Chapter 07.ppt

8/20/2019 Chapter 07.ppt

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Sexual Disorders


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WHAT IS ABNORMAL

SEXUAL BEHAVIOR?

HARM TO OTHER PEOPLE,

AN INDIVIDUAL TO EXPERIENCEPERSISTENT OR RECURENTDISTRESS, or

IMPAIRMENT IN IMPORTANT AREAOF FUNCTIONING

Sexual behavior is considered apsychological disorder if it

causes:


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Parapilias


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Parapilias! Disorders in which !erson hs rec"rren#,

in#ense se$"%%& ro"sin' (n#sies, se$"%"r'es, or )eh*iors in*o%*in'

nonh"+n o)ec#s, chi%dren or o#her nonconsen#in' !ersons, or

#he s"((erin' or h"+i%i#ion o( se%( or !r#ner-

In)i%i#& #o e$!erience se$"% 'r#i(ic#ion

in #he )sence o( #he desired s#i+"%"s- Lasting at least six months.


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Pedophilia:

A paraphilia in which anadult's sexual urges aredirected towardchildren.


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PEDOPHILIA

T&!es o( +o%es#er

Si#"#ion% +o%es#ers

Pre(erence +o%es#ers

Chi%d r!is#s


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THEORIES AND

TREATMENT

EARL/ LIFE EXPERIENCE

Se$"%%& nd e+o#ion%%& )"sed s

chi%dren- Vic#i+.#o.A)"ser c&c%e-

PERSONALIT/ TRAITS

An#isoci% !erson%i#& #ri#s- Inde0"c&, in#ro*ersion, co'ni#i*e ri'idi#&-


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IN TREATMENT

Tre# )& %owerin' %e*e% o(#es#os#erone-

S"r'ic% cs#r#ion 1rre2-

H&!o#h%+o#o+&-

TREATMENT

BIOLO"I#AL APPROA#H

IN DIAGNOSIS

Peni%e !%e#h&s+o'r!h-


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BEHAVIORAL TREATMENT

A*ersi*e #her!&-

Ridic"%e-

#O"NITIVE

Re%!se !re*en#ion-

"ROUP THERAP$

Con(ron# deni% nd r#ion%i3#ions-

S"!!or#i*e con#e$# #o disc"ss desires nd

con(%ic#s-

TREATMENT


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Exhibitionism:

A !r!hi%i in which !erson hs in#ense

se$"% "r'es nd ro"sin' (n#siesin*o%*in' #he e$!os"re o( 'eni#%s #o

s#rn'er-


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Continuum for Normal-Abnormal Behavior


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Partialism:

A !r!hi%i in which #he !erson is

in#eres#ed so%e%& in se$"% 'r#i(ic#ion(ro+ s!eci(ic )od& !r#, s"ch s (ee#-

Cli art co ri ht © 2002 www.arttoda .co. !sed with erission.

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Frotteurism:

A paraphilia in which the individualhas intense sexual urges andsexually arousing fantasies ofrubbing against or fondling an

unsuspecting stranger.


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Sexual Maso%is&

A##rc#ion #o chie*in'se$"% 'r#i(ic#ion )&

h*in' !in("%

s#i+"%#ion !!%ied #o

one4s own )od&, ei#her

%one or wi#h !r#ner-



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Sexual Sadis&

The #er+ sadomasochist re(ers #o

so+eone who deri*es !%es"re (ro+

)o#h in(%ic#in' nd recei*in' !in-

Deri*in' se$"% 'r#i(ic#ion

(ro+ c#i*i#ies #h# hr+,

or (ro+ "r'es #o hr+,

no#her !erson-



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Transvestic

fetishism:

A !r!hi%i inwhich +n hs

n "ncon#ro%%)%e

cr*in' #o dress

in wo+en4s

c%o#hin' in order

#o deri*e se$"%

'r#i(ic#ion-


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Voyeurism:

A !r!hi%i in which #he indi*id"% hs

co+!"%sion #o deri*e se$"% 'r#i(ic#ion(ro+ o)ser*in' #he n"di#& or se$"%

c#i*i#& o( o#hers-


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OTHER PARAPHILIAS

Te%e!hone sc#o%o'i M5in' o)scene !hone c%%s

Necro!hi%i Cor!ses

6oo!hi%i Ani+%s

Co!ro!hi%i Feces7%is+!hi%i Ene+s

Uro!hi%i Urine

So+no!hi%i S%ee!in' !eo!%eS#i'+#o!hi%i S5in !iercin' or ###oo

A"#one!io!hi%i 8erin' di!ers


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'EATURES O'

PARAPHILIAS Vr& )& !r!hi%i-

Gener%%&, in'rined )eh*iors-

9io!s&chosoci% (c#ors-

Condi#ionin' !!ers #o )e +in c"se-

Di((ic"%# #o #re#-

Rre%& !resen# (or #re#+en# "n%ess %e'%%&)o"nd-

Tre#+en# de!ends on #he n#"re o( #he

!r!hi%i-


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"e(der Ide()i)*Disorder


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Gender identity disorder: A condi#ion in which #here is

discre!nc& )e#ween n indi*id"%4s

ssi'ned se$ nd 'ender iden#i#&,in*o%*in' s#ron' nd !ersis#en#

iden#i(ic#ion wi#h #he o#her 'ender-

Gender identity:

The indi*id"%4s se%(.!erce!#ion s

+%e or (e+%e-


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"ENDER IDENTIT$

DISORDER

S#ron' nd !ersis#en# )e%ie( #h#

#he& re #he wron' se$, e*iden#

)e(ore #he 'e o( :- Re("s% #o en''e in c"%#"r%%&

;'ender.!!ro!ri#e< )eh*iors-

Rec"rren# (n#sies nd cross.dressin'-


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THEORIES O' "ENDER

IDENTIT$ DISORDER 9IOLOGICAL A)nor+% (e#% hor+one %e*e%s-

V"%ner)i%i#& #o hi'h sensor& ro"s%-

Sensi#i*e #o !ren#s= e+o#ion% e$!ressions-

PS/CHOLOGICALPren#% !re(erences (or chi%d o( o#her se$-

Pren#% "nin#en#ion% rein(orce+en# o(cross.'ender )eh*iors-

SOCIAL . C"%#"r% ide%i3#ion o(s#ereo#&!ic% +%e nd (e+%e ;#&!es-<


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TREATMENT

PS/CHOTHERAP/

Ver& &o"n' chi%d

> He%! de*e%o! se%(.es#ee+

O%der chi%d

> De% wi#h cross.'ender )eh*ior nd (n#s&,

%ow se%(.es#ee+, !eer reec#ion

Ad"%#s> Foc"s on #he )io!s&chosoci% c"ses, !ro*ide

s"!!or# nd co!in' s#r#e'ies


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SEX REASSI"NMENT

SUR"ER$

So"'h# )& s+%% n"+)er o( #hose wi#h'ender iden#i#& disorder-

Fc#ors in i+!ro*ed ("nc#ionin' !os#.s"r'er&? Fe+%e.#o.+%e #rnsi#ion ho%d 're#er

s#is(c#ion-

Le*e% o( d"s#+en# !re.s"r'er&-

Le*e% o( co++i#+en# #o )ein' o#her se$-

@"%i#& o( s"r'er& i#se%(-


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Sexual

D*s+u(%)io(s


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SEXUAL D$S'UN#TIONS

A)nor+%i#& in indi*id"% se$"%

res!onsi*eness-

Indi*id"%%& de(ined- Us"%%& re%#ed #o o#her !ro)%e+s-

Li(e%on' or c0"ired-

Gener%i3ed or si#"#ion%-


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H*poa%)i,e Sexual Desire

Disorder A se$"% d&s("nc#ion in which #heindi*id"% hs n )nor+%%& %ow %e*e% o(

in#eres# in se$"% c#i*i#&-Possible Causes:

• Psychological difficulties.

• Poor body image or self-esteem.• Interpersonal hostility.• Relationship power struggles.


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Sexual A,ersio( Disorder

A se$"% d&s("nc#ion chrc#eri3ed )& nc#i*e dis%i5e nd *oidnce o( 'eni#%

con#c# wi#h se$"% !r#ner-

4 Primary Causes:

1. e!erely negati!ely parental se" attitudes.

#. $istory of se"ual trauma.

%. e"ual pressuring by partner.

4. &ender identity confusion.


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Sexual Arousal Disorders

Fe+%e Se$"%

Aro"s% Disorder M%e Erec#i%e

Disorder


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Or-as&i% Disorder

Fe+%e Or's+ic

Disorder M%e Or's+ic

Disorder


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Pre&a)ure E.a%ula)io(

In #his, #he +n reches or's+%on' )e(ore he wishes #o, !erh!s

e*en !rior #o !ene#r#ion-


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Sexual Pai( Disorders

D&s!re"ni V'inis+"s


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THEORIES AND

TREATMENT

Ne"ro%o'ic%, crdio*sc"%r disorders- Li*er or 5idne& disese-

Hor+on% )nor+%i#ies-

Pro)%e+s wi#h re!rod"c#i*e s&s#e+- S")s#nce.ind"ced-

Tre#+en# . Vrie#& o( !h&sic%, ed"c#i*e,

##i# di % i # hi i # %

Se$"% d&s("nc#ions +& rise (ro+!h&sic% ndor !s&cho%o'ic% !ro)%e+s-

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