Paraphilias are sexual interests in objects, situations, or individuals that are atypical. The American Psychiatric Associationin its Diagnostic and Statistical Manual, Fifth Edition DSMdraws a distinction between paraphilias which it describes as atypical sexual interests and paraphilic disorders which additionally require the experience of distress or impairment in functioning. In his book on sexual pathologies, Anil Aggrawal compiled a list of terms describing paraphilic sexual interests.
Sexual Paraphilias Cindy Meston, Ph. According to the DSM-IV, in order to be diagnosed with a paraphilia, one must demonstrate the following features:. The DSM-IV lists eight types of paraphilic disorders but in practice, individuals displaying one paraphilia very often also exhibit other paraphilic behaviors.
Paraphilia previously known as sexual perversion and sexual deviation is the experience of intense sexual arousal to atypical objects, situations, fantasies, behaviors, or individuals. No consensus has been found for any precise border between unusual sexual interests and paraphilic ones. The number and taxonomy of paraphilia is under debate; one source lists as many as types of paraphilia.
Paraphilic disorders are recurrent, intense, sexually arousing fantasies, urges, or behaviors that are distressing or disabling and that involve inanimate objects, children or nonconsenting adults, or suffering or humiliation of oneself or the partner with the potential to cause harm. However, some sexual activities that seem unusual to another person or a health care practitioner do not constitute a paraphilic disorder simply because they are unusual. People may have paraphilic interests but not meet the criteria for a paraphilic disorder.
These fantasies, urges, and behaviors produce clinically significant distress or impairments in social, occupational, and other important areas of functioning. OBJECTIVE: The goal of this article was to provide an in-depth review of the clinical pharmacology of the main antiandrogens cyproterone acetate, medroxyprogesterone acetate [MPA], and the luteinizing hormone-releasing hormone [LHRH] agonists used in the treatment of the paraphilias, as well as a discussion of the relevant clinical case reports, case series, and controlled trials. Treatment recommendations are also provided.
Here's how to inoculate ourselves against negative ones. Verified by Psychology Today. A paraphilia is a condition in which a person's sexual arousal and gratification depend on fantasizing about and engaging in sexual behavior that is atypical and extreme.
She has used brain imaging techniques to better understand hypersexuality and paraphilia in men. These proclivities were almost as popular among women as they were in men. In this case, I do think treatment is warranted," says Soh.
In fact, reducing the amount of testosterone in the body in effect lowers sex drive. While decreasing sex drive by lowering testosterone levels may help, it is important to note that this may not "cure" the paraphilia. Therefore, medication should be combined with some type of cognitive-behavioral treatments as well. These treatments are described below.
Anasteemaphilia Arousal to a person of extreme stature, either giant or dwarf. Autoplushophilia Arousal to oneself dressed as a giant cartoon-like stuffed animal. Fetishism Arousal to objects that have been in physical contact with desired person.
Fetishism is use of an inanimate object the fetish as the preferred method of producing sexual excitement. However, in common parlance, the word is often used to describe particular sexual interests, such as sexual role-playing, preference for certain physical characteristics, and preferred sexual activities or objects. 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.