E the lovemap developmental representation or

E. The “Lovemap”
 developmental representation or template in the mind and in the brain
depicting the idealized lover and the idealized program of sexual and

erotic activity projected in imagery or actually engaged in with that
lover."
Treatment of Paraphilias
A. Issues In Treatment
 Many people with paraphilias don’t want treatment & don’t seek it
voluntarily.
 Ethical issues arise when providers are asked to contribute to judicial
processes.
 Providers realize they are likely to not be successful with resistant
clients.
 Perceived responsibility is hard to get across to the client.
B. Psychoanalytic Psychotherapy
 Psychoanalytic Psychotherapy
o Focuses on resolving unconscious conflicts.
o Usually originate from childhood and give raise to adult
pathological problems.
C. Cognitive-Behavioral Therapy
 Relatively brief therapy that focuses directly on changing behavior.
 Social skills training
o Behavior therapy methods for building social skills that rely on
a therapist’s coaching and practice.
 Used to help individuals relate to the other gender.
 Orgasmic reconditioning
o A method for strengthening the connection between sexual
arousal and appropriate sexual stimuli by repeatedly pairing the
desired stimuli with orgasm.
 Aversion therapy
o A method for terminating undesirable sexual behavior in which
the behavior is paired repeatedly with an aversive stimulus such
as electric shock so that a conditioned aversion develops.
o Covert sensitization

 A form of aversion therapy in which thoughts of
engaging in undesirable behavior are paired repeatedly
with imagined aversive stimuli.
 Used with pedophiles, a paraphilia involving
sexual interest in children.
 Systematic desensitization
o A method for terminating the connection between a stimulus
and an inappropriate response.
 Relaxation replaces sexual arousal.
D. Medical Approaches