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Paraphilia case study
Paraphilias and sexual variants
Paraphilias and sexual variants
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Despite suggestions, the DSM-5 still includes frotteurstic disorder categorized as a paraphilic disorder. In addition, Langstrom’s (2010) proposed Criteria B was not implemented, however as suggested Criteria A remained nearly the same. The DSM-5 sought to achieve overall improvement so some of the diagnostic criteria was reworded. Frotteuristic Disorder still calls for two diagnostic criterions. A. Over a period of at least 6 months, recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors. B. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress of impairment in …show more content…
The two types of patients with this disorder are those who either freely disclose or firmly deny this paraphilia. To specify, individuals who freely disclose their symptoms are not experiencing distress, are not impaired in areas of functioning, and have no legal history of their behavior, one should not diagnose them with frotteuristic disorder, and however a note should be made of these tendencies. Nondisclosing patients may deny having fantasies or impulses that involve touching or rubbing, however they can still be diagnosed. Recurrent behaviors warrant fulfillment of Criteria A, which concurrently demonstrates the actions that cause harm to others (Criteria B). Recurrent can be interpreted as violating three or more individuals on multiple instances, but fewer victims can also be accounted for if, for instance there was one victim on various occasions (American Psychiatric Association, 2013). Diagnostic criteria may also be met if an individual is experiencing “intense frotteuristic sexual interest with clinically significant distress and/or impairment,” (American Psychiatric Association, 2013, p. 692). Moreover, the duration of Criteria A may be altered if it is evident that behaviors and/or distress have been recurrent in a brief
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
The DSM-5 lists approximately 400 mental disorders, each one explains the criteria for diagnosing the disorder and key clinical features, and sometimes describes features that are often times not related to the disorder. The classification is further explained by the background information such as: research findings, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications, predisposing factors, and family patterns (Comer, 2013, pp.100).... ... middle of paper ... ...
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
Hyper Sexual addiction is a disorder that can be defined as a person having a habitually elevated sex drive, fantasies, and urges. Nevertheless, compared to other sexual addictions, this could be known as one of the most riskiest and dangerous addiction. Hyper Sexual Addiction has become more prevalent because of the infidelities amongst some celebrities and political figures. Sexual addiction has always existed, but because of technology and social media, people have become more aware of it. People who suffer from this disorder are like drug addicts that crave drugs; they think they can stop, but the urges are constantly there. According to An Elements Behavioral Health article (2016), for the sex addict, sexual activity provides an intense,
Treatment of Sexual Addiction." HealthyPlace.com - Trusted Mental Health Information and Support. HealthyPlace, 25 Sept. 2009. Web.
References to Kurt Freund’s studies to “assess sexual arousal in men and women” and Alfred Kinsey’s “sexual orientation” scale are made to further explain how sexuality and asexuality are not solid concepts with strict definitions of their own but rather more multifarious. For
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
Sexual fantasy had often been defined as being almost any form of mental imagery that can be viewed as being sexually arousing to that individual (Bartels, 2013, p. 7) which can result in deviant sexual behaviour. Many offenders have sexual fantasies and the sexual arousal gained from these fantasies sometimes isn’t enough which therefore leads the offender acting the fantasies out on another individual regardless of the trauma or pain they inflict. The mental imagery of the fantasy can become less arousing and this can lead to them performing these fantasies in real life to get the sexual gratification they had when they first developed the fantasy. The offender in the article, Marc, Ronald’s, made his victim wear nappies and plastic underwear while he was assaulting and raping her which portrays the idea that he was fulfilling a sexual fantasy he may have had; this could link back to previous childhood experiences that may have caused trauma to the offender. Law and Marshall’s (1990) account of sexual fantasy has shown to have a similar assumption as McGuire et al (1965) that sexual fantasies are a stimulus that is able to be conditioned and fantasizing is a deliberate act by an individual.
When learning about the erotic plasticity I for one agree with the term. Society loves to put labels on a lot of things. Whether it is deviant or not, they will define the act as either a negative or positive social stigma. When an act is considered negative, it will now be viewed as deviant. In the life course men and women will go through certain developments. As they get older the individual will be attracted to another person. The issues is it may be of the same sex, and through society’s standard it is wrong. Sexual identity is different for genders, and there are more restriction applied to certain sexes. My theoretical response for erotic plasticity will be Symbolic Interaction. I will go into detail on how the self is related to erotic plasticity.
When a man fails to keep and erection strong enough for a sexual intercourse can be considered to be erectile dysfunction. It can be a sign of any health or mental disorder that can be treatable with prop...
According to “Frotteuristic disorder involves intense fantasies, urges and keen sexual arousal centering on the act of touching an unsuspecting and non-consenting person’s breasts, legs, buttocks, or genitals, or rubbing one’s own pelvic area or erect penis against that person, generally from behind. Frotteuristic behavior is repetitive, and usually occurs in crowded public places, such as trains, buses, elevators, or even crowded streets” (Today, 2017). “Aside from being a criminal activity because it is a form of nonconsensual sex, frotteurism is diagnosed as a mental health disorder when this type of behavior continues for more than six months, or if the fantasies and urges cause significant distress or dysfunction in personal relationships
In Freud’s view, we all have a sexual desire that needs to be found and fulfilled. As soon as we are born, we try to find ways to please ourselves. He believes that the act of sex should not be shunned, but instead it should be accepted as a natural part of life. According to Freud, sexual aberrations are the result of our upbringing and our dissatisfied infantile sexuality.
The American Psychiatric Association does not define atypical sexual interests as a disorder unless it causes personal distress, causes another person psychological or physical injury, or involves a person unwilling or unable to give legal consent. These distinctions were made to show that individuals who engage in atypical sexual behavior must not be inappropriately labeled as having a mental disorder. When we think of sexual orientation, we usually think of the continuum of gay, straight, and bisexual, but sexual orientation is a deep-seated attraction toward a certain kind of person. Erotic desire includes attention, attraction, fantasy, thoughts, urges, genital arousal, and behavior. It is further complicated by variations of dominance or submission, sadism and masochism, fetishes, and consent or no consent. These interests may be single or multiple, exclusive or nonexclusive, idiosyncratic or opportunistic, stable or fluid. Possible legal consequences, lack of opportunity, and unwillingness or inability to act all work to constrain our behavior. The sooner we learn this concerning human sexual behavior, the sooner we shall reach a sound understanding of the realities of sex. The reasons for our sexual choices are analyzed obsessively, imposing an undue emphasis on categorization rather than accepting the great diversity of same-sex attractions. But the act of categorizing all of these atypical sexual attractions does not mean that acting on them is either legal or morally acceptable nor unacceptable. Explanations for all of the elements of our sexual attractions are complex and probably unknowable. All research runs the risk of reductionism, but when research on sexuality focuses exclusively on genital sexual activity --to the exclusion of considerations of attraction, affection and affiliation--it falls short in understanding our
A few have been found as “innate intense sexual drive, combined with a low extrinsic motivation for social acceptance or "honor”.” ("What Motivates Sexual Promiscuity?"). This drive is a “daimonic” (“What Motivates Sexual Promiscuity?”). This daimonic is a power that takes over the whole person. It controls your mind and actions. Once this drive takes over, it leads people to act on promiscuous feelings. They then may lead to cheating on their partner, or moving around having multiple partners. This drive has recently increased in our society. Although not much has been found as to why, this increase in drive has led to an increase overall promiscuity within our
In 2004, one researcher claimed that “in both sexual aversion disorder and HSDD, there usually is or was a sexual orientation toward partners of either or both genders, but there is either an aversion for genital contact with these partners (e.g., extreme anxiety when a sexual encounter presents itself) or a low sexual desire for these partners. Sexual aversion disorder and HSDD issues often arise within the context of couples—as, for example, when a ‘discrepancy of sexual desire’ is diagnosed. Asexuality, in contrast, can be defined as the absence of a traditional sexual orientation, in which an individual would exhibit little or no sexual attraction to males or females” (Bogeart, “Asexuality: Prevalence” 1). Ignoring the problematic adherence to the gender binary, this distinction does not provide for asexuals who may experience romantic attraction (commonly mistaken by both asexuals and non-asexuals as sexual attraction), but not