- is not considered a psychological disorder. - Overall, the success rate for most paraphilic disorders is not optimistic. Which factor tends to separate a paraphilia from a normal variant in sexual behavior? Thise attracted to males prefer older boys, Sexual activity with a child aged 10-13 years old, Sexual activity with a child displaying secondary sex characteristics (usually 14-18 years old). The significant changes in DSM-5 include the change in nomenclature from "paraphilia" to "paraphilic disorder.". - The client is told to masturbate using objects, fantasies, or images related to his paraphilia, but as orgasm approaches, he is instructed to switch completely to objects, fantasies, and images of more mainstream, socially acceptable sexual behaviors. - self-distress (people who are embarrassed and cannot control behavior - higher rate of success) -Muscle relaxation in the presence of arousing stimuli, -terminating undesirable sexual behavior by repeatedly pairing it with adversive stimulus until person develops a conditioned aversion, Form of aversion therapy in which thoughts of engaging in an undesirable behavior are repeatedly paired with imagined aversive stimuli, - Strengthening connection between sexual arousal and appropriate sexual stimuli \hline \text { Total assets, } \operatorname{Dec} 31,2011 \ldots \ldots \ldots & \$ 501,000 \\ No drug/surgical treatment can eliminate paraphilic ideas, TRUE. Cognitive-Behavioral Therapy. Martin Weinberg suggests that the sado-masochistic lifestyle might reflect, an attempt to reverse the power relationships that exist within society. C) They are usually also exhibitionists. \text{Inventory} & 260,000 && 90,000\\ -humiliation from wearing a diaper, licking shoes, urinated on, self-mutilation, etc. The __________ of the QRS complex indicates the time in which an action potential depolarizes the ventricles. -sex is a biological drive + eliminating deviant sexual urges/behavior will be ineffective unless the person finds a more appropriate sexual outlet, teaches the person basic social conversation skills (ex. D) The therapist might first model a desired behaviour. What theory might be applied to the development of this paraphilia? Sexual arousal through viewing, usually secretly, unsuspecting people in intimate situations. Examples include borderline, antisocial and narcissistic personality disorders. 2/EOM, n/60. There are several such disorders, with paraphilic referring to sexual interests, preferences, fantasies , urges, and behaviors outside the norm. Which of the following individuals would fit the definition of a voyeur? \text{Cash \& Receivables} & \$\hspace{13pt}81,000 && \$\hspace{6pt}65,000\\ The behavior is engaged in for the purpose of sexual arousal or gratification. In the upcoming fifth edition of. D) Transvestism is strongly correlated with sexual orientation. \text{Dividends Declared} & 30,000 && 10,000\\ A) The eroticization of mild forms of pain falls within the normal range of sexual variation. And engaging in bondage or S&M activities. 1. There was $10,000 of inter-corporate receivables and payables at the end of 20X5. compulsive sexual activities that are practiced by a small percentage of people and that most members of a given culture would consider abnormal, deviant, or pathological, Psychopathia Sexualis (1886) (Richard von Krafft-Ebing), book that consisted of 237 case studies of sexual activities, any behavior seen as caused by sickness or disease, criteria to determine a paraphilia (book). C) Mika, who enjoys going to strip clubs several times a month either alone or with her male friends. Max was a successful banker who loved to dress in women's clothing. C) Masochism is the most common paraphilia among women. Because you repressed them and pushed them into your unconscious, you are even now totally unaware that those conflicts exist \text { Property, plant, and equipment, net } & 285,000 & 24,000 \text { shares issued } & 96,000 \\ A) Anita, who regularly masturbates while watching porn on the internet even though there is a high probability that her partner will walk-in and see what she is doing. -Sexual Masochism Disorder A charity reimburses volunteers for small out-of-pocket expenses such as parking and gasoline when the volunteers are carrying out the business of the charity. 2) Pharmacological Interventions, When the testes are removed (but this is no longer used), Examples of Pharmacological Interventions, -since the paraphilic disorders are compulsive in nature, these had some promise due to their efficacy in treating OCD However, many who are diagnosed (or diagnosable) may be drawn into sexual behaviors that are clearly paraphilic disorders. As a result, he was fired from his job and rejected by his family, who thought he had gone crazy. Obscene phone calls, messages, and videos to an unsuspecting person. Most societal attitudes consider overt sexuality in men not only normal but also desirable, something to be encouraged and rewarded. Explain behavioral treatment and normal educational and intellectual functioning in young autistic children. Check no. Most are harmless and private. 3) Olfactory Aversion C.Develop skills for independent living. Which of the following statements about transvestism is true? 5) Cognitive-Behavioral treatment, -involves exposing the person to the arousing stimuli + continuing that exposure for an extended period until the stimuli no longer produce positive, erotic feelings Cognitive-behavioral therapy employs a range . U.K.JapanCanadaChinaU.S.PriceofCoffeeGBP2.35JPY420CAD3.75CNY28USD3.75ExchangerateUSD1.60=GBP1JPY91=USD1CAD1.08=USD1CNY6.83=USD1. are treated early in their disorder and are self-motivated. According to an Ontario study, approximately how many exhibitionists go on to committing other crimes? - Receiving pain -***almost all people with paraphilic disorders are male (but can be found in women) At one point, he found this behavior so acceptable that he decided to attend the company Christmas party in women's formal wear and heels. Is it Adam or Charles, and why? Of interest is the number of dice that show a one. Fetishism is a form of paraphilia, but most people who have fetishism do not . -theory is that people will look longer at pictures they find sexually arousing, Biological Treatments for Paraphilic Disorders, 1) Surgical Castration D) Tom, who masturbates while scanning the condominium across the street with binoculars so he can watch people having sex. On average, how many dice would you expect to show a one? -among a group of sex offenders with a paraphilic disorder: 29% had 2 disorders, 14% had 3 C) The frequency of exhibitionism increases after age 40. -drugs inhibit lutenizing hormone secretion, which lowers testosterone levels Pizza Corporation acquired 80 percent ownership of Slice Products Company on January 1, 20X1, for $160,000. The following accounts and December 31, 2012, balances of New Jersey Optical Corporation are arranged in no particular order. -***BUT, this is not supported, Behavioral Conditioning Theories for the Cause of Paraphilic Disorders, -ex. John Money theorized that every individual has a mental template of an ideal lover and the types of stimuli that are sexually arousing. What do clinicians use to measure sexual arousal in order to determine the efficacy of interventions? The term paraphilia has been described as any sexual interest that is outside of "conventional" or "typical" sexual interests. -the pleasurable state is likely to be repeated reasons people seek treatment for paraphilic disorders, - court ordered treatment (often when paraphilia is illegal, success varies on motivation to change and behavior itself) The difference between a cross-dresser and a transvestic disorder is ________________. Summary of Changes in the Paraphilic Disorders Criteria Sets. -low income, unemployed, alcoholic, lower IQ, psychopathic, characteristics of mens pedophilic acts with boys, -has many victims (up to hundreds) People engaging in chat scatologia are sexually aroused by, sending obscene emails and instant message. 2) Couples Therapy Mostly affects males. \text { Prepaid expenses } & 13,000 & \text { Dividends payable }&4,000 \\ - it can be a part of some people's compulsive masochistic acts, it is more common than most people think, and it is dangerous. \text { Common equity, } \operatorname{Dec} 31,2011 \ldots \ldots &307,000 \\ - BDSM: bondage and discipline (BD), domination and submission (DS), and sadomasochistic (SM) This, they propose, is why no two people are sexually aroused by exactly the same patterns of situations and events. Some researchers suggest that compulsive sexual behavior may be related to an overproduction of male hormones, mainly testosterone. Which of the following is true regarding treatment of paraphilias? that transvestites are gay men. B) Unless the offender is motivated to change, treatment is unlikely to be successful. Trial balance data for the two companies on December 31, 20X5, are as follows: PizzaSliceCorporationProductsCompany\begin{array}{l} - perpetrator usually fantasizes that he has a close, caring, loving relationship with his victim, but he will make every effort to run away and escape detection following the act. The level of severity, distress, and impairment (up to and including criminal behavior) resulting from these disorders also are highly variable. -vaginal photoplethysmography (for females) What is part of the attraction and excitement for a sexual sadist? It explains the role of the interprofessional healthcare team in . A) Most people with paraphilias are distressed by their behaviour and seek help. \text{Depreciation Expense} & 25,000 && 15,000\\ -Chemical Castration D) Osama who is completely comfortable working as a male stripper. -a # of sessions must be conducted until even any initial sexual arousal is eliminated, -similar procedure in which the individual is asked to imagine doing the deviant act but also visualize the negative consequences that result from it Appears to be desire to completely posses an unresisting & non-rejecting partner, Individual commits murder to obtain corpse for sexual purpose, sexual arousal from being treated as an infant, piercing, scarring, or tattooing of sexual body parts, Arousal from filth or filthy environments, Actual contact with animals is preferred over sex with human partners, incorporation of insects or small crawling creatures, arousal from introducing liquids into the rectum/colon via the anus, sexual activity that involves male imagining self as female, fantasizes being a more attractive male body, 1) Hormone/Nervous system involvement Usually males becoming sexually aroused by shocking victims. \textbf{Item} & \textbf{Debit} & \textbf{Credit} & \textbf{Debit} & \textbf{Credit}\\ Prepare an income statement. 25 B. - In other words, if a person engages in paraphilic behavior instead of forming healthy intimate relationships with others Bradley uses neckties to build an elaborate contraption. What would the local price of a latte need to be in each to ensure that the cost was the same as in New York? People who become sexually aroused by inflicting pain or humiliation on others are known as. Personality Disorders. -application of classical conditioning theory Some have willing partners, other will stalk and attack non-consenting victims. - Mutual consent is what distinguishes BDSM from abuse and assault, just as consent distinguishes sex from rape. Achievement of sexual satisfaction from physical/psychological suffering of victim. By their very nature, some paraphilic disorders may predispose an individual to commit sexual offenses. -abnormal sexual desires typically involved extreme or dangerous activities. A small company maintains a petty cash fund for minor expenditures. Atypical variations in sexual behaviour that may cause distressing, intense, persistent, and repetitive sexual fantasies, urges, or behaviors. A) They typically do not attempt to have sex with the people they watch. \end{array} Which of the following statements about sado-mascochism is false? nearly all those who engage in paraphilias are, indeed, men C) Paraphilic sex offenders typically claim that they are able, if necessary, to control their paraphilic behaviour. Genetics may play a role, in that some people may inherit a predisposition, a slight push from nature, toward compulsive behaviors in general, which in some may manifest in sexual acts. B. Bulimia nervosa has the highest death rate of all the mental health disorders. Robert is a depressed, obsessive-compulsive librarian who also has paraphilic urges that are beginning to overtake his daily life. - very illegal Select the main goal of psychosocial therapies for persons with schizophrenia. He now holds a chocolate bar next to his nose when he masturbates to achieve orgasm. The fund was established in the amount of $600.00 on June 1 from the proceeds of check no. \text{Cost of Goods Sold} & 120,000 && 50,000\\ Which of the following paraphilias involves the urge to have sex with dead bodies? Given what you know of the factors that effectively influence persuasion, how might you persuade a customer? - The relative prevalence of paraphilias among men as compared to women may be understood better from a larger cultural perspective. -***within repeated pairings, the deviant sexual behavior is suppressed, -intervention includes psychoeducational groups, anger management, assertiveness training, human sexuality, communication training, control of deviant sexual arousal, + relapse prevention, Cognitive Behavioral Treatments (examples), 1) Cognitive Restructuring What are the two parts of Learning Theory for treatment of paraphilic disorders? ). (American Psychiatric Association, 2013). -perpetrators used coercion to commit the offenses + also knew their victim, Biological Theories for the Cause of Paraphilic Disorders, -some theories involve the role of endocrine abnormalities, but data have failed to document differences between people with paraphilic disorders Leuprorelin has been used as one of the therapeutic methods for paraphilia. -paraphilias that cause distress or impairment to the person or when the satisfaction of a paraphilia has caused harm or risk of harm to another person. C) For some sado-masochists, arousal is derived from the ritual of control rather than the infliction of physical pain. In some men, the intensity of their sex drive and the urge to act on their paraphilic impulses can be lowered through the use of, John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Operations Management: Sustainability and Supply Chain Management, Service Management: Operations, Strategy, and Information Technology, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson. A) Alfredo, who likes to wear tight fitting shirts to show off his pecs. Examples include borderline, antisocial, and narcissistic personality disorders. Calculate the dollar price of a latte in each city. - relationship distress (generally mome form stable, long term relationships, very motivated to change) Almost exclusively seen in males on crowded places. Fleeting, goes unnoticed, difficulty forming relationships, fear of rejection. 1) disorders based on anomalous (deviating from expected or normal) target preferences, Paraphilic disorders based on anomalous target preferences, -when sexual fantasies, urges, or behaviors are associated with targets that deviate from what is considered normal or expected, -recurrent + intense sexual arousal (fantasies, urges, or behaviors) that involves nonliving objects or a highly specific focus on non-genital body parts, -recurrent + intense sexual arousal that results from cross-dressing and is accompanied by significant distress or impairment, -recurrent + intense sexual urges, sexually arousing fantasies, or behaviors involving sexual activity directed towards a prepubescent child or children, prevalence of pedophilic acts with boys/girls, characteristics of mens pedophilic acts with girls, -has few victims The presence and frequency of any paraphilic fantasy and behavior was assessed by means of a clinical interview based on Diagnostic and Statistical Manual of Mental Disorders, 5th Edition criteria. -offends away from victim's home -System desensitization to terminate the connection between stimulus and inappropriate response -as long as person continues to take meds (but there are sig. - most are heterosexual 46. Treatment approaches for paraphilic disorders have included traditional psycho therapy, behavior therapy techniques, and pharmacological medications. \text{Inventory Losses} & 15,000 && 5,000\\ Paraphilias are abnormal sexual behaviors or impulses characterized by intense sexual fantasies and urges that keep coming back. Treatment approaches for paraphilic disorders have included traditional psycho therapy, behavior therapy techniques, and pharmacological medications. The terror experienced by the victim is the primary driver for the sadist. -neuroanatomical + neurochemical studies HAVEN'T detected brain abnormalities Can you explain why? He has no idea where this comes from, but he does remember he and his first sexual partner covered themselves in chocolate sauce prior to intercourse. -people discontinue treatment once legal oversight is over 2) Higher than normal sex drive -usually the person fantasizes about a positive emotional relationship with the victim Study with Quizlet and memorize flashcards containing terms like paraphilias, Psychopathia Sexualis (1886) (Richard von Krafft-Ebing), pathological and more. Sociology; Chapter 9 - Sexual Dysfunctions, Paraphilic Disorders, and Gender Dysphoria. In your assessment, what disorder most likely describes Gary's persistent need for sex? -has had behavior since adolescence Fetishistic disorder refers to recurrent, intense sexual arousal from use of an inanimate object or from a very specific focus on a nongenital body part (or parts) that causes significant distress or functional impairment. See Page 1. - Nonconsensual paraphilic behaviors are likely to be illegal, A behavior entered into voluntarily by all parties, harming no one, with the possible exception of the person performing the action. Common in general public (not extreme pain). Rarely to seek out sex, Before age of 18 (urge to flash occurs between 13-16) declines after age 40, lonely, sexually repressed, unhappy male-female relationship, single, hostility toward women, shy, passive, lack sexual/social skills, rubbing against or touching a non-consenting person (only considered paraphilia if repeated as preferred sexual behavior). The following table shows the local prices of a Grande Latte coffee in Starbucks in 2009: PriceofCoffeeExchangerateU.K.GBP2.35USD1.60=GBP1JapanJPY420JPY91=USD1CanadaCAD3.75CAD1.08=USD1ChinaCNY28CNY6.83=USD1U.S.USD3.75\begin{array}{llc} - Dressing in clothes of opposite sex \\ Estimating the bad debts expense by aging accounts receivable generally results in smaller errors than the percentage of credit sales approach. -Exhibitionistic Disorder Perpetrator is at least 18 or 5 years older than the child, What are the most common behaviors of pedophilia, 60% boys. -treatment is based on classical + operant conditioning, Examples of ways to decrease or eliminate inappropriate sexual arousal (1st step of learning theory), 1) Satiation You do not need to calculate the balance of the account at the end of each month. \end{array} A) It focuses on helping the individual improve his or her ability to relate to others. Paraphilic Disorders. Paraphilia is always harmful, False. side effects + high recidivism rate) 4. the behavior involves another person without that person's consent A 20 year old female pedophile exhibiting multiple paraphilias and who had been both a victim of incest and an active participant, undertook extensive clinical, psychometric, endocrine and laboratory sexual arousal studies. Which of these statements reflect achievement of discharge criteria for a patient receiving in- hospital treatment for a paraphilic disorder? - Usually the humiliation and pain involved do not draw blood, break bones, or leave permanent scars. 2) Covert Sensitization - Selective serotonin reuptake inhibitors (SSRIs), originally developed as antidepressants, have shown promise in treating young adults and more resistant and serious cases of paraphilic disorders, effectiveness of treatment for paraphilic disorders, Overall studies examining the effectiveness of treatments for paraphilic disorders report two main findings: Treatment methods are marginally effective at best, and the research into treatment methods is inadequate 3) Increasing victim empathy The biological treatment of paraphilic disorders, then, is of paramount importance for psychiatry and society at large. The technique being used is called, The use of SSRIs to treat paraphilias is based on the assumption that paraphilias might be a. Grubin reported that SSRIs may be helpful in the treatment of which paraphilias?
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