PSYCHOSEXUAL DISORDERS Paraphilias Recurrent intense sexual urges fantasies

PSYCHOSEXUAL DISORDERS:

Paraphilias • “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. ”

Exhibitionism • The recurrent urge or behavior to expose one’s genitals to an unsuspecting person. • 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. • 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. • 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. • 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 • 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

THANK YOU Mrs. Vineesha Assistant lecturer Mental health nursing