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Paraphilias    

The paraphilias are a group of persistence sexual behavior patterns in which unusual objects, rituals or situations are required for full sexual satisfaction. Although mild forms of these conditions probably have occurred in the lives of many normal people, a paraphilic person is distinguished by the insistence and relative exclusively with which his/her sexuality focuses on the acts or objects in question— without which orgasm is often impossible.

Paraphilias also frequently have a compulsive quality, with some paraphilic individuals requiring orgasmic release as often as four to ten times a day. Paraphilic individuals may or may not have persistent desires to change their sexual preferences. Some paraphilias individual may discover another person with a reciprocal paraphilia — as in sexual sadomasochism discussed below which my then lead to a lasting although by conventional standards somewhat sexually normal person becomes unwittingly involved in a paraphilic person’s ritualized sexual program, only gradually discovering that he/she is a mere accessory, a sort of stage prop in the latter’s sexual drama.

Types of Paraphilias:

Most paraphilic individuals are males and there are eight different types of paraphilias:

  • Fetishism
  • Transvestic Fetishism
  • Voyeurism
  • Exhibitionism
  • Sexual sadism
  • Sexual masochism
  • Pedophilia
  • Fotteurism

An additional category of paraphilias also includes several rare disorders such as:

  • Telephone scatologia (obscene phone calls)
  • Necrophilia (sexual desire for corpses)
  • Coprophilia (sexual arousal to feces)

Causes of Paraphilias:

At least two facts about paraphilia are likely to be etiologically important. Almost all paraphilias are male. People with paraphilias often have more than one paraphilia. It is also suggested that male vulnerability to paraphilias is closely linked to their greater dependency on visual sexual imagery. Perhaps sexual arousal in men depends on physical stimulus features to a greater degree than in women, whose arousal may depend more on emotional context, such as being in love with a partner.

Treatments for paraphilias:

Treatments that combine cognitive and behavioral elements have shown to be moderately successful in bringing about changes in deviant arousal and behavioral patterns in a significant number of cases. One key component of treatment involves techniques known as aversion therapy— aversive conditioning to deviant sexual fantasies.

Assisted covert sensitization: This therapy involves having the patient imagine a deviant sexual arousal scene. At the point where arousal is high, the patient imagines aversive consequences (simple covert sensitization) and a foul odor is introduced via an open vial or an automated odor pump to help condition a real aversion to these deviant scenes.

 
 

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