Paraphilic d/o

Question 1

Define Paraphilic disorders

Answer 1

abnormal sexual preferences including

- deviant sexual interests/fantasies/behaviors

Question 2

What is the difference between paraphilia and paraphilic disorders?

Answer 2

Paraphilia = preferred sexual interests (more innocent)
- have normal sexual intxn with partners, partners may not know about the paraphilia

Paraphlic d/o:= abnormal deviant sexual interests (not innocent)

Question 3

What behaviors are required for dx of a paraphilic d/o?

Answer 3

1. recurrent, intense arousal to weird things
2. they have acted on these urges
3. urges have caused significant distress and impairment
4. Must be present at least 6 months

Question 4

Who is more likely to be diagnosed with parahilic d/o, MEN or WOMEN?

Are they more likely to be HOMO or HETERO-sexual

Answer 4

MEN

HETERO

Question 5

If you were talking to a Freudian theorist what would they tell you was the cause of paraphilic disorders?

Answer 5

Failure of a child to progress through sexual stages of development

Question 6

If you were talking to a learning theorist, what would they tell you was the cause of Paraphilic disorders?

Answer 6

The pt has a Positive experience (orgasm) that was linked to a deviant fantasy

Question 7

T/F: sexual offenders have abnormal EEGs and measurable indicators of poor impulse control in the same population

Answer 7

T

Question 8

When do paraphlic d/o become established?

Answer 8

in adolescence

Question 9

what are some common comorbid conditions of paraphilic d/o

Answer 9

Depression
Mood + anxiety d/o
Substance d/o/

Question 10

what is the mainstay of for the majority of parahilic disorders?

Answer 10

CBT

Question 11

Other than CBT what are some other therapy methods used to tx paraphilic disorders?

Answer 11

Masturbatory Satiation
- they masturbate so many times to their deviant fantasy that they become bored with it

Covert sensitization
- replace the fantasy with unpleasant imagery

Masturbatory conditioning
- generate arousal to non-deviant stuff

Question 12

What Rx are used for Paraphilic d/o?

Answer 12

1st : SSRI + Naltrexone
- decrease fantasies and impulse control

last : Testosterone inhibitors (medroxyprogesterone, leuprolide)
- decrease libido and sexual desires

Question 13

A guy in down-town Burlington keeps showing everyone his junk. What is he likely to be dx with?

Answer 13

Exhibitionist d/o

** usually men

Question 14

A guy in down-town Burlington keeps showing everyone his junk.
What is he likely do be doing while showing off what hes got?
What is he not likely to do?

Answer 14

He is probably masturbating (keep a safe distance)

he isn’t trying to make physical/sexual contact with people passing by

Question 15

About ___ (fraction) of sexual offenders qualify for being dx with exhibitionists d/o.

Answer 15

1/3

Question 16

If Exhibitionist behavior occurs when a man is older, what should you be concerned for?

Answer 16

Neurocognitive d/o/

Question 17

A man from Iceland cannot wait for his visit to China. He plans to spend all his time riding the sub-way and other forms of public transportation because it will be a great excuse to rub up against the passengers that are packed in like sardines.

What do you think he could be dx with?

Answer 17

Frotteuristic d/o

** Usually men

Question 18

At a young age johnny found that he popped a boner every time he was embarrassed, but never thought much about it.
As an adult Johnny finds it hard to reach climax unless he is spanked, tickled or pinched. His demands to experience pain has made many of his past sexual partners uncomfortable and he finds it hard to keep a committed relationship.

What do you think Johnny could be dx with?

Answer 18

Sexual Masochist d/o

Question 19

What is a potentially dangerous masochistic behaviors that a person can be fixated on?

Answer 19

Asphyxiophilia (arousal related to restriction of breathing)

Question 20

Mr. Grey is a rich, very handsome man who has a special room in his house called the “red room.” The red room contains various sexual torture devices that he prefers to use on his partners. Some of the women he has attempted to humiliate did not want to comply with his demands and he finds it difficult to maintain a committed relationship

What is Mr. Grey likely to be dx with?

Answer 20

Sexual Sadism d/o

**key is the person has acted on urges with an non-consenting person

Question 21

____ involves sexual arousal with a prepubescent child

Answer 21

Pedophelic d/o

Question 22

What criteria must be met for a person be be dx with pedophelic d/o/

Answer 22

The pt must be at least 16 y/o and their victim is 5 years younger than they are.

Question 23

Who is more likely to be dx with Pedophilic d/o, MEN or WOMEN?
Are they more likely to be attracted to BOYS or GIRLS?

Answer 23

MEN who aer attracted to young BOYS

**they usually have an attraction to a particular age range

Question 24

Pedophelic d/o can range from _____ to ____ acts with a child.
It is not required for these pts to have _____ or feeling _____ about what they are doing.

Answer 24

undressing/masturbation to sexual acts

social impairment or feeling distressed

Question 25

Richard found a lot of excitement as a child when we would sneak into his sisters room and try on her heels.
Once he was older he purchased thong underwear at Victoria’s secret and wears them when he is feeling frisky.
Overtime he began wearing the thongs when going to work and school and found this to be super sexually arousing.

What is Richard’s dx?

Answer 25

Transvestic d/o

Question 26

T/F: with aging, sexual behaviors in transvestic d/o increase until they wear the opposite gender clothing all the time.

Answer 26

F: with aging sexual desires decline and cross-dressing may also decline

Question 27

what is Transvestic d/o usually associated with?

Answer 27

Gender dysphoria

Question 28

Tod is signing up for a dating service because he can;t seem to find a compatible partner. He makes it very clear in his profile that potential dates must be comfortable with him licking their toes during intimacy.
But he is not quite ready to admit his obsession with rubber duckies and his dependence on them to reach climax.
What is Tod’s dx?

Answer 28

Fetishitic d/o

** more common in men

Question 29

If Tod was obsessed with sexual toys such as vibrators, can he be dx with Fetishitic d/o?

Answer 29

No, it doesn’t count if it is a device intended for sexual use