Transvestism is not simply dressing up in the other sex’s garments for fun or for temporary effect. Paraphilias third types is Voyeurism is behavior to observe an unsuspecting person who is naked, disrobing or engaging in sexual activities, or may not be sexual in nature at all. Fourth is Exhibitionism- compulsive act of inappropriately exposing one’s sex organs to unsuspecting strangers for the purpose of sexual arousal and gratification. Fifth is Sadomasochism- Sadism is the intentional infliction of pain on another person or the threat to do so, for sexual excitement. This disorder is different from minor acts of aggression in normal sexual activity; for example, rough sex. In some cases, sexual sadists are able to find willing partners to participate in the sadistic activities. The caused of Paraphilia is childhood trauma, such as sexual abuse. Others causes sexually arousing if they are frequently and repeatedly associated with a pleasurable sexual activity. In most cases, the individual with a paraphilia has difficulty developing personal and sexual relationships with others. Many paraphilias begin during adolescence and continue into adulthood. The intensity and occurrence of the fantasies associated with paraphilia vary with the individual, but usually decrease as the person ages. Paraphilias treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy. Long-acting gonadotropin-releasing hormone (GnRH) agonist analogues are the most potent antiandrogens, and selectively abolish testosterone secretion in a totally reversible fashion.
Causes of Paraphilias
Common causes and Risk factors of Paraphilias
Signs and Symptoms of Paraphilias
Common Sign and Symptoms of Paraphilias
Humiliation to another person.
Bitten, or spanked.
Treatment of Paraphilias
Common Treatment of Paraphilias
Treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy.
Pharmacological interventions consist of antiandrogens that either completely reduce testosterone secretion and/or antagonize the action of testosterone at the level of the receptor, and psychotropic drugs, namely antidepressants.
Cyproterone and medroxyprogesterone acetates are the two antiandrogens more commonly used.
Psychotropic drugs may be effective solely in men with a definite obsessive-compulsive disorder component.
Long-acting gonadotropin-releasing hormone (GnRH) agonist analogues are the most potent antiandrogens, and selectively abolish testosterone secretion in a totally reversible fashion.
Group therapy involves breaking through the denial so commonly found in people with paraphilias by surrounding them with other patients who share their illness.
Cognitive therapies described include restructuring cognitive distortions and empathy training.
Use social skills training to treat patients with these types of disorders. Many social skills training groups also teach basic sexual education, which is very helpful to this patient population.