Chapter 15 - Variations in Sexual Behaviour Flashcards

1
Q

what is “normal” sexual behaviour

A

statistically: prevelence of a sexual behaviour
sociocultural: what a culture deems acceptable or illegal

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2
Q

atypical sexual behaviours are referred to as…

A

paraphiles

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3
Q

paraphilic disorder

A

currently causing distress or impairment to the individual or causes personal harm/risk of harm t others when acted upon; exist on a continuum ranging from normal to abnormal

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4
Q

diagnosis of paraphilic disorders

A

must have criterion A (the paraphilias) and criterion B (neg consequences) existing together for at least 6mo

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5
Q

paraphilic preferences for atypical ACTIVITIES

A

courtship disorders (voyeuristic, exhibitionist, frotteuristic), algoganic disorders (sexual sadism and masochism)

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6
Q

paraphilic preferences for atypical TARGETS

A

human targets (pedophilic), nonhuman (fetishistic, transvestic)

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7
Q

voyeuristic disorder

A

observing an unsuspecting person who is naked, disrobing, or engaging in sex; key is the unsuspecting part and the fear of getting caught; person has either acted upon these urges with an unconsenting perosn or the urges/fantasies have caused them distress/impairment

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8
Q

exhibitionist disorder

A

exposing ones genitals to an unsuspecting person; legally called “indecent exposure” and is one of the most common law-breaking sexual acts; far more common in men

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9
Q

frotteuristic disorder

A

engaging/fantasizing about rubbing against a nonconsenting person; typically male predator and female victim; occurs in crowded areas where perpetrator can say it was accidental

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10
Q

sexual sadism disorder

A

inflicting pain and suffering on others; classified as a disorder when on a nonconsenting person or when a person is troubled by their own urges and fantasies

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11
Q

sexual masochism disorder

A

experiencing pain/humiliation/suffering; classified as a disorder when urgers or fantasies cause significant personal impairment/distress/harm to oneself

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12
Q

pedophilic disorder

A

attraction to children who are prepubescent; can be exclusive or non-exclusive (attracted to kids and adults)

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13
Q

categories of pedophilia

A

classic: prepubescent children
hebephilic: pubescent
pedohebephilic: both
most are not violent nor do they prey on strangers

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14
Q

fetishes and fetishistic disorder

A

persistent and repetitive use/dependence on non-living objects or a specific non-genital body part for arousal; called a disorder when it causes significant personal distress; typically develop in early childhood or adolescence

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15
Q

transvestism and transvestic disorder

A

only those who find cross-dressing sexually arousing AND distressing are considered to have a disorder

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16
Q

asphyxiophilia

A

oxygen deprivation to create sexual arousal or enhance excitement and orgasm

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17
Q

zoophilia

A

erotic interest and/or sexual contact with an animal

18
Q

urophilia

A

erotic interest/sexual satisfaction from contact with urine

19
Q

coprophilia

A

erotic interest/sexual satisfaction from contact with feces

20
Q

saliromania

A

desire to soil/damage a person/their clothes/their image for sexual satisfaction

21
Q

necrophilia

A

sexual satisfaction from contact with a dead person

22
Q

feederism

A

sexual pleasure from weight gain or feeding

23
Q

sexsomnia

A

automatic, unintentional sexual behaviours during sleep

24
Q

klismaphilia

A

sexual arousal to enemas

25
Q

paraphilic infantilism

A

erotic/sexual interest in role playing as an infant

26
Q

acrotomophilia

A

erotic/sexual interest in amputees

27
Q

hypersexuality

A

excessive, insatiable sex drive that leads a person to continually pursue sexual encounters despite neg consequences; may be related to an impulse control issue

28
Q

what factors play a role in development/maintaing of paraphilias?

A

no one single accepted theory; contributing factors differ from one individual to another and very depending on the type of paraphilia; hard to study

29
Q

psychoanalytic theory (of paraphilic disorders)

A

thought to arise from castration anxiety and the oedipus complex

30
Q

learning theory (of paraphilic disorders)

A

can result from classical conditioning

31
Q

sexual compulsion (addiction) theory (of paraphilic disorders)

A

person has a pathological relationship to a sexual event or process

32
Q

cognitive theory (of paraphilic disorders)

A

may have a serious cognitive distortion in that they perceive unconventional stimulus as erotic

33
Q

assessing paraphilic disorders

A

consists of an interview (general background of client, famnily/education), mental and physical health history, extensive sexual and relationship history; may also include psychometrics; phallometric measures in (usually) criminal cases

34
Q

treatment of paraphilic disorders

A

no good evidence to suggest that interests can be changed; treatment can focus on management and integrating them in a healthier way

35
Q

cognitive-behavioural therapy and relapse-prevention (treatment of paraphilic disorders)

A

challenges distorted thinking, can be individual or group based; devises a safety plan to avoid risks

36
Q

self esteem and social-skills training (treatment of paraphilic disorders)

A

development of healthy social skills, anger, impulsiveness, mood management, etc

37
Q

mindfulness and emotional regulatiop (treatment of paraphilic disorders)

A

been suggested as an appropriate treatment method to target emotion regulation

38
Q

satiation therapy (treatment of paraphilic disorders)

A

redirecting sexual impulses to a more desirable target (fantasy) through masturbation, and then masturbating immediately again to the undesired fantasy

39
Q

orgasmic reconditioning (treatment of paraphilic disorders)

A

client masturbates to the paraphilic fantasy until the point of orgasm, at which time the fantasy is switched to a more socially acceptable one

40
Q

aversion therapy (treatment of paraphilic disorders)

A

paraphilic fantasies are linked with an unpleasant stimulus (smell, sickness, electric shock)

41
Q

community based support programs (treatment of paraphilic disorders)

A

often modelled on the 12-step program of AA

42
Q

medical treatments (treatment of paraphilic disorders)

A

pharmacological treatment (antidepressants, antiandrogen drugs)