Problems%20with%20

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Problems with disorderinga Sex Addiction
exemplar

• persistent escalat. pttrn of sex behav despite
  increas neg conseqs to self/others (SASH, 2008)
• 3-5 Americans (based on those seeking treatment)
  (SASH, 2008)
• What about online? (Schneider, 2000)
• Signs (Cooper et al., 1999)
• Denial
• Unsuccess. repeated efforts to discontin behav
• Excess time devoted to behav
• Behav neg impacts social, occupat, recreat
  function.
• Behav repetit. despite adverse conseqs
• Not in DSM? (McBride et al., 2008)
  (compulsivity/impulsivity, hypersex.)
• http//nymag.com/thecut/2013/05/too-much-or-too-li
  ttle-dsm-vs-gray-area-on-sex.html
• http//www.lehmiller.com/blog/2013/6/10/what-the-d
  sm-5-means-for-the-diagnosis-and-treatment-of-sexu
  .html

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ID it!(credit for participation, groups with
best get extra credit)
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1. Sadism
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2. Masochism
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3. Sexsomnia
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4. Couvade syndrome
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5. Voyeurism
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6. Coital Cephalalgia
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Priapism
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8. Dyspareunia
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11. Acrotomophilia
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12. Anililagnia
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13. Autonepiophilia
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14. Exhibitionism
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15. Scatophilia
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16. Macrophilia
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19. Biastophilia
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20. Phobophilia
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21. Vorarephilia
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22. Formicophilia
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23. Necrophilia
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24. Frotteurism
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diagnostic bracket creep
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Paraphilias

• Most common
• Clothing
• Rubber/Leather/Fabrics
• Footwear
• Body parts
• If psychosocial distress
• Concealable vs. Conspicuous Stigma (Goffman,
  1963)
• Condition vs. Identity