Paraphilias and Paraphilia-Related Disorders

Paraphilias and Paraphilia-Related Disorders

Paraphilias and Paraphilia-Related Disorders

• Introduction
  
• What Are Paraphilias and Paraphilia-Related Disorders?
  
  • Paraphilias
    
  • Paraphilia-Related Disorders
  
  

   

Proserotonergic Pharmacotherapy

As previously described in this chapter, anxious and depressive symptoms and disorders have been identified in paraphilic sex offenders, nonoffender paraphilic men, and men with PRDs. DSM-IV (American Psychiatric Association 1994) notes that symptoms of depression can be…    

Biological Treatments for Paraphilias and Paraphilia-Related Disorders

Antiandrogen Pharmacotherapy

Although it is the primary goal of various psychotherapeutic interventions to alter deviant or unconventional sexual behavior, currently available pharmacotherapies directly target the intensity of sexual arousal. The antiandrogens cyproterone acetate and medroxyprogesterone…    

Paraphilias and Paraphilia-Related Disorders - Conclusions

In summary, although a paucity of empirical data are available from which to draw definitive conclusions about the efficacy of treatments for paraphilias and paraphilia-related disorders, the scientific rigor of such studies has definitely improved in the past…    

Monoamines, Sexual Behavior, and Hypersexuality

Although definitive research elucidating the complex neurobiological substrates of sexual behavior in humans is lacking, laboratory research of mammalian sexual behavior and monoamine neurotransmitters offers some potentially valuable data that might help to identify a biological substrate for…    

Psychotherapeutic Treatments for Paraphilias and Paraphilia-Related Disorders

Individual Psychotherapy

Although the largest extant literature containing detailed theoretical formulations regarding PAs is psychoanalytic and/or psychodynamic, there are few data to suggest that this type of psychotherapy, as a primary treatment, is likely to…    

Treatment Implications of Psychological and Psychiatric Comorbidity of Paraphilias and Paraphilia-Re

The identification of consistent developmental events, psychological “traits,” or psychiatric comorbid diagnoses would be helpful in understanding developmental antecedents, risk factors, or possible pathophysiological correlates associated with PAs and PRDs. Such an understanding then would be beneficial in…    

Biological Correlates of Male Hypersexuality

Contemporary biological investigators have noted an association between temporal lobe disorders and variant sexuality in males, including hypersexuality, hyposexuality and altered sexual preference (Langevin 1990). The temporal lobe, an integral component of the limbic system of the mammalian…    

Are Paraphilias and Paraphilia-Related Disorders Treatment-Responsive Psychiatric Conditions?

Assessment of treatment outcome for paraphilias involving sexual aggression is fraught with methodological complexity. Indeed, some forensic clinicians doubt whether sex offenders have “psychiatric” disorders at all, inasmuch as their behavior is criminal and appears ego-syntonic (Maier 1999).…    

Clinical Characteristics Common to Paraphilias and Paraphilia-Related Disorders

Before considering specific treatment modalities for PAs and PRDs, it is useful to recognize the commonalties among these conditions. Both PAs and PRDs affect predominantly men, but published research as well as clinical data characterizing men with PAs…