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Behavioral Med II > Paraphilic D/o > Flashcards

Paraphilic D/o Flashcards

1
Q

What is paraphilic d/o defined as?

A

Anomalous sexual activity preferences, which include “deviant” patterns of sexual interests, fantasies, and behaviors

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2
Q

Is there a difference between a paraphilia and paraphilic d/o?

A

Yes, a paraphilia is a preferential sexual interest and paraphilic d/o is a d/o resulting from an anomalous sexual interest

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3
Q

To receive a dx of having a paraphilic d/o, one must have a recurrent and intense sexual arousal from these anomalous preferences and have ______ on these urges and have caused significant ______ and _____ impairment

A

acted

distress and social/occupational

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4
Q

What are the 8 paraphilic d/o defined in DSM5? Is this list exhaustive?

A

Exhibitionist d/o, Frotteuristic d/o, Sexual masochist, Sexual sadism d/o, Pedophilic d/o, Transvestic d/o, Fetishistic d/o, Voyeuristic d/o
No, sexual desires may be continuous/spectrum

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5
Q

Sx of a paraphilic d/o may only arise in a time of _____, then the pt can return to “normal” sexual function

A

stress/other trigger

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6
Q

In order for dx of a paraphilic d/o, pts must have been experiencing urges/behaviors for at least ___ months, intermittent or constant

A

6 months

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7
Q

Paraphilic disorders are overwhelmingly seen in (men/women) and pts are mostly (homosexual/heterosexual)

A

men, heterosexual

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8
Q

Prevalence of paraphilic d/o is unknown, however, the prevalence of exhibitionism is ___% and voyeurism is ____%

A

3%; 7%

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9
Q

Nearly all patients with fetishism are (men/women)

A

men

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10
Q

Do some people believe that sexual deviance is hereditary and can be modified by social/psychological factors?

A

yes

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11
Q

Freudians believe that sexual deviance stems from ____ of developmental process from childhood

A

failures

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12
Q

Learning theorists believe that sexual deviance is a result of ______ becoming linked to deviant fantasies and reinforced by _____

A 
positive experiences (orgasm)
masturbation
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13
Q

Sex offenders have abnormal ____ that provide neurobiological basis for sexual deviance

A

EEG

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14
Q

Sexual deviance is already well established by ____ (age)

A

adolescence

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15
Q

Common comorbid conditions for sexual deviance include ___, ___/___, and ___

A

depression, mood/anxiety d/o, and substance abuse

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16
Q

Sexual deviance is typically a(n) (acute/chronic) condition that can fluctuate over time depending on _____ and other factors such as _____ and _____

A

chronic
stress
opportunity for sex, current sex drive

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17
Q

T/F: Most individuals with paraphilias have a “normal” sexual interaction with their partners/spouses, who often do not know about their particular paraphilia

A

True!

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18
Q

What is the recommended tx for pts with a paraphilia? What are other methods that can be used?

A

CBT
Others: Masturbatory satiation, covert sensitization, and masturbatory conditioning (using these methods, 82% at 12 mo had not engaged in pedophilic activities)

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19
Q

What is masturbatory satiation?

A

satiation or boring the pt with their own deviant fantasies

20
Q

What is covert sensitization?

A

replace fantasies with unpleasant imagery

21
Q

What is masturbatory conditioning?

A

used to generate arousal to non-deviant themes

22
Q

Are there medications that can be used for these paraphilic conditions?

A

No FDA drugs
SSRIs and Naltrexone can decrease fantasies and impulsive behaviors and should be used FIRST
Testosterone inhibitors are last resort

23
Q

(Men/Women) more frequently have exhibitionist d/o?

A

Men

24
Q

What is exhibitionist d/o?

A

exposure of one’s genitals to an unsuspecting person

25
Q

____% of sexual offenders will qualify for the dx of exhibitionist d/o?

A

33%

26
Q

Does an individual with exhibitionist d/o usually or not usually masturbate while exposing themselves?

A

usually masturbates

27
Q

Does a pt with exhibitionist d/o usually touch other people while exposing themselves?

A

No, no contact is attempted

28
Q

If onset of exhibitionist d/o is later in life, what other d/o should be suspected?

A

neurocognitive

29
Q

Frotteuristic d/o is usually dx in (males/females) and is most common in what age range?

A

males, 15-25 y/o

30
Q

What is Frotteuristic d/o?

A

Touching or rubbing against a nonconsenting person with genitals that usually occurs in crowded places

31
Q

Sexual masochism involves sexual fantasies, urges, or behaviors of _____, ____, or ______.

A

being humiliated, bound, or suffer pain/discomfort

32
Q

Sexual sadism involves the desire to inflict _____ on someone else, and frequently involves _____

A

psychological suffering

humiliation

33
Q

Pts diagnosed as having sexual sadism d/o have engaged in these behaviors with a ______ person

A

non-consenting

34
Q

Pedophilic d/o is more common in (males/females) attracted to (boys/girls) and involves attraction to (pre-pubescent/pubescent) children

A

males, boys, prepubescent

35
Q

In order to be dx with pedophilic d/o, the pt must be at least ___ y/o and ___ yrs older than their victim

A

16 y/o

5+ years older

36
Q

T/F: Pts with pedophilic d/o have an attraction to any age range

A

F; usually attracted to a specific age range

37
Q

Is there a requirement for social impairment for feeling distress about what they are doing for dx of pedophilic d/o?

A

No

38
Q

T/F: Transvestic d/o applies to only men

A

F; men and women!

39
Q

Transvestic d/o is characterized by the act of _____ that usually begins (before/after) puberty

A

cross-dressing, before puberty

40
Q

Initially, the act of _____ is arousing to pts with transvestic d/o, then, in time, their comfort grows and they may _____ in public . As they age, and sexual desires decline, the incidence of ___ may also decline

A

cross dressing

41
Q

Transvestic d/o is occasionally seen in pts with _____

A

gender dysphoria

42
Q

Fetishistic d/o is characterized by a pt who is aroused by _____, or ______

A

a non-living object (does not count if a sex toy)

a part of the body not usually associated with sex

43
Q

Contact with _____ produce sexual arousal in a pt with fetishistic d/o, usually followed by ______

A

object

masturbation

44
Q

Patients with fetishistic d/o usually spend (a little/a lot of) time engaged in these activities

A

a lot!

45
Q

Voyeuristic d/o dx can be made in pts ____ y/o but usually starts at ____ y/o, and is characterized by looking/observing people (with/without) their knowing for the purpose of sexual arousal. Targets are usually ____ and engaging in _____

A 
18+y/o
15y/o
without
naked
sexual acts

Behavioral Med II (7 decks)

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