Paraphilic Disorders and Gender Dysphoria

Question 1

Paraphilic Disorders in General

DSM-5- Criteria

Answer 1

• Recurrent, intense sexually arousing fantasies, sexual urges, or behaviors that involve ________.
• Patterns must last > 6 months
• Significant Distress/Impairment (or for some of them simply acting on these urges/fantasies is enough to warrant a diagnosis)

Question 2

Fetishistic Disorder

Answer 2

Fantasies, urges, or behaviors involving inanimate objects or part of the body not typically found erotic (e.g., feet) to obtain sexual gratification

Question 3

Transvestic Disorder

Answer 3

Fantasies, urges, or behaviors involving cross-dressing

Question 4

Voyeuristic Disorder

Answer 4

Fantasies, urges, or behaviors involving the observation of unsuspecting person who are undressing or engaged in sexual activity – aka “peeping toms”

Question 5

Exhibitionistic Disorder

Answer 5

Fantasies, urges, or behaviors involving exposure of one’s genitals to others in inappropriate circumstances and w/o consent – aka “flasher”

Question 6

Sexual Sadism Disorder

Answer 6

Fantasies, urges, or behaviors involving the infliction of psychological or physical pain on another individual

Question 7

Sexual Masochism Disorder

Answer 7

Fantasies, urges, or behaviors involving the real act of being humiliated, beaten, bound, or otherwise made to suffer.

Question 8

Frotteuristic Disorder

Answer 8

Fantasies, urges, or behaviors involving touching or rubbing against a nonconsenting person

Question 9

Pedophilic Disorder

Answer 9

Recurrent, intense sexually arousing fantasies/urges/behaviors involving sexual activity with a prepubescent child or children (generally aged ≤13) – lasting > 6 months

Question 10

Gender Dysphoria

Answer 10

Characterized by a strong and persistent cross-gender identification and gender dysphoria (discomfort about one’s biological sex or sense of gender role)
• Marked incongruence between one’s experienced/expressed gender and assigned gender (≥6 mo) and ≥2: