Week 9 pt2

Course Overview

• Course Title: HSCI 120 Introduction to Human Sexuality and Sexual Behavior

• Date: November 5, 2024

• Instructor: Dr. Milad Parpouchi

Outline

• Health and Life Sciences Librarian: Hazel Plante

• Anonymous Interim Course Feedback Survey

• Last Week's Content Review

• Distinctions in Sexuality:

  • Difference between paraphilias and paraphilic disorders

  • Summary of common paraphilias and paraphilic disorders

Interim Course Feedback Survey

• Feedback requested from students for course improvement

Review of Previous Material

• Continuation of topics discussed in the last lecture

Defining Normal Sexual Behavior

• Difficult to Define:

  • Definitions can be statistical (prevalence of behaviors) or socio-cultural (cultural norms)

  • Oxford Dictionaries Online defines normal as conforming to standards and free from disorders

  • A behavior that is consensual and non-harmful may also be considered normal

Atypical Sexual Behaviors

• Definition of Paraphilia:

  • Greek roots: "Para-" (deviation), "philia" (love/attraction)

  • DSM-5: Intense, persistent sexual interests outside typical human-to-human interactions

• Definition of Paraphilic Disorder:

  • A paraphilia causing distress or impairment or may harm others

• Continuum Concept:

  • Paraphilias range from normal to abnormal behaviors

Diagnosing Paraphilic Disorders

• DSM Diagnostic Criteria:

  • Criterion A: Description of paraphilias (e.g., flashing genitals)

  • Criterion B: Negative consequences (e.g., harm to others) must both be present for diagnosis

  • Distinction between paraphilia and paraphilic disorder based on distress and harm

Commonly Identified Atypical Sexual Behaviors

• Categories of Paraphilias:

  • Preferences for atypical activities (e.g., voyeurism)

  • Preferences for atypical targets (e.g., pedophilia, fetishes)

  • Difficulty in researching these behaviors

Well-Documented Paraphilias

• Categories and Activities:

  • Voyeuristic: Watching others without consent

  • Exhibitionist: Displaying genitals to unsuspecting individuals

  • Pedophilic: Attraction to children

  • Fetishistic: Arousal from non-living objects or non-genital body parts

  • Frotteuristic: Rubbing against non-consenting individuals

  • Sexual Masochism: Receiving pain

  • Sadism: Inflicting pain on others

  • Transvestic: Dressing in opposite sex clothing for arousal

  • Autoerotic Asphyxiation: Self-strangulation

Additional Paraphilias

• Detailed List:

  • Formicophilia: Attraction to insects

  • Telephone Scatologia: Arousal from lewd phone calls

  • Zoophilia: Arousal from animals

  • Gerontophilia: Attraction to elderly individuals

  • Infantilism and Klismaphilia: Role play and enema-related arousal

  • Necrophilia: Attraction to corpses

  • Stigmatophilia: Attraction to body modifications

  • Urophilia/Coprophilia: Attraction to bodily excretions

iClicker Questions

• Example: Identify the disorder based on a description provided

Fetishes and Fetishistic Disorder

• Fetishes Defined:

  • Use of non-living objects or non-genital body parts for arousal

  • Differentiation between mild fetishes and fetishes causing distress

  • Common in early life, predominantly in men

• Conditioning:

  • Evidence suggests fetishes may develop through conditioned responses

Transvestism and Transvestic Disorder

• Not all cross-dressing is a disorder; it is conditional on arousal and associated distress

• Typically initiated around 8.5 years of age

Voyeuristic Disorder

• Arousal from Observing:

  • Key component: the unsuspecting nature of the observation

  • Diagnosis occurs with acting on urges or experiencing distress

Exhibitionistic Disorder

• Nature of Behavior:

  • Arousal from exposing genitals to non-consenting individuals

  • Diagnosis involves acting on urges or experiencing resulting distress

• Commonly manifests in men, often during indecent exposure incidents

Telephone Scatologia

• Arousal from making sexually explicit phone calls and corresponding actions

• Can result in harassment charges

Frotteuristic Disorder

• Engaging in Rubbing:

  • Often occurs in crowded places, typically male-to-female scenarios

Sexual Sadism and Masochism

• Complementary roles in sadomasochism

• Distinction between consensual practices in BDSM vs. harmful behaviors

Sexual Sadism Disorder

• Presentation:

  • Pleasure derived from inflicting suffering or pain

• Diagnostic criteria involve non-consenting actions causing distress

Sexual Masochism Disorder

• Pleasure derived from receiving pain or humiliation

• Again, focus on non-consensual experiences affecting personal distress

iClicker Question on BDSM

• Discussion:

  • Clarification of BDSM as non-paraphilic when consensual and rule-based

Pedophilic Disorder

• Unique Atypical Target:

  • Involves attraction to prepubescent children, with a distinction in types (classic, hebephilic)

• DSM diagnosis based on urges, acting on them, or resulting distress

Factors in Development of Pedophilic Disorder

• Greater prevalence of pedophiles grooming known children rather than strangers

• Psychological rationalizations often seen in offenders

Treatment of Paraphilic Disorders

• Approach to Treatment:

  • Court-ordered or motivated by distress related to behaviors

• Goals of Treatment:

  • Manage fantasies and sexual urges, reduce distress

Treatment Varieties

• Therapeutic Approaches:

  • Cognitive-Behavioral Therapy and Skill Development

• Behavioral Adjustments:

  • Satiation Therapy and Orgasmic Reconditioning methods

  • Aversion Therapy for unwanted fantasies

• Community-based Programs for establishing support

• Medical Treatments including pharmacological options

iClicker Question Example

• Non-distressful fantasy concerning exhibitionistic behavior does not constitute a paraphilia

Discussion on AI Relationships

• Explore ramifications of AI in romantic relationships: benefits, drawbacks, and ethical considerations

Conclusion

• Acknowledgement:

  • Thank you for participation in the course and discussions.