Chapter 21

Question 1

Exhibitionistic disorder

Answer 1

is characterized by recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting individual. Masturbation may occur during the exhibitionism.

Question 2

Fetishistic disorder

Answer 2

involves recurrent and intense sexual arousal from the use of either inanimate objects or specific non-genital body parts. A common sexual focus is on objects intimately associated with the human body. The fetish object is usually used during masturbation or incorporated into sexual activity with another person in order to produce sexual excitation.

Question 3

Frotteuristic disorder

Answer 3

is the recurrent and intense sexual arousal involving touching or rubbing against a nonconsenting person. Sexual excitement is derived from the actual touching or rubbing, not from the coercive nature of the act. Almost without exception, the gender of the frotteur is male.

Question 4

Pedophilic disorder

Answer 4

is sexual arousal from prepubescent or early pubescent children equal to or greater than that derived from physically mature persons. DSM-5 criteria specify that the behavior has lasted at least 6 months and is manifested by fantasies or sexual urges on which the individual has acted or which cause significant distress or impairment in social, occupational, or other important areas of functioning. The age of the molester is at least 16 years, and he or she is at least 5 years older than the child.

Question 5

Sexual masochism disorder

Answer 5

is recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer. These masochistic activities may be fantasized and may be performed alone or with a partner.

Question 6

Sexual sadism disorder

Answer 6

as recurrent and intense sexual arousal from the physical or psychological suffering of another individual. The sadistic activities may be fantasized or acted on with a consenting or nonconsenting partner. In all instances, sexual excitation occurs in response to the suffering of the victim. Examples of sadistic acts include restraint, beating, burning, rape, cutting, torture, and even killing.

Question 7

Transvestic disorder

Answer 7

involves recurrent and intense sexual arousal from dressing in the clothes of the opposite gender. The individual is commonly a heterosexual man who keeps a collection of women’s clothing that he intermittently uses to dress in when alone.

Question 8

Voyeuristic disorder

Answer 8

is identified by recurrent and intense sexual arousal involving the act of observing an unsuspecting individual who is naked, in the process of disrobing, or engaging in sexual activity. Sexual excitement is achieved through the act of looking, and no contact with the person is attempted. Masturbation usually accompanies the “window peeping” but may occur later as the individual fantasizes about the voyeuristic act.