3-31-09 - Psychology Class Notes Transvestism vs...

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Psychology – Class Notes – 3/31/09 Transvestism vs. transexualism – CHECK THIS Transexualism – beginning stage –very distonic but then later, it can become egocentonic in the sense that the person wants to change their sex and then once they do, they become okay with their new biological sex Transexualism – egocentonic most of the time Transvestism – heterosexual sexual orientation (most often male) - dresses in the opposite sex’s clothing to get sexual arousal – purely for sexual arousal – fetishism - they do NOT want a sex change – most often is heterosexual males Vast majority of transvestites are male cross dressers in female clothing Sexual preference is an important issue in this case – Not always the case – deals with sexual identity Sexual choices have nothing to do with a disorder = its all about sexual preference Two courses of action: Egocentonic – if the person wants to make a sex change – the role of the therapist is to just help the person manage their own identity and the implications of society’s opinion – Ego-distonic – the person is in distress – therapy is there to help the person work through his or her issues – out of the synchronization with the ego – the person wants to change because they feel one way but want to feel another way. o Make sure the diagnosis is applied appropriately o Avoidant personality disorder – ego-distonic – person wants social interaction It’s important to make this distinction (between egocentonic and egodistonic) so that you can treat the patient appropriately. Autogynophilia – transsexualism – love of your own body – primary identity is what determines your choice to change your sex Transsexual – very clear at a very early age that the person wants to be of the opposite sex – long-standing, perhaps biological factor in the person’s identity factor that they have NO CONTROL over Paraphilias Sexual arousal associated with atypical stimuli, including: o Non-human objects Preoccupation is important factor
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Pornography Internet pornography addiction Rape and Forced Sexual Activity Rape (legal definition ): “nonconsensual sexual penetration obtained by force, by threat of bodily harm, or when the victim is incapable of giving consent” o RAPE: Violent disorder with a sexual content – the person commits violence using sexual means – Date rape and drugs. o Roofies – causes slight amnesia of events right before sleep is induced by this sleeping medication Very dangerous – very illegal NHSLS asked “were you ever forced to something sexually that you did not want to do” (i.e, focused more broadly than rape) 23% of women said “yes” It is possible that a woman can rape a man A woman used emotional extortion to make a male have sex with her. o
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3-31-09 - Psychology Class Notes Transvestism vs...

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