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
research suggests it starts in...
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
Sadomasochism (S&M)
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
only paraphilia with significant participation (S&M)
by females & when urge overshadows all other sources of | arousal that is when it becomes problematic
28
Physical/Psychological Elements of S&M: Bondage
loose restraints — can escape to total immobility (helpless)
29
Physical/Psychological Elements of S&: Discipline
slapping, whipping, caning — no marks to bruising and welts
30
Physical/Psychological Elements of S&M: Intense Stimulation
scratching, biting, ice or hot wax
31
Physical/Psychological Elements of S&M: Sensory Deprivation
blindfold, hood, earplugs, gags (hypoxyphilia)
32
Physical/Psychological Elements of S&M: Body Alteration
tattoos, piercing, branding, burns — proof of S&M commitment, beautifying, sensory enhancement
33
Masochism/Submission/Bondage
humiliation, degradation, uncertainty, apprehension, powerlessness, anxiety, fear - are all responses to verbal statements or actions taken (put downs or menial tasks)
34
Sadism/Dominance/Discipline
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
Exhibitionism
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
Obscene Phone Calls/Computer Scatologia
arousal by shocking people on the phone, often masturbate during the call, it is seen as verbal exhibitionism
37
Voyeurism
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
Frotteurism
(mashing): arousal from rubbing against or touching non-contention person, usually in crowed place
39
Zoophilia
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
Klismaphilia
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
Coprophilia & Urophilia:
sexual arousal connected with feces and urine
42
Necrophilia
desire to have sex with corpse, their motivation: to completely sexually possess a non-resistant partner - three types: fantasy, regular (act), homicide
43
Nymphomania
(bride-madness) excessive sex drive in women
44
Satyriasis
(mythological man/beast) uncontrollable or excessive sexual desire in a man
45
Don Juanism
(functional Spanish character) excessive sex drive in men
46
Hyper-sexuality
(less pejorative term) excessive/insatiable sex drive that disturbs persons’ life and lead to indiscriminate acts
47
Hypo-sexuality
(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
Theoretical Perspective on Paraphilias
no substantial evidence to support any one of the perspective: non account for ppl who don’t develop to the theory
49
Biological
brain damage or abnormality
50
Psychoanalytical
defence against unresolved castration anxiety
51
Learning
experiences, especially childhood, determine later behaviours
52
Sociological
erotic appeal to reversing or changing societal/gender roles
53
Integrated
childhood experiences etch “love maps” in the brain (determine arousal patters)
54
Treatment of Paraphilias
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
Approaches
of Treatment for Paraphilias
56
Psychotherapy
resolve unconscious conflicts — little evidence of significant success
57
Behaviours Therapy
modify behaviours, systematic desensitization, aversion therapy & covert sensitization, social skill training & orgasmic retraining
58
Biochemical
no drug or surgery known to eliminate urges but some help control them. Prozac reduces compulsive behaviours. Anti-androgens reduce sex drive.
59
Gender Identity Disorder
transsexual is common title, psychological gender doesn’t match their biological sex
60
Gender Dysphoria
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)