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 are the different 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 is a paraphilic disorder?
(Paraphilias)
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.
When does paraphilia become a paraphilic disorder?
In order to qualify for the diagnosis of a paraphilic disorder,
the individual has to experience recurrent, significant sexual arousal by the object of their attraction; act on that attraction in urges, fantasies, or actions; and experience the symptoms for at least 6 months to the point that the individual suffers
…
What is the most common paraphilic disorder?
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).
Are paraphilias unhealthy?
Some paraphilias may interfere with the capacity for sexual activity with consenting adult partners. In the current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), a
paraphilia is not diagnosable as a psychiatric disorder unless it causes distress to the individual or harm to others
.
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 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 are examples of paraphilia?
- Voyeuristic disorder.
- Exhibitionistic disorder.
- Frotteuristic disorder.
- Sexual masochism disorder.
- Sexual sadism disorder.
- Pedophilic disorder.
- Fetishistic disorder.
- Transvestic disorder.
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.
What causes nymphomania?
The exact cause of nymphomania is not known
. Nymphomania is a type of compulsive disorder marked by mental and emotional imbalance. It is thought that certain life events may trigger people who are predisposed to nymphomania (for hereditary or environmental reasons) to engage in compulsive sexual behavior.
What causes a person to be perverted?
The underlying cause of male acts of perversion has always been explained as the
need for control and mastery in
order to compensate for deep-seated feelings of sexual insecurity, which in turn are caused by arrested psychosexual development.
Can you overcome fetishes?
Cognitive Behavioral Therapy
is thought to be helpful in Fetishistic Disorder. Sometimes the therapist will work with the individual to gradually dull the response toward the object that causes the sexual desire. This helps to lessen or completely rid the individual of his sexual feelings toward the object.
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.
How can paraphilia be prevented?
Prevention of paraphilias
Get professional help if you were a victim of childhood sexual abuse
. Get professional help for mental health problems, alcohol and drug abuse. Keep away from bars, pubs or other places where sex is easily available. Also block related sites on the Internet.
What is the most popular drug to treat paraphilias?
Most of the currently used pharmacologic treatments of the paraphilias have
serotonin and testosterone/dihydrotestosterone
as their targets.
