Atypical Sexual Variations Flashcards

1
Q

Atypical

A

not representative of a type, group, or class

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2
Q

statistics are a…

A

poor measure of “normal sex”, behaviours must be examined in relation to social norms as well these norms vary over time and between cultures

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3
Q

Paraphilia

A

term used by American Psychological Association (APA) in Distinguished Service Medal (DSM) it is described by recurrent, atypical patterns of sexual arousal that are problematic to individual or society: unusual behaviours not always problematic

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4
Q

Non-Coercive

A

arousal with objects, pain or humiliation

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5
Q

Coercive

A

these are problematic — arousal with non-consenting and unsuspecting persons
- incidence: range from isolated, infrequent acts to frequent compulsive behaviour

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6
Q

Diagnostic and Statistical Manual of Mental Disorders

A

DSM

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7
Q

Psychosexual Disorders

A

i) gender identity disorders (sexually unusual)

ii) paraphilias (sexually unusual)
iii) psychosexual dysfunctions
(sexually elite, sometimes sexual unusual)
iv) other psychosexual disorders

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8
Q

sexually oppressed is not defined here

A

this tends to categorize by least acceptable aspect i.e., transvestite with erectile dysfunction placed in paraphilias not psychosexual dysfunctions

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9
Q

Most people with atypical sexual interests

A

do not have a mental disorders

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10
Q

To be diagnosed with paraphilic disorder, DSM-5 requires that people with these interests:

A
  • feel personal distress about their interest, not merely distress resulting from society’s disapproval; or
  • have a sexual desire or behaviour that involved 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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11
Q

To further define the line between an atypical sexual interest and disorder

A

he names were revised to differentiate between the behaviour itself and the disorder stemming from that behaviour (i.e., sexual masochism in DSM-IV will be title Sexual Masochism Disorder in DSM-5)

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12
Q

It is a subtle but crucial difference that makes it possible

A

for an individual to engage in consensual atypical sexual behaviour without inappropriately being labeled with a mental disorder
- revision: DSM-5 clearly distinguishes between atypical sexual interests and mental disorders involving these desires or behaviours (APA)

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13
Q

Paraphilias

A

specialized sexual fantasies and intense sexual urges which are repetitive in nature and distressing got the person, involving non-human objects, suffering and humiliation of self or partner, children or non consenting adult. The fantasy and behaviours pervade life & often acted out in times of stress or conflict

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14
Q

largely male disorders —

A

50% onset before 18 & peeks b/w 15 and 25 and gradually declines

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15
Q

very poor statistics expect in paedophilia where it is known

A

that 10-20% of all children are victims by age 18

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16
Q

Paedophilias

A

intense sexual urge or arousal to children 13 or younger over a period of atleast 6 months, individuals with paedophilia must be 16 or older and at least 5 years older than the victim — 95% of straight

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17
Q

___% of non-touching offences are against females whereas ___% of victims who are touched are male

A

99% and 60%

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18
Q

younger children serve largely as

A

masturbatory aids, very impersonal

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19
Q

Fetishism

A

“magic charm” inanimate article for arousal used in fantasy/masturbation and in relationships and is sometimes combined with unacceptable behaviour such as robbery, touching strangers — varies from seldom to frequent

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20
Q

objects include

A

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

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21
Q

partialism

A

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

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22
Q

Difficulties arise when

A

partner is unwilling to participate

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23
Q

as many variations as objects… rituals in most sexual interactions,

A

these are more unusual and not understood well — it may be associated with a pleasurable experience when young.

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24
Q

Transvestism

A

cross dressing associated with sexual arousal or pleasure — mostly hetero males, but includes gay males. One garment to complete wardrobe, Public or Private & partners may or may not know.

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25
Q

research suggests it starts in…

A

childhood, close to mother, eldest child. Escapes male role and wants to let out their feminine side. In the part not discriminated from transgenderism (may be considered a fetish)

26
Q

Sadomasochism (S&M)

A

also known as dominance & submission (d/s) & bondage & discipline (b/d) actual behaviours very specific to
individual or couple, seldom to frequent practice, low level to intense, do not enjoy pain in other contexts

27
Q

only paraphilia with significant participation (S&M)

A

by females & when urge overshadows all other sources of

arousal that is when it becomes problematic

28
Q

Physical/Psychological Elements of S&M: Bondage

A

loose restraints — can escape to total immobility (helpless)

29
Q

Physical/Psychological Elements of S&: Discipline

A

slapping, whipping, caning — no marks to bruising and welts

30
Q

Physical/Psychological Elements of S&M: Intense Stimulation

A

scratching, biting, ice or hot wax

31
Q

Physical/Psychological Elements of S&M: Sensory Deprivation

A

blindfold, hood, earplugs, gags (hypoxyphilia)

32
Q

Physical/Psychological Elements of S&M: Body Alteration

A

tattoos, piercing, branding, burns — proof of S&M commitment, beautifying, sensory enhancement

33
Q

Masochism/Submission/Bondage

A

humiliation, degradation, uncertainty, apprehension, powerlessness, anxiety, fear
- are all responses to verbal statements or actions taken (put downs or menial tasks)

34
Q

Sadism/Dominance/Discipline

A

aggression, control, dominance, powerfulness — are all reaction to giving commands and insults to others
- many report pleasure from taking a role they normally do not play (i.e., dominant, powerful executive who likes to submit) — “high” from trust level in agreed relationship and behaviour

35
Q

Exhibitionism

A

arousal from exposure of genitals to strangers, rarely aggressive to the victim and starts in teens & diminishes after 40.
- Stripping not considered exhibitionism (purpose is to arouse viewer, not dancer)

36
Q

Obscene Phone Calls/Computer Scatologia

A

arousal by shocking people on the phone, often masturbate during the
call, it is seen as verbal exhibitionism

37
Q

Voyeurism

A

strong, repetitive urge to observe unsuspecting strangers nude or in sexual behaviour
- starts in teens, may masturbate when watching or when recollecting, may take risks for heighten arousal

38
Q

Frotteurism

A

(mashing): arousal from rubbing against or touching non-contention person, usually in crowed place

39
Q

Zoophilia

A

strong sexual urges and fantasies of sexual contact with animals, found in history and Greek mythology,

  • Men: farm animals vs. Women: household pets
  • Bestiality: actual sexual contact with animals
40
Q

Klismaphilia

A

arousal derived from enemas — a procedure in which liquid or gas into the rectum typically to expel its contents, but also to introduce drugs or permit X-ray imaging.

41
Q

Coprophilia & Urophilia:

A

sexual arousal connected with feces and urine

42
Q

Necrophilia

A

desire to have sex with corpse, their motivation: to completely sexually possess a non-resistant partner
- three types: fantasy, regular (act), homicide

43
Q

Nymphomania

A

(bride-madness) excessive sex drive in women

44
Q

Satyriasis

A

(mythological man/beast) uncontrollable or excessive sexual desire in a man

45
Q

Don Juanism

A

(functional Spanish character) excessive sex drive in men

46
Q

Hyper-sexuality

A

(less pejorative term) excessive/insatiable sex drive that disturbs persons’ life and lead to indiscriminate acts

47
Q

Hypo-sexuality

A

(inhibited sexual desire [ISD] or hypoactive sexual desire disorder) low sexual desire, seldom initiates or responds to sexual activity
- comment: given the negative views of society toward “excessive” sex it;s ironic that ISD is the prevalent concern in 1990’s clinical sexology

48
Q

Theoretical Perspective on Paraphilias

A

no substantial evidence to support any one of the perspective: non account for ppl who don’t develop to the theory

49
Q

Biological

A

brain damage or abnormality

50
Q

Psychoanalytical

A

defence against unresolved castration anxiety

51
Q

Learning

A

experiences, especially childhood, determine later behaviours

52
Q

Sociological

A

erotic appeal to reversing or changing societal/gender roles

53
Q

Integrated

A

childhood experiences etch “love maps” in the brain (determine arousal patters)

54
Q

Treatment of Paraphilias

A

few indiv go for treatment voluntarily as their “paraphilic” behaviour is pleasure to them

  • most treatment occurs through courts or when family or partners urge person into treatment
  • ethnical conflict for helping professionals who are asked to stop behaviour when client does not see the need: less success with resistant clients
55
Q

Approaches

A

of Treatment for Paraphilias

56
Q

Psychotherapy

A

resolve unconscious conflicts — little evidence of significant success

57
Q

Behaviours Therapy

A

modify behaviours, systematic desensitization, aversion therapy & covert sensitization, social skill training & orgasmic retraining

58
Q

Biochemical

A

no drug or surgery known to eliminate urges but some help control them. Prozac reduces compulsive behaviours. Anti-androgens reduce sex drive.

59
Q

Gender Identity Disorder

A

transsexual is common title, psychological gender doesn’t match their biological sex

60
Q

Gender Dysphoria

A

discontent with biological sex, desire to possess body of opposite sex, desire to be regarded by others as the opposite sex
- wish to go through sex change they must: live in new gender role 1-2, M-F (hormones), F-M (testosterone)