Paraphilias Flashcards

1
Q

requirements to be considered a paraphilia

A

at least 6 months

failure to act on urges leads to marked distress or interpersonal difficulty

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2
Q

associations of victimizing paraphilias

A

antisocial personality disorder

ego-syntonic symptoms (difficult to treat)

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3
Q

what is voyeurism

A

peeping tom

usually occurs in a lonely, timid, insecure male with low self-esteem, who has difficulty forming sexual relationships

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4
Q

what is exhibitionism

A

indecent exposure/ flashing

usually younger male <30y/o, who is rarely dangerous

pedophiles can begin with this type of behavior

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5
Q

what is frotteurism

A

pleasure in “accidentally” rubbing against people

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6
Q

what is sexual masochism

A

pleasure in inflicting pain and humiliation on oneself

injury results in sexual arousal

may mimic Borderline personality disorder

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7
Q

what is sexual sadism

A

pleasure in inflicting pain on others

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8
Q

what is pedophilia

A

person has an infatuation with children of a specific age group

must be at least 16 y/o and 5 years older than the child

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9
Q

associations of pedophiles who use rationalizations

A

antisocial personality disorder

alcohol abuse

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10
Q

what is the difference in transvestic fetishism, gender dysphoria and fetishistic disorder

A

Transvestic: sexual urges involving crossdressing

Fetishistic: sexual urges involving body parts

Gender Dysphoria: the feeling of distress accompanied by a felt incongruence between their assigned gender and thei own experience of their gender

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11
Q

coprophilia

A

arousal by feces

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12
Q

hypoxyphilia

A

arousal by altered state of consciousness secondary to hypoxia

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13
Q

infantilism

A

arousal due to behaving as though one is an infant

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14
Q

klismania

A

arousal secondary to enemas

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15
Q

necrophilia

A

arousal secondary to dead people

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16
Q

telephone scatologia

A

arousal secondary to obscene telephone calls

17
Q

urophilia

A

arousal secondary to urine

18
Q

formicophilia

A

focus on small creatures

19
Q

vomerophilia

A

focus on vomit

20
Q

gerontophilia

A

focus on elderly people

21
Q

acrotomophilia

A

amputated people

22
Q

pictophilia

A

focus on porn

23
Q

triolism

A

focus on viewing partner having sex

24
Q

when do you suspect an organic diagnosis of a paraphilia

A

behaviors begin in middle ages or later

regression from previously normal sexuality

auras or seizure-like symptoms occur before or during sexual activity

abnormal body habitus

abnormal neurologic exam

25
Q

treatment of paraphilias

A

psychotherapy

CBT

SSRI: decreases libido

Anti-androgens: used to decrease hypersexual paraphilias

lowering testosterone levels