PARAPHILLIA DISORDERS by dr gitesh boliwar.pdf
- 1. PARAPHILLIA (disorders of sexual behaviours..) Pres. By - Dr. Gitesh m. Boliwar Mentor- Dr. Ashish chepure sir
- 2. # INTRODUCTION . Word- PARAPHILLIA Derived from Greek word Para- Next Philia - Meaning love. Etymological Definition - Next to or alongside of love
- 3. #DEFINITION A) PARAPHILLIA It denotes any intense and persistent Sexual interest Other than sexual interest In genital stimulation Or The preparatory founding with phenotypically normal, physical mature and consenting human partners.
- 4. B) PARAPHILIC DISORDERS It is a paraphilia that is currently causing distress or impairment to the individual. OR paraphilia whose satisfaction has entailed personal harm, Risk of harm to the others.
- 5. **Normal sexual Behaviours ** 1) For assist in bonding 2) Create mutual pleasure 3). cooperative with partner to Express & Enhance love Between them
- 6. #CLINICAL FEATURES Beside normal sexual behaviour. 1) Aggression 2) One sidedness 3) Victimization. 4) Concentrate of fulfillment their sexual desire 5) Always thing to carry unusual behavior
- 7. • • • • • 6) Options to get their desired object. 7 )Personal distress 8 ) Impairment in social work 9) Commonly involve sexual arousal, orgasm, usually through . masturbation and fantasy. 10 ) Harm others
- 8. #HISTORY Richard von Kraft, Ebing. German psychiatrist. Formerly introduced study of sexology as psychiatric phenomenon .identify paraphilia first in 1886 . That is sexual psychopathy.
- 9. • • • Friedrich Salomon Krauss coined the term paraphillia in 1903 avelock Ellis pointed to an example of sexual masochism in the 15th century. word popularized by John Money in the 1980s as a non-pejorative designation for unusual sexual behaviour
- 10. #ETIOLOGY Exact etiology is not known . 1) psychoanalytical theory at earlier level of psychosexual development result in repeated pattern of sexual behaviour 2) behavioural theory Via process of conditioning, non sexual objects can become sexual arousal if the frequency and repeatedly associated with pleasurable sexual activity 3) learning theory 4) biological Frontal temporal lobe damage. Subtle defect of Right amygdala , Schizophrenia, impulsive disorder ,bipolar disorder
- 11. ****some following condition causes --** 1) young boy who is sexually abused 2) Fear of sexual performance 3) Alcohol intake 4) Physiological problems 5) Socio cultural factor. 6) Psychosexual trauma. 7) Parents who humiliate and punish a small boy for struggling around with an erect penis 8)individual who is dressed in a woman clothes as a form of.Parental punishment
- 12. #. TYPESTYPES. according to the ICD 10 and DSM 5 criteria Sexual arousal by 1)exhibitoNism - Exposure to ones genitals to the other. 2) fetishism.- Non living.Object clothes, body parts . 3) Frotteurism- Touching or rubbing against non consenting person 4) pedophilia - aged 13 years or younger
- 13. 5) Sexual masochism - Pain to self. 6) Sexual sadism - Pain to other 7) Voyeurism - Arousal to naked person unsuspecting. 8) Transvestism -cross dressing.
- 14. • • • • • • • • Some PARAPHILIAs a) TelephoneScatologia - with telephone b) Necrophilia. -with dead bodies C) Zophilia -- with animals D) Caprophilia. - with E) urophilia - with urine , F) klimsophilia - enemas G) Somnophilia. - sleeping persons
- 15. • • • • • • 1) Experimental act- but that is not recurrent or compulsive. And then for its novelty first 2) Psycho physiological test- . It can measure phenyl volumetric size in response to the paraphilic and non paraphilic stimulus 3) penile plethysmography - measurement of the sexual arousal of blood flow to penis. # DIAGNOSIS
- 16. #COURSE & PROGNOSIS ** It is mainly present in adolescent or early adulthood. * - Occasionally or infrequent Done Does not have this disorder.* *RANGE normal behavior - Personal harm Harm to family Destructive to society
- 17. • • • • • #TREATEMENT. The seldom seek treatment because of their guilt, shame and fear of socialism are legal problems. But efficacy is unknown. A) External management 1) First external control 2) Reduction of sexual drive. 3) Treatment of comorbid condition.
- 18. • • • • • • • B) cognitive behavioral therapy a).Social skills training, b) sex education c) relaxation technique d) Learning Restructuring. C) inside oriented psychotherapy - long standing.
- 19. • • • • • • • • • • • D) Pharmacological 1)anti androgen. a) Cryoprotein acetate. . b) Maddoxi progesterone. MOA- , Decreased lipid erections, Ejaculation 2) hormonal legends. a) Leupride Long acting GNRH agonist. MOA. - decrease LH, testosteroone 3) SSRI. Sertraline. Fluxamine Fluxetine.
- 20. E) surgical treatment a) Neurosurgery- involves stereotonic removal of the parts of hypothalamus to disrupt production of male hormones. b) Surgical castration of testes.