Paraphilia and paraphilia-related disorders are more prevalent than most clinicians suspect. In addition to these therapies, drugs are sometimes prescribed to treat paraphilic behaviors. This makes diagnosis before a confrontation very difficult. Tell a friend about us , add a link to this page, or visit the webmaster's page for free fun content. Of the serotonergic agents reported, fluoxetine has received the most attention, although lithium, clomipramine, buspirone, and sertraline are reported as effective in case reports and open clinical trials with outpatients. Since these disorders are cloaked in shame and guilt, the presence of these conditions may not be adequately revealed until a therapeutic alliance is firmly established. Cyproterone acetate inhibits testosterone directly at androgen receptor sites. Additionally, there may be sexual dysfunctions.
An individual with mild paraphilia is markedly distressed by the recurrent paraphiliac urges but has never acted on them. Other coexistent problems may be alcohol or drug abuse, intimacy problems, and personality disturbances, especially emotional immaturity. Transvestitism — Sexual arousal from dressing in the clothes of the opposite sex. Aversion imagery involves the pairing of a sexually arousing paraphilic stimulus with an unpleasant image, such as being arrested or having one's name appear in the newspaper. For example, a man afraid of having sexual contact with women his own age might be led through a series of relaxation procedures aimed at reducing his anxiety. Desensitization procedures neutralize the anxiety-provoking aspects of nonparaphilic sexual situations and behavior by a process of gradual exposure. Of the serotonergic agents reported, fluoxetine has received the most attention, although lithium, clomipramine, buspirone, and sertraline are reported as effective in case reports and open clinical trials with outpatients. Paraphilia and paraphilia-related disorders are more prevalent than most clinicians suspect. Current interests focus primarily on several behavioral techniques that include the following: Link to this page: A severe paraphiliac has repeatedly acted on the urge. Erectile dysfunction and an inability to ejaculate may be common in attempts at sexual activity without the paraphiliac theme. Sadism — Sexual arousal through inflicting pain on another person. American Association for Marriage and Family Therapy. Social skills training is used with either of the other approaches and is aimed at improving a person's ability to form interpersonal relationships. Other alternative augmentation strategies that may be effective include adding a low dose of a secondary amine tricyclic antidepressant to the primary serotonergics, but these reports are only anecdotal. Cyproterone acetate inhibits testosterone directly at androgen receptor sites. Paraphiliacs may select an occupation, or develop a hobby or volunteer work, that puts them in contact with the desired erotic stimuli, for example, selling women's shoes or lingerie in fetishism, or working with children in pedophilia. Tell a friend about us , add a link to this page, or visit the webmaster's page for free fun content. Want to thank TFD for its existence? Key terms Exhibitionism — Obtaining sexual arousal by exposing genitals to an unsuspecting stranger. Orgasmic reconditioning may instruct a person to masturbate using his paraphilia fantasy and to switch to a more appropriate fantasy just at the moment of orgasm. Therapy with hypnosis has also had poor results. Pedophilia — Sex or sexual activity with children who have not reached puberty. This makes diagnosis before a confrontation very difficult.
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