Paraphilic Disorders

Jocelyn Smith

What are Paraphilic Disorders?

Paraphilic Disorders are intense, recurring sexual fantasies, sexual urges or behaviors that involve non-human objects, children or non-consenting adults, suffering or humiliation (to self or to others) (Paraphilias, 1999). They are part of Sexual Disorders which are classified by a three-phase sexual response cycle: Desire, Arousal, and Orgasm (Sexual Dysfunction, 2014).

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(Smith, 2014).

Paraphilic Disorder Causes

There are many theories in what the causes of Paraphilic Disorders are. Some researchers believe but have yet to identify a specific biological cause of paraphilias (Paraphilias Causes and Treatments, 2009). Behaviorists suggest that paraphilias begin through a process of conditioning (Paraphilias (Causes), 1999). Thus objects that are at first nonsexual, can become viewed as sexually arousing if they are associated repeatedly with pleasurable sexual activity (Paraphilias (Causes), 1999).
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(Garrison, 2007).

Types of Paraphilias

Treatments

Medication

  • The medications used to treat paraphilic disorders can help reduce the paraphilic behavior, reducing the amount of testosterone in the body which lowers the sex drive (Paraphilias Causes and Treatments, 2009).

Therapies: The usage of therapies is to either create an aversion to what was the focus of fantasy of the paraphilic disorder (Paraphilias Causes and Treatments, 2009).

  1. Group therapies
  • While the group therapy method for treating Paraphilic Disorders focuses on renewing or building social skills, while finding the cause of the Paraphilic Disorder (Paraphilias Causes and Treatments, 2009).

Impact of this Disorder?

Because most paraphilias emerge during adolescence (Paraphilias Causes and Treatments, 2009). It can be assumed that many people are diagnosed with a paraphilic disorder, within the requirements. Despite most of the people diagnosed are men (Paraphilias Causes and Treatments, 2009). Paraphilic disorders are found all over the world impacting all racial and ethnic groups.

Controversies and disagreements in including Paraphilic disorders in the DSM-5

According to Jillian Keenan, the DSM-5’s requirements to be diagnosed with a paraphilic disorder a person needs “to feel personal distress about their interest” (Keenan, 2013). Keenan says, “The DSM V will say that happy kinksters don’t have a mental disorder. But unhappy kinksters do” (Keenan, 2013). Keenan notes that the DSM removed homosexuality from the DSM in 1987 (Keenan, 2013). Keenan then lists several consequences that happen to those who have been diagnosed with “DSM-based diagnoses” (Keenan, 2013). To be specific, those who have been diagnosed with a paraphilic disorder, the consequences that have been listed are: employment decisions, child custody proceedings, security clearances, and health insurance has been included (Keenan, 2013). Adding onto these consequences, the way family and friends look at the person have also been influenced by the diagnosis.