Horwitz Paraphilias

Front 1

Know the major diagnostic criteria for each of the different paraphilias
Be able to identify and diagnose a specific paraphilia given a case study with typical features of that disorder
Know which paraphilias are most likely to result is arrest
Know the major diagnostic criteria for the
sexual dysfunction disorders

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Front 2

What's this?

Are unusual fantasies or sexual urges
or behaviors that are recurrent and
sexually arousing. These activities
generally focus on a person
humiliating himself/herself or a partner,
on children, other nonconsenting
people or on nonhuman objects

Back 2

PARAPHILIAS

Front 3

Paraphilias urges and behaviors must
occur for at least _ months and
must cause significant distress
or impairment in social, occupational, or
other important areas of functioning.
Paraphilias commonly involve illegal
activities and criminal sexual offenses

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Front 4

describe these:

EXHIBITIONISM
FETISHISMS
FROTTEURISM
PEDOPHILIA
SEXUAL SADISM
SEXUAL MASOCHISM
VOYEURISM
TRANSVESTIC FETISHISM

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Exhibitionism - almost exclusively male. Paraphilias in general are almost exclusively male.
Fetishisms - usually non-human object -- total fixation on shoes - rubber -
Frotteurism - when a male rubs up against a female in a public place and has an orgasm.
Pedophilia - if under 18, then child must be 5 years younger.
Sexual sadism - hurting someone else
Sexual masochism - not necessarily a paraphilia unless it disturbs the person
Voyeurism - not just peeping - wants to see other people have sex - he doesn’t want to do it, he just wants to see the other people do it.
Transvestic fetishism - cross dressing

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The greatest number of
non-computer associated
paraphilia arrests include:

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Pedophiles
Sexual Sadists
Voyeurs
Exhibitionists

Front 6

Describe
Partialism
Coprophilia
Klismaphilia

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Partialism - sexual relationship with someone, but partial in that they only have relations with one part of a person.
Coprophilia - fixation on feces
Klismaphilia - enemas - self administered or not

Front 7

Can you figure out these?
PARAPHILIAS N.O.S.
OBSENCE PHONE CALLS AND OBSCENE
INTERNET COMMUNICATION -SCATOLOGIA
NECROPHILIA
PARTIALISM
ZOOPHILIA
COPROPHILIA
KLISMAPHILIA
UROPHILIA
HYPOXYPHILIA
MASTURBATION

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Front 8

break down paraphiliac law breakers by 1/3s

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Type: 1/3 “hard-core” - can tell you all what they’ve done, but can’t help themselves - creeps
Type: 1/3 - one-time “mistake”
Type: 1/3 - mistaken - they didn’t really do it - divorce cases - “Horowitz observation study”:)

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Describe the SEXUAL DESIRE DISORDERS (2)

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Hypoactive sexual desire disorder - very low sex drive - both men and women
Sexual aversion disorder - see sex as dirty filthy - no way

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Describe the SEXUAL AROUSAL DISORDERS

FEMALE SEXUAL AROUSAL DISORDER
MALE ERECTILE DISORDER

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Female sexual arousal disorder - interested, but unable to get aroused, lubricated

same with male

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Describe orgasmic disorders:

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Female orgasmic disorder - can’t have orgasm
Male - same
Premature ejaculation - treat with paxil (SSRI)

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Dscribe sexual pain disorders

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Dyspareunia - painful intercourse
Vaginismus - involuntary contractions of vaginal wall typically before penetration, very painful

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Missing slide -
Gender identity Disorders:
In children: repeated desire to be or insistence that he or she is the other sex
Boys preferring female attire and girls preferring stereotypically male clothing
Strong pref for playing cross sex roles in make believe play or persistent fantasies of being the other sex
Desire to participate in stereotypical games and pastimes of the other sex
Strong pref for playmates of the opposite sex
In adults: stated desire to be the other sex, frequent passing as the other sex, desire to live as the other sex.
Both: must have persistent discomfort in his or her sex - sees inappropriateness in his or her own sex.
Preoccupation with getting rid of primary sex characteristics.
Generally have to see significant distress or impairment in functioning.
Gender identity disorder diff from cross dressers in that they want to be accepted as opposite sex. Cross dressers like to be shocking.

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subtype classifications of sexual dysfunctions (2)

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Subtype classification: All sexual
dysfunctions are classified as either:
1. Lifelong type- present since onset of
sexual functioning
2. Acquired type- develops only after a
period of normal functioning
(Further divisions into generalized and
situational types)