atypical sexual variation 10-11 Q Flashcards
What is the DSM 5 definition of paraphilias?
recurrent, atypical patterns of sexual arousal that are problematic to individual or society
What is the definition of non-coercive?
arousal with objects, pain or humiliation
What is the definition of coercive?
problematic arousal with non consenting and unsuspecting people
What is the incidence of coercive?
ranges from isolated infrequent acts to frequent compulsive behaviour
What are the 4 psychosexual disorders?
- gender identity disorder- sexually unusual
- paraphilias- sexually unusual
- psychosexual dysfunction - sexually elite or unusual
- other
Do most people with asexual interests have mental disorders?
no
What do you need to be diagnosed with a paraphilia by DSM 5?
feel personal distress about their interest, not merely because of society’s disapproval
or
have a sexual desire or behaviour that involves another person’s psychological distress, injury or death
or
a desire for sexual behaviours involving unwilling persons or persons unable to give legal consent
What is a paraphilia?
specialized sexual fantasies and intense sexual urges which are repetitive in nature and distressing to the person
What do paraphilias involve?
non human objects or suffering and humiliation of self or partner or children or non consenting adults
When are paraphilias usually acted out?
in times of stress or conflict
What % of children are victims of pedophilia by age 18?
10-20%
What gender is more affected by paraphilias?
male
What % of people with paraphilias have disease onset before 18 years old?
50
When do paraphilias peak?
Between 15 and 25
What is pedophilic disorder?
intense sexual urges or arousal to children 13 years old or younger over a period of at least 6 months
How does someone qualify as a pedophile?
Must be over 16 years old and at least 5 years older than the victim
In pedophilia when is penetration more common?
incest
Pedophilia
what % of non touching offences are against females?
99%
Pedophilia
what % of victims who are touched are male?
60%
Pedophilia
What % of pedophiles are heterosexual?
95%
What is a fetish disorder?
“magic charm”
inanimate article for arousal used in fantasy, masturbation or relationship
What are fetishes sometimes associated with?
unacceptable behaviour such as robbery, touching stranger, etc..
What are common objects for fetishes?
underwear, high heels, silk, rubber, fur, leather
What is partialism a subcategory of?
fetish disorders
What is partialism?
excessive arousal by specific body parts such as feet, breasts, buttocks, amputees
What is transvestism disorder?
cross dressing- associated with sexual arousal or pleasure
Who usually cross dresses?
heterosexual males
What is sadomasochism disorder?
S&M
What is another name for S&M?
dominance and submission
bondage and discipline
What is the only paraphilia with significant female participation?
S&M
What are the physical elements of S&M?
- bondage
- discipline
- intense stimulation
- sensory deprivation
- body alteration
- masochism/submission/bondage
- sadism/dominance/discipline
What is included in bondage?
loose restraints, can escape- total immobility, helpless
What is included in discipline?
slapping, whipping, caning
no marks to bruising and welts
What is included in intense stimulation?
scratching, biting, ice or hot wax
What is included in sensory deprivation?
blindfold, hood, ear plugs, gags, hypoxyphilia (decreased oxygen)
What is included in body alteration?
tattoos, piercings, branding, burns
proof of S&M commitment, beautifying, sensory sensory enhancement
What is included in masochism/submission/bondage?
- humiliation
- degradation
- uncertainty
- apprehension
- anxiety
- fear
- powerlessness
- responses to verbal statements or actions
What is included in sadism/dominance/discipline?
- aggression
- control
- dominance
- powerfulness
- reaction to giving commands and insults to others
What is exhibitionism?
arousal from exposure of genitals to strangers
Is exhibitionism aggressive to the victim?
rarely
When does exhibitionism start and when does it diminish?
starts in teens and diminishes after 40
Is stripping considered exhibitionism?
no
What is obscene phone calls / computer scatologia?
arousal by shocking people on the phone, often masturbate during call
verbal exhibitionism
What is voyeurisitic disorder?
strong, repetitive urge to observe unsuspecting strangers nude or in sexual behaviour
peeping tom
When does voyeurisitic disorder start?
in teens
What is frotteurism disorder?
arousal from rubbing against or touching non consenting persons usually in a crowded place
mashing
What are the less common paraphilias?
- zoophilia and beastiality
- klismaphilia
- coprophilia and urophilia
- necrophilia
What is zoophilia?
strong sexual urges and fantasies of sexual contact with animals
What is beastiality?
actual sexual contact with animals
What animals do men prefer in zoophilia? women?
farm animals
household pets
What is klismaphilia?
arousal derived from enemas
What is copraphilia and urophilia?
sexual arousal connected with urine and feces
What is necrophilia?
desire to have sex with a dead body
Why do people want to do necrophilia?
to completely sexually possess a non resistant partner
What are the 3 types of necrophilia?
- fantasy
- regular act
- homicide
What is nymphomania?
bride madness
excessive sex drive in women
what is satyriast?
mythological man/beast
What is Don Juanism
excessive sex drive in men
What is hypersexuality?
excessive/insatiable sex drive that disturbs person’s life and leads to indiscriminate acts
What is hyposexuality?
inhibited sexual desire or hypoactive sexual desire disorder
low desire, seldom initiates or responds
What are the 5 theoretical perspectives on paraphilias?
- biological: brain damage or abnormality
- psychoanalytical: defense against unresolved castration anxiety
- learning: experiences, especially childhood, determine later behaviours
- sociological: erotic appeal to reversing or changing societal/gender roles
- integrated: childhood experiences etch “love maps” in the brain- determine arousal patterns
What is the psychotherapy approach to treating paraphilias?
resolve unconscious conflicts, little evidence of significant success
What is the behaviour therapy approach to treating paraphilias?
- modify behaviours
- systematic desensitization
- aversion therapy and cover sensitization
- social skills training and orgasm retraining
What is the biochemical therapy approach to treating paraphilias?
no drug or surgery known to eliminate urges but some help control them
prozac reduced compulsive behaviours
anti androgens reduce sex drive
What is gender dysphoria?
psychological gender doesnt match sex
What did gender dysphoria used to be called?
gender identity disorder
What is another term for gender dysphoria?
transexual
What is the process you must go through to qualify for sex reassignment surgery?
- live in new gender for 1-2 years
- male to female: facial and body hair removal, take hormones
- female to male: testosterone