atypical sexual variation 10-11 Q Flashcards

1
Q

What is the DSM 5 definition of paraphilias?

A

recurrent, atypical patterns of sexual arousal that are problematic to individual or society

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2
Q

What is the definition of non-coercive?

A

arousal with objects, pain or humiliation

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3
Q

What is the definition of coercive?

A

problematic arousal with non consenting and unsuspecting people

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4
Q

What is the incidence of coercive?

A

ranges from isolated infrequent acts to frequent compulsive behaviour

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5
Q

What are the 4 psychosexual disorders?

A
  1. gender identity disorder- sexually unusual
  2. paraphilias- sexually unusual
  3. psychosexual dysfunction - sexually elite or unusual
  4. other
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6
Q

Do most people with asexual interests have mental disorders?

A

no

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7
Q

What do you need to be diagnosed with a paraphilia by DSM 5?

A

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

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8
Q

What is a paraphilia?

A

specialized sexual fantasies and intense sexual urges which are repetitive in nature and distressing to the person

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9
Q

What do paraphilias involve?

A
non human objects
or
suffering and humiliation of self or partner
or
children
or non consenting adults
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10
Q

When are paraphilias usually acted out?

A

in times of stress or conflict

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11
Q

What % of children are victims of pedophilia by age 18?

A

10-20%

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12
Q

What gender is more affected by paraphilias?

A

male

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13
Q

What % of people with paraphilias have disease onset before 18 years old?

A

50

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14
Q

When do paraphilias peak?

A

Between 15 and 25

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15
Q

What is pedophilic disorder?

A

intense sexual urges or arousal to children 13 years old or younger over a period of at least 6 months

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16
Q

How does someone qualify as a pedophile?

A

Must be over 16 years old and at least 5 years older than the victim

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17
Q

In pedophilia when is penetration more common?

A

incest

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18
Q

Pedophilia

what % of non touching offences are against females?

A

99%

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19
Q

Pedophilia

what % of victims who are touched are male?

A

60%

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20
Q

Pedophilia

What % of pedophiles are heterosexual?

A

95%

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21
Q

What is a fetish disorder?

A

“magic charm”

inanimate article for arousal used in fantasy, masturbation or relationship

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22
Q

What are fetishes sometimes associated with?

A

unacceptable behaviour such as robbery, touching stranger, etc..

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23
Q

What are common objects for fetishes?

A

underwear, high heels, silk, rubber, fur, leather

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24
Q

What is partialism a subcategory of?

A

fetish disorders

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25
Q

What is partialism?

A

excessive arousal by specific body parts such as feet, breasts, buttocks, amputees

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26
Q

What is transvestism disorder?

A

cross dressing- associated with sexual arousal or pleasure

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27
Q

Who usually cross dresses?

A

heterosexual males

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28
Q

What is sadomasochism disorder?

A

S&M

29
Q

What is another name for S&M?

A

dominance and submission

bondage and discipline

30
Q

What is the only paraphilia with significant female participation?

A

S&M

31
Q

What are the physical elements of S&M?

A
  • bondage
  • discipline
  • intense stimulation
  • sensory deprivation
  • body alteration
  • masochism/submission/bondage
  • sadism/dominance/discipline
32
Q

What is included in bondage?

A

loose restraints, can escape- total immobility, helpless

33
Q

What is included in discipline?

A

slapping, whipping, caning

no marks to bruising and welts

34
Q

What is included in intense stimulation?

A

scratching, biting, ice or hot wax

35
Q

What is included in sensory deprivation?

A

blindfold, hood, ear plugs, gags, hypoxyphilia (decreased oxygen)

36
Q

What is included in body alteration?

A

tattoos, piercings, branding, burns

proof of S&M commitment, beautifying, sensory sensory enhancement

37
Q

What is included in masochism/submission/bondage?

A
  • humiliation
  • degradation
  • uncertainty
  • apprehension
  • anxiety
  • fear
  • powerlessness
  • responses to verbal statements or actions
38
Q

What is included in sadism/dominance/discipline?

A
  • aggression
  • control
  • dominance
  • powerfulness
  • reaction to giving commands and insults to others
39
Q

What is exhibitionism?

A

arousal from exposure of genitals to strangers

40
Q

Is exhibitionism aggressive to the victim?

A

rarely

41
Q

When does exhibitionism start and when does it diminish?

A

starts in teens and diminishes after 40

42
Q

Is stripping considered exhibitionism?

A

no

43
Q

What is obscene phone calls / computer scatologia?

A

arousal by shocking people on the phone, often masturbate during call
verbal exhibitionism

44
Q

What is voyeurisitic disorder?

A

strong, repetitive urge to observe unsuspecting strangers nude or in sexual behaviour

peeping tom

45
Q

When does voyeurisitic disorder start?

A

in teens

46
Q

What is frotteurism disorder?

A

arousal from rubbing against or touching non consenting persons usually in a crowded place

mashing

47
Q

What are the less common paraphilias?

A
  • zoophilia and beastiality
  • klismaphilia
  • coprophilia and urophilia
  • necrophilia
48
Q

What is zoophilia?

A

strong sexual urges and fantasies of sexual contact with animals

49
Q

What is beastiality?

A

actual sexual contact with animals

50
Q

What animals do men prefer in zoophilia? women?

A

farm animals

household pets

51
Q

What is klismaphilia?

A

arousal derived from enemas

52
Q

What is copraphilia and urophilia?

A

sexual arousal connected with urine and feces

53
Q

What is necrophilia?

A

desire to have sex with a dead body

54
Q

Why do people want to do necrophilia?

A

to completely sexually possess a non resistant partner

55
Q

What are the 3 types of necrophilia?

A
  1. fantasy
  2. regular act
  3. homicide
56
Q

What is nymphomania?

A

bride madness

excessive sex drive in women

57
Q

what is satyriast?

A

mythological man/beast

58
Q

What is Don Juanism

A

excessive sex drive in men

59
Q

What is hypersexuality?

A

excessive/insatiable sex drive that disturbs person’s life and leads to indiscriminate acts

60
Q

What is hyposexuality?

A

inhibited sexual desire or hypoactive sexual desire disorder

low desire, seldom initiates or responds

61
Q

What are the 5 theoretical perspectives on paraphilias?

A
  1. biological: brain damage or abnormality
  2. psychoanalytical: defense against unresolved castration anxiety
  3. learning: experiences, especially childhood, determine later behaviours
  4. sociological: erotic appeal to reversing or changing societal/gender roles
  5. integrated: childhood experiences etch “love maps” in the brain- determine arousal patterns
62
Q

What is the psychotherapy approach to treating paraphilias?

A

resolve unconscious conflicts, little evidence of significant success

63
Q

What is the behaviour therapy approach to treating paraphilias?

A
  • modify behaviours
  • systematic desensitization
  • aversion therapy and cover sensitization
  • social skills training and orgasm retraining
64
Q

What is the biochemical therapy approach to treating paraphilias?

A

no drug or surgery known to eliminate urges but some help control them
prozac reduced compulsive behaviours
anti androgens reduce sex drive

65
Q

What is gender dysphoria?

A

psychological gender doesnt match sex

66
Q

What did gender dysphoria used to be called?

A

gender identity disorder

67
Q

What is another term for gender dysphoria?

A

transexual

68
Q

What is the process you must go through to qualify for sex reassignment surgery?

A
  1. live in new gender for 1-2 years
  2. male to female: facial and body hair removal, take hormones
  3. female to male: testosterone