Sexual Disorders

1
Chapter 16

• Sexual Disorders

2
Paraphilias

• Atypical sexual behaviors (defined by DSM-IV)
  that involve
• 1) non-human objects
• 2) non-consenting adults
• 3) suffering or the humiliation of the person or
  the persons partner
• 4) children
• Can broadly be described as two categories
  consent vs. non-consent

3
Paraphilias

• Sex acts are the primary forms of sexual arousal.
• Sexual acts may appear compulsive.
• May engage in these acts regardless of severity
  of consequences.

4
Paraphilias

• Fetishism
• Use of inanimate objects as preferred source of
  arousal.
• Transvestism
• Sexual sadism
• Sexual gratification through inflicting pain on
  another.
• Sexual masochism
• Sexual gratification obtained through
  experiencing pain at the hand of ones partner.

5
Paraphilias

• Voyeurism
• Arousal obtained through secretly watching
  another engaging in some act.
• Exhibitionism
• Sexual gratification is obtained by exposing
  ones genitals to non-consenting observers.
• Frotteurism
• Gratification obtained by rubbing ones genitals
  against a non-consenting other or fondling
  anothers body.

6
Pedophilia

• Sexual attraction to children and prefer to
  engage in sex with children rather than adults.
• Generally requires child to be under the age of
  13, and initiated by someone at least 16 years of
  age or at least 5 years older than the child.
• Individual may be threatening to the child or can
  appear to be gentle, caring, and loving to the
  child.

7
Pedophilia

• Mostly occurs between heterosexual men and young
  girls.
• Sexual attraction to children may be operantly
  reinforced throughout childhood.
• Attempts to inhibit the desires may have a
  paradoxical effect.
• Other healthy sexual activity is not gratifying
  and therefore, not reinforced.
• Modeling
• Cognitive distortions (victim is to blame,
  perceiving desire that is not there, victim
  deserving of punishment, justifying the cause,
  minimizing consequences, etc.)

8
Treatment

• Most do not seek treatment.
• Treatment more likely to come as a result of
  being court-ordered.
• Biological treatments
• Chemical castration or antiandrogen drugs that
  suppress production of testosterone
• Aversion therapy
• Treatment can be successful, especially for
  voyeurs, exhibitionists, and child molesters (no
  intercourse). Worse outcomes for pedophilia and
  rape.