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. Mark bought an apartment on the twelfth floor across from a busy hotel in order to catch couples undressing and having intercourse. - Most studies on the relationship among hormones, neurotransmitters, and paraphilias have provided evidence of a link by administering medications designed to change the balance of these chemicals in men with uncontrollable paraphilic urges (to some success). \end{array} - but other hormones, such as epinephrine (adrenaline) and norepinephrine, have been implicated as well What factor distinguishes BDSM (bondage, discipline, sadomasochism) from abuse and assault? Flashcards. - sexual activities that combine sadism and masochism Retainedearnings$151,500Commonstock,$4parInventory103,000125,000sharesauthorized,Property,plant,andequipment,net285,00024,000sharesissued96,000Prepaidexpenses13,000Dividendspayable4,000Goodwill64,000Paid-incapitalinexcessofpar-common140,000Accruedliabilitiespayable17,000Accountspayable32,000Long-termnotepayable101,000Preferredstock,5%,$13par,Accountsreceivable,net107,00050,000sharesauthorized,Cash41,0005,500sharesissued71,500\begin{array}{|lr||lr} In most Western cultures, males are given greater "permission" to be sexual in their thinking, language, and behaviors. \hspace{185pt}\textbf{Pizza} \hspace{85pt} \textbf{Slice}\\ D) Many sex offenders only receive treatment because they have been referred by the court system. -Voyeuristic Disorder -***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 Which factor tends to separate a paraphilia from a normal variant in sexual behavior? You can see that this argument is misguided in that although celibacy may cause a buildup of sexual tension for some people (whether in the priesthood or not), most of those individuals will not make children the focus of their desire or their sexual acting out. - takes many forms, including dominating, restraining, tying up, blindfolding, beating, cutting, whipping, strangling, mutilating, and even killing another person, usually during sexual activities Paraphilias are abnormal sexual behaviors or impulses characterized by intense sexual fantasies and urges that keep coming back. Sexual arousal through viewing, usually secretly, unsuspecting people in intimate situations. -the pleasurable state is likely to be repeated PizzaSliceCorporationProductsCompany, ItemDebitCreditDebitCreditCash&Receivables$81,000$65,000Inventory260,00090,000Land80,00080,000Buildings&Equipment500,000150,000InvestmentinSliceProducts188,000CostofGoodsSold120,00050,000DepreciationExpense25,00015,000InventoryLosses15,0005,000DividendsDeclared30,00010,000AccumulatedDepreciation$205,000$105,000AccountsPayable60,00020,000NotesPayable200,00050,000CommonStock300,000100,000RetainedEarnings314,00090,000Sales200,000100,000IncomefromSliceProducts20,000$1,299,000$1,299,000$465,000$465,000\begin{array}{lrrrr} - However, these acts, though appearing to be paraphilic in nature, are done as sexual play, usually with strict rules and agreements to ensure that the activities never cross any undesired pain or comfort boundaries for either partner -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. - men who become involved in this paraphilic disorder are most active between the ages of fifteen and twenty-five and tend to decrease and stop the behavior altogether as they age side effects + high recidivism rate) Paraphilic disorders are a group of mental health conditions that cause recurring and intrusive sexual thoughts, fantasies, and behaviors involving children, non-consenting people, or inanimate objects. -men with transvestic disorder are actually happy with their biological sex + gender identity -because of this, the only info. People engaging in chat scatologia are sexually aroused by, sending obscene emails and instant message. a. reduction or elimination of the paraphilic symptoms b. increasing victim empathy c. relapse prevention d. All of these are correct. DSM-IV-TR moved transvestism from a disorder of gender identity to a paraphilia called transvestic fetishism. Because of the drug's effects and side effects, the patient must give written consent before the drug can be administered initially. (d) 4a2b3+6a3b24 a^2 b^3+6 a^3 b^24a2b3+6a3b2, (f) 5xy245x3y25 x y^2-45 x^3 y^25xy245x3y2. Genetics may play a role, in that some people may inherit a predisposition, a slight push from nature, toward compulsive behaviors in general, which in some may manifest in sexual acts. -offends repeatedly with the same victim Which of the following statements about paraphilias is false? Appears to be desire to completely posses an unresisting & non-rejecting partner, Individual commits murder to obtain corpse for sexual purpose, sexual arousal from being treated as an infant, piercing, scarring, or tattooing of sexual body parts, Arousal from filth or filthy environments, Actual contact with animals is preferred over sex with human partners, incorporation of insects or small crawling creatures, arousal from introducing liquids into the rectum/colon via the anus, sexual activity that involves male imagining self as female, fantasizes being a more attractive male body, 1) Hormone/Nervous system involvement - 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 Individuals who _____ show the most successful responses to treatment for paraphilic disorders. -the drug controls pedophilic disorder, exhibitionist disorder, + voyeuristic disorder, Psychosocial Treatments for Paraphilic Disorders, 1) Behavioral Therapy and CBT -the scene is presented to patient for a period of time and over repeated sessions until the patient's urges to engage in the deviant behavior have been eliminated, -pairing of unpleasant, but harmless odors (ex. the book, DSM-5, the Sexual and Gender Identity Disorders Work Group sought to draw a line between It is argued that sexual preference for particular types of people and activities are strongly influenced by cultural values. Given the information available, which theory offers the best explanation for Jonathan's fetish? The consequences of his behavior meet one of the four criteria that make Max's paraphilia abnormal to society. - primarily due to the coercive nature of these behaviors that most states in the United States and most countries worldwide have enacted laws against these paraphilic disorders. - people attempt to satisfy their constant and overpowering sexual cravings by taking excessive time planning and engaging in sexual behavior. -penile plethysmography (for males) Which of the following paraphilias involves the urge to have sex with dead bodies? - tend to be depressed, see themselves as lonely, exhibit low self-esteem and feelings of inferiority, and are emotionally immature, two persistent myths about pedophiles in Catholic church, - the pedophilic behavior of priests has been due to the church's culture of celibacy (the renunciation of marriage and the vow of chastity). The accumulated depreciation on these assets was$10,000 on the acquisition date. a. Which of the following statements about exhibitionism is false? - However, these behaviors may not always meet the third paraphilic criterion of being seen as abnormal or deviant (such as consensual sex with one or more partners or masturbation). The petty cash custodian could not account for the shortage. -paraphilias that cause distress or impairment to the person or when the satisfaction of a paraphilia has caused harm or risk of harm to another person. -treatment is based on classical + operant conditioning, Examples of ways to decrease or eliminate inappropriate sexual arousal (1st step of learning theory), 1) Satiation A) It is the submissive partner who uses a safe word when his or her limit has been exceeded. Eventually, if successful, his sexual desires and urges will become redirected, or reconditioned, toward the new, more acceptable activities, most successful treatment for paraphilic disorders, drug-based therapies, especially in combination with psychotherapeutic interventions, - Historically, drug treatment for paraphilias consisted of medications that would reduce the action of testosterone. Which paraphilia is found in women more often than other paraphilias? Paraphilic disorders. Adam, because he is engaging in behavior that causes personal distress to another individual, and the behavior is nonconsensual. In the Diagnostic and Statistical Manual of Mental Disorders (DSM), paraphilic disorders are often misunderstood as a catch-all definition for any unusual sexual behavior. The fund was established in the amount of $600.00 on June 1 from the proceeds of check no. 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. \text { Goodwill } & 64,000 & \text { Paid-in capital in excess of par-common } & 140,000 \\ 25 B. - Sexual arousal and orgasm are very powerful reinforcements for whatever behavior becomes associated with them. Paraphilic disorders are sexual mental health conditions that have to do with extreme or unusual sexual fantasies, urges, and behaviors. Match. nearly all those who engage in paraphilias are, indeed, men Classical psychoanalytic theory suggests that many cases of paraphilia are psychological defenses against. Interpret the meaning of the term below: 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 . The cognitive-behavioral therapy approach addresses the warped thinking patterns that fuel the addiction. 4) High rates of recidivism 3) Report to police, 1) Remain calm (American Psychiatric Association, 2013). -they do not seek out pain/humiliation in other types of activities John Money theorized that every individual has a mental template of an ideal lover and the types of stimuli that are sexually arousing. More in males than female. What type of paraphilia does he have? The interest expense for each month is$433. sexual activity with a prepubescent child (generally < 10 y.o. \text{Japan}&\text{JPY420}&\text{JPY91 = USD1 }\\ -***BUT, this is not supported, Behavioral Conditioning Theories for the Cause of Paraphilic Disorders, -ex. B. coronaries. - majority of members in a given society apply those criteria in making a judgment about whether or not the behavior, in the eyes of the broader social context, is normal, moral, and acceptable, criteria for when a paraphilia is more likely to be judged negatively by a society, 1. behavior is harmful or destructive to the person engaging in it -activities can lead to injury or death, BUT couples also sometimes have a mutual agreement to partake in these behaviors, -involved infliction of pain or humiliation, but the physical or psychological influence is inflicted on another person A 20 year old female pedophile exhibiting multiple paraphilias and who had been both a victim of incest and an active participant, undertook extensive clinical, psychometric, endocrine and laboratory sexual arousal studies. Some have willing partners, other will stalk and attack non-consenting victims. -Sexual Masochism Disorder Becomes pathological when destructive, dangerous or distressing, psychological is just as common. Flashcards . \end{array} \text{Buildings \& Equipment} & 500,000 && 150,000\\ Definition. Obsession with having sexual encounter with a cadaver. D) Many sex offenders only receive treatment because they have been referred by the court system. that transvestites are gay men. -low income, unemployed, alcoholic, lower IQ, psychopathic, characteristics of mens pedophilic acts with boys, -has many victims (up to hundreds) The result? - When a culture or society looks at any human behavior, it does so through a lens of broadly shared norms and standards. 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. Only $35.99/year. -***BUT, this is not supported, -in order to be diagnosed, there needs to be significant distress or functional impairment - 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 Adam is a finance advisor who insists against his wife's will that she endure painful physical contact prior to intercourse. It may be that as males are given more latitude in Western cultures to be sexual, some of them will learn to express that freedom in paraphilic ways. They also cause people with these conditions to experience significant personal distress and limited functioning. compulsive sexual activities that are practiced by a small percentage of people and that most members of a given culture would consider abnormal, deviant, or pathological, Psychopathia Sexualis (1886) (Richard von Krafft-Ebing), book that consisted of 237 case studies of sexual activities, any behavior seen as caused by sickness or disease, criteria to determine a paraphilia (book). 4) Cognitive-Behavioral group therapy Round percentage calculations to the nearest 0. The term paraphilia has been described as any sexual interest that is outside of "conventional" or "typical" sexual interests. B) There is no evidence that sado-masochists have greater difficulty than other people in forming intimate relationships. 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. - In other words, if a person engages in paraphilic behavior instead of forming healthy intimate relationships with others -offends only once with a victim The various paraphilic disorders affect a wide variety of people. As he continued this practice through the early years of puberty he began to eroticize his mother's shoes which were in the closet. Paraphilic Disorders. A.Reduce frequency of auditory hallucinations. Table 3. B) A sexual masochist is also likely to enjoy other forms of pain not associated with sex. The level of severity, distress, and impairment (up to and including criminal behavior) resulting from these disorders also are highly variable. -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. Which of these statements reflect achievement of discharge criteria for a patient receiving in- hospital treatment for a paraphilic disorder? Test. -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 -usually the person fantasizes about a positive emotional relationship with the victim -clinicians use plethysmorgraphy + photoplethysmography to measure sexual arousal (in order to measure efficacy of the interventions). RetainedearningsInventoryProperty,plant,andequipment,netPrepaidexpensesGoodwillAccruedliabilitiespayableLong-termnotepayableAccountsreceivable,netCash$151,500103,000285,00013,00064,00017,000101,000107,00041,000Commonstock,$4par125,000sharesauthorized,24,000sharesissuedDividendspayablePaid-incapitalinexcessofpar-commonAccountspayablePreferredstock,5%,$13par,50,000sharesauthorized,5,500sharesissued96,0004,000140,00032,00071,500, Totalassets,Dec31,2011$501,000Commonequity,Dec31,2011307,000Netincome,201247,000Interestexpense,20123,000\begin{array}{lrr} -typically the person presented with deviant sexual stimuli and then inhales ammonia fumes, which causes burning + watering eyes, runny nose, + coughing It is characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors that involve non-traditional sexual practices. \end{array} Trouble forming relationships with women. - most successful approach to treating paraphilic disorders How might an imprest (petty cash) fund be helpful in (See also Overview of Paraphilic Disorders .) fetish related. - A critical analysis of the available literature indicates that, in a broad sense, some form of treatment is better than no treatment in reducing unwanted behaviors. -their behaviors, occupations, + hobbies are those typical of other heterosexual males D) Some cases of paraphilia are harmless and victimless. A) Transvestite men are often otherwise stereotypically masculine. -intense + persistent sexual interests other than sexual interest in genital stimulation or prepatory fondling with phenotypically normal, physically mature, consenting human partners, -paraphilias that cause distress or impairment to the person or when the satisfaction of a paraphilia has caused harm or risk of harm to another person. \text { Net income, } 2012 \ldots \ldots \ldots \ldots \ldots & 47,000 \\ Examples are sexual sadism disorder, voyeuristic disorder and pedophilic disorder. C) Paraphilic sex offenders typically claim that they are able, if necessary, to control their paraphilic behaviour. Which of the following is a Big Five personality factor? - Part of the attraction and excitement is the terror experienced by the victim \text { Prepaid expenses } & 13,000 & \text { Dividends payable }&4,000 \\ - the sexual learning process is further strengthened through operant conditioning, in which a voluntary behavior in a certain sexual setting is learned because it is followed by a rewarding consequence, referred to as reinforcement. -neuroanatomical + neurochemical studies HAVEN'T detected brain abnormalities These explanations include ___________________________. C) Masochism is the most common paraphilia among women. C) Attention is focused on encouraging the client to express deeper emotions. However, many who are diagnosed (or diagnosable) may be drawn into sexual behaviors that are clearly paraphilic disorders. -BUT, we DO know that the disorders are rare -also don't want to admit their behaviors b/c it could lead to criminal charges 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). Does purchasing power parity hold? Treatment approaches for paraphilic disorders have included traditional psycho therapy, behavior therapy techniques, and pharmacological medications. - sometimes uses aversion therapy, psychotherapy in which unwanted sexual behaviors and images are reduced by associating them with an unpleasant stimulus such as electric shocks or noxious odors, a type of aversion therapy in which, instead of actual shocks or bad odors, the client repeatedly fantasizes the unwanted behavior and adds an extremely aversive event to the fantasy B) Unless the offender is motivated to change, treatment is unlikely to be successful. High rates of reoffending are common following most treatment regimens. Ninety-five percent of transvestites perceive themselves, without hesitation, as male.