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Study Guide abnormal Exam 3 review

Know paraphilias as a general class of disorder and

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Know paraphilias as a general class of disorder, and be able to identify each of the 8 different paraphilias, through definitions or through examples. - Paraphilias o Deviant fantasies, objects, or behaviors that play a role in sexual arousal o Intense recurrent sexual fantasies or urges related to: Nonconsenting partners or children Nonhuman objects, or Suffering or humiliating oneself or one’s partner
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o For diagnosis, the arousal pattern must: Interfere with the ability for mutual sexual activity involving affection Impair functioning in some way Cause significant distress, or Involve a person who did not consent - Exhibitionism : Exposing genitals to an unsuspecting stranger - Voyeurism : Observing unsuspecting person who is disrobing or having sex - Frotteurism : Touch or rubbing against nonconsenting person - Pedophilia : Sexual activity with prepubescent child - Sexual Sadism: Inflicting physical pain or humiliation on another person - Sexual Masochism : Being humiliated, bound, or made to suffer - Fetishism : Using nonliving object to become aroused - Transvestic Fetishism: Cross-dressing Know the characteristics of pedophiles, including their justifications for their actions and their relapse rates - Pedophilia o Arousal involving a child who has not yet gone through puberty (typically aged 13 or younger) o Person with pedophilia must be at least 16 years old and at least 5 years older than the child o May or may not sexually molest children o Victims 25% of victims are under 6 years of age 25% are between 6 and 10 years of age 50% are between 11 and 13 years of age - Pedophiles may assert that sexual contact with children has positive effects for the child o Pedophiles view themselves as less responsible and the victim as more responsible for the abuse o Claim the child “seduced” them o Not harming the child but “sharing pleasure” o Often begins in adolescence o Tends to be a chronic condition o High relapse rates Be aware of the ways in which paraphilias may involve illegal behaviors. - sadistic rape (also a criminal act) Know the assessment methods for paraphilias, including penile plethysmograph. Why may plethysmograph measurement be necessary instead of relying on self-report of arousal? - Sexual arousal in men can be measured by a penile plethysmograph o Measures physiological arousal o To determine arousal to normal and deviant stimuli - Self-reports of arousal, reports from partners or the criminal justice system are also used for assessment How do classical and operant conditioning influence paraphilias? - Classical conditioning o Inadvertent sexual stimulation associated with situation/object - Operant conditioning o Pleasurable consequence of arousal/possible orgasm provides positive reinforcement
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Know the neurological and CBT treatments for paraphilias.
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