Paraphilic disorders are
recurrent, intense, sexually arousing fantasies, urges, or behaviors
that are distressing or disabling and that involve inanimate objects, children or nonconsenting adults, or suffering or humiliation of oneself or the partner with the potential to cause harm.
Which is the most common type of the paraphilic disorders?
The most common are
pedophilia
(sexual focus on children), exhibitionism (exposure of genitals to strangers), voyeurism (observing private activities of unaware victims) and frotteurism (touching or rubbing against a nonconsenting person).
What are the 8 paraphilic disorders?
The chapter on paraphilic disorders includes eight conditions:
exhibitionistic disorder, fetishistic disor- der, frotteuristic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, and voyeuristic disorder
.
What are the paraphilic disorders discussed by DSM-5?
Use of Other Specified Paraphilic Disorder and Unspecified Paraphilic Disorder. DSM-5, as did its predecessor DSM-IV-TR, includes eight specific paraphilic disorders:
voyeuristic, exhibitionistic, frotteuristic, sexual masochism, sexual sadism, pedophilic, fetishistic, and transvestic.
What are the types of paraphilias?
- Voyeuristic disorder.
- Exhibitionistic disorder.
- Frotteuristic disorder.
- Sexual masochism disorder.
- Sexual sadism disorder.
- Pedophilic disorder.
- Fetishistic disorder.
- Transvestic disorder.
Can paraphilic disorders be cured?
Treatment of paraphilic sexual disorders usually involves the
combination of psychotherapy and medication
. Paraphilias are quite chronic, such that a minimum of 2 years of treatment is recommended for even the mildest paraphilia.
How do you treat a fetish disorder?
Treatment of Fetishistic Disorder
Sex therapy with a certified therapist who specializes in paraphilias
is the best form of treatment for fetishistic disorder. A certified sex therapist may utilize cognitive behavioral therapy (CBT) to identify and change the fetishistic behaviors.
What is the cause of paraphilic disorders?
Scientists are not sure what causes paraphilias
, but there are many theories. For example, behavioral theory suggests that if a person becomes conditioned to believe a nonsexual object (like a shoe) is sexually stimulating, his or her body may react in a sexual way.
How do paraphilic disorders occur?
The exact causes leading to the development of paraphilias or paraphilic disorders are
not known
, though some experts posit that childhood sexual trauma may play a role. Others believe certain objects or situations may become sexually arousing if they are frequently associated with pleasurable sexual activity.
What is the main aim of the treatment for paraphilic disorders?
We will focus the review on these latter cases. The primary aims of the treatment are: •
To control paraphilic fantasies and behaviors
(this will help to decrease the risk of sexual offences espe- cially in cases of pedophilia or rape); • To decrease the level of distress of the paraphilic subject.
What is female arousal disorder?
Women with sexual interest/arousal disorder have
little or no interest in sex
and do not respond subjectively or physically to sexual stimulation. The decrease in interest and ability to be sexually aroused is greater than what might be expected based on a woman’s age and the relationship duration.
What is the difference between paraphilia and Paraphilic disorders?
In the case of paraphilias, a new distinction is made between a paraphilia (
atypical sexual interest or behaviour
) and a paraphilic disorder (a mental disorder stemming from the atypical behaviour).
What is a Frotteuristic disorder?
Frotteuristic disorder, or frotteurism, is
a rare and poorly researched type of paraphilia
. It involves the act of touching or rubbing one’s genitals against another non-consenting individual in a sexual manner, to attain sexual gratification.
What is the best treatment for Paraphilic disorders?
- Antidepressants, such as lithium and various selective serotonin reuptake inhibitors (SSRIs)
- Long-acting gonadotropin-releasing hormones (ie, medical castration), such as leuprolide acetate and triptorelin.
Are paraphilias genetic?
Paraphilias are
behaviors likely resulting from an interaction between genetic and psychosocial factors
as well as additional factors such as impaired inhibition, for instance due to substance abuse or decreased intelligence.
How can Paraphilic disorders be prevented?
Antiandrogen medications
, including synthetic steroidal analogs like medroxyprogesterone acetate and gonadotropin releasing hormone analogs like leuprorelin, reduce testosterone levels by different mechanisms with the goal of decreasing sex drive and eliminating paraphilic fantasies and urges.
