Parafilia

F1000Prime Reports, 2013

There is a great deal of controversy concerning paraphilia, and defining what is normal versus deviant or disordered, given that this is to some degree dependent on cultural views of acceptability. In this article, we outline these issues and describe recent progress in diagnosing and treating paraphilias.

Annual Review of Clinical Psychology, 2020

There is no accepted definition of the term paraphilia despite its being listed as an essential feature of a class of mental disorders known as the paraphilic disorders. The origin of the term, history of its inclusion as a diagnosis, and logical flaws inherent in the various definitions are discussed in this review. We examine the basis for pathologizing individuals with paraphilias, consider what paraphilias can tell us about how humans develop their sexual interests, and question the usefulness of dividing sexual interests into paraphilias and normophilias. The construct of the paraphilias appears to be poorly conceived and has outlived its usefulness.

IJHSC, 2019

Paraphilia have always been a debatable and under-researched topic in psychiatric domain, with lots of cultural myths associated with its origin. The aetiology is unclear, with several theories forwarded but none having universal acceptance. Psychotherapy was the mainstay of treatment until antidepressants were found to be effective. With the milieu gradually incorporating several anti-androgens, Gonadotrophin Releasing Hormone (GnRH) and Luteinizing Hormone (LH) analogues; pharmacotherapy was introduced after better understanding developed through extensive research.

Journal of Clinical Psychology, 1998

The current study set out to investigate the structure, determinants, and relationship between lay theories of the etiology and efficacy of "cures" for four types of paraphilia: fetishism, pedophilia, sexual sadism, and voyeurism. One hundred and five participants completed a four-part questionnaire, which was divided into (a) demographic details, (b) perceptions of the etiology, (c) ratings of cure for each paraphilia, and (d) the Eysenck Personality Questionnaire. Previous studies of lay theories have demonstrated a clear and interpretable factor structure similar to that of explicit academic theories, as well as a clear and logical relationship between perceived etiology and cure. A similar structure was expected to emerge in this study, together with positive correlations between the various factors and personality type. A factor analysis revealed a clear and logical factor structure for etiology and cure items. Further, etiology and cure factors correlated strongly with each other but only moderately with demographic details and personality differences. These findings are discussed in relation to growing literature in the field.

This paper reviewed different aspects of the assessment of paraphilic disorder, which is formerly known as paraphilia in DSM-IV-TR, including the diagnostic criteria, conceptualization, cultural factors, legal and ethical concerns, and current research and future study directions.

Archives of Pharmacy Practice , 2024

The present paper aims to highlight potential gender differences in paraphilic interest in women and men. Thus, paraphilic interests such as sexual sadism, sexual masochism, fetishism, and urophilia were targeted. The study was started in the period between 2022-2023, during which a sample of 224 participants of woman and man was selected of which 108 men and 116 women aged between 18 and 48 years. The data were collected with the Questionnaire on paraphilic disorders by accessing the participation link or by scanning a QR code with mobile phones in compliance with the norms of ethics and deontology. The obtained results indicated the existence of significant gender differences in terms of paraphilic-type interests. Men showed a significantly higher interest in sexual interests such as sexual sadism and urophilia. By comparison, women presented significantly higher sexual interests than men in terms of masochistic interests. Regarding fetishist interest, no significant gender differences were identified.

2020

Paraphilia have always been a debatable and under-researched topic in<br> psychiatric domain, with lots of cultural myths associated with its<br> origin. The aetiology is unclear, with several theories forwarded but none<br> having universal acceptance. Psychotherapy was the mainstay of<br> treatment until antidepressants were found to be effective. With the<br> milieu gradually incorporating several anti-androgens, Gonadotrophin<br> Releasing Hormone (GnRH) and Luteinizing Hormone (LH) analogues;<br> pharmacotherapy was introduced after better understanding developed<br> through extensive research.

Journal of Medical Case Reports

Background Paraphilias are recurrent and arousing fantasies, thoughts, and behaviors that cause distress to sufferers and surrounding people. This case report details the challenge of managing multiple paraphilias with compulsive sexual behavior. Case presentation A 48-year-old Malay man presented with compulsive sexual behavior, encompassing voyeuristic, frotteurism, and exhibitionistic behavior, increasing progressively over the years, with accompanying overvalued ideas of erotomania. Despite the high level of dysfunction occupationally and socially, there were no apparent psychotic, manic, or depressive symptoms. An organic workup was unremarkable, and he was diagnosed with multiple paraphilias. Treatment with selective serotonin reuptake inhibitors was commenced, and psychologically he was managed with techniques specific to compulsive sexual behavior. Conclusion Though rare in the literature, both paraphilic disorders and compulsive sexual behaviors are very distressing to suff...

Journal of Psychiatric Practice, 2001

In this article, the first of a two-part series, the authors present reasons for considering the paraphilic and hypersexual disorders together and provide an overview of these disorders. The DSM-IV diagnostic criteria for paraphilias are reviewed, and proposed criteria for hypersexual disorders are presented. The question of whether the paraphilic and hypersexual disorders should be considered within the spectrum of obsessive-compulsive disorders is considered. The authors then review the epidemiology of these disorders, and discuss some implications of recent sexual predator legislation. The authors discuss the etiology of the paraphilias and hypersexual disorders, and consider the role of endocrinological function, findings from brain imaging and neuropsychological testing, findings from primate research, the monoamine hypothesis, the imprinting hypothesis, social learning theory, the concept of courtship disorder, the role of obsessive-compulsive elements, psychodynamic theories, and genetic factors. The phenomenology of the paraphilias and hypersexual disorders is discussed, including the tendency for multiple paraphilias to co-occur, the lack of a specific offender profile, the predominance of males among those with paraphilias, the incidence of a history of victimization in individuals with paraphilias and compulsive sexual disorders, the onset and course of both types of disorders, and the lack of internal motivation for change in individuals with paraphilias and hypersexual disorders. The authors then discuss disorders that commonly co-occur with paraphilias and compulsive sexual disorders, including mood disorders, substance abuse and dependence disorders, attention-deficit/hyperactivity disorder, anxiety and impulse control disorders, and personality disorders. The second article in the series will discuss the clinical assessment and the behavioral and psychopharmacological treatment of these disorders. A guide for clinicians and patients on where and how to find specialized clinicians and treatment resources in the United States will also be provided.