Sexual attraction and fantasies involving nonliving

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sexual attraction and fantasies involving nonliving objects such as female undergarments Transvestic fetishism Intense sexual arousal by cross- dressing Nonconsenting persons PARAPHILIAS Intense and recurrent sexual urges or fantasies involving the cats here. This state must have occurred for at least 6 months. The person has either acted on the urges or is severely distressed by them Exhibitionism Urges, acts or fantasies involving exposure of genitals to strangers. Voyeurism Urges, acts of fantasies involving observing of an unsuspecting person disrobing or engaging in sexual behaviour Frotteurism U,A or F involving touching or rubbing against a nonconsenting person Pedophilia U,A, or F involving sexual contact with a prepubescent person. Suffering of humiliation Sadism Sexually arousing U,A or F associated with inflicting physical or psychological suffering Masochism Sexual U, A, or F associated with being humiliated, bound or made to suffer Sadism is a form of paraphilia in which sexually arousing urges, fantasies or acts are associated with inflicting physical or psychological suffering on others Masochism is a paraphilia in which sexual urges, fantasies or acts are associated with being humiliated, bound, or made to suffer. DSM – IV – TR Diagnostic criteria for pedophilia A. Over a period of at least 6 months, recurrent on tense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally 13 years or younger). B. The fantasies, sexual urge, or behaviours cause clinically significant distress or impairment in social, occupational or other important areas of functioning. C. The person is at least 16 years of age and at least 5 years older than the child or children in Criterion A Note: Do not include and individual in late adolescence involved in ongoing sexual relationship with a 12 or 13 year old. Etiology and treatment of paraphilias All etiological theories for the paraphilias must answer 3 questions; What produced the deviant arousal pattern? Why doesn’t the person develop a more appropriate outlet for his or her sexual drive? Why is the behaviour not deterred or normative and legal prohibitions? 59
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Biological perspective Even if biological factors are found to be important in the causes of these disorders, psychological factors are also likely to contribute in important ways Psychodynamic perspective All sexual deviations symbolically represent unconscious conflicts that began in early childhood. Castration anxiety is hypothesized to be an important etiological factor underlying transvestic fetishism and exhibitionism, sadism and masochism A sadist may protect himself from castration anxiety by inflicting pain A masochist may engage in self castration through the acceptance of pain, thereby limiting the powers of others castrating him.
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Christopher Reinemann
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