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Paraphilic Disorders

by: Margaret Bloder

Paraphilic Disorders PSYCH 3830

Marketplace > Clemson University > Psychlogy > PSYCH 3830 > Paraphilic Disorders
Margaret Bloder

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About this Document

These notes cover Paraphilic Disorders including general diagnostic criteria, coercive and noncoercive paraphilic disorders, etioloy, and treatment.
Abnormal Psychology
Pam Alley
Class Notes
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This 5 page Class Notes was uploaded by Margaret Bloder on Wednesday April 20, 2016. The Class Notes belongs to PSYCH 3830 at Clemson University taught by Pam Alley in Winter 2016. Since its upload, it has received 31 views. For similar materials see Abnormal Psychology in Psychlogy at Clemson University.

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Date Created: 04/20/16
Paraphilic Disorders (new to the DSM-5; used to be paraphilia) I. About Sexually Deviant Behavior A. Historical Development of Sexually Deviant Behavior  Sin  Criminal behavior  Medical illness DSM-1: sexual deviations was the category (homosexuality, transvestite) DSM-2: homosexuality was removed DSM-4: changed name from sexual deviations to paraphilia DSM-5: changed name from paraphilia to paraphilic B. Distinctions in Terminology  Atypical Sexual Behavior: uncommon and harmless sexual behavior not practiced by the majority of individuals (ex: same sex behavior)  Sexual Deviant Behavior: abnormal sexual behavior that causes harm to the individual (in the form of distress or dysfunction) or to another non-consenting person  Paraphilia: Not a DSM diagnosis but instead a term used to describe atypical sexual behavior (necessary, but not sufficient to paraphilic disorder)  Paraphilic Disorder: DSM diagnosis given to individuals who manifest sexually deviant behavior  Atypical sexual behavior and sexually deviant behavior are not synonymous  Sexually deviant behavior involves a pathological component and causes harm by distressing the person OR impairing their everyday functioning OR involving a child or other non- consenting person  A paraphilia is not a DSM diagnosis and consequently does not require treatment; however, it is a necessary condition to be diagnosed with a Paraphilic Disorder  A Paraphilic Disorder is therefore a paraphilia that causes distress or dysfunction to the individual or involves a non-consenting party II. General Diagnostic Criteria for Paraphilic Disorders  Require the presence of recurrent, intense, and sexually arousing fantasies, urges, or behaviors including one of the following: o Fetishistic Disorder o Transvestic Disorder o Sexual Sadism Disorder o Sexual Masochism o Exhibitionistic Disorder o Voyeuristic Disorder o Frotteuristic Disorder o Pedophilic Disorder  Occur for at least 6 months  Involve clinically significant distress OR impairment in social, occupational, or other important areas of functioning OR in some cases, acting on their inappropriate sexual urges with a child or other nonconsenting person III. Associated Features  Usually begins in puberty or early adolescence  All of them significantly more common in men  Often masturbate several times a day  Frequently has more than one paraphilic disorder IV. Noncoercive Paraphilic Disorders  Fetishistic Disorder: use of nonliving objects (e.g., female undergarments) or a nongenital body part o Unable to become aroused unless nonliving object or nongenital body part is present o Relatively rare o Typically begins in adolescence o Object becomes significant in childhood o Lifelong  Transvestic Disorder: Cross-dressing o Rare in males, extremely rare in females o Usually a heterosexual male o They have masculine hobbies, most typically married (not obvious that they have the disorder) o Tend to be more shy o Cross-dressing generally begins in childhood, almost always by adolescence o Cross-dressing initially in private Transvestites vs. Transsexuals: Key Differences Transvestites Transsexuals  Satisfied with biological sex  Biological sex and gender  Cross-dressing is sexually identity are incongruent arousing  Cross-dressing fits their gender identity  Sexual Sadism Disorder: acts in which there is psychological or physical suffering of the victim o Typically begins in childhood, not acted up until later  Sexual Masochism Disorder: Act of being humiliated, bound, or otherwise made to suffer o Out of all the disorders, most common in women, but most common in men overall o Try to find partner who consents mutually o 5-15% of all individuals engage in this at some point in their lives V. Coercive Paraphilic Disorders  Exhibitionistic Disorder: exposure of one’s genitals to an unsuspecting person (shocking their victim) o One of the most common o Indecent exposure (legal issue) most commonly related to this disorder o Most common report to police o Almost always a male o Typically appears first in adolescence o Tends to decrease in frequency with time o Many are married, have been married (not obvious that they have disorder) o Pattern: fantasizing, go to preferred place, pick victim, masturbate  Voyeuristic Disorder: act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity (Note that person must be at least 18 years of age) o Also called “peeping” o Typically doesn’t want sexual contact with person o Most typically a young heterosexual male o Typically engaged in other sexual relationships o Fairly common illegal sexual activity  Frotteuristic Disorder: touching or rubbing against a nonconsenting person o Almost always a male o Typically going to take place in an crowded area  Pedophilic Disorder: sexual activity with a prepubescent child. (Note that the person must be at least 16 years of age and at least 5 years older than the child) o Almost all are males o Most common: opposite sex o Individuals tend to be more shy, introverted o Tends to be life-long VI. Unspecified Paraphilic Disorder Diagnosis assigned to individuals who present with symptoms that are characteristic of a Paraphilic Disorder and also cause either clinically significant distress or functional impairment but do not meet the criteria for any of the other eight Paraphilic Disorders  Troilism: gets sexually excited by watching their wife/partner engaging in sexual activity with someone else (consentful, noncoercive)  Toucherism: using hands to a nonconsentful person (similar to Frotterurism)  Telephone Scatalogia: becomes sexually excited by making obscene phone calls  Necrophilia: becomes sexually excited by corpses  Zoophilia: becomes sexually excited by animals VII. Possible Etiological Factors A. Biological o Biochemical imbalance in hormones or neurotransmitters o Brain abnormality (part of the brain that controls impulsive behavior) B. Psychosocial o Bad family life o Exposed to sexual deviant behavior at a young age VII. Treatment 1. Cognitive-behavioral treatment o Social skills training o Assertiveness training o Sex education 2. Pharmacological approach o Drugs that decrease sexual desire or decrease ability to have an erection  Relapse Prevention training: teaching individuals to recognize situations where they are most likely going to act out so they can avoid those situations


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