This document discusses several topics related to paraphilias and their treatment. It defines paraphilias as recurrent, intense sexually arousing fantasies or urges involving nonconsensual or harmful acts. It notes that acting on fantasies is sufficient for diagnosis, and lists additional paraphilias. The document also discusses possible causal factors and treatments, which include behavioral, biological, and psychosocial approaches.

1. Involve recurrent, intense
sexually arousing fantasies,
sexual urges, or behaviors
that generally involve
nonhuman objects, suffering
or humiliation of oneself or
one’s partner, or children or
non-consenting persons.

3. Transvestic fetishism (transvestite or
What is cross-dresser)
the Transsexual
difference -Early Gender Identity Disorder
between: -Autogynephilic transsexual
Drag queens or drag kings

4. Usually have a compulsive quality to them
Note:
Often person cannot function sexually if source of
attraction is not included
Acting on fantasies is sufficient for diagnosis of several
of the paraphilias (regardless of distress or impairment)
Additional DSM-IV-TR paraphilias include frotterism,
telephone scatalogia, partialism, necrophila, zoophilia,
klismaphilia, urophilia, and corpophila.
The vast majority of people diagnosed are males.

5. Describes sexual activity
that occurs under actual or
threatened forcible
coercion, or where the
person is unable to consent
due to age or some mental
of physical disability.

6. Psychoanalytic
Biological
Causal Learning
Factors
Psychosocial
Cultural attitudes
Co-morbid
psychological
problems

7. Aversion
therapy
Covert
Behavioral/ sensitization
Cognitive-
Behavioral
Orgasmic
Reconditioning
Treatment Social skills
training
SSRIs
Biological
Castration
(surgical or
chemical)