that support rehabilitation for paraphilic offenders
Warm, empathetic, directive, and provides rewards
Self-esteem and social skills training for paraphilic offenders
- 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
Mindfulness and emotion regulation in paraphilic treatment: why is it recommended?
Sexual offenders have difficulty with emotional regulation
Satiation therapy
Masturbating to acceptable target, then masturbating again to undesirable paraphilic target right afterward
Orgasmic reconditioning
Masturbating to paraphilic fantasy until point of orgasm, then switching to a more appropriate stimulus
Medical treatments used to treat paraphilias
Antidepressants sometimes used
Chemical castration with anti-androgen therapy
Problems with chemical castration for paraphiles?
- adherence
* might not work for violent offenders
