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Results for “Paraphilic Disorders”

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Children who are victims of sexual assault and the psychology of offenders.

Psychiatrists and others have too often discounted reports of sexual attacks upon children and ascribed the incident to fantasy. The author's experience in private psychoanalytic practice and in Philadelphia's rape victim clinics indicates that these assaults occur frequently. If the sexual attack is dealt with improperly or repressed it may cause serious psychologic problems for the victim as an adult.

Adult↗

A dynamic synthesis of analytic and behavioral approaches to symptoms.

The symptom-formation process involves a complex interaction between internal symbolic expression and secondary reinforcing consequences in the patient's environment. Symptoms are considered from a practical clinical perceptive integrating behavioral and analytic approaches and the implications for diagnosis, disposition, and treatment are outlined.

Behavior Therapy↗

On the diagnosis of obsessive-compulsive disorder.

This article deals with the diagnostic criteria of obsessive-compulsive neurosis. Attention is given to the diagnostic problems related to patients presenting with symptoms similar to those that accompany obsessive-compulsive neurosis.

Anxiety Disorders↗

Behavior therapy: an overview.

The authors examine the broad field of behavior therapy, the theories underlying its development, and the techniques that are used to change behavior. They review recent developments in behavior therapy as they relate to behavioral medicine and to treatment of psychiatric disorders, and briefly describe the use of cognitive behavior therapy in the treatment of depression and other problems. They discuss methods of behavioral assessment and the application of behavior therapy in large populations, as well as new uses of behavioral techniques in business and industry, gerontology, and marital therapy.

Aversive Therapy↗

The neurobiology, neuropharmacology, and pharmacological treatment of the paraphilias and compulsive sexual behaviour.

There has been increasing interest in the treatment of sexual disorders in recent years. Sexual disorders are classified in DSM-IV as sexual dysfunctions, paraphilias, and gender identity disorders. The sexual dysfunctions are nondeviant or nonparaphillic. The sexual dysfunction disorders should include "hyperactive sexual desire disorder" under sexual desire disorders. Further, there should be a specifier for paraphilias of "with hypersexuality" or "without hypersexuality." There is still incomplete understanding of the neurobiology of sexual disorders although functional neuroanatomy and neoropharmcological research has exposed the neurotransmitters, receptors, and hormones that are involved in sexual desire. Various pharmacological agents including serotonin reuptake inhibitors, antiandrogens, LHRH agonists, and others have been documented as reducing sexual desire. An algorithm for the use of these drugs in the treatment of the paraphilias as well nonparaphilic hypersexuality is outlined. The modes of action, dosages, aims of treatment, and usual methods of prescribing these agents is reviewed in this article. Some future directions of research in pharmacological treatment is also discussed.

Androgen Antagonists↗

[Therapeutic indications of behavior therapy].

Since the last decade, behavior therapy techniques have been used for a variety of psychiatric problems. This paper summarizes the therapeutic indications where behavior therapy appears to be the treatment of choice as well as those where behavioral techniques can be an adjunct. Contra-indications are described and examples of different combinations of treatment are reported.

Behavior Therapy↗

Sexual deviance among male college students: prior deviance as an explanation.

Much research on sexual deviance on university and college campuses is limited by its narrow focus on group affiliation and leads to much speculation and conjecture. This article suggests that an alternative explanation is more suitable for explaining such an important and complex problem on college campuses. It argues that prior deviance serves as a more robust predictor variable of sexual deviance. Logistic regression analyses indicate a direct relationship between prior deviance and sexual deviance. The results lend support to the argument that group affiliation is not a suitable explanation for such a complex societal problem-sexual deviance. Limitations of the study and directions for future research on sexual deviance are discussed.

Adult↗

A brief history of behavioral and cognitive behavioral approaches to sexual offenders: Part 1. Early developments.

This is the first of two papers which briefly outline the development of behavioral and cognitive behavioral treatment of sexual offenders from the mid-1800s to 1969. We first consider the historic role of Sigmund Freud and note that a broad scientific interest in deviant sexual behaviour was well established by 1900. In the early to mid-20th century, two psychologies were prominent in the development of behaviorial approaches, those of John B. Watson and Alfred Kinsey. Behavior therapy for a variety of problems emerged in the 1950s and soon found application to deviant sexuality. The development of penile plethysmography helped to focus interest on deviant sexual preference and behavior. While nonbehavioral approaches to sexual offenders paralleled these developments, a combination of behavioral and cognitive behavioral treatments began to emerge in the late 1960s which ultimately developed into the approaches more commonly seen today.

Behavior Therapy↗