Paraphilias

Question 1

requirements to be considered a paraphilia

Answer 1

at least 6 months

failure to act on urges leads to marked distress or interpersonal difficulty

Question 2

associations of victimizing paraphilias

Answer 2

antisocial personality disorder

ego-syntonic symptoms (difficult to treat)

Question 3

what is voyeurism

Answer 3

peeping tom

usually occurs in a lonely, timid, insecure male with low self-esteem, who has difficulty forming sexual relationships

Question 4

what is exhibitionism

Answer 4

indecent exposure/ flashing

usually younger male <30y/o, who is rarely dangerous

pedophiles can begin with this type of behavior

Question 5

what is frotteurism

Answer 5

pleasure in “accidentally” rubbing against people

Question 6

what is sexual masochism

Answer 6

pleasure in inflicting pain and humiliation on oneself

injury results in sexual arousal

may mimic Borderline personality disorder

Question 7

what is sexual sadism

Answer 7

pleasure in inflicting pain on others

Question 8

what is pedophilia

Answer 8

person has an infatuation with children of a specific age group

must be at least 16 y/o and 5 years older than the child

Question 9

associations of pedophiles who use rationalizations

Answer 9

antisocial personality disorder

alcohol abuse

Question 10

what is the difference in transvestic fetishism, gender dysphoria and fetishistic disorder

Answer 10

Transvestic: sexual urges involving crossdressing

Fetishistic: sexual urges involving body parts

Gender Dysphoria: the feeling of distress accompanied by a felt incongruence between their assigned gender and thei own experience of their gender

Question 11

coprophilia

Answer 11

arousal by feces

Question 12

hypoxyphilia

Answer 12

arousal by altered state of consciousness secondary to hypoxia

Question 13

infantilism

Answer 13

arousal due to behaving as though one is an infant

Question 14

klismania

Answer 14

arousal secondary to enemas

Question 15

necrophilia

Answer 15

arousal secondary to dead people

Question 16

telephone scatologia

Answer 16

arousal secondary to obscene telephone calls

Question 17

urophilia

Answer 17

arousal secondary to urine

Question 18

formicophilia

Answer 18

focus on small creatures

Question 19

vomerophilia

Answer 19

focus on vomit

Question 20

gerontophilia

Answer 20

focus on elderly people

Question 21

acrotomophilia

Answer 21

amputated people

Question 22

pictophilia

Answer 22

focus on porn

Question 23

triolism

Answer 23

focus on viewing partner having sex

Question 24

when do you suspect an organic diagnosis of a paraphilia

Answer 24

behaviors begin in middle ages or later

regression from previously normal sexuality

auras or seizure-like symptoms occur before or during sexual activity

abnormal body habitus

abnormal neurologic exam

Question 25

treatment of paraphilias

Answer 25

psychotherapy

CBT

SSRI: decreases libido

Anti-androgens: used to decrease hypersexual paraphilias

lowering testosterone levels