Volume 36. Table 2. The effectiveness rates of all treatments for paraphilic disorders are described by your text as _______________. - One of the most notable characteristics shared by the majority of pedophiles is that they were themselves sexually abused as children \text{Cash \& Receivables} & \$\hspace{13pt}81,000 && \$\hspace{6pt}65,000\\ -not attracted to adults of either sex Many explanations have been given for the 62% reduction of child sexual abuse over the past 20 years. Issue 12. c. Dutifulness. Which of the following statements about sado-mascochism (S&M) is false? You can see that this argument is misguided in that although celibacy may cause a buildup of sexual tension for some people (whether in the priesthood or not), most of those individuals will not make children the focus of their desire or their sexual acting out. C) Mika, who enjoys going to strip clubs several times a month either alone or with her male friends. And engaging in bondage or S&M activities. There is no evidence that S&M have greater difficulty than others in establishing intimate relationships or that it is distressing or dysfunctional. D) Many sex offenders only receive treatment because they have been referred by the court system. ANS: D Paraphilic disorders are uncommon; however, because persons with these disorders repeatedly - commonly experience marital difficulties \text { Net income, } 2012 \ldots \ldots \ldots \ldots \ldots & 47,000 \\ -paraphilias that cause distress or impairment to the person or when the satisfaction of a paraphilia has caused harm or risk of harm to another person. -vaginal photoplethysmography (for females) By their very nature, some paraphilic disorders may predispose an individual to commit sexual offenses. d. Acts of paraphilia are common because persons with the disorders commit the acts repeatedly, but paraphilic disorders are uncommon. reasons people seek treatment for paraphilic disorders, - court ordered treatment (often when paraphilia is illegal, success varies on motivation to change and behavior itself) \text { Accounts receivable, net } & 107,000 & 50,000 \text { shares authorized, } \\ Concentration of sexual activity on one part of the body to exclusion of all other parts. Achievement of sexual satisfaction by being humiliated, beaten, bound, made to suffer. -intense + persistent sexual interests other than sexual interest in genital stimulation or prepatory fondling with phenotypically normal, physically mature, consenting human partners, -paraphilias that cause distress or impairment to the person or when the satisfaction of a paraphilia has caused harm or risk of harm to another person. While he masturbates, he leans into a harness that puts pressure on the vessels in his neck. - distress due to sexual dysfunction (must treat paraphilia itself to return normal fucntioning), thee current goals of treating paraphilic disorders, (1) to control paraphiliac fantasies and behaviors in order to decrease the risk of recidivism; (2) to control sexual urges; (3) to decrease the level of distress of the paraphilic individual, a therapeutic approach designed to gradually eliminate specific thoughts and associated behaviors that may be contributing to sexual problems Of the four most common reasons to seek treatment for a paraphilia, Clyde's is most likely _________, and Sam's is most likely __________. rubbing against or touching a non-consenting person (only considered paraphilia if repeated as preferred sexual behavior). - The relative prevalence of paraphilias among men as compared to women may be understood better from a larger cultural perspective. initiating and maintaining conversations, using assertive behavior, + developing dating skills to establish relationships with appropriate adults, Chapter 12 Paraphilic Disorders Treatment, General Background Information/Symptoms of Bu, Eating Disorders Not Otherwise Specified (EDN, Defining Abnormal Behavior and Early Theories, Developmental Factors + Etiology + Treatment, Contact Lenses, Coding, and Care of Ophthalmi, Infection Control, Cleaning, Disinfection, an, SAP Cert Chapter 10 Valuation and Account Det, PSYC 371 Week 8: Cortical Plasticity and Memo. Treatment approaches for paraphilic disorders have included traditional psycho therapy, behavior therapy techniques, and pharmacological medications. - Mutual consent is what distinguishes BDSM from abuse and assault, just as consent distinguishes sex from rape. Flashcards. paraphilic disorder. In your assessment, what disorder most likely describes Gary's persistent need for sex? \text { Accrued liabilities payable } & 17,000 & \text { Accounts payable }&32,000 \\ a. -treatment is based on classical + operant conditioning, Examples of ways to decrease or eliminate inappropriate sexual arousal (1st step of learning theory), 1) Satiation B) The client may role-play desired behaviours. -Chemical Castration Social Science. QUESTION 94. As a result, he was fired from his job and rejected by his family, who thought he had gone crazy. 1) Remain calm, do not display shock or fear Mostly affects males. A) Most people with paraphilias are distressed by their behaviour and seek help. 4) some men can "beat" the machine + control their physiological response to appear less aroused, New assessment strategy to be used instead of the penile plethysmography, -measures the length of time that people look at slides of males + females (of all ages) who are wearing bathing suits Again, this is almost always false. Which of the following is a Big Five personality factor? He now holds a chocolate bar next to his nose when he masturbates to achieve orgasm. Which of the following statements about obscene phone callers is false? What do clinicians use to measure sexual arousal in order to determine the efficacy of interventions? Compute New Jersey Opticals rate of return on total assets and rate of return on common stockholders equity for the year ended December 31, 2012. Check no. DSM-IV-TR moved transvestism from a disorder of gender identity to a paraphilia called transvestic fetishism. -***people with paraphilic disorders often aren't motivated to change their behavior b/c the behavior is VERY reinforcing - included in DSM 5, a term often used to refer to strong compulsive sexual behavior - more correctly called "hypersexual disorder" - victimless -but ultimately, the efficacy was not established, -the goal is to reduce sexual drive -occurs almost exclusively in young adult men/adolescents who have many victims and are rarely arrested, -involves sexually arousing urges, fantasies, etc. Trial balance data for the two companies on December 31, 20X5, are as follows: PizzaSliceCorporationProductsCompany\begin{array}{l} What type of paraphilia does he have? -has had behavior since adulthood C) A psychiatric diagnosis of paraphilia requires that the person is distressed by his/her sexual urges. Which is true about voyeurs? - The neurotransmitter serotonin, which is known to be involved in various psychological disorders, especially depression, anxiety, and obsessive-compulsive disorder (OCD), has also been connected to paraphilias Cognitive-Behavioral Therapy. DSM-5 also introduced specifier terms such as "in remission," and clarification between behavior and paraphilias. Paraphilic sexual disorders are usually treated with a combination of medication and psychotherapy. In most Western cultures, males are given greater "permission" to be sexual in their thinking, language, and behaviors. \text { Prepaid expenses } & 13,000 & \text { Dividends payable }&4,000 \\ -Surgical castration as beeen performed on rapists and violent sex offenders - Another common misconception is that men who dress as women for sexual purposes do so because they want to be women. -humiliation from wearing a diaper, licking shoes, urinated on, self-mutilation, etc. 2) Couples Therapy - However, these behaviors may not always meet the third paraphilic criterion of being seen as abnormal or deviant (such as consensual sex with one or more partners or masturbation). a. reduction or elimination of the paraphilic symptoms b. increasing victim empathy c. relapse prevention d. All of these are correct. 3) device is very intrusive (placed directly on penis) - but other hormones, such as epinephrine (adrenaline) and norepinephrine, have been implicated as well Achievement of sexual satisfaction from physical/psychological suffering of victim. Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson. b. \text{Accounts Payable} && 60,000 && 20,000\\ What is the goal of cognitive behavioural therapy? -***BUT, this is not supported, -in order to be diagnosed, there needs to be significant distress or functional impairment D) Auto-erotic asphyxia is a form of masochism. Robert is a depressed, obsessive-compulsive librarian who also has paraphilic urges that are beginning to overtake his daily life. -usually the person fantasizes about a positive emotional relationship with the victim Nitrous Oxide may be used. The behavior is engaged in for the purpose of sexual arousal or gratification. -men with transvestic disorder are actually happy with their biological sex + gender identity As he continued this practice through the early years of puberty he began to eroticize his mother's shoes which were in the closet. -***sometimes these disorders can result in death (sexual masochism and sexual sadism disorder), Sex, Race, + Ethnicity for paraphilic disorders, -people don't want to admit their behaviors to a stranger - is not considered a psychological disorder. The consequences of his behavior meet one of the four criteria that make Max's paraphilia abnormal to society. A) Transvestite men are often otherwise stereotypically masculine. 30. b. - Overall, the success rate for most paraphilic disorders is not optimistic. -reduces recidivism (chances to re-offend) rates compared to programs that use other approaches or compared to offenders who do not receive treatment due to lack of financial + therapeutic resources. Prepare an income statement. 3) Olfactory Aversion Becomes pathological when destructive, dangerous or distressing, psychological is just as common. -among a group of sex offenders with a paraphilic disorder: 29% had 2 disorders, 14% had 3 3) generally unsuccessful Clyde has been arrested twice for voyeurism, and is now undergoing treatment to try to change this behavior to reduce his risk to society. Partialism is a fetish in which an individual becomes excessively aroused by particular, Finding objects associated with the other gender sexually alluring only when wearing them is a type of paraphilia known as. Fleeting, goes unnoticed, difficulty forming relationships, fear of rejection. Examples include borderline, antisocial and narcissistic personality disorders. Fleeting, goes unnoticed, difficulty forming relationships, fear of rejection, A practice related to frotteurism characterized by persistent urge to fondle non-consenting strangers, sexual activity with a prepubescent child (generally < 10 y.o.). C) The frequency of exhibitionism increases after age 40. William needs anal stimulation through enemas to achieve sexual arousal and gratification. -Behavioral Therapy and CBT A) The eroticization of mild forms of pain falls within the normal range of sexual variation. PizzaSliceCorporationProductsCompany, ItemDebitCreditDebitCreditCash&Receivables$81,000$65,000Inventory260,00090,000Land80,00080,000Buildings&Equipment500,000150,000InvestmentinSliceProducts188,000CostofGoodsSold120,00050,000DepreciationExpense25,00015,000InventoryLosses15,0005,000DividendsDeclared30,00010,000AccumulatedDepreciation$205,000$105,000AccountsPayable60,00020,000NotesPayable200,00050,000CommonStock300,000100,000RetainedEarnings314,00090,000Sales200,000100,000IncomefromSliceProducts20,000$1,299,000$1,299,000$465,000$465,000\begin{array}{lrrrr} D) Osama who is completely comfortable working as a male stripper. C) Obscene phone callers are often hoping that their victim will express shock. \end{array} The accumulated depreciation on these assets was$10,000 on the acquisition date. Nic is being treated for his paraphilia by first imagining the paraphilic object to become sexually aroused. it can be harmless and victimless such as cross-dressing and strongly influenced by culture, intentional display of genitals to unsuspecting strangers. Next, just before orgasm, he is instructed to switch from the paraphilic imagery to culturally appropriate imagery. The . -the events actually occur and are not stimulated The rationale was that if male hormones are responsible for sex drive, less of it should decrease sex drive and paraphilic behavior along with it. 1. \end{array} \text{Depreciation Expense} & 25,000 && 15,000\\ \hline \text { Total assets, } \operatorname{Dec} 31,2011 \ldots \ldots \ldots & \$ 501,000 \\ \textbf{Item} & \textbf{Debit} & \textbf{Credit} & \textbf{Debit} & \textbf{Credit}\\ -the behavior occurs in public places such as crowded buses or subways -most common in males This is considered a ________ theory of paraphilias. In which disorder does an individual become sexually aroused by certain areas of the body? -***within repeated pairings, the deviant sexual behavior is suppressed, -intervention includes psychoeducational groups, anger management, assertiveness training, human sexuality, communication training, control of deviant sexual arousal, + relapse prevention, Cognitive Behavioral Treatments (examples), 1) Cognitive Restructuring People who become sexually aroused by inflicting pain or humiliation on others are known as. - However, these acts, though appearing to be paraphilic in nature, are done as sexual play, usually with strict rules and agreements to ensure that the activities never cross any undesired pain or comfort boundaries for either partner D) Transvestism is strongly correlated with sexual orientation. Perpetrator is at least 18 or 5 years older than the child, What are the most common behaviors of pedophilia, 60% boys. Which of the following individuals would fit the definition of a voyeur? Date each entry and include its explanation. . \text { Common equity, } \operatorname{Dec} 31,2011 \ldots \ldots &307,000 \\ D) They tend to be equally aroused by pornography. 2) researchers have to worry about transmission of HIV/AIDS when the plethysmograph is used - many have alcohol problems \hspace{185pt}\textbf{Pizza} \hspace{85pt} \textbf{Slice}\\ ; Paraphilic disorder with the term 'disorder' that was specifically added to DSM-5 to indicate a paraphilia that is inducing distress or impairment to . Though he has not crossed the line to forceful demands or harassment, he knows that after 10 years of these obsessions, something is wrong with him. - It is the most personally dangerous of all the paraphilic disorders (often fatal) What has caused several Catholic dioceses to declare bankruptcy? D) Women who make obscene phone calls are more likely to be motivated by rage than by sexual arousal. 2) Learning Theory. Give your reasoning. Joe is extremely aroused by the smell of chocolate. Personality Disorders. This would be an example of the ________ as an explanation of how a paraphilia develops. - many are married with children B. coronaries. Retainedearnings$151,500Commonstock,$4parInventory103,000125,000sharesauthorized,Property,plant,andequipment,net285,00024,000sharesissued96,000Prepaidexpenses13,000Dividendspayable4,000Goodwill64,000Paid-incapitalinexcessofpar-common140,000Accruedliabilitiespayable17,000Accountspayable32,000Long-termnotepayable101,000Preferredstock,5%,$13par,Accountsreceivable,net107,00050,000sharesauthorized,Cash41,0005,500sharesissued71,500\begin{array}{|lr||lr} Which of the following paraphilias involves the urge to have sex with dead bodies? -***by identifying patterns of sexual arousal, this method can distinguish between sexual + nonsexual offenders and between rapists + child molesters and non-offenders The significant changes in DSM-5 include the change in nomenclature from "paraphilia" to "paraphilic disorder.". What is the most common Psychosocial treament for paraphilic disorders? \text{U.S.}&\text{USD3.75}\\ B) Many people with paraphilias seek treatment only after they come into conflict with the law. Transvestic disorder is a complicated condition. B) Exhibitionism is more common among men than women. 4) High rates of recidivism - virtually all are men Treatment approaches for paraphilic disorders have included traditional psycho therapy, behavior therapy techniques, and pharmacological medications. Most common paraphilia in women, desire for pain overshadows other sources of sexual stimulation or causes harm to others. Studies indicate that most transvestites (70% to 90%) are heterosexual men Type of Masochism where person seeks to enhance sexual arousal by depriving themselves of oxygen (usually during masterbation). - people attempt to satisfy their constant and overpowering sexual cravings by taking excessive time planning and engaging in sexual behavior. Sexual arousal through viewing, usually secretly, unsuspecting people in intimate situations. Paraphilic disorder exists when recurrent, intense sexually arousing fantasies, sexual urges, or behaviors currently cause distress or impairment to the individual or whose satisfaction has entailed personal harm, or risk of harm, to others generally involving: non-human objects, the suffering or humiliation of oneself or one's partner . What criterion is that? - people who do this known as transvestites, one of the largest myths about transvestites. a. As a boy, Jonathan would hide in his mother's closet and masturbate. Other mental disorders. \text{Japan}&\text{JPY420}&\text{JPY91 = USD1 }\\ The ____________ theory of paraphilias is based on the work of Sigmund Freud, while the ____________ theory of paraphilias relies on the various components of classical and operant conditioning. The various paraphilic disorders affect a wide variety of people. A 20 year old female pedophile exhibiting multiple paraphilias and who had been both a victim of incest and an active participant, undertook extensive clinical, psychometric, endocrine and laboratory sexual arousal studies. Max was a successful banker who loved to dress in women's clothing. Which of the following statements about masochism is false? A) The typical obscene phone caller is a heterosexual male. - is victimless \text { Long-term note payable } & 101,000 & \text { Preferred stock, } 5 \%, \$ 13 \text { par, } \\ - falls under sexual assault laws -these disorders are sometimes associated with criminal activities. D) Occasional S&M is common among the general population. Give all journal entries that Pizza recorded during 20X5 related to its investment in Slice. As he approaches orgasm, he increases the pressure to cut off oxygen to the brain. there is about the disorders comes from people who seek/are referred to treatment On the date of combination, the fair value of Slice's depreciable assets was $50,000 more than book value. Individuals who _____ show the most successful responses to treatment for paraphilic disorders. Women more motivated by rage. Usually heterosexual and do not desire to change sex. Prepare the companys classified balance sheet in account format at December 31, 2012. 2. the behavior is illegal Sam is married, and is also undergoing treatment for exhibitionism at the recommendation of his marriage counselor. A.Reduce frequency of auditory hallucinations. C) Transvestism is equally common among men and women. - Selective serotonin reuptake inhibitors (SSRIs), originally developed as antidepressants, have shown promise in treating young adults and more resistant and serious cases of paraphilic disorders, effectiveness of treatment for paraphilic disorders, Overall studies examining the effectiveness of treatments for paraphilic disorders report two main findings: Treatment methods are marginally effective at best, and the research into treatment methods is inadequate 4) Cognitive-Behavioral group therapy -a # of sessions must be conducted until even any initial sexual arousal is eliminated, -similar procedure in which the individual is asked to imagine doing the deviant act but also visualize the negative consequences that result from it U.K.JapanCanadaChinaU.S.PriceofCoffeeGBP2.35JPY420CAD3.75CNY28USD3.75ExchangerateUSD1.60=GBP1JPY91=USD1CAD1.08=USD1CNY6.83=USD1. . Often, these overpowering urges occur in response to feelings of anxiety, depression, or other stressful events - self-distress (people who are embarrassed and cannot control behavior - higher rate of success) C) Masochism is the most common paraphilia among women. High rates of reoffending are common following most treatment regimens. Adam's marriage is at the breaking point over this behavior. 5) Cognitive-Behavioral treatment, -involves exposing the person to the arousing stimuli + continuing that exposure for an extended period until the stimuli no longer produce positive, erotic feelings More in males than female. Of all the drugs available to treat paraphilias, the most successful to date has/have been ___________, which has/have proved effective with other obsessive-compulsive disorders as well. The __________ of the QRS complex indicates the time in which an action potential depolarizes the ventricles. Check no. -theory is that people will look longer at pictures they find sexually arousing, Biological Treatments for Paraphilic Disorders, 1) Surgical Castration Examples include borderline, antisocial, and narcissistic personality disorders. This condition is considered a paraphilic . - Part of the attraction and excitement is the terror experienced by the victim - it can be a part of some people's compulsive masochistic acts, it is more common than most people think, and it is dangerous. A) It is the submissive partner who uses a safe word when his or her limit has been exceeded. From diagnosis to treatment, paraphilias and paraphilic disorders present unique challenges for the general psychiatrist. Learn. B) They are typically psychologically introverted. The remaining options do not relate to paraphilic disorders. . (d) 4a2b3+6a3b24 a^2 b^3+6 a^3 b^24a2b3+6a3b2, (f) 5xy245x3y25 x y^2-45 x^3 y^25xy245x3y2. C) People with paraphilias are highly likely to be motivated to change their behaviour. Totalassets,Dec31,2011Commonequity,Dec31,2011Netincome,2012Interestexpense,2012$501,000307,00047,0003,000. In the Kinsey studies, what percentage of adolescent farm boys had achieved orgasm through sexual contact with farm animals? According to your text, one of these men is exhibiting a psychological paraphilic disorder, as described in the DSM-5. A) The prevalence of paraphilias is unknown. Flashcards . - sexual arousal and gratification that are associated with acts or fantasies of being hurt, humiliated, or otherwise made to suffer \text{Cost of Goods Sold} & 120,000 && 50,000\\ Select the main goal of psychosocial therapies for persons with schizophrenia. The technique being used is called, The use of SSRIs to treat paraphilias is based on the assumption that paraphilias might be a. Grubin reported that SSRIs may be helpful in the treatment of which paraphilias? \text{Investment in Slice Products} & 188,000\\ On average, how many dice would you expect to show a one? - First, a person learns to associate sexual arousal with objects or unusual activities, and then those interactions are reinforced strongly with sexual pleasure and orgasm. - the sexual learning process is further strengthened through operant conditioning, in which a voluntary behavior in a certain sexual setting is learned because it is followed by a rewarding consequence, referred to as reinforcement. -must be used with psych treatments, Human Growth and Development (Purple Book), Professional Orientation/Ethics (Purple Book), Counseling Skills/Interventions Pt 1 (NCE), John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson, Operations Management: Sustainability and Supply Chain Management, Individual Underwriting, Pricing, and Claims.

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