Lesson 6 - Sexual Disorders

What are Sexual Disorders?

A group of dysfunctions resulting from a person's inability to fully engage in and derive pleasure from sexual activities.

What are Paraphilic Disorders?

These are conditions in which a person experiences intense and persistent sexual urges, fantasies, or behaviors involving atypical objects, situations, or individuals, causing distress, impairment, or harm to others.

How long should the abnormal behavior last to be diagnosed with paraphilia?

More than 6 months

How many types of Paraphilic Disorders are there?

8 types

What are the different types of Paraphilic Disorders?

1. Fetishistic Disorder 

2. Transvestic Disorder 

3. Pedophilic Disorder 

4. Voyeurism Disorder 

5. Exhibitionist Disorder 

6. Frotteuristic Disorder 

7. Sexual Sadism Disorder 

8. Sexual Masochism Disorder

What is Fetishistic Disorder?

It is a mental health condition where a person experiences intense sexual arousal from non-living objects (e.g., shoes, gloves) or specific body parts (e.g., feet), leading to significant distress or impairment in daily life.

What is the criteria for Fetishistic Disorder?

1. Recurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on nongenital body part(s), as manifested by fantasies, urges, or behaviors. 

2. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

3. The fetish objects are not limited to articles of clothing used in cross-dressing (as in transvestic disorder) or devices specifically designed for the purpose of tactile genital stimulation (e.g., vibrator).

What is Transvestic Disorder?

It is a condition where a person experiences intense sexual arousal from cross-dressing (wearing clothes of the opposite gender), leading to significant distress or impairment in daily life.

What is the criteria for Transvestic Disorder?

1. Recurrent and intense sexual arousal from crossdressing, as manifested by fantasies, urges, or behaviors. 

2. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

What is Pedophilic Disorder?

It is a mental health condition characterized by recurrent, intense sexual thoughts, fantasies, or urges involving prepubescent children (typically under 13 years old). It is diagnosed when these urges cause distress, interpersonal difficulties, or lead to harmful actions.

What is the criteria for Pedophilic Disorder?

1. Recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger). 

2. The individual has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty. 

3. The individual is at least age 16 years and at least 5 years older than the child or children in Criterion A. 

What is Voyeuristic Disorder?

It is a mental health condition where a person experiences intense sexual arousal from secretly observing others who are naked, undressing, or engaging in sexual activity, without their consent.

What is the criteria for Voyeuristic Disorder?

1. Recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors. 

2. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

3. The individual experiencing the arousal and/or acting on the urges is at least 18 years of age. 

What is Exhibitionistic Disorder?

It is a mental health condition where a person experiences intense sexual arousal from exposing their genitals to an unsuspecting person

What is the criteria for Exhibitionistic Disorder?

1. Recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors. 

2. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

What is Frotteuristic Disorder?

It is a mental health condition where a person experiences intense sexual arousal from touching or rubbing against a non-consenting person, often in crowded public places.

What is the criteria for Frotteuristic Disorder?

1. Recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors. 

2. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

What is Sexual Sadism Disorder?

It is a condition where a person feels sexual pleasure from hurting or humiliating others psychologically.

What is the criteria for Sexual Sadism Disorder?

1. Recurrent and intense sexual arousal from the physical or psychological suffering of another person, as manifested by fantasies, urges, or behaviors. 

2. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

What is Sexual Masochism Disorder?

It is a condition where a person experiences intense sexual arousal from being humiliated, hurt, or made to suffer.

What is the criteria for Sexual Masochism Disorder?

1. Recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviors. 

2. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

What is Gender Dysphoria?

It is a condition where a person experiences significant distress or discomfort because their gender identity does not match their assigned sex at birth.

What is the criteria for Gender Dysphoria in Children?

• A significant mismatch between an individual’s experienced or expressed gender and their assigned gender at birth

• The condition causes significant distress or difficulties in social, school, or other important areas of life.

What are the signs demonstrated by children towards a significant mismatch between an individual’s experienced or expressed gender and their assigned gender at birth?

1. A strong desire to be the other gender or a firm belief that one is the other gender (or a different gender from the one assigned at birth).

2. For boys (assigned male at birth), there may be a strong preference for cross-dressing or imitating female clothing. For girls (assigned female at birth), there may be a strong preference for wearing typically masculine clothing and a resistance to wearing typical feminine clothing.

3. A strong preference for cross-gender roles in make believe play or fantasy play. 

4. A strong preference for the toys, games, or activities stereotypically used or engaged in by the other gender. 

5. A strong preference for playmates of the other gender.

6. In boys (assigned gender), a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; or in girls (assigned gender), a strong rejection of typically feminine toys, games, and activities. 

7. A strong dislike of one’s sexual anatomy. 

8. A strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender.

What is the criteria of Gender Dysphoria in Adolescents and Adults?

• A marked incongruence between one’s experienced/ expressed gender and assigned gender

• The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.

What are the signs demonstrated by adults towards a marked incongruence between one’s experienced/ expressed gender and assigned gender?

1. A clear mismatch between an individual's experienced or expressed gender and their primary and/or secondary sex characteristics (or, in young adolescents, the expected development of secondary sex characteristics).

2. A strong desire to be rid of one's primary and/or secondary sex characteristics because they do not align with the individual’s experienced or expressed gender (or, in young adolescents, a desire to prevent the development of the expected secondary sex characteristics).

3. A strong desire for the primary and/or secondary sex characteristics of the other gender.

4. A strong desire to be of the other gender (or some alternative gender different from one’s assigned gender). 

5.  A strong desire to be treated as the other gender (or some alternative gender different from one’s assigned gender).

6. 6. A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one’s assigned gender).

What is Transsexualism?

It is a term used to describe individuals who experience gender dysphoria and seek to transition from their assigned sex at birth to the gender with which they identify.

What are the two kinds of male-to-female transsexuals?

• Homosexual transsexuals

• Autogynephilic transsexuals.

Who is a homosexual transsexual man?

It is someone who was born as a boy but feels like a girl on the inside. These people often feel they are in the wrong body, so they may want to change their body to match how they feel. Some of them are attracted to other boys, just like how some boys are attracted to other boys (this is called being gay)

Who is a homosexual male-to-female transsexual?

It is someone who was born a boy but wants to live as a girl, and they are attracted to men who like women. They feel like they are a woman on the inside and want their body to reflect that.

Who are Autogynephilic transsexuals?

They are people who were born male but feel like women, and their motivation to transition comes from being sexually attracted to the idea or fantasy of themselves as a woman. This is different from being attracted to others; instead, they are attracted to the thoughts or images of themselves as female.

What is sexual abuse?

Sexual abuse is sexual contact that involves physical or psychological coercion or at least one individual who cannot reasonably consent to the contact (e.g., a child).

What are the types of sexual abuse?

• Unwanted touching

• Rape

• Sodomy

• Coerced nudity

• Sexual explicit photographing