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PSYC 333: human sexuality > chapter 15 > Flashcards

chapter 15 Flashcards

1
Q

paraphillia

A
  • can be exclusive or non exclusive
  • any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling w phenotypically normal, physically mature, consenting human partners
  • just bc you have paraphillia, doesnt mean you have a disorder
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2
Q

paraphilic disorder

A
  • paraphillia that casues distress/impairment to person or causes personal harm or risk of harm to others or self when acted upon
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3
Q

diagnosing paraphillic disorders; what two things are taken into account

A
  • A: qualitative nature of the paraphillia
  • B: negative consequences of the paraphillia
  • paraphillia must also be present for at least 6 months
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4
Q

two main categories of paraphillic disorders

A

involving atypical activities and involving preference for atypical targets

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5
Q

two main types of pharaphillic disorders under the category of atypical activities

A
  • courtship disorders: disturbances in one or more areas of common courtship/partnered sexual activity (looking for partner, approaching partner w convo, nongenital touching, and/or sexual intercourse)
  • aloglagnic disorders: involving pain and suffering
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6
Q

voyuristsic disorder

A
  • courtship atypical activity
  • recurrant and intense sexual arousal from observing an unsuspecting person naked, undressing, or engaging in sex
  • person has either acted on urges or they cause distress/impairment
  • becomes disordered when it is preferred to partnered sex, interferes w daily life or involves crime
  • mostly het men
  • high comorbidity
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7
Q

exhibitionist disorder

A
  • courtship atypical activity
  • recurrent and intense sexual arousal from exposure of one’s genitals to unsuspecting ppl
  • person has either acted on urges or they cause distress/impairment
  • excitement comes form the victim’s reaction (expect positive or neutral reaction or that they want to have sex)
  • more common in men
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8
Q

frotteuristic disorder

A
  • courtship atypical activity
  • frotter=french for rubbing/friction
  • fantasizing abt or actually rubbing agaisnt or touching (toucherism) non consenting person for sexual gratification
  • person has either acted on urges or they cause distress/impairment
  • often in busy public areas and excused as accidental
  • mostly men and highly comorbid
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9
Q

telephone scatalogia

A
  • other specified paraphillic disorder
  • verbal exhibitionism
  • arousal from making explicit phone calls (based on vicitms reaction)
  • typically het men
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10
Q

BDSM (define the different groups)

A
  • bondage/discipline: restraints, painful stim (whips, hot wax, bites), humiliation, deprivation
  • dominance/submission: ‘play’ scripts, master/top, slave/bottom or switch
    -sadomasochism: sexual ritual/scripts surrounding inflicting or receiving pain
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11
Q

sexual sadism disorder

A
  • aloglagnic disorder
  • pleasure from inflicting pain or psychological suffering on another person (gains power or humiliating the person)
  • recurrent and intense arousal through fantasies/urges/behaviours
  • person has either acted on urges or they cause distress/impairment
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12
Q

sexual masochism disorder

A
  • pleasure from experiencing pain/humiliation/suffering
  • person has either acted on urges or they cause distress/impairment
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13
Q

pedophilloic disorder

A
  • can be exclusive or non exclusive
  • atypical target disorder
  • recurrent and intense sexually arousing fantasies/urges of sexual activity with (a) child(ren) usually 13 or under
  • person has either acted on urges or they cause distress/impairment
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14
Q

3 types of pedos

A
  • classic: prepubescent children
  • hebephilic: pubescent children
  • pedohebephillic: both
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15
Q

what is the best measure in predicting revictivism in pedos

A
  • penile photoplethysmography (measures changes in penile blood in response to stimuli)
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16
Q

fetish vs fetishistic disorder

A
  • fetish: urges/fantasies/behaviours with non living objects or specific body parts (that are not sexual by nature)
  • disorder: persistent use/ dependence on object/body part as primary element of arousal, causing distress or impairment
  • in extremes, the person can only get turned on if item is present/used
  • common: feet/toes, worn items
17
Q

transvestism/transvestic disorder

A
  • diagnosis: cross dressing or thoughts of are met with sexual excitement and emotional distress or impairment and distress
18
Q

what is it called when a person is sexually aroused to the clothes/garments worn when cross dressing

A

transvestic disorder with fetishism

19
Q

what is it called when a person is aroused when crossdressing from the thought of themselves as a woman

A

transvestic disorder with autogynephillia

20
Q

zoophilia, paraphillic infantilism

A

nonhuman animals (not particular), role play of self as an infant

21
Q

coprophillia and urophillia

A

feces, urine

22
Q

necrophillia and klismaphillia

A

dead people, enemas (douching)

23
Q

hypersexuality

A

excessive insatiable sex drive leading to continuous pursuit of sex despite negative consequences
- traditionally: nymphomania in women and satyriasis in men
- can be due to dysregulation of control, compulsivity, or addiction

24
Q

PGAD and priapism

A

PGAD: persistent genital arousal disorder, spontaneous persistent uncontrollable sensations of genital arousal not associated with feelings of arousal or desire (women)
priapism: persistent often painful erection

25
Q

reasons for paraphillia

A
  • psychoanalytic theory: results from castration anx, fetishistic object replaces mom’s nonexistent penis, all about masculinity/femininity
  • behavioural theory: social learning, classical conditioning where object is paired w arousal
  • neuro findings: pedos show deficits in brain activation associated w sexuality when viewing pics of adults and deficits in emo processing when viewing children, also decreased grey matter
26
Q

main risk factors for sexually abusing children

A
  • sexual deviance, antisocial traits (associated w ASPD), intimacy deficits, or suffering from cognitive distortions (thinking errors)
27
Q

cognitive distortions

A
  • things ppl say to themselves to excuse/justify/deny/minimize inappropriate, inappropriate behaviour
28
Q

malingering

A
  • purposefully faking/exaggerating symptoms for personal gain
29
Q

assessment of paraphillic disorder

A
  • first understand the nature of paraphilia and its impact on a patients
  • can incl psychometrics (intelligence test, personality, mental health)
  • can use phallometry (bloodflow) for pedos
  • volume is more sensitive to detecting arousal than circumference tests
  • lie detectors
30
Q

treatment for paraphillic disorders

A
  • no evidence that it can be changed but the focus is on managing interests
  • main therapy treatment=CBT
  • other therapies: self esteem and social skills training (targets loneliness), mindfulness and emotion regulation, satiation therapy, orgasmic reconditioning, aversion therapy, community based support program
  • meds (if all else fails): antidepressants or if not effective in 4-6 weeks, small dose of anti androgen to reduce sex drive
31
Q

satiation therapy (treatment for paraphillic disorders)

A

masturbate first to appropriate fantasy then immediately after orgasm masturbate again but think of undesired fantasy (logic is bc its so soon after, decreased sex drive will be associated with bad fantasy)

32
Q

what is the treatment for paraphilic disorder called when the person is instructed to masturbate to paraphilic fantasy then switch to appropriate fantasy when about to orgasm (classical conditioning)

A

orgasmic reconditioning

33
Q

aversion therapy (treatment for paraphillic disorders)

A

link undesired fantasy with undesirable stimulus (ie bad smell/shock) to classically condition aversion to fantasy

PSYC 333: human sexuality (15 decks)

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