Paraphilic d/o Flashcards
Define Paraphilic disorders
abnormal sexual preferences including
- deviant sexual interests/fantasies/behaviors
What is the difference between paraphilia and paraphilic disorders?
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)
What behaviors are required for dx of a paraphilic d/o?
- recurrent, intense arousal to weird things
- they have acted on these urges
- urges have caused significant distress and impairment
- Must be present at least 6 months
Who is more likely to be diagnosed with parahilic d/o, MEN or WOMEN?
Are they more likely to be HOMO or HETERO-sexual
MEN
HETERO
If you were talking to a Freudian theorist what would they tell you was the cause of paraphilic disorders?
Failure of a child to progress through sexual stages of development
If you were talking to a learning theorist, what would they tell you was the cause of Paraphilic disorders?
The pt has a Positive experience (orgasm) that was linked to a deviant fantasy
T/F: sexual offenders have abnormal EEGs and measurable indicators of poor impulse control in the same population
T
When do paraphlic d/o become established?
in adolescence
what are some common comorbid conditions of paraphilic d/o
Depression
Mood + anxiety d/o
Substance d/o/
what is the mainstay of for the majority of parahilic disorders?
CBT
Other than CBT what are some other therapy methods used to tx paraphilic disorders?
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
What Rx are used for Paraphilic d/o?
1st : SSRI + Naltrexone
- decrease fantasies and impulse control
last : Testosterone inhibitors (medroxyprogesterone, leuprolide)
- decrease libido and sexual desires
A guy in down-town Burlington keeps showing everyone his junk. What is he likely to be dx with?
Exhibitionist d/o
** usually men
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?
He is probably masturbating (keep a safe distance)
he isn’t trying to make physical/sexual contact with people passing by
About ___ (fraction) of sexual offenders qualify for being dx with exhibitionists d/o.
1/3
If Exhibitionist behavior occurs when a man is older, what should you be concerned for?
Neurocognitive d/o/
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?
Frotteuristic d/o
** Usually men
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?
Sexual Masochist d/o
What is a potentially dangerous masochistic behaviors that a person can be fixated on?
Asphyxiophilia (arousal related to restriction of breathing)
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?
Sexual Sadism d/o
**key is the person has acted on urges with an non-consenting person
____ involves sexual arousal with a prepubescent child
Pedophelic d/o
What criteria must be met for a person be be dx with pedophelic d/o/
The pt must be at least 16 y/o and their victim is 5 years younger than they are.
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?
MEN who aer attracted to young BOYS
**they usually have an attraction to a particular age range
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.
undressing/masturbation to sexual acts
social impairment or feeling distressed
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?
Transvestic d/o
T/F: with aging, sexual behaviors in transvestic d/o increase until they wear the opposite gender clothing all the time.
F: with aging sexual desires decline and cross-dressing may also decline
what is Transvestic d/o usually associated with?
Gender dysphoria
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?
Fetishitic d/o
** more common in men
If Tod was obsessed with sexual toys such as vibrators, can he be dx with Fetishitic d/o?
No, it doesn’t count if it is a device intended for sexual use
