treatment for paraphilic disorders quizlet
The . They also cause people with these conditions to experience significant personal distress and limited functioning. 30. b. There is no evidence that S&M have greater difficulty than others in establishing intimate relationships or that it is distressing or dysfunctional. Calculate and record the following component percentages: The behavior is engaged in for the purpose of sexual arousal or gratification. Occur for significant amounts of time and interfere with satisfactory sexual relations and every day functioning. During the DSM-5 revision process, proposed changes in the DSM-IV 16 paraphilias engendered a great deal of spirited debate in regard to their forensic implications. Paraphilia is always harmful, False. -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 -their behaviors, occupations, + hobbies are those typical of other heterosexual males - Mutual consent is what distinguishes BDSM from abuse and assault, just as consent distinguishes sex from rape. Paraphilic disorder exists when recurrent, intense sexually arousing fantasies, sexual urges, or behaviors currently cause distress or impairment to the individual or whose satisfaction has entailed personal harm, or risk of harm, to others generally involving: non-human objects, the suffering or humiliation of oneself or one's partner . When he cannot find a girlfriend or one-night stand to satisfy his compulsion, he turns to prostitutes. D.Reduce exacerbations and re-hospitalizations. -men with transvestic disorder are actually happy with their biological sex + gender identity He now holds a chocolate bar next to his nose when he masturbates to achieve orgasm. D) People with paraphilias, treated or untreated, tend to take responsibility for their behaviour. c. On July 31, the petty cash fund had cash of $132.36 and the following receipts on hand: postage,$205.20; supplies, $197.04; and delivery service,$38.40. Almost exclusively seen in males on crowded places. does not seek to participate. Which of the following statements about masochism is false? Round percentage calculations to the nearest 0. - is victimless - recurring pattern of engaging in such behaviors and voluntarily seeks them out Study with Quizlet and memorize flashcards containing terms like Main criteria and definition for: Female Orgasmic Disorder, For all sexual and paraphilic disorders, what is the time duration required for diagnosis?, Treatment options: Female orgasmic disorder and more. \text{Inventory Losses} & 15,000 && 5,000\\ There are several such disorders, with paraphilic referring to sexual interests, preferences, fantasies , urges, and behaviors outside the norm. Ninety-five percent of transvestites perceive themselves, without hesitation, as male. Ellen and David like to engage in ________________________. -must be used with psych treatments, Human Growth and Development (Purple Book), Professional Orientation/Ethics (Purple Book), Counseling Skills/Interventions Pt 1 (NCE), John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson, Operations Management: Sustainability and Supply Chain Management, Individual Underwriting, Pricing, and Claims. Accounting forms are given in the Working Papers. D) Osama who is completely comfortable working as a male stripper. Pizza Corporation acquired 80 percent ownership of Slice Products Company on January 1, 20X1, for $160,000. Onset prior to 18 years old. Because of such concerns, Charles Moser has proposed that the concept of ________ should be used in place of paraphilia. - Rubbing genitals against another person without consent for sexual arousal and usually orgasm 4) Cognitive-Behavioral group therapy Both men have sought treatment for paraphilias, but they have different motivations. Paraphilias are very chronic, such that at least two years of treatment is required for even the mildest cases. Hormone-blocking drugs such as Depo-Provera and Lupron have been used with some success - is engaged in mostly by boys and men between the ages of fifteen and thirty D) Auto-erotic asphyxia is a form of masochism. begins in adolescence (age 15). Concentration of sexual activity on one part of the body to exclusion of all other parts. C) The frequency of exhibitionism increases after age 40. 3) Patient's perception of the impact of the sexual disorder on current illness, What are some overall goals of nursing diagnoses (4), 1) REducing or elimination paraphilic symptoms Other mental disorders. -drugs inhibit lutenizing hormone secretion, which lowers testosterone levels a. B) Exhibitionism is more common among men than women. reasons people seek treatment for paraphilic disorders, - court ordered treatment (often when paraphilia is illegal, success varies on motivation to change and behavior itself) \text{U.K.}&\text{GBP2.35}&\text{USD1.60 = GBP1 }\\ \text { Inventory } & 103,000 & 125,000 \text { shares authorized, } & \\ -the drug controls pedophilic disorder, exhibitionist disorder, + voyeuristic disorder, Psychosocial Treatments for Paraphilic Disorders, 1) Behavioral Therapy and CBT - Sexual arousal and orgasm are very powerful reinforcements for whatever behavior becomes associated with them. Summary of Changes in the Paraphilic Disorders Criteria Sets. B.Develop coping skills for adverse effects of antipsychotic drugs. This, they propose, is why no two people are sexually aroused by exactly the same patterns of situations and events. 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 Individuals who _____ show the most successful responses to treatment for paraphilic disorders. -"high victim" crime A) The typical obscene phone caller is a heterosexual male. -***sometimes these disorders can result in death (sexual masochism and sexual sadism disorder), Sex, Race, + Ethnicity for paraphilic disorders, -people don't want to admit their behaviors to a stranger sexual satisfaction acheived by dressing in clothing of opposite gender (not cross dressing). Which of the following statements about exhibitionism is false? d. Acts of paraphilia are common because persons with the disorders commit the acts repeatedly, but paraphilic disorders are uncommon. Which disorder is considered the most dramatic, least common, and most controversial dissociative disorder? This is, for the most part, simply wrong. -***BUT, this is not supported, Behavioral Conditioning Theories for the Cause of Paraphilic Disorders, -ex. \text{Dividends Declared} & 30,000 && 10,000\\ 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 What is the primary focus of paraphilic disorders? C) Paraphilic sex offenders typically claim that they are able, if necessary, to control their paraphilic behaviour. C.Develop skills for independent living. Leuprorelin has been used as one of the therapeutic methods for paraphilia. \end{array} A) It is the submissive partner who uses a safe word when his or her limit has been exceeded. There is one additional source of data, other than self-reports of paraphilic disorders, that allows researchers to collect data on paraphilic behavior, and that is ________________. Initially, this paper notes that treatment for the paraphilias has been most thoroughly described and evaluated within the context of treating sex offenders (i.e., child molesters, rapists, and exhibitionists). -few data supports the role of genetics, Psychosocial Theories for the Cause of Paraphilic Disorders, -commonly held belief is that people who abuse children were abused as a child themselves The consequences of his behavior meet one of the four criteria that make Max's paraphilia abnormal to society. there is about the disorders comes from people who seek/are referred to treatment QUESTION 94. 1577 was drawn to replenish the fund. On June 30, the petty cash fund had cash of$92.76 and the following receipts on hand: postage, $240.00; supplies,$149.64; delivery service, $74.40; and rubber stamp,$43.20. Is it Adam or Charles, and why? What is the main aim of the treatment for paraphilic disorders? Does purchasing power parity hold? C. Family, peer, and cultural influences all play a part in the development of these disorders. What theory might be applied to the development of this paraphilia? c. Persons with paraphilic disorders prey primarily on female children between the ages of 12 and 15 years. Significance for Practicing Psychiatrists. -in some cases, sadistic acts may be nonconsensual By replacing the core beliefs and logic that underlie sexual compulsions with a healthy outlook on sex, a person can eliminate paraphilias from his or her lifestyle. How might an imprest (petty cash) fund be helpful in C) Mika, who enjoys going to strip clubs several times a month either alone or with her male friends. \text{Income from Slice Products} && 20,000\\ Which of the following paraphilias involves the urge to have sex with dead bodies? \text{U.S.}&\text{USD3.75}\\ Ellen and David typically engage in very ritualized behavior in which they make agreements about the acts they desire, assign specific roles to be enacted, and carry out scripted sequences of behaviors and a wide variety of painful or humiliating acts. -BUT, in some tropical areas where exposing your genitalia is the norm, this disorder may not be diagnosed, Developmental Factors in Paraphilic Disorders, -most common age of onset = adolescence--> young adult -Also, some behaviors are not only deviant sexual behaviors but also criminal offenses The remaining options do not relate to paraphilic disorders. -to be considered a disorder, must cause significant distress or person must perform voyeuristic acts The most successful treatments appear to be found among individuals who are treated early in their history of paraphilic behaviors and who are the most self-motivated to stop the deviant behavior and involve themselves in normal adult sexual relationships. . -Behavioral Therapy and CBT 1) Eliminating or decreasing inappropriate sexual arousal D) Research indicates that most sado-masochists have diverse forms of mental illness. D) Many sex offenders only receive treatment because they have been referred by the court system. DSM-5 also introduced specifier terms such as "in remission," and clarification between behavior and paraphilias. -single Sexual masochism disorder is a paraphilic disorder, which involves recurrent, intense, sexually arousing fantasies, urges, or behaviors that are distressing or disabling and have the potential to . C) S&M becomes pathological when it is non-consenting and harmful. - is victimizing Of interest is the number of dice that show a one. - Some people are sexually aroused by bondagetying up or being tied up by a partner (with consent); disciplinedominating and humiliating or being dominated or humiliated by a sexual partner (with consent); or light sadism or masochismgiving or receiving minor pain such as spankings. 25 B. What criterion is that? B) Unless the offender is motivated to change, treatment is unlikely to be successful. -mean age of victim is 8 years old Benford Corporation completed the following transactions during December of the current year and January of the next year. B. Bulimia nervosa has the highest death rate of all the mental health disorders. Individuals who ___________________ show the most successful responses to treatment for paraphilic disorders. -offends in victim's home -low income, unemployed, alcoholic, lower IQ, psychopathic, characteristics of mens pedophilic acts with boys, -has many victims (up to hundreds) The result? Joe is extremely aroused by the smell of chocolate. -BUT, in sexual masochism, women prefer less pain than men, cultural factors involved in paraphilic disorders, -ex. Formed in childhood, this template is called a. B) A sexual masochist is also likely to enjoy other forms of pain not associated with sex. Still, there are signs and symptoms that medical professionals look for to make an official diagnosis. Imagine that you are asked to create a television commercial to sell a new product. Which of the following men is most likely to be diagnosed as an exhibitionist? - BDSM: bondage and discipline (BD), domination and submission (DS), and sadomasochistic (SM) Lenny is sexually aroused by wearing women's underwear. -these disorders are sometimes associated with criminal activities. Almost exclusively seen in males on crowded places. -has had behavior since adulthood More common in men \text { Accounts receivable, net } & 107,000 & 50,000 \text { shares authorized, } \\ It is characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors that involve non-traditional sexual practices. -application of classical conditioning theory And engaging in bondage or S&M activities. ItemCash&ReceivablesInventoryLandBuildings&EquipmentInvestmentinSliceProductsCostofGoodsSoldDepreciationExpenseInventoryLossesDividendsDeclaredAccumulatedDepreciationAccountsPayableNotesPayableCommonStockRetainedEarningsSalesIncomefromSliceProductsDebit$81,000260,00080,000500,000188,000120,00025,00015,00030,000$1,299,000Credit$205,00060,000200,000300,000314,000200,00020,000$1,299,000Debit$65,00090,00080,000150,00050,00015,0005,00010,000$465,000Credit$105,00020,00050,000100,00090,000100,000$465,000. The loan agreement requires Laziza to pay interest on January 2 for October, November, and December. - very illegal Most societal attitudes consider overt sexuality in men not only normal but also desirable, something to be encouraged and rewarded. . . -***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 Mostly affects males. & \underline{\underline{\$1,299,000}} & \underline{\underline{\$1,299,000}}& \underline{\underline{\$465,000}} & \underline{\underline{\$465,000}}\\ \text{Cost of Goods Sold} & 120,000 && 50,000\\ - fundamental assumption here is that major developmental traumas or conflicts you may have encountered during your early formative years, from birth through about age ten, have been repressed into your unconscious in order to protect you from their disturbing nature. Paraphilic Disorders / therapy* Psychotherapy / methods* Psychotherapy, Group . \text { Long-term note payable } & 101,000 & \text { Preferred stock, } 5 \%, \$ 13 \text { par, } \\ C) Transvestism is equally common among men and women. -The women's clothing is, in essence, a fetish object, but in this case, it is the act of actually wearing it, not just touching or fondling it, that produces the sexual thrill. - However, in adulthood, the theory maintains, those repressed traumas may exert powerful forces on your behavior and cause you to engage in socially unacceptable behaviors, rests on the various components of classical and operant conditioning. Table 3. On average, how many dice would you expect to show a one? exhibitionist disorder is only considered a paraphilic disorder when cultural norms require that you wear clothes to cover your genitals The following accounts and December 31, 2012, balances of New Jersey Optical Corporation are arranged in no particular order. - included in DSM 5, a paraphilic disorder in which a person has repeated and intense sexual urges, fantasies, or behaviors that involve being humiliated, beaten, bound, or otherwise made to suffer, accompanied by clinically significant distress or impairment \text { Retained earnings } & \$ 151,500 & \text { Common stock, } \$ 4 \text { par } \\ -clinicians use plethysmorgraphy + photoplethysmography to measure sexual arousal (in order to measure efficacy of the interventions). A) stimulus substitution B) covert sensitization C) aversion therapy D) desensitization, A behaviour therapy that attempts to break the link between the sexual stimulus and sexual arousal is called, Pairing undesirable sexual behaviour with negative stimuli, such as mild electric shocks, is a treatment technique called. paraphilic disorder. . 2) researchers have to worry about transmission of HIV/AIDS when the plethysmograph is used -***people with paraphilic disorders often aren't motivated to change their behavior b/c the behavior is VERY reinforcing B) S&M is a variation of B&D. William needs anal stimulation through enemas to achieve sexual arousal and gratification. -***measures levels of arousal before and after intervention, -measures changes in penile tumescence (when blood vessels are enlarged)/blood flow when the man is shown sexually arousing or non-arousing stimuli About 8% of men and 3-4% of women reported having had sexual contact with an animal. - Somehow, somewhere during their sexual life, their experiences caused them to associate strong, highly pleasurable sexual arousal with some sort of atypical sexual stimulus. A) Alfredo, who likes to wear tight fitting shirts to show off his pecs. 4) some men can "beat" the machine + control their physiological response to appear less aroused, New assessment strategy to be used instead of the penile plethysmography, -measures the length of time that people look at slides of males + females (of all ages) who are wearing bathing suits As a result, he was fired from his job and rejected by his family, who thought he had gone crazy. Though he has not crossed the line to forceful demands or harassment, he knows that after 10 years of these obsessions, something is wrong with him. - NOT a paraphilia, usually defined as nonparaphilic sexual compulsivity; an obsessive preoccupation with and compulsive need for sexual activity Which is not true about social skills training? D) Many sex offenders only receive treatment because they have been referred by the court system. D. blood clots., Researchers who study the clinical experience of pain have determined that pain . Do these rates of return suggest strength or weakness? These practices can include anything from having sex with animals to dressing up in latex clothing. 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. The usage of antiandrogens, such as cyproterone acetate (CPA) and Provera, is a prominent form of treatment for paraphilic disorders. Study with Quizlet and memorize flashcards containing terms like Several studies have found that biofeedback techniques can reduce headache in up to ____% of the patients undergoing this therapy. C) A psychiatric diagnosis of paraphilia requires that the person is distressed by his/her sexual urges. On the date of combination, the fair value of Slice's depreciable assets was $50,000 more than book value. D) Tom, who masturbates while scanning the condominium across the street with binoculars so he can watch people having sex. Flashcards . In a Canadian study of university students, what percentages of females and males reported that they would watch a couple having sex if there was no chance they would be caught? 1. Paraphilic Disorders. Obscene phone calls, messages, and videos to an unsuspecting person. -Chemical Castration -offends repeatedly with the same victim \text{Cash \& Receivables} & \$\hspace{13pt}81,000 && \$\hspace{6pt}65,000\\ The terror experienced by the victim is the primary driver for the sadist. B) The client may role-play desired behaviours. - commonly experience marital difficulties Charles is a high school senior who can no longer reach orgasm without first looking at a picture of women's feet. 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). Classical psychoanalytic theory suggests that many cases of paraphilia are psychological defenses against. ). C) Paraphilic sex offenders typically claim that they are able, if necessary, to control their paraphilic behaviour. - 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. This activity outlines the evaluation and management of paraphilia and paraphilic disorders. The treatment in which unwanted sexual behaviors and images are reduced by associating them with unpleasant stimuli, such as electric shocks or noxious odors, is called __________ therapy. Treatment approaches for paraphilic disorders have included traditional psycho therapy, behavior therapy techniques, and pharmacological medications. 2) Preventing relapse -offends away from victim's home \text { Accrued liabilities payable } & 17,000 & \text { Accounts payable }&32,000 \\ Examples are sexual sadism disorder, voyeuristic disorder and pedophilic disorder. -Surgical castration as beeen performed on rapists and violent sex offenders The difference between a cross-dresser and a transvestic disorder is ________________. - The neurotransmitter serotonin, which is known to be involved in various psychological disorders, especially depression, anxiety, and obsessive-compulsive disorder (OCD), has also been connected to paraphilias - cravings may become so strong that they can harm the person or others ammonia) with either sexual fantasies or sexual behaviors Compute New Jersey Opticals rate of return on total assets and rate of return on common stockholders equity for the year ended December 31, 2012. Study with Quizlet and memorize flashcards containing terms like the treatment of paraphilic disorders is different from the treatment of sexual dysfunctions in several ways, for several decades, the most commonly used form of treatment for paraphilic disorders was, therapists repeatedly presents the stimulus that elicits inappropriate sexual arousal in association with an aversive stimulus . What do clinicians use to measure sexual arousal in order to determine the efficacy of interventions? High rates of reoffending are common following most treatment regimens. Table 2. 2) Enhancing appropriate sexual interest and arousal Common in general public (not extreme pain). 2) Hang up What is the most common Psychosocial treament for paraphilic disorders? Leuprorelin administration could change insulin resistance and accelerate bone loss. -among a group of sex offenders with a paraphilic disorder: 29% had 2 disorders, 14% had 3 No drug/surgical treatment can eliminate paraphilic ideas, TRUE. Over time, Jonathan developed a shoe fetish. Which of the following individuals would fit the definition of a voyeur? - most successful approach to treating paraphilic disorders Only $35.99/year. The effectiveness rates of all treatments for paraphilic disorders are described by your text as _______________. In which disorder does an individual become sexually aroused by certain areas of the body? Some have willing partners, other will stalk and attack non-consenting victims. This is an example of. All of the following include a common characteristic of paraphilic disorders in the DSM-5 . Give all journal entries that Pizza recorded during 20X5 related to its investment in Slice. -Sexual Masochism Disorder -children are usually the victim B) Transvestites generally wish to become the opposite sex. Table 1. Gary is a 30-year-old man who spends almost all of his time thinking and planning his next sexual encounter. 3) Brain differences, Psychoanalytical causes for paraphilia (2), 1) Defenses against unresolved anxiety harmful or destructive to the person engaging in it, gender differences in paraphilic disorders. Which paraphilia is found in women more often than other paraphilias? Those attracted to females prefer 8-10 year olds initiating and maintaining conversations, using assertive behavior, + developing dating skills to establish relationships with appropriate adults, Chapter 12 Paraphilic Disorders Treatment, General Background Information/Symptoms of Bu, Eating Disorders Not Otherwise Specified (EDN, Defining Abnormal Behavior and Early Theories, Developmental Factors + Etiology + Treatment, Contact Lenses, Coding, and Care of Ophthalmi, Infection Control, Cleaning, Disinfection, an, SAP Cert Chapter 10 Valuation and Account Det, PSYC 371 Week 8: Cortical Plasticity and Memo. -theory is that people will look longer at pictures they find sexually arousing, Biological Treatments for Paraphilic Disorders, 1) Surgical Castration -people discontinue treatment once legal oversight is over Cognitive-behavioral therapy employs a range . 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. -less likely than others to see their behavior as harmful to the victim, -recurrent + intense sexual arousal in the form of urges, fantasies, or behaviors that involve touching or rubbing against a non-consenting person The way to prevention the uprise of any paraphilic behavior often involves taking away the psychosocial risk factors for its development. Bradley uses neckties to build an elaborate contraption. The differential assigned to depreciable assets should be written off over the following 10-year period. (a) cost of merchandise sold. -most often the perpetrator is male Which of the following is a Big Five personality factor? - most are heterosexual Heather becomes especially aroused when her partner wears a cowboy hat during sex. From diagnosis to treatment, paraphilias and paraphilic disorders present unique challenges for the general psychiatrist. - the church scandals are related to a culture of homosexuality in the church, in that men with homosexual tendencies are drawn to the all-male culture of the priesthood, which in itself is not typically based in fact for most priests, and the crimes of child molestation have been attributed to more situational factors by many, being bound, tied up, or otherwise restrained during sexual activity; typically a consensual activity, a form of sexual masochism involving depriving the brain of oxygen, usually through some form of strangulation or hanging; also referred to as asphyxophilia Bondage and Discipline. - it is probably safe to start with the assumption that no one is born with any particular sexual eccentricities but that unusual sexual attractions develop in one way or another during a person's life. -***almost all people with paraphilic disorders are male (but can be found in women) -but very young boys have been known to sexually molest younger children It was found that paraphilic men showed a significantly greater response in the ________ part of the brain. 6) Usually 3-4 types of paraphilia diagnosed, -Resolving unconscious conflicts believed to originate in childhood. Flashcards. are treated early in their disorder and are self-motivated . nearly all those who engage in paraphilias are, indeed, men \text{Common Stock} && 300,000 && 100,000\\ Sam is married, and is also undergoing treatment for exhibitionism at the recommendation of his marriage counselor. These disorders include sexual interest that causes personal distress or impairment or causes potential or actual harm to another person. \text{Investment in Slice Products} & 188,000\\ B) Obscene phone callers usually target a woman they have seen but not met. -also don't want to admit their behaviors b/c it could lead to criminal charges A) Many sex offenders do not want treatment if they have a paraphilia. - 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