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November 27 2021

Non Specified Paraphilic Disorder

All You Need to Know About Non Otherwise Specified (NOS) Paraphilic Disorder

Not Otherwise Specified (NOS) Paraphilic Disorder are sexually exciting fantasies, sexual impulses, or actions that include human and nonhuman things on a regular and intense basis. These paraphilias force the sufferer or the sufferer’s partner, children, or other nonconsenting people to suffer or be humiliated. Many symptoms involve more culturally acceptable practices (e.g., recurrent masturbation, Internet pornography); such highly sexual symptoms have been described as obsessive, addictive, or impulsive.

An increasing amount of available data suggests the presence of a distinct condition defined by frequent and strong sexually stimulating thoughts, sexual impulses, or actions involving patterns that do not fit the description of paraphilia. However, there is substantial comorbidity with paraphilia. Although these symptoms have been described as sexual compulsion or addiction, these words are not enough to describe this situation. The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Illnesses, Fourth Edition (DSM-IV) classifies several sexual disorders as not otherwise specified (NOS) paraphilic disorder.

Following Topics of This Blog Have Been Discussed Below:

Types

Effects

Diagnosis

Treatment

Types of Not Otherwise Specified (NOS) Paraphilic Disorder:

Nonparaphilic Compulsive Sexual Behaviors (CSB) can be impulsive, obsessive, and compulsive, as well as driven, out of control, and upsetting. There is no specific category in the DSM for this form of CSB, however an example is given under Sexual Disorder (Not Otherwise Specified (NOS) paraphilia). However, there are at least 7 subtypes of Non Paraphilic CSB

Subtypes of Non Paraphilic Compulsive Sexual Behavior

Compulsive sexuality in a relationship
Compulsive fixation on an unattainable partner
Compulsive cruising and multiple partners
Compulsive autoeroticism (masturbation)
Compulsive use of the Internet for sexual purposes
Compulsive use of erotica
Compulsive multiple love relationships

Effects of Not Otherwise Specified (NOS) Paraphilic Disorder

There is a growing body of literature suggesting an association between Compulsive Sexual Behaviors and Human Immunodeficiency Virus and Sexually Transmitted Infection-related risk behaviors in those suffering from (NOS) Paraphilic Disorders. Whether paraphilic or Non Paraphilic Compulsive Sexual Behavior, these issues are connected to sexual health concerns, including sexually transmitted illnesses, sexual assault, and abuse. Individual psychological issues, in addition to cultural ones, can be responsible for a wide range of unfavorable sexual health outcomes.

Diagnosis of Not Otherwise Specified (NOS) Paraphilic Disorder

According to the DSM, criteria for the diagnosis of NOS Paraphilic Disorder comprises:

Sexual dysfunctions that do not match the criteria for any particular sexual dysfunction.
Despite apparently normal arousal and climax, there are no (or much reduced) subjective sensual emotions.
Situations in which the doctor has determined that there is a sexual dysfunction but is unable to tell whether it is primary, secondary to a general medical problem, or drug-induced.

Treatment of Not Otherwise Specified (NOS) Paraphilic Disorder

Stress appears to play a significant impact on the emergence, aggravation, and persistence of sexual dysfunctions. Several evidence-based therapies, including systematic desensitization, couples therapy, and sensate focus, have been demonstrated to be beneficial with this group. Furthermore, pharmaceutical therapies have been shown to be effective in reducing the symptoms of sexual dysfunction.

Psychological Treatment

Cognitive-behavioral therapy in which the therapist assists the client in determining the underlying reason for the behavior and then works with the person to develop strategies for managing sexual desires in a healthier manner.

Aversion treatment and other sorts of imagery/desensitization, in which the person imagines himself in the setting and then experiences an unpleasant occurrence, may be used to lessen future desire in participating in sexual behaviors.

Thought-stopping strategies and cognitive restructuring (identifying and modifying the thoughts that drive the behavior) might also be utilized.

Medication for Not Otherwise Specified (NOS) Paraphilic Disorder

Specific types of medications are prescribed according to the type of sexual disorder. Nonetheless, further research is needed to continue to examine the role of stress in sexual dysfunctions and for the development of effective treatments to help prevent them.

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November 27 2021

Fetishistic Disorder:

Husnain Sexual Disorders

Fetishistic Disorder: Symptoms, Causes & Treatment

“Fetishism” is derived from the Portuguese word feitico, which means “obsessive attraction.” Fetishistic Disorder is characterized by intense sexual attraction to inanimate objects or body parts that are not traditionally regarded as sexual, as well as clinically significant distress or impairment. Undergarments, boots, gloves, rubber products, and leather clothes are all common fetish objects. Feet, toes, and hair are body components related to Fetishistic Disorder conditions. It is normal for the fetish to involve inanimate items as well as body parts (e.g., socks and feet).

Overview:

Form fetishes and media fetishes are the two categories of inanimate object obsessions. The shape of the object, such as high-heeled shoes, is crucial in a form fetish. The material of the object, such as silk or leather, is important in a media fetish. Inanimate object fetishists frequently gather their favorite inanimate thing.

It is far more frequent in men than in women; in fact, the DSM-5 suggests that it occurs almost exclusively in men.

Fetishism is a type of paraphilic disorders that refers to excessive sexual attraction to any object or person other than genital stimulation with consenting adult partners. Because fetishes exist in many typically developing individuals, a diagnosis is only provided if there is personal discomfort or impairment in social, occupational, or other significant areas of functioning as a result of the fetish.

Following Topics of This Blog Have Been Discussed Below:

Symptoms

Causes

Effects

Diagnosis

Treatment

Fetishistic Disorder

Fetishistic Disorder vs Fetishism:

While both entail sexual pleasure from non-living object(s) or non-genital body part(s), Fetishistic Disorder causes severe suffering or impairs daily life functioning. Impairment can appear in a variety of ways. Sexual dysfunction can emerge in love partnerships because some people are not responsive to their partner’s obsession. Individuals with Fetishistic Disorder may also prefer solo sexual activities related to their fetishistic preference(s) even if they are currently in a pleasant and rewarding relationship. As a result, some people may not participate in appropriate sexual relationships with their partners which can lead to relationship problems. Some people go on to commit crimes motivated mainly by their fetish(s), such as theft/burglary or taking inappropriate photographs (e.g., up the skirt photographs in cases where the individual is having an underwear fetish).

Symptoms of Fetishistic disorder:

The primary symptom of Fetishistic Disorder is repeated and strong sexual arousal caused by the use of nonliving items or a highly specialized focus on non-genital bodily part(s), manifested as thoughts, impulses, or acts. A person suffering from it may experience guilt and discomfort as a result of the abnormal focus of their sexual desire.

Other Symptoms of Fetishistic Disorder Tend to Involve:

Repeated and strong sexual arousal from inanimate items or non-genital body parts that lasts at least 6 months
These sensations produce clinically substantial discomfort or impairment in social, occupational, or other critical areas of functioning
Fetish items are not confined to articles of clothing worn by cross-dressers (which would rather be classified as Transvestic Disorder).
Fetish items are not confined to things or equipment created expressly for genital stimulation (e.g. sex toys, such as vibrators or dildos).
Sexually active individuals may occasionally feel attracted by items or traditionally non-sexual bodily parts, but this attraction would not be classed as a mental disease in the absence of fixation and mental discomfort.

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Causes of Fetishistic disorder:

Fetishes usually appear around the start of puberty. Some theories argue that fetishistic desire develops as a result of an object or body part’s relationship with a person’s initial sexual arousal or masturbation experiences. There is no solid proof that Fetishistic Disorder is caused or triggered by anything.

Effects of Fetishistic disorder:

Common impacts of Fetishistic Disorder include the following:

It frequently causes guilt
Emotional conflict and the fear of being judged
Isolation
Talking honestly in your relationship
Your partner can feel inadequate

Diagnosis of Fetishistic disorder:

A diagnosis of Fetishistic Disorder must meet the following criteria:

Recurrent and strong sexual arousal with non-living items or a very particular concentration on non-genital body part(s) that is evidenced through thoughts, desires, or behaviors for at least 6 months.
Fascinations, sexual desires, or behaviors produce clinically substantial suffering or impairment in social, vocational, or other crucial areas of functioning.
Fetish objects include items of clothes used in cross-dressing (as in Transvestic Disorder) and gadgets expressly developed for tactile genital stimulation (e.g. vibrator).
The DSM-5 divides it into subgroups based on the individual’s fetish (body part(s), non-living object(s), or others). It also indicates if a person is presently in a controlled setting or in complete remission.

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Treatment of Fetishistic Disorder:

Psychotherapy:

Cognitive Behavioral Therapy (CBT) and cognitive restructuring techniques are used by therapists to detect and change ideas and behaviors. To lessen interest in fetishistic things, they also use aversion therapy or guided visualization. CBT has been found in studies to be an effective treatment for Fetishistic Disorder when combined with medication therapy.

Medication:

Selective Serotonin Reuptake Inhibitors (SSRIs) like Prozac/fluoxetine can assist with co-occurring mental disorders like anxiety or depression by reducing sex urge. Many persons who use SSRIs will have sexual adverse effects, including a loss of desire in sex. Reduced sex desire can assist with the impulsivity associated with fetishistic behaviors and thoughts.

November 27 2021

Pedophilic Disorder

Husnain Sexual Disorders

Pedophilic Disorder: Symptoms, Causes & Treatment

Pedophilic Disorder is a type of paraphilic disorder that is characterized by recurrent intense sexually arousing fantasies, urges, or behaviors involving prepubescent or young adolescents, usually under the age of thirteen. It is identified by an individual who is five years older or more than the child who is the victim of the fantasies or behavior patterns.

Overview:

The majority of pedophiles are men. Attraction might be directed toward young males, young girls, or both. However, pedophiles prefer opposite-sex children by a 2 to 1 ratio to the same sex child. The adult is usually someone the child knows, such as a family member, step-parent, neighbor, or someone in a position of authority (e.g., a teacher, a coach). Genital contact appears to be less common than seeing or touching.

Many pedophiles will threaten the child to use force or physically hurt their family or pets if they disclose the abuse.

Following Topics of This Blog Have Been Discussed Below:

Symptoms

Causes

Risk Factors

Diagnosis

Treatment

Causes of Pedophilic Disorder:

It is unknown what causes pedophilia (and other paraphilias). It is possible that pedophilia runs in families, but it’s unknown if this is due to genetics or taught behavior.

Another possibility with the development of pedophilia is a history of childhood sexual abuse; however this has not been verified. According to behavioral learning theories, a child who witnesses or is the victim of improper sexual activities may be conditioned to replicate such actions.

There are other studies that indicate that a pedophile is more likely to have suffered childhood head trauma when compared to non-pedophiles.

Symptoms of Pedophilic Disorder:

Recurrent strong sexually arousing thoughts, sexual impulses, or actions involving sexual interaction with a prepubescent child for at least 6 months (usually age 13 years or younger).
The individual is at least 16 years old and at least 5 years older than the child.
A late adolescent participating in an ongoing sexual relationship with a 12- or 13-year-old is not included.

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Risk Factors of Pedophilic Disorder:

There are some people who are at a higher risk of developing pedophilia. There appears to be a link between pedophilia and antisocial personality where individuals who share both features being more likely to engage in sexual conduct with children. Second, many adult males with pedophilia report having been sexually assaulted as a child which may or may not be indicative of a causal relationship. Finally, each element that raises the likelihood of pedophilia raises the risk of pedophilic disorder as well.

Diagnosis of Pedophilic Disorder:

To be diagnosed with pedophilic disorder, the following criteria must be met according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).

For a period of at least 6 months, recurrent, intense sexual fantasies, urges, or behaviors involving sexual activity with a prepubescent child (generally age 13 or younger). These urges have bee acted on or have caused significant distress or impairment in occupational, social, or other important areas of life.
The individual is at least 16 years old and at least 5 years older than the victim child. This does not, however, include a late adolescent who is engaging in a continuing sexual relationship with a 12- or 13-year-old.
A pedophilic disorder diagnosis should also describe whether the person is solely attracted to youngsters or not, the gender to whom the person is drawn, and whether the sexual impulses are confined to pedophilia.

Treatment of Pedophilic Disorder:

Psychotherapy:

Individuals with pedophilic disorder have been effectively treated using cognitive-behavioral therapy (CBT) methods. Therapy is even more effective if the individual is willing to attend individual and group treatment. Responsibility taking, victim empathy, aversive training, learning about healthy versus unhealthy relationships, and developing a sound relapse prevention plan is key to success. Treatment should be conducted by a qualified therapist who is experienced in sex offender treatment.

Medication:

Medication may be used along with psychotherapy if necessary. These include:

Antiandrogens, such as Lupron and Provera are used which can help to lower the hyperactive sex drive.
Selective serotonin reuptake inhibitors, which treat associated compulsive sexual disorders and reduce the symptoms related to stress and anxiety.