Paraphilic Disorders

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Sexual Interest ◽  
Treatment Modalities ◽  
Sexual Sadism ◽  
Paraphilic Disorder ◽  
Dsm 5 ◽  
Sexual Masochism ◽  
Paraphilic Disorders ◽  
Diagnostic Work ◽  
The Individual ◽  
Pedophilic Disorder

Sexuality and sexual medicine are important and often understudied aspects of medicine and psychiatry. Often, patients and physicians avoid conversations regarding sex. A paraphilic disorder is diagnosed when a paraphilia, defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”, results in distress or impairment to the individual, personal harm, or risk of harm, to others. This review covers the definition, diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis of paraphilias including voyeurism, exhibitionism, frotteurism, sexual masochism disorder, sexual sadism disorder, pedophilic disorder, and transvestic disorder. The table and figure list paraphilic disorders listed in the DSM-5 and paraphilias in the Other specified paraphilic disorders section of the DSM-5. This review contains 1 figure, 1 table, and 15 references. Key Words: DSM-5, exhibitionism, fetish, frotteurism, paraphilia, paraphilic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeurism

Forensic Evaluations of Sexual Offenders

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Adriana Roșu Silaghi ◽  
Șerban Roșu
Keyword(s):  
Sexual Offenders ◽  
Sex Offender ◽  
Sexual Interest ◽  
Psychological Profile ◽  
Forensic Evaluations ◽  
Dsm 5 ◽  
Sex Offences ◽  
Paraphilic Disorders

In this paper, my aim is to show the paraphilic disorders described in DSM-5 by highlighting their contribution to sex offences, the psychological profile of the sex offender, the most frequent sex offences, how the severity of paraphilias is being assessed and the individual’s sexual interest.

scholarly journals Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Coluccia ◽  
Mario Gabbrielli ◽  
Giacomo Gualtieri ◽  
Fabio Ferretti ◽  
Andrea Pozza ◽  
...  
Keyword(s):  
Sexual Behaviors ◽  
The United States ◽  
Sexual Practices ◽  
Accidental Injury ◽  
New Approach ◽  
Dsm 5 ◽  
Sexual Masochism ◽  
Impairment In Functioning ◽  
Paraphilic Disorders ◽  
Italian Context

DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one’s self or others. Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. Asphyxiophilia, a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation, are clearly described as disorders. Although autoerotic asphyxia has been associated with estimated mortality rates ranging from 250 to 1000 deaths per year in the United States, in Italy, knowledge on this condition is very poor. Episodes of death caused by autoerotic asphyxia seem to be underestimated because it often can be confounded with suicide cases, particularly in the Italian context where family members of the victim often try to disguise autoerotic behaviors of the victims. The current paper provides a review on sexual masochism disorder with asphyxiophilia and discusses one specific case as an example to examine those conditions that may or may not influence the likelihood that death from autoerotic asphyxia be erroneously reported as suicide or accidental injury.

scholarly journals Paraphilias and paraphilic disorders: diagnosis, assessment and management

2014 ◽  
Vol 20 (3) ◽  
pp. 202-213 ◽  
Author(s):  
Jessica Yakeley ◽  
Heather Wood
Keyword(s):  
Diagnostic Category ◽  
Specific Treatment ◽  
List Type ◽  
Type Number ◽  
Sexual Offences ◽  
Paraphilic Disorder ◽  
Know How ◽  
Dsm 5 ◽  
Treatment Services ◽  
Paraphilic Disorders

SummaryWe outline the difficulties in classifying paraphilias as mental disorder and summarise the changes to this diagnostic category in DSM-5. We review the research on the epidemiology and aetiology of paraphilias, and provide guidance on assessment and referral options for general psychiatrists when they encounter patients who may meet diagnostic criteria for a paraphilic disorder. Empirical evidence for effective treatments for paraphilias is limited, and specific treatment services are scarce, particularly for individuals presenting with legal paraphilias or those who are committing paraphilic sexual offences but who have not been convicted.LEARNING OBJECTIVESBe able to diagnose a paraphilic disorder according to DSM-5 criteria.Understand the epidemiology, comorbidity and theories of aetiology of paraphilic disorders.Know how to assess the need for disclosure if the patient presents with illegal paraphilias.

Other Specified Paraphilic Disorders

2019 ◽  
pp. 217-278
Author(s):  
J. Paul Fedoroff
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Recent Literature ◽  
The Other ◽  
Paraphilic Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Paraphilic Disorders ◽  
The One

Abstract: The Fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has a category of disorders termed “other specified paraphilic disorders” (OSPD). The DSM-5 diagnostic criteria for these disorders are contradictory, on the one hand referring to symptoms characteristic of a paraphilic disorder and, on the other hand, referring to symptoms that do not meet the full criteria for any of the disorders in the paraphilic disorders class. In this chapter, paraphilias meeting diagnostic criteria for OSPD are presented and discussed. Telephone scatologia, necrophilia, and zoophilia are briefly discussed, and the recent literature on these topics is reviewed.

Sexual Dysfunctions

2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak
Keyword(s):  
Sexual Interest ◽  
Sexual Pleasure ◽  
Treatment Modalities ◽  
Sexual Dysfunctions ◽  
Dsm 5 ◽  
Delayed Ejaculation ◽  
Arousal Disorder ◽  
Erectile Disorder ◽  
Female Orgasmic Disorder ◽  
Orgasmic Disorder

Sexuality and sexual medicine is an important and often understudied aspect of medicine and psychiatry. Often, patients and physicians avoid conversations having to do with sex. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) defines sexual dysfunctions as “a heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure”. This review addresses the diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis for sexual dysfunctions including male hypoactive sexual desire disorder, erectile disorder, premature and delayed ejaculation, female sexual interest/arousal disorder, female orgasmic disorder, and genito-pelvic pain/penetration disorder. The table lists sexual dysfunctions listed in DSM-5 with associated prevalence. This review contains 1 figure, 1 table and 20 references Key Words: DSM-5, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, painful intercourse, premature ejaculation, sexual dysfunction

Sexual Sadism Disorder- short review

2019 ◽  
pp. 105-106
Keyword(s):  
Diagnostic Criteria ◽  
Sexual Arousal ◽  
Short Review ◽  
Sexual Sadism ◽  
Paraphilic Disorder ◽  
Controversial Subject ◽  
Scientific Area ◽  
Psychological Suffering ◽  
Dsm V ◽  
Paraphilic Disorders

Sexual sadism is defined as intense and recurrent sexual arousal as a result of the physical or psychological suffering of a person who does not consent to such acts. In order to meet the SSD diagnostic criteria, the person concerned must have acted according to, or be strongly affected by, sadistic fantasies or impulses (DSM-V; APA, 2013). Although it is one of the paraphilia that has received the most interest in the scientific area, the disorder of sexual sadism is a controversial subject and an underdiagnosed paraphilic disorder. Keywords: sexual sadism, paraphilic disorders, DSM V.

scholarly journals Sexueller Sadismus: Aktueller Wissensstand und die Codierung gemäß DSM-5-TR und ICD-11

2021 ◽  
Author(s):  
Andreas Mokros ◽  
Joachim Nitschke
Keyword(s):  
Sexual Sadism ◽  
Dsm 5 ◽  
Per Se

ZusammenfassungSexualsadismus bezeichnet eine lustvolle Erregbarkeit durch die Kontrolle, Erniedrigung oder Schmerzzufügung zulasten einer anderen Person. In den psychiatrischen Klassifikationskatalogen wird heute auf Zwang und Nichteinvernehmlichkeit abgestellt, um die forensische Ausprägung des Sexualsadismus von der konsensuellen Spielart im Sinne sadomasochistischer Rollenspiele abzugrenzen („bondage“ und Disziplinierung, Dominanz und Submission, Sadismus und Masochismus; kurz: BDSM). Ferner ist zwischen diesen Formen des Sexualsadismus und dem sog. Charakter- oder Alltagssadismus als Persönlichkeitszug zu unterscheiden. Im vorliegenden Beitrag wird die aktuelle Nosologie der forensisch-psychiatrisch bedeutsamen zwangsweisen sexuell-sadistischen Störung („coercive sexual sadism disorder“) gemäß ICD-11 erläutert. Die Sexual Sadism Scale wird als diagnostisches Hilfsmittel für die gutachterliche Beurteilung vorgestellt. Befunde zur Kriminalprognose werden dargestellt, wobei die Diagnose per se nicht nennenswert mit erneuter Sexual- oder Gewaltdelinquenz nach Entlassung assoziiert ist, aber einen starken Zusammenhang mit äußerst schwerwiegenden Einweisungsdelikten zeigt (konkret: sexuell motivierte Tötungsdelikte). Wie aktuelle Literaturrecherchen ergeben, liegen aus den letzten Jahren keine Behandlungsstudien vor.

scholarly journals Finding an easy way to harmonize: a review of advances in clinical research and combination strategies of EZH2 inhibitors

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Chen Li ◽  
Yan Wang ◽  
Yueqing Gong ◽  
Tengrui Zhang ◽  
Jiaqi Huang ◽  
...  
Keyword(s):  
Treatment Modalities ◽  
Preclinical Studies ◽  
Combination Therapies ◽  
Tumor Treatment ◽  
Antitumor Effects ◽  
Therapeutic Modalities ◽  
Combination Strategies ◽  
Anti Cancer ◽  
Underlying Mechanisms ◽  
The Individual

AbstractEnhancer of zeste homolog 2 inhibitors (EZH2i) have garnered increased attention owing to their anticancer activity by targeting EZH2, a well-known cancer-promoting factor. However, some lymphomas are resistant to EZH2i, and EZH2i treatment alone is ineffective in case of EZH2-overexpressing solid tumors. The anti-cancer efficacy of EZH2i may be improved through safe and effective combinations of these drugs with other treatment modalities. Preclinical evidence indicates that combining EZH2i with other therapies, such as immunotherapy, chemotherapy, targeted therapy, and endocrine therapy, has complementary or synergistic antitumor effects. Therefore, elucidating the underlying mechanisms of the individual constituents of the combination therapies is fundamental for their clinical application. In this review, we have summarized notable clinical trials and preclinical studies using EZH2i, their progress, and combinations of EZH2i with different therapeutic modalities, aiming to provide new insights for tumor treatment.

Misperceptions of Friendly Behavior as Sexual Interest: A Survey of Naturally Occurring Incidents

1987 ◽  
Vol 11 (2) ◽  
pp. 173-194 ◽  
Author(s):  
Antonia Abbey
Keyword(s):  
Gender Differences ◽  
Gender Difference ◽  
Sexual Activity ◽  
Sexual Interest ◽  
Large Percentage ◽  
Future Research ◽  
Naturally Occurring ◽  
Retrospective Reports ◽  
Sexual Intent ◽  
The Individual

The studies described in this article examine retrospective reports of naturally occurring misperceptions of friendliness as sexual interest. Previous research has demonstrated that men perceive other people and situations more sexually than women do. The purpose of this research was to examine how this gender difference in perceptions of sexuality is exhibited in actual interactions between women and men. Two surveys of undergraduates were conducted. The results indicated that a large percentage of both women and men had experienced such misperceptions, although more women had than men. Most of these incidents were quickly resolved without problems; however, others involved some degree of forced sexual activity and left the individual feeling angry, humiliated, and depressed. Gender differences in the characteristics of these incidents and reactions to them are described. The implications of these findings for future research on gender differences in perceptions of sexual intent are discussed.

scholarly journals A multi-disciplinary, multimodal approach for the management of vascular anomalies

2019 ◽  
Vol 36 (ICON-Suppl) ◽  
Author(s):  
Aqsa Mazhar ◽  
Shazia Moosa ◽  
Alizeh Abbas ◽  
Yousuf Mallick ◽  
Lubna Samad
Keyword(s):  
Vascular Anomalies ◽  
Treatment Modalities ◽  
Vascular Tumors ◽  
Comprehensive Treatment ◽  
Multimodal Approach ◽  
Venous Malformations ◽  
Creative Commons ◽  
Special Supplement ◽  
Diagnostic Work

Objective: Vascular anomalies are a diverse group of lesions, ranging from simple to complex, disfiguring anomalies. Our objective was to diagnose and provide comprehensive treatment to patients presenting with vascular anomalies, using a multi-disciplinary approach involving dermatologists, plastic surgeons, radiologists and pediatric surgeons. Methods: Patients presenting with vascular anomalies to The Indus Hospital, Karachi, from January 2017 to March 2019 were enrolled, using a pre-defined questionnaire. Assessment, diagnostic work up, management and clinical and photographic follow up was maintained to monitor outcomes. Results: One hundred eighty seven patients with a mean age of 4.6 years, (females 62%) were enrolled. Diagnoses included vascular tumors (n=89, 47.6%), lymphatic malformations (n=38, 20.3%), capillary malformations (n=19, 10%), venous malformations (n=16, 8.5%), arterio-venous malformations (n=14, 7.5%) and mixed anomalies (n=11, 5.9%). Treatment modalities, in isolation or combination, included oral propranolol, topical timolol, pulsed dye laser and intra-lesional sclerotherapy. Mean follow up was in 7.1 months, with 27 patients achieving treatment completion. 26 children were lost to follow-up. Conclusions: Vascular anomalies have mostly been managed successfully at VAC using single or multimodal treatment. Increasingly complex anomalies can be handled using a multi-disciplinary approach. Establishment of VAC has facilitated many patients who were earlier considered as diagnostic and therapeutic challenges. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1710 How to cite this:Mazhar A, Moosa S, Abbas A, Mallick Y, Samad L. A multi-disciplinary, multimodal approach for the management of vascular anomalies. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S14-S19. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1710 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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