Paraphilic Disorders

Question 1

Describe paraphilic disorders

Answer 1

• culturally inappropriate or dangerous patterns of sexual arousal
• acting on urges IS NOT NECESSARY FOR DIAGNOSIS
• presence of urges that cause marked distress, interpersonal difficulty, or impaired functioning
• almost always in males

Question 2

Poor prognostic features of pedophilic disorder

Answer 2

• lack of guilt
• presence of substance abuse
• antisocial personality traits
• early age of paraphilic behaviors

Question 3

Age definitions for pedophilic disorder

Answer 3

-perp at least 16 yo and at least 5 years older then child/children

Question 4

Characteristics of perp

Answer 4

• 90% heterosexual
• 90% male
• 50% use alcohol at time of crime
• 7% exclusive- only prey on children
• behavior is usually ego-syntonic: use rationalization, minimization, normalization
• 40-100% have been sexually victimized as a child

Question 5

Treatment for pedophilic disorder

Answer 5

• CBT
• Covert sensitization
• Medroxyprogesterone
• Leuprolde
• Naltrexone
• SSRI (reduce impulsivity)