ETIOLOGY AND TREATMENT OF SEXUAL DISORDERS

Etiology and Treatment of Sexual Disorders

Table of Contents

Introduction3

Paraphilias3

Psychosexual Dysfunctions6

Ego Dystonic Homosexuality7

Gender Identity Disorder in Children with Normal Genitalia9

Gender Behavior Disorder9

Excessive or Compulsive Masturbation10

Precocious Sexual Interest and Behavior11

Children Who Report Sexual Contact with an Adult Which Cannot Be Substantiated14

Post-pubescent Sex with a Partner, Homosexual17

Sexual Concerns of the Physically and Mentally Disabled19

Other Symptoms of Sexual Significance20

References21

Introduction

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III), splits up psychosexual disorders into four groups. Gender persona disorders are distinguished by the individual's sentiments of discomfort with inappropriateness about his or her anatomic sex and by continual behaviors usually affiliated with the other sex. Paraphilias are distinguished by arousal in answer to sexy things or positions that are not part of normative arousal undertaking patterns and that, in varying qualifications, may hinder with the capability for reciprocal affectionate sexy activity.

Psychosexual dysfunctions are distinguished by inhibitions in sexy yearn or the psychophysiological alterations that distinguish the answer cycle. Finally, there is a residual class of other psychosexual disorders that has two categories: ego dystonic homosexuality and psychosexual disorders not in another location classified (Athanasiou, 1999).

Paraphilias

The absolutely crucial characteristic of disorders in this sub-class is that odd or bizarre imagery or actions are essential for sexy excitement. Such imagery or actions are inclined to be relentlessly and involuntarily repetitive and usually engage either 1) fondness for use of a non human object for sexy arousal, 2) repetitive sexy undertaking with humans engaging genuine or simulated pain or humiliation or 3) repetitive sexy undertaking with non agreeing partners (Angelou, 2000). Since paraphilic imagery is essential for erotic arousal, it should be encompassed in masturbatory or coital fantasies if not really acted on out. In the nonattendance of paraphilic imagery, there is no respite from erotic tension; and sexy exhilaration and/or orgasm is not attained.

The imagery in a paraphilic fantasy (rape, S&M, bestiality, etc.) or the object of sexy exhilaration in a paraphilia is often the incentive for sexy exhilaration in persons without psychosexual disorder. Paraphilic imagery or the use of things would be advised normative in childhood masturbation sexy patterns because of children's restricted sexy information and options (Ainsworth, 2001).

In that consider, fetish demeanour is not encompassed as a diagnosis in childhood. Before the onset of mail pubescent colleague sex, the criteria of “repeatedly preferred” (to colleague sex) is not assessable; and when masturbation is the only sanctioned or accessible sexy choice, the use of inanimate things to enhance the know-how is common. When other choices (partners) are sanctioned and accessible, the “exclusive or consistently preferred” use of inanimate things is advised a fetish (Yates, 2008).

Although the age of onset for fetishes is in childhood or adolescence, paraphilic additions of childhood and adolescence may recede in their significance or degree of dependency when other sexy choices become available. For demonstration, the panty fetish (one of the most common) may start in childhood as a juvenile young man stimulates himself with thoughts of, procurement of and masturbation with ...