Paraphilia Disorders

Question 1

paraphilia

Answer 1

intense or persistent sexual arousal to atypical objects, situations, or individuals

Question 2

Paraphilic Disorder

Answer 2

a paraphilia that is currently causing distress or impairment or has caused harm, or risk of harm, to self/others

Question 3

Voyeuristic disorder

Answer 3

recurrent, intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors

Question 4

specifiers of voyeuristic disorder

Answer 4

• in a controlled environment

- in full remission (5+ years not acted or no distress)

Question 5

Exhibitionistic disorder

Answer 5

recurrent, intense sexual arousal from exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors
-individual has acted on these urges w non consenting person, or the urges/fantasies cause clinically sig distress/functional impairment

Question 6

Frotteuristic disorder

Answer 6

arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges or behaviors

Question 7

Sexual masochism disorder

Answer 7

arousal from act of being humiliated, beaten, bound, or otherwise made to suffer

Question 8

Sexual sadism disorder

Answer 8

recurrent, intense sexual arousal from physical or psychological suffering of another person

Question 9

Pedophilic disorder

Answer 9

sexually arousing fantasies, sexual urges, or bus involving sexual activity w a prebuscent child

Question 10

Specifiers of pedophilic disorder

Answer 10

• exclusive type (attracted only to children) / nonexclusive type
• limited to incest
• sexually attracted to -males
  
  • females
  • both

Question 11

Assessment for sexual dysfunctions

Answer 11

Golombok-Rust Inventory of Sexual Satisfaction

Question 12

Fetishistic disorder

Answer 12

Recurrent, intense sexual arousal from either the use of nonliving objects or a highly specific focus on nongenital body part(s), as manifested by fantasies, urges, or bx
The fetish objects are not limited to clothing used in cross-dressing or devices specifically designed for the purpose of tactile genital stimulation
Fantasies, etc cause clinically sig distress/functional impairment

Question 13

Transvestic disorder

Answer 13

Recurrent, intense sexual arousal from cross-dressing, as manifested by fantasies, urges, or bx
-cause clinically sig distress/functional impairment
at least 6 months duration
specify if:
in a controlled environment
in full remission

Question 14

Fetishistic dx specifiers (can be multiple)

Answer 14

Body part(st)
Nonliving object(s)
Other

In a controlled environment
In full remission

Question 15

Specifiers for Transvestic Dx

Answer 15

W/ fetishism (aroused by fabrics, materials, or garments)
-presence of fetishism decreases likelihood of gender dysphoria in men w/ transvestic dx

W/ autogynephilia

• aroused by thoughts or images of self as female
• increases likelihood of gender dysphoria in men w transvestic disorder

Question 16

Comorbidity of transvestic dx

Answer 16

• often co-exists w other paraphilia disorders, most frequently fetishism and masochism
• autoerotic asphyxia masochism is associated w transvestism in a substantial proportion of fatal cases

Question 17

Other Specified Paraphilic Dx

Answer 17

Used when a clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific paraphilia dx

Question 18

Unspecified Paraphilic Dx

Answer 18

Used when clinician chooses not to specify the reason that the presentation does not meet the criteria for any specific paraphilia dx and includes presentations in which there is insufficient info to make a more specific dx