Sexual Disorders And Paraphilias

Question 1

What are high risk factors that may lead to undesired outcomes?

Answer 1

Substance use, limited access to care, poor health literacy about STI, STI sx and about prevention, unassertive, poor communication skills, young age

Question 2

What are high risk behaviors that may lead to undesired outcomes?

Answer 2

Unprotected intercouse, mouth to genital contact or anal sex, multiple sex partners, sex trade work, self or partner use of IV drugs

Question 3

What are undesired outcomes?

Answer 3

STI, unwanted pregnancy, relationship complications and poverty

Question 4

What is abnormal sexuality?

Answer 4

Not about a human sexual partner; excludes stimulation of primary sex organs; is compulsive, injurious to self or others

Question 5

What is paraphilia?

Answer 5

Any intense and persistent sexual interest other than sexual interst in genital stimulation or preparatory fondling with phenotypically normal, physical mature, consenting human partners for at least 6 months

Question 6

Describe the development of paraphilia

Answer 6

Early inapproproate sexual association or experiences (some accidental and some vicarious) —> inappropriate sexual fantasies repeatedly associated with masturbatory activities and strongly reinforced —> repeated attempts to inhibit undesired arousal and behavior resulting in increase in paraphilic thoughts, fantasies and behavior —> paraphilia

Question 7

What are types of legal (non-victimizing) paraphilia?

Answer 7

Fetishism, sexual masochism, transvestic fetishism, sexual sadism (mild)

Question 8

What are types of illegal (victimizing) paraphilias?

Answer 8

Voyeurism, exhibitionism, pedophilia, sexual sadism

Question 9

What is sexual masochism disorder?

Answer 9

Derives sexual pleasure from suffering (humilation, beaten, bound) — real acts, not stimulation

Question 10

What is sexual sadism disorder?

Answer 10

Sexual arousal from the physical or psychological suffering of another person; partner may or may not have consented

Question 11

What is exhibitonism?

Answer 11

Exposure of genitals to unsuspecting strangers in public; intent is to evoke their shock or fear; victim usually nonconsenting

Question 12

What is fetishistic disorder?

Answer 12

Sexual aroussal from non-living objects or specific focus on non-genital body parts

Question 13

What is frotteuristic disorder?

Answer 13

Touching or rubbing against a non-consenting person; males usually 15-25 yo

Question 14

What is transvestic disorder?

Answer 14

Sexually arousing fantasies, urges or behaviors about cross dressing; not related to gender identity

Question 15

What is voyeuristic disorder?

Answer 15

Sexual arousal by watching an unsuspecting person who is naked, disrobing or engaging in sexual activity; must be 18+ yo

Question 16

What is pedophilic disorder?

Answer 16

Sexual fantasies, urges or activity with prepubescent child (usually <13 yo); must be aged 16+ and at least 5 years older than the child; extremely difficult to treat

Question 17

What are the risk factors for recidivisim of pedophilia?

Answer 17

Male victims, stranger victims, prior sex offenses, lack of a cohabitation hx with adult partners (lives alone)