Sexual Disorders: Paraphilias

 

Masochism

 

Causes

Sexual Desires: need to be dominated or submissive

Suppression: socially unacceptable wishes in the bedroom

Escapism: need to escape reality

the tendency to gain sexual gratification in one's own pain

Treatment?

 

Behavior Therapy - counseling and masturbatory relief 

 

Medication - dopamine enhancements and hormonal balances

 

Sadism

 

Causes

Learning: pornography and lingerie ​

Psychoanalytic: schizophernia, brain injury,suppression 
 

the tendency to gain sexual gratification from  harming or humiliating one's partner 

 

Treatment?

 

Behavioral Therapy - person must desire to change behavior

 

 

Medication - if based from mental disorder 

1

Frotteurism 

 

Causes

Sexual Desires: desire to be touched and caressed but denied.
 

the tendency to gain sexual gratification in rubbing or touching someone without their consent

 

Treatment?

 

Behavioral Therapy - person must desire to change behavior 

 

Transvestic fetishism

 

Causes

Learning: suppressed adolescent sexual curiosity 
 

the tendency to gain sexual gratification in wearing opposite sex clothing

 

Treatment?

 

Aversion Therapy - electrical shocks and negative reinforcement for social acceptable behavior

 

Fetishism

 

Causes

Sexual Desires: random association and suppressed adolescent curiosity 

Psychoanalytic: childhood abuse to only be stimulated by  non-offending stimulus (faceless)
 

the tendency to gain sexual gratification in use of inanimate objects

 

Treatment?

 

Aversion Therapy - <self-explanatory>

 

Voyeurism

 

Causes

Learning: successive and reinforced acts of behavior and suppressed desires​

Psychoanalytic:  pleasure in self-denial 
 

the tendency to gain sexual gratification in watching other sexual acts without others' knowledge

 

Treatment?

 

Behavioral Therapy - person must desire to change behavior and avoid criminal activity of privacy invasion

 

Pedophilia

 

Causes

Sexual Desires: need to be dominator or protector

Genetics: hormonal imbalance to find desire in age group stagnant

Sexual Abuse: learned behavior or reenactment 

the tendency to gain sexual gratification in children

Treatment?

 

Medication - antidrogens

 

 

Intense Aversion Conditioning shock, reinforcement, etc

Exhibitionism

Causes

​​Learning Theory: emotional abuse
Psychoanalytic Theory: parent's rejection of opposite genitalia -> growing need for acceptance 

The tendency to gain sexual gratification in exposing one's genitals in public

Treatment?

Psychotherapy - CBT, Group Therapy, Couples Counseling 

Medication - Testosterone & estrogen inhibitors, antiandrogens, serotonin inhibitors

Surgery - severing of genitalia to stop all sexual desire in severe cases