Kohlenberg: Paraphilias Flashcards
Any intense and persistent sexual interest other than sexual interest in genital stimulation or fondling with phenotypically normal, physically mature, consenting human partners.
paraphilia
How is a paraphilic disorder different from paraphilia?
it is a disorder if the paraphilia is currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, or risk of harm to others
T/F: A paraphilia by itself does not necessarily justify or require clinical intervention
True
What are the two criterion for paraphilias?
A: Specifies the qualitative nature of the paraphilia (ex: erotic focus on children)
B: Specifies the negative consequences of the paraphilia (ex: distress, impairment)
T/F: Most people with atypical sexual interests do not have a mental disorder.
To be diagnosed with a paraphilic disorder, DSM-5 requires that people with these interests: feel personal distress about their interest, not merely distress resulting from society’s disapproval;
True
A: Over a period of at least 6 months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors.
B: Acted on these urges with a non-consenting person, has distress or impairment in social, occupational, or other important areas of functioning.
Must be 18 or over.
May be considered normal in adolescent males.
Generally, no sexual contact is sought.
Onset tends to be before age 15 years.
The course tends to be chronic
Voyeuristic disorder
**peeping person
A: Over at least 6 months, recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors.
B: Acted on them with a non-consenting person, or these feelings cause significant distress or impairment.
Make up 1/3 of sex offenders referred for treatment.
Two categories:
Inhibited temperament – tend to struggle with their urges and expose a flaccid penis
Aggressive temperament – expose an erect penis and masturbate
Evidence suggests that the reconviction rate for indecent exposure is low after the first conviction but high after a second conviction.
Exhibitionistic disorder
A. 6 months…touching or rubbing against a nonconsenting person…
B. Acted upon these urges with a nonconsenting person….distress or impairment…
Frotteuristic disorder
**happens in crowded places
A…6 months…arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, behaviors.
B. Clinically significant distress…
Specify: With asphyxiophilia
Sexual masochism disorder
**you like to suffer
A: 6 months…pleasure from physical or psychological suffering of another person, as manifested by fantasies, urges…
B: Nonconsenting person, distress.
Prevalence: 2-30%
Among people who have committed sexually motivated homicides, this disorder ranges from 37-75%.
Sexual sadism disorder
**you like to hurt people
What is sadomasochism?
sexual activities of bondage, torture, master and slave, blah blah
When sexual sadism really goes to edge (i.e. serial murders, sexual arousal from killing, lack of guilt for victim, etc)
Psychopathic sexual sadism
A. 6 months…sexually arousing fantasies, urges or behaviors involving sexual activity with a prepubescent child or children (13 or younger).
B. Acted upon these urges, or the fantasies are distressing.
C. Must be at least 16 and at least 5 years older than the child.
(not a person in late adolescence, in a sexual relationship with a 12,13 year old)
Pedophilic disorder
A: 6 months…arousal from nonliving objects or nongenital body parts.
B: Distressing
Fetishistic disorder
A: 6 months…arousal from cross dressing…
B: Distress
Transvestic disorder
