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Paraphilia disorder case study
Paraphilia disorder case study
Paraphilia disorder case study
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Abstract Paraphilia has evolved as a term generally referenced as sexually deviant behavior to a broader term and divided into a disorder by the DSM-5. Paraphilia’s are often misconstrued as sexually deviant behavior that is misunderstood by the general public. In this paper, I will attempt to have a better grasp of what a paraphilia is, how to treat paraphilia from a therapeutic standpoint and attempt to discern when a paraphilia may need additional referrals and/or treatment. This paper will also examine the difference between a paraphilia that may be treated through cognitive behavioral therapy and paraphilic disorders, in which distress is found and may need further intensive treatment. Cognitive behavioral therapy is one method of psychotherapy …show more content…
Cognitive behavioral therapy or CBT combines both psychotherapy and behavioral therapy, in a goal-oriented treatment that attempts to change the patterns of thinking or behaviors. CBT is used to treat a wide variety of issue’s that a client may face, including substance abuse, anxiety, and/or depression. First introduced in the 1960’s by Aaron Beck who at the time noticed that clients appeared to have internal dialogues that appeared negative in nature (Martin, 2016). Beck would pick up that these negative thoughts were unrealistic in nature and attempt to dissuade the client from continuing with them and to develop strategies to address these thoughts. CBT is accomplished through short-term treatment, ranging from five to ten months on a weekly basis (Martin, 2016). The goal in utilizing CBT is to “increase control over problematic sexual interests and to equip them with the skills and attitudes necessary to achieve their goals in health and prosocial ways (Murphy, Bradford, Fedorff, 2014)”. Relapse prevention, in which our textbook briefly states as a learning to accept mistakes (Levine, 2016, p.175) does not appear to delve deeper into the treatment that is relapse prevention. In another search of this treatment method, goals of relapse prevention attempt to “identifying, anticipating, and coping with triggers that may lead to a potential relapse or re-offense (Murphy, Bradford, Fedorff,
Worling, J .(2012). The assessment and treatment of deviant sexual arousal with adolescents who have offended sexually. Journal of Sexual Aggression, 18(1), 36-63. doi: 10.1080/13552600.2011.630152
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented therapy treatment that takes a hands-on, approach to problem-solving. The core foundation of this treatment approach, as pioneered by Beck (1970) and Ellis (1962),
“...an individual with [pedophilia] has the same ingrained attraction that a heterosexual female may feel towards a male, or a homosexual feels towards their same gender.” (Johnston, Pg. 1). Pedophilia - “the fantasy or act of sexual activity with children who are generally age 13 years or younger” (American Psychiatric Association, p.1) - a word that holds multiple negative connotations, is often seen as aberrant thought process or behavior, and is under debate as to whether or not it’s a sexual orientation. But can it be considered a sexual orientation? As a member of the LGBT community, this issue has surfaced among us and shocked the majority.
Relapse prevention planning – Relapse prevention training may take the form of classes, individual counseling sessions, or support groups. Participants learn vital coping strategies for dealing with the situations or emotions that can precipitate a relapse.
Cognitive Behavioural Therapy (CBT) is a form of therapy which can be used to treat a wide range of mental health problems. Cognitive Therapy is an active, directive, time limited, structured approach used to treat a variety of psychiatric disorders, for example depression, anxiety, phobias (Beck, 1967). It emerged as a rational amalgam of behavioural and cognitive theories of human behaviour and is based on the idea that our thoughts determine our behaviour and feelings (Kendall PC, 1979). On average a patient attends between 5 and 20 appointments with their therapist. (Blenkiron 2013)
Relapse prevention can be defined as the set of designed coping skills or tools that can be utilized to reduce the chances that the user will resort back to unhealthy behavior or get worse through continued substance use. Knowledge or skills for relapse prevention include; identification of early signs of relapse, identifying and singling out high risk factors for a possible relapse, how to make wise daily choices that won’t lead the client back to drug abuse, and implementing early coping strategies to avoid relapse (Sofuoglu, 2010).
The first therapy to discuss is Cognitive-Behavioral Therapy, otherwise know as CBT. The main focus of CBT therapy is a “functional analysis of the thinking and behavioral process” (Content Guide 4, n.d.). This being said, CBT has been effective in the treatment of those struggling with substance
Indicate your recommendations for dealing with a person who has each of the 9-listed paraphilia. For example, should the legal system respond in some way? Consider various degrees of a paraphilia as well. Should a person who practices Asphixiophilia with a consenting life partner be treated the same way as a person who practices Asphixiophilia with an unsuspecting, non-consenting sexual partner?
Cognitive behavior therapy has been proven to work in many different areas and presenting problems. One area that was not mention above that would significantly improve the outcome of any given therapy is the willingness of the client to accept treatment. The goal of cognitive behavior therapy is to focus on the present and to help the client identify their own strengths, learn new tools or techniques that they can use on their everyday life, and to be able to identify the different thought, emotional, and behavioral patterns that lead to undesirable
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackles a client’s needs. Therefore, I draw upon concepts from various theories to obtain a better idea of what we are working towards. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this is the sense that one must examine and establish their cognitive misconceptions; however, I prefer to pull from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does very little good to remain focused on it. Focusing on overt behavior, precision in specifying goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. I utilize this aspect of Behavior therapy because high level of structure enables me to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them. This Person-Centered therapy concept has overlap with
Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors (NAMI, 2012). It is designed to modify the individual’s normative dysfunctional thoughts. The basic cognitive technique consists of delineating the individual's specific misconceptions, distortions, and maladaptive assumptions, and of testing their validity and reasonableness (Beck, 1970). By exploring thought patterns that lead to maladaptive behaviors and actions and the beliefs that direct these thoughts, people with mental illness can alter their thought process to improve coping. CBT is different from oth...
The cognitive processes that serve as the focus of treatment in CBT include perceptions, self-statements, attributions, expectations, beliefs, and images (Kazdin, 1994). Most cognitive-behavioral based techniques are applied in the context of psychotherapy sessions in which the clients are seen individually, or in a group, by professional therapists. Intervention programs are designed to help clients become aware of their maladaptive cognitive processes and teach them how to notice, catch, monitor, and interrupt the cognitive-affective-behavioral chains to produce more adaptive coping responses (Mah...
Cognitive-behavioural therapy, or as it is commonly referred throughout literature CBT is an integration of Ellis’ (1996) Rational Emotive Behaviour Therapy (REBT) and Becks’ Cognitive Therapy (1976). CBT regards a variety of interventions that share the same basic assumption that mental disorders and psychological distress are sustained by cognitive factors. The central idea of this psychotherapy approach is that maladaptive cognitions contribute to the maintenance of emotional distress and consequently behavioural problems (Beck, 1970; Eliis, 1962). We, as humans, gather information in our brain in certain patterns or schemas that contain general knowledge about that world and the person themselves and these schemas are used to interpret, select and reduce
This treatment may involve dealing with and controlling arousal patterns and masterbation (Fahmy, A. 2014). Also, therapies that have mental rebuilding and social skills training are used at treatment for this paraphilia