paraphilia

Gender Dysphoria

Refers to the distress accompanying the incongruence between one's experienced or expressed gender and one's assigned gender, as per the DSM-5.

Sexual Dysfunction Disorders

Impairment in any phase of the sexual response cycle, including desire, arousal, orgasm, and genital pain during intercourse.

Paraphilia

Involves repetitive sexual fantasies or behaviors with nonhuman objects, suffering, nonconsenting persons, causing distress or impairment.

Gender Identity

The sense of belonging to a gender, with gender dysphoria being distress due to incongruence between experienced and assigned gender.

Pubertal Delay

Administering hormone agonists to delay puberty changes in adolescents with extreme gender dysphoria, reversible if gender change is not pursued.

Disturbed Personal Identity

Inability to maintain a complete self-perception, with contributing factors like low self-esteem and cultural incongruence.

Impaired Social Interaction

Insufficient or excessive social exchange quality, with factors like social victimization and low self-esteem.

Low Self-Esteem

Negative evaluation of one's capabilities, with factors like rejection, lack of approval, and expressions of worthlessness.

Client Perception

Client verbalizes positive perception of self and self-satisfaction about accomplishments, reflecting self-worth.

Sexual Interest/Arousal Disorders

Include Female Sexual Interest/Arousal Disorder, Male Hypoactive Sexual Desire Disorder, and Erectile Disorder, characterized by reduced interest, absence of sexual thoughts, and difficulty in arousal.

Orgasmic Disorders

Encompass Female Orgasmic Disorder, Delayed Ejaculation, and Premature (Early) Ejaculation, involving issues with orgasm frequency, ejaculation delay, and premature ejaculation.

Sexual Pain Disorders

Involve Genito-pelvic Pain/Penetration Disorder, causing pain during intercourse and fear of penetration.

Substance/Medication-Induced Sexual Dysfunction

Sexual dysfunctions triggered by substance use or medication intake, affecting desire, arousal, or orgasm.

Physiological Factors

Contributing factors to sexual dysfunctions, including hormonal imbalances, medical conditions, and medication side effects.

Psychosocial Factors

Influence sexual dysfunctions, such as individual fears, relationship conflicts, and developmental experiences.

Sexual Dysfunctions

State where an individual experiences unsatisfying changes in sexual function during desire, excitation, and/or orgasm phases.

Contributing Factors

Ineffectual role models, abuse, values conflict, lack of privacy, altered body function, misinformation, and depression can contribute to sexual dysfunctions.

Defining Characteristics

Verbalization of problems, absence of desire for sexual activity, and fear or anxiety related to sexual interactions.

Sexual Dysfunction

Absence of lubrication, failure to attain or maintain erection, inability to achieve orgasm, premature ejaculation, genital pain, vaginal constriction, and inability to achieve desired satisfaction during sexual activity.

Short-term Goals

Client identifies stressors contributing to sexual dysfunction or discusses disease pathophysiology within a week.

Long-term Goal

Client resumes satisfactory sexual activity with partner.

Paraphilic Disorders

Recurrent intense sexual arousal involving nonhuman objects, suffering, nonconsenting partners, or other paraphilic behaviors.

Exhibitionistic Disorder

Involves exposing genitals to strangers with recurrent intense sexual urges.

Fetishistic Disorder

Involves sexual arousal from nonliving objects or specific body parts.

Frotteuristic Disorder

Preoccupation with touching or rubbing against nonconsenting individuals.

Pedophilic Disorder

Involves sexual activity with prepubescent children.

Sexual Masochism Disorder

Involves being humiliated, beaten, or made to suffer for sexual arousal.

Sexual Sadism Disorder

Involves deriving sexual excitement from causing suffering to others.

Voyeuristic Disorder

Involves sexual arousal from observing unsuspecting naked individuals or engaging in sexual activity.

Transvestic Disorder

Involves sexual arousal from dressing in opposite gender clothes.

Predisposing Factors to Paraphilic Disorders

Biological abnormalities, temporal lobe diseases, psychoanalytic and behavioral theories.

Ineffective Sexuality Pattern

Concerns about own sexuality, related to lack of significant other, role models, conflicts with sexual orientation, or unresolved Oedipal conflict.

Cultural, social, ethnic, racial, and religious factors

Factors that may contribute to conflicts regarding variant sexual practices.

Accepting and nonjudgmental

Approach to encourage clients to share information without fear of judgment.

Behavior modification

Plan to help clients decrease variant sexual behaviors, often led by specialists.

Sexuality

Involves self-concept, body image, personal history, family, cultural influences, and interactions with others.

Self-worth

Feeling of value and importance, crucial for promoting behavior change.

Outcome Criteria

Goals for client progress, including verbalizing fears, desire to change, and satisfaction with sexuality.