Etiology of gender dysphoria etiology of gender

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Etiology of Gender Dysphoria Etiology of Gender Dysphoria
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Psychotherapy with adults: Focused on accepting transgender status or decision to pursue more sex-consistent behavior. Sex reassignment surgery: Must pass "real-life" test in which clients change their whole life to desired gender status including dealing with relatives, friends, and co-workers. Many transsexuals become depressed or suicidal after surgery. Works for some but not for others; seems more effective for female conversion than male conversions. Treatment of Gender Dysphoria Treatment of Gender Dysphoria
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Paraphilic Disorders Paraphilic Disorders Sexual urges and fantasies about situations, objects, or non- consenting people not part of the usual sexual arousal pattern associated with relationship-based sexual activity; must cause the individual or others significant distress. Fetishistic Disorder : Sexual arousal and attraction to non- animate objects. A problem because it may displace normal sexual relations. Pedophilic Disorder : Adult obtains erotic gratification through urges, acts, or fantasies involving sexual contact with a prepubescent child; 20-30% of women report childhood sexual encounters with a man; most likely a relative, friend, or casual acquaintance.
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Incest – sexual relations between blood-related individuals too close to be married. Wide range of incidence estimates (48,000 to 250,000 cases per year); 75 percent of sibling incest is consensual. Most common is sibling incest not parent-child incest. Father-daughter incest: Daughter victims seriously affected – guilty and powerless in relationship, adversely affects future relationships with partners, related to drug abuse, sexual dysfunctions, and mental health problems. According to Herman & Hirschman (1981) 3 incest types: Socially isolated -- dependent on family for interpersonal needs and relationships, dependency needs expands into relations with daughter; sociopathic personality; pedophile -- pedophilic urges that involve most children in family, including daughter. Incest Incest
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Etiology and Treatment of Etiology and Treatment of Paraphilias Paraphilias Biological: Some men predisposed - deficits in brain Biological: Some men predisposed - deficits in brain activation and less white matter activation and less white matter Psychological: Sexual deviations represent unconscious Psychological: Sexual deviations represent unconscious conflicts from childhood; castration anxiety; treatment conflicts from childhood; castration anxiety; treatment involves helping the patient understand relationship involves helping the patient understand relationship between deviation and unconscious conflict between deviation and unconscious conflict Behavioral: Early conditioning experiences of sexually Behavioral: Early conditioning experiences of sexually deviant behaviors; treatment includes the use of deviant behaviors; treatment includes the use of extinction or aversive conditioning and developing extinction or aversive conditioning and developing appropriate behaviors appropriate behaviors
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Rape Rape Rape : An act of intercourse accomplished through force or
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