Sex Paraphilia Notes

Paraphilias CH16 get encyclopedia of unusual sexual practices

When is Sexual Behavior Abnormal

Ñ"Ь Varies by _culture __

Ñ"Ь Various approaches have been proposedÐŽXstatistical (rare)

Ñ"Ь Sociological (violates norms)

Ñ"Ь _Psychological ____ (discomfort, inefficiency, and bizarreness)

Ñ"Ь Medical (lists syndromesÐŽVDSM-IV-TR)

Abnormal Behavior (cont.)

Ñ"Ь Easier to describe in theory than in reality ex: lingerieÐŽXan article of clothing that both men and women find arousing but can also be a fetish object

Ñ"Ь Think of these behaviors as gradations on a __continuum ____

Paraphilias ÐŽV DSM-IV Definition

Ñ"Ь Essential features ÐŽV recurrent, intense, sexually arousing _fantasies_, sexual urges, or _behaviors __ generally involving:

ÐŽV Nonhuman objects

ÐŽV Suffering or humiliation of oneself or oneÐŽ¦s partner

ÐŽV Children or other non-consenting persons

Ñ"Ь The fantasies, urges or behaviors have occurred over a period of at least _6 _ months

Ñ"Ь They cause ÐŽ§clinically significant distress or impairment in social, occupational, or other important areas of functioningЎЁ

Paraphilias

Ñ"Ь Fetishism

Ñ"Ь Transvestic Fetishism

Ñ"Ь Sexual __Sadism __

Ñ"Ь Sexual __Masochism ___

Ñ"Ь Voyeurism

Ñ"Ь __Frotteurism__

Ñ"Ь Exhibitionism

Ñ"Ь Pedophilia

Ñ"Ь Paraphilia, NOS

Ñ"Ь Are mainly practiced by __men ____

Ñ"Ь Sex offenders often possess fewer social skills than non-offenders

Ñ"Ь Individuals are likely to have more than one

Ñ"Ь Dr. Abel ÐŽV average client had __4.9 __ paraphilias

Fetishism

Ñ"Ь Sexual fantasies, urges, or behaviors

ÐŽV Involving use of __nonliving __ objects, or a specific __body__ part, to produce or enhance sexual arousal with or in the absence of a partner

ÐŽV Common items are something associated with the body: womenÐŽ¦s underpants, bras, stockings, shoes, boots, or other clothing item

Ñ"Ь MediaÐŽXhard or soft (material)

Ñ"Ь Form (object or its shape)

Ñ"Ь Masturbates while holding, rubbing, smelling object

Ñ"Ь May ask partner to wear item

Ñ"Ь Object may be __required ___ or preferred for sex

Ñ"Ь Their behavior has a __compulsive __ like quality

ÐŽV Often steal and hoard the item, may follow a person who had an item and attack them

Ñ"Ь Mild preference

Ñ"Ь Strong preference

Ñ"Ь Necessity (starts to be abnormal)

Ñ"Ь __Substitute __ for partner

Development of Fetishism

Ñ"Ь Learning theoryÐŽXclassical conditioningÐŽXa learned association is built between the fetish object and sexual arousal and orgasm

ÐŽV A single learning trial may cement the association

Ñ"Ь Mechanism of maintenance ÐŽV ___reinforcement __(both positive and negative) obtained through masturbation and orgasm

Transvestism

Ñ"Ь Simply involves dressing as a member of the other gender

ÐŽV Transsexuals while in transition

ÐŽV Drag queen

ÐŽV Drag kings

ÐŽV Female impersonators

ÐŽV Perhaps adolescent boys expressing confusion and frustration

Transvestic Fetishism

Ñ"Ь A ___heterosexual ___ male who dresses in female clothing to produce or enhance sexual arousal

Ñ"Ь May ___masturbate ___ while cross-dressed (40%)

Ñ"Ь Behavior ranges from wearing a single item to extensive involvement with the subculture

ÐŽV 93% in one study reported complete cross-dressing

ÐŽV Only 14% went out in public dressed as a women

Ñ"Ь Many began before age 10

Ñ"Ь Four basic reasons

ÐŽV Sexual arousal (conditioned association between womenÐŽ¦s clothing and sexual arousal)

ÐŽV __Relaxation ____ (need a break from being a man)

ÐŽV Role playing (like passing as women in public)

ÐŽV Adornment (enjoy the sense of being beautiful)

Sexual Sadism

Ñ"Ь Involves sexual excitement from the psychological or physical suffering of the victim

Ñ"Ь Inflict pain and humiliation in order to cause suffering

Ñ"Ь Usually acted out with __willing ___ partner

Ñ"Ь Fantasies