psy 350: paraphilic disorders

voyeuristic disorder

• sexual arousal achieved through the clandestine observation of others who are naked, disrobing, or engaging in sexual activity

  • results in distress or impairment or

  • behavior occurs with a nonconsenting person

voyeuristic disorder is often comorbid with…

exhibitionistic disorder

exhibitionistic disorder

• sexual arousal from exposing genitals to an unsuspecting observer

  • results in distress or impairment or

  • behavior occurs with a nonconsenting person

• most individuals with this disorder do not attempt contact with the observer and are not physically aggressive

frotteuristic disorder

• sexual arousal from recurrent touching or rubbing against a nonconsenting person

  • __ behavior with a nonconsenting person denotes a paraphilic disorder or

  • distress and impairment due to fantasies or urges

• often occur in crowded places

fetishistic disorder

• sexual arousal from an inanimate object or a specific nongenital body part

  • results in distress or impairment

• common fetishes

  • shoes, leather garments, underwear, rubber items, feet, toes, hair

transvestic disorder

• cross-dressing to become sexually aroused

  • results in distress or impairment

  • pattern of purging and acquisition

sexual masochism disorder

• sexual arousal depends on being humiliated or made to suffer

  • results in distress or impairment

sexual sadism disorder

• sexual arousal depends on the physical or psychological suffering of another person

  • results in distress or impairment or

  • behavior occurs with a nonconsenting person

pedophilic disorder

• sexually arousing fantasies, urges, or behaviors involving sexual activity with a prepubescent child by a person who is at least 16 and at least 5 years older than the child

  • sexual behavior with a prepubescent child or

  • distress or interpersonal difficulty due to fantasies or urges

possible causes of paraphilias and paraphilic disorders

• biological factors

• temporal and parietal lobe abnormalities

• elevated dopamine

• head injury

• abnormal androgen levels

treatment of paraphilic disorders

• behavioral methods

• cognitive-behavioral therapy

• biological methods

behavioral methods

• aversion therapy

• masturbatory reconditioning

cognitive-behavioral therapy

• combined with relapse prevention

• multisystemic (family) therapy

biological methods

• surgical castration

• antilibido medications