Psychosexual Disorders:
Paraphilias
By: Neva Taylor
Paraphilias
• Used to be known as
perversions; a.k.a. sexual
deviation
• “Recurrent, intense sexual
urges, fantasies, or behaviors
that involve unusual objects,
activities, or situations and
cause clinically significant
distress or impairment in
social, occupational or other
important areas of
functioning.” (Source 1: PDM)
Exhibitionism
• The recurrent urge or
behavior to expose one’s
genitals to an
unsuspecting person.
(Source 6)
•
This act is usually
performed by a lonely,
insecure male.
– They seek sexual
excitement through this.
• There is no sexual
contact involved.
Fetishism
• The use of non-sexual
or nonliving objects or
part of a person’s body
to gain sexual
excitement. (Source 6)
• Examples of fetishes:
– Body parts (Animate
fetish)
– Piercings
– Fabric/Material/Clothing
(Media fetish)
Frotteurism
• The recurrent urges or
behavior of touching or
rubbing against a nonconsenting person. (Source 6)
• The “frotteur” fantasizes
about having an intimate
relationship with the
victim.
• Makes a quick escape,
because they realize that
their actions are illegal.
Masochism
• The recurrent urge or
behavior of wanting to be
humiliated, beaten,
bound, or otherwise
made to suffer. (Source 6)
• This includes use of:
– Physical restraints with
punishment, pain,
humiliation, and
degradation
– Role playing
(teacher/student;
master/slave)
Sadism
• The recurrent urge or
behavior involving acts in
which the pain or
humiliation of the victim is
sexually exciting (Source 6)
• Starts as obsessive
thoughts and fantasies,
but then it increases in
severity over time.
• Centers around
domination and control.
– Usually goes with
masochism.
Voyeurism
• The recurrent urge or
behavior to observe an
unsuspecting person who
is naked, disrobing or
engaging in sexual
activities, or may not be
sexual in nature at all.
• The observer has no
intention of having
contact with the “victim”
at all.
– May seek sexual
satisfaction through
masturbation.
More Paraphilias
• Chronophilias:
infantophilia, pedophilia,
and gerontophilia.
• Others: telephone
scatalogia, necrophilia,
partualism, zoophilia,
coprophilia, klismaphilia,
and urophilia
*Homosexuality use to be
listed as a paraphilia until
the attitude about it
among psychiatrists and
psychologists changed.*
Symptoms/Causes/Treatments
• Symptoms:
– Increased sexual urges
– Inappropriate sexual
behavior
• Causes:
– Not quite sure but they
believe it might have to do
with psychological,
biological, and
environmental aspects.
• Treatments:
– Psychotherapy/ Group
Therapy
– 12 Step Program
– Medications
– Social Skills Training
Bibliography
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Psychodynamic Diagnostic Manual
http://www.cartoonstock.com/lowres/rst0078l.jpg
http://www.masoncrest.com/images/books/41/page_1.jpg
http://notlikeitmatters.files.wordpress.com/2009/10/sex-addict1.jpg
http://dictionary.reference.com/browse/Paraphilias
http://www.psychologistanywhereanytime.com/sexual_problems_py
schologist/psychologist_paraphilias_list.htm
http://www.myhealth.gov.my/myhealth/eng/remaja_content.jsp?lang
=remaja&storymaster=1129883256607&storyid=1129883256607&s
ubstoryid=1130489738041
http://www.cartoonstock.com/lowres/shr0262l.jpg
http://www.selfgrowth.com/articles/whats_your_fetish.html
http://www.wrongdiagnosis.com/p/paraphilias/intro.htm
Bibliography (cont’d)
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http://www.minddisorders.com/Flu-Inv/Frotteurism.html
http://moftasa.net/files/chikan-is-crime_combined.jpg
http://www.soc.ucsb.edu/sexinfo/images/09-07-sadomasochism.jpg
http://www.minddisorders.com/Py-Z/Sexual-masochism.html
http://rlv.zcache.com/im_into_sadism_buttonp145588454397601930q37f_400.jpg
http://info.addictions.org/index/Addictive+Behaviors/Sadism++What+Is+It%3F
http://www.minddisorders.com/Py-Z/Voyeurism.html
http://www.cartoonstock.com/newscartoons/cartoonists/mba/lowres/
mban1212l.jpg
http://www.drlindahumphries.com/images/paraphilias_01.jpg
http://www.cartoonstock.com/lowres/gri0016l.jpg