MH&W Exam 3 - Paraphilic d/o

persistent and recurrent sexual interests, urges, fantasies, or behaviors of marked intensity involving objects, activities, or even situations that are atypical in nature including kids or non consenting adults

paraphilias

how do paraphilic d/o evolve into another d/o

if the paraphilia invokes harm, distress, or functional impairment on lives of affected individual or others.

what are the 8 paraphilias listed on the DSM V

pedophilia, exhibitionism, voyeurism, sexual sadism, sexual masochism, frotteurism, fetishism, transvestic fetishism

sexual arousal t or with a prepubescent child, where the offender is at least 16 and the victim at least 5 years younger

pedophilia

exposure of an individual’s genitalia to unsuspecting strangers for sexual satisfaction

exhibitionism

viewing an unsuspecting person naked, undressing, or engaged in sexual activity

voyeurism

sexual arousal gained from inflicting mental or physical suffering on a nonconsenting person

sexual sadism

derivation of sexual arousal from being the recipient of physical or mental acts (not simulations) of abuse and or humiliation, or suffering in an way

sexual masochism

touching or rubbing against a nonconsenting person

frotteurism

use of nonliving objects, mostly shoes and undergarments, for sexual pleasure.

fetishism

derivation of sexual arousal from cross-dressing or dressing in clothes of opposite sex

transvestic fetishism

urophilia

arousal from urine

corporophilia

arousal from feces

klismaphilia

arousal from enemas

partialism

arousal restricted to a specific body part

necrophilia

arousal from corpses

telephone scatologia

arousal from making obscene phone calls

zoophilia

arousal from nonhuman animals

how to tx paraphilias

psychotherapy like CBT, orgasmic reconditioning, social skills training, 12 step programs, group therapy, individual psychotherapy. meds like SSRIs, long acting gonadotropin-releasing hormones, antiandrogens, mood stabilizers. psychosurgery using stereotaxic tractotomy and limbic leucotomy, or b/l orchiectomy (castration in males)