Week 10 Lecture (Paraphilias) Flashcards

1
Q

“Normal” Sexual Behaviour

A

Difficult to define:
Statistical: normal in terms of prevalence
Oxford: Conforming to standard, usual or expected OR free from physical or mental disorders
SocioCultural:culturally acceptable or legal

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2
Q

What are Atypical Sexual Behaviours Called

A

Paraphilia: any intense persistent interest in anything other than genital stimulation, or phenotypically normal, mature, consenting partners

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3
Q

Whats a Paraphilic Disorder

A

Paraphilia that causes distress or impairment to the individual, or harms others when acted upon

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4
Q

Paraphilias exist on a ______

A

Continuum, ranging from normal to abnormal

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5
Q

How do you diagnose a paraphilic disorder

A

Criteria A: Describes the paraphilia eg: flashing ppl
Criteria B: Specifies the negative outcome of the behaviour eg: harm to others or personal distress

For diagnosing it must be happening for at least 6 months

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6
Q

Does someone who likes pain but doesnt harm anyone else and isnt personally distressed have a paraphilic disorder?

A

No, they have a paraphilia, not a paraphilic disorder

presence of paraphilia doesnt automaticaly mean person needs treatment

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7
Q

2 Groups Paraphilias are in

A

Paraphilias are put into 2 groups:
Atypical Activities: eg Voyeurism
Atypical Targets: eg pedophilia

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8
Q

Voyeuristic

A

without consent watching someone engage in sexual activity or undress

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9
Q

Exhibitionistic

A

displaying genitals or sexual acts to ppl without consent

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10
Q

pedophilic

A

children

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11
Q

fetishistic

A

nonliving objects or nonsexual bodyparts

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12
Q

frotteuristic

A

inconseually rubbing genitals on ppl

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13
Q

Sexual Masochism

A

recieving pain

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14
Q

sadism

A

inflicting pain

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15
Q

transvestic

A

dressing in clothes of opposite sex

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16
Q

Autoerotic Asphyxiation

A

choking urself when marturbating

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17
Q

Formicophilia

A

insects

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18
Q

Telephone scatologia

A

obscene telephone calling

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19
Q

zoophilia

A

animals

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20
Q

gerontophilia

A

elderly

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21
Q

infantilism

A

being treated as an infant

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22
Q

plismaphilia

A

enemas (injecting liquid into anus)

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23
Q

necorphilia

A

dead ppl

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24
Q

stigmatophilia

A

piercing scarring tattoing

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25
Q

urophilia

A

pee

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26
Q

coprophilia

A

poo

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27
Q

Define Fetish

A

persistent repetitive use or dependance on non living object or a specific non genital body part for arousal

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28
Q

Mild fetish

A

arousal to the oobject but its not central to arousal, it enhances arousal

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29
Q

Fetishistic Disorder

A

significant personal distress due to dependance on the fetish ex: cant cum without it

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30
Q

When do fetishes develop

A

Early childhood or adolescence and are almost exlusively in men. Some evidence suggests its a conditioned behaviour

31
Q

Transvestic disorder

A

people who cross dress, find it arrousing, and are distressed by it. Usually harmless, starts young

32
Q

Voyueristic Disorder

A

preference or it over partnered sex, interference with daily life, involves crimes (breaking entering)
- key to this intense arrousal is the unsuspecting vitim; fear of getting caught enhances arrousal

33
Q

Exhibitionistic Disorder

A

Exposing inconcenting ppl to ur genitals, diagnosed when they act on it or they are distressed by the fantasy.

  • Victims reaction creates sexual excitment
  • called indecent exposure
  • More common in men
34
Q

What is a form of verbal exhibitionism

A

Telephone Scatologia: person arroused by explicit phone calls, masturbation during or after

35
Q

Frotteuristic Disorder

A

diagnosis given to somone who acts upon it or has distress or imparment from urges: usually happens in crowded areas where guy can say accident oops

36
Q

With consenting partner, it could be considered BDSM

A

sexual masochism and sadism

37
Q

Sexual Sadism Disorder

A

diagnosis given to ppl who act upon it with someone nonconsenting or experience distress: often goal is to humiliate or gain power

38
Q

Sexual Masichism Disorder

A

Likes being beaten bound and made to suffer and experiences distress from it. Masochism coined by Richard Von Krafft- Ebing (german psychiatrist)

39
Q

Is BDSM a paraphilic disorder?

A

no
BDSM = bondage, discipline, sadomasochism

Done with rules and etiquette to make sure never cross any boundaries

Mutual consent is what makes it different from abuse, contenct is what determines pain as pleasurable or painful, context depends on individual

Choking common

40
Q

Bondage and Discipline

A

Restraints like handcuffs and whipping

41
Q

Domination and Submission

A

Dominant Partner=master/top
Sumbissive partner=slave/bottom
switch=people who change roles

Can extend beyong sex and into life

42
Q

is pain outside of sexual script arousing for ppl who do BDSM?

A

no, people use safety measure like sexual scripts, safewords, etc

43
Q

Pedophilic Disorder

A

Only paraphilic disorder involving atypical humman

Sexual Maturity often defined as age of consent

Diagnosed to people who have acted on it with a prepubescent child less than 13 years of age, or they experience distress from it

44
Q

Pedophile

A

attracted to kids below age of puberty (prepubescent). cant be exclusive pedophilia or non-
exlusive

45
Q

Classic Type Pedophilia:

A

prepubescent kids

46
Q

Hebephilic Type Pedophilia

A

pubescent kids

47
Q

Pedohebephilic Type

A

both prepubescent and pubescent

48
Q

Do most pedophiles groom strangers or kids they know?

A

groom kids they know

49
Q

The North American Man-Boy Love association

A

some pedophiles say its their right to have sex with kids

50
Q

whats the best measure of seeing if somone is arroused by children

A

PPG: penile photoplethysmography - measures blood flow to penis

51
Q

Are real dolls a paraphilic disorder?

A

no, unless it distresses you or anyone else

52
Q

Hypersexuality

A

excessive sex drive that leads person to continue pursuing it despite negative outcomes

non-paraphilic sexual compulsivity

obsessive preoccupation and need for sex

related to impulse control issue ex sex addiction

53
Q

Nymphomania

A

hypersexuality in women

54
Q

Satyriasis

A

Hypersexuality in men

55
Q

What factors play role in development and maintanence of paraphilias or paraphilic disorders?

A

no scientifically accepted theory on what factors play a role, different for everyone

56
Q

Psychoanalytical Theory on Paraphilias

A

arisse from castration anxiety, issues about masulinity and femininity (exposing masulinity ex streaking)

Sexual abuse and early trama may explain courtship disorders

57
Q

Behavioural Theories on paraphilias

A

paraphilias occur through classical conditioning ex: arroused when you see the paraphilia, then it accidentally gets associated

58
Q

Neurological Findings on paraphilias

A

neurocognitive tests find that pedophiles have lower IQ and have structural brain and brain activation differences

59
Q

35% of pedophiles were:

A

abused as children

60
Q

most research done for this paraphilic disorder

A

pedophilic disorder

61
Q

Cognitive distortion

A

irrational thoughts/thinking errors

pedophiles use this to justify what they did

62
Q

Main theory iin understanding sexual offending

A

Cognitive Distortion

63
Q

3 main risk factors for sexual offending

A
  1. sexual deviance (ex being a pedophile)
  2. Antisocial traits
  3. poor social skills and intimacy defecits
64
Q

4 reasons for seeking treatment of paraphilic disorders

A
  1. court ordered treatment
  2. self distress (or embarrasment or fear for behaviours)
  3. Relationship distress
  4. distress due to sexual disfunction (cant cum to anything else)
65
Q

3 Goals for the treatment of paraphilic disorder

A
  1. control fantasies and behaviour to minimize risk of recedivism (person acting on it)
  2. control sexual urges
  3. decrease the distress the paraphilia gives
66
Q

does evidence suggest paraphilic interests can be changed?

A

no evidence for this but treatment focuses on management of interests inegrating interests in healthier way

67
Q

Cognitive-Behavioural Therapy (CBT) and Relapse Prevention Techniques

A

kinda like alcoholics anonymous:
individual or group based, disclose offense to the group, challenge their distorted thinking, give empathy to other, take responsibility and devise plan to avoid relapse

68
Q

Treatments for paraphilic disorders

A
  1. social skills and self esteem training (usually done with CBT and relapse prevention)
  2. Mindfulness and emotion regulation
  3. Satiation Therapy
  4. Orgasmic reconditioning
  5. Aversion Therapy
  6. community based support programs (like alcoholics anonymous)
  7. medical treatment
69
Q

Satiation Therapy

A

redirecting sexual impulses to more desirable target through masturbation to a normal thing, then masturbating again to the paraphilic thing

70
Q

Orgasmis Reconditioning

A

orgasms to paraphilia till orgasm, then right before orgasm switches to a normal thing

71
Q

Aversion therapy

A

associate paraphilic fantasies with unpleasent stimulus like bad smell or shock

72
Q

community based support programs

A

for paraphilic disorders, based on 12 step program from alcoholics anonymous

73
Q

medical treatments for paraphiliacs

A

anti-depressants or anti-androgens to chemically castrate