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?

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

24
Q

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

A

Sexual deviance
Antisocial traits
Intimacy deficits

25
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
26
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
27
Therapist demeanour that support rehabilitation for paraphilic offenders
Warm, empathetic, directive, and provides rewards
28
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
29
Mindfulness and emotion regulation in paraphilic treatment: why is it recommended?
Sexual offenders have difficulty with emotional regulation
30
Satiation therapy
Masturbating to acceptable target, then masturbating again to undesirable paraphilic target right afterward
31
Orgasmic reconditioning
Masturbating to paraphilic fantasy until point of orgasm, then switching to a more appropriate stimulus
32
Medical treatments used to treat paraphilias
Antidepressants sometimes used Chemical castration with anti-androgen therapy
33
Problems with chemical castration for paraphiles?
* adherence | * might not work for violent offenders