(WFSBP) Guidelines for the biological treatment of paraphilias
... but only part of them, and that, not all patients with
a paraphilia are sex offenders (in many cases, they
only suffer from deviant sexual fantasies or urges,
or their deviant sexual behaviour does not involve a
non consent person or a child).
Autoerotic Asphyxiation Syndrome In Adolescent and Young Adult
... their loved one’s bizarre sexual behavior. The task of answering these tough questions is usually left to
law enforcement investigators or medical professionals who, most likely, have only limited explanation
for the autoerotic practice. The most enigmatic question is: Why did he do it? To answer, i ...
The Use of Cognitive Behavioural Therapy on Two Case Reports of
... together, even when I’m on methadone and diazepam. My dad was
a single dad, I don’t really remember my mom but apparently she
died when I was very young. My dad kept all her things and used
to lock himself in this shrine like room for hours. He was a drunk
and physically abusive. It’s actually his s ...
XVII WORLD CONGRESS OF SEXOLOGY MONTREAL 2005
... ‘If therapists are not prepared this might happen, they fall into all
sorts of traps with it.’
‘It’s dangerous not to talk about is because it may be very disturbing
for the supervisee and may contaminate the work.’
‘Probably it is at the root of a lot of abuse of clients by therapists.’
Considerations for a Better Definition of Male Orgasmic Disorder
... complaints of retarded ejaculation with normal
controls. Out of a sample of 1,400 men who had
been evaluated in the psychophysiology laboratory
at Erasmus Medical Center, 25 men were identiﬁed as having a primary diagnosis of idiopathic
retarded ejaculation. These men had decreased
penile erectile r ...
Collateral Effects of the Media on Sex Offender Reintegration
... Aim/Background: Sexual offending results in devastating consequences for victims and is of great
concern to the public; prevention of re-offending is an important endeavour. The media has a
marked influence on public views and frequently draws attention to sex offenders, often producing
Autogynephilia: A Paraphilic Model of Gender Identity Disorder
... coined in 1989 by Ray Blanchard, a clinical psychologist at the Clarke
Institute of Psychiatry in Toronto (Blanchard, 1989a). Blanchard formally
defined autogynephilia as “a male’s propensity to be sexually aroused by the
thought or image of himself as a female” (Blanchard, 1991, p. 235). In a
Sex Offenders, Sexuality, and Social Control
... ultimately, harms rather than “assists” sexual offenders, has little or no impact on most
people, and provides society at large with a false sense of security and protection from a
threat not properly explained. Hence, laws are ineffective but remain in society as
individuals who support the crimina ...
Check your Child Parents/Guardians/Authorities/Caretakers
... There are many conditions that can produce similar behaviours. Few of them are:
• Underachievement at school due to a Learning disability.
• Attention lapses caused by seizures.
• A middle ear infection that causes an intermittent hearing problem
• Disruptive or unresponsive behaviour due to anxiety ...
Sample student paper
... uncontrolled impulsive character could be a danger to the person or to society. With
advancements in the understanding of certain biological aspects of human sexuality, such
as sex organs, menstruation, and fertilization, physicians began to claim authority over
sex-related issues. There were also p ...
Paraphilia and Fetishism - Mindful Publications, LLC
... effect. Men experiencing transvestic fetishism tend to be traditionally masculine in their gender role identity and presentation, and many are involved in long-term heterosexual relationships. These men may engage in cross-dressing to various
degrees and either consistently or only intermittently (e ...
Between DSM and ICD: Paraphilias and the Transformation of
... the decline of the relative influence of clinicians (Young, 1995).
Theexperts oftheICD considerthat it hasaclinical utility that
encompasses not only clinical psychiatry, but mental health as a
more comprehensive field. This perspective is based on the recognition that the majority of individuals wi ...
PowerPoint Lecture Notes Presentation Chapter 2 Current
... Proposed DSM-5 Criteria for Male Erectile Disorder:
• Persistent inability to attain or maintain an erection adequate for completion of sexual activity
• Marked decrease in erectile rigidity interferes with penetration or pleasure
• Causes marked distress or interpersonal problems
• Symptoms have be ...
Psychosocial and Biological Treatment Considerations for the
... offenders has been questioned and viewed at best as
equivocal in the past, more recent research using improved methodologies suggests that even in its broad
application, current sex offender treatment approaches appear to have positive effects in reducing
sex-offending recidivism.49 –52 Though exact ...
Treatment of fetishism with naltrexone: A case report
... Fetishism is a paraphilic sexual disorder characterized by
recurrent, intense sexually arousing fantasies, sexual urges, or
behaviors involving the use of nonliving objects, such as female
undergarments, over a period of at least 6 months. The fantasies,
sexual urges or behaviors often result in cli ...
Sexual Fetishism in Adolescence: Report of Two Cases
... have past neurological history or current signs/
symptoms suggestive of a neurological disorder, and
due to his typical clinical picture suggesting sexual
fetishism, no further imaging studies were conducted.
During psychiatric interviews, he genuinely admitted
having this interest and stealing al ...
Paedophilia : therapeutic issues
... The first attempts to scientifically evaluate treatments of sex offenders were
made with the behavioural therapies introduced in the 1960's and early 1970's. These
therapies which are still widely employed, aimed to modify offenders' sexual
preference by such procedures as conditioning deviant urges ...
Therapy for Sexual Impulsivity
... Pharmacological tolerance to their effects has not been described, and either agent can be tapered
without a rebound increase in sexual or aggressive behaviors. After a period of symptom stabilization, a
lower maintenance dose can sometimes be titrated to minimize side effects, and in some cases, to ...
Sexual Addiction in Association with Obsessive–Compulsive Disorder
... history of obsessive compulsive disorder was elicited in
patients elder brother (without any evidence of sexual addiction).
Personal history revealed the presence of immature behavior, limited social integration, stammering and poor academic performance in the adolescence period. The first
sexual ex ...
Hebephilia is the strong and persistent adult sexual interest in pubescent (early adolescent) individuals, typically ages 11–14 (see the Tanner stage). It differs from ephebophilia, which is the strong and persistent sexual interest to those in later adolescence, approximately 15–19 years old, and differs from pedophilia, which is the primary or exclusive sexual attraction to prepubescent children. While individuals with a sexual preference for adults may have some sexual interest in pubescent-aged individuals, researchers and clinical diagnoses have proposed that hebephilia is characterized by a sexual preference for pubescent rather than adult partners.Hebephilia is approximate in its age range because the onset and completion of puberty vary. Partly because of this, some definitions of chronophilias (sexual preference for a specific physiological appearance related to age) show overlap between pedophilia, hebephilia and ephebophilia; for example, the DSM-5 extends the prepubescent age to 13, the ICD-10 includes early pubertal age in its definition of pedophilia, and some definitions of ephebophilia include adolescents aged 14 to late adolescents. On average, girls begin the process of puberty at age 10 or 11; boys at age 11 or 12, and it is argued that separating sexual attraction to prepubescent children from sexual attraction to early-to-mid or late pubescents is clinically relevant.According to research by Ray Blanchard et al. (2009), sex offenders could be separated into groups by victim age preference on the basis of penile plethysmograph response patterns. Based on their results, Blanchard suggested that the DSM-5 could account for these data by subdividing the existing diagnosis of pedophilia into hebephilia and a narrower definition of pedophilia. Psychologist Bruce Rind and sociologist Richard Yuill have published criticism of the classification of hebephilia as a mental disorder, though their view is that Blanchard et al. successfully established hebephilia as a ""genuine sexual preference""; they suggested that if hebephilia were listed in the DSM-5, that it be coded as a condition that results in significant social problems today. Blanchard's proposal to add hebephilia to the DSM-5 proved controversial, and was not adopted.