Review Research: Strategies in the treatment of Paraphilias: A Critical Review
The authors of the article aim to explore the treatment of persons with paraphilias. They have noted that the important thing to do is to figure out the first step in designing treatment programs for paraphilias as a result this will help the doctor determine what needs to be addressed. They also noted that the life history examination of the patient is vital part of the assessment thus it will help assist the therapist developed a deeper understanding of the client and it will help him identify if there is a change that can be addressed in the treatment.
Two different takes were taken into consideration first is giving treatment to only criminogenic factors of paraphilia
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C writes his research about the diagnostic validity and forensic utility of paraphilias. Wakefield faces a “difficult conceptual distinction between deviant sexual desires that are mental disorders versus those that are normal variations in sexual preference (even if they are eccentric, repugnant, or illegal if acted upon) has attained critical forensic significance.” He’s argument of what paraphilias is since the earlier times it has always been unclear and open to interpretation and based on ideals if sexual norms. Any interpretation of the word can alter its definition. He carefully scrutinized the criteria used in paraphilic disorders. Few manuals exist to help diagnose a patient mental health and these are the International Classification Disease and Related Health Problems (ICD-10-CM) and DSM or known as the diagnostic and statistical manual. These diagnostic materials have huge impact on are legal and political issues today. Sexual Predators who have been incarcerated also deemed to suffer from paraphilic mental disorder are now allowed to have indefinite preventive civil commitment for criminals who have completed their prison sentence. This means that the states can decide whether or not to keep sexual predator locked up beyond their prison sentence, that they think is high risk rejoining society and might commit another crime. While mental health caregivers used ICD’s and DSM’s to diagnose a patient, the criminal justice system also uses the DSM’s as a legal basis for sentencing and committing sexually motivated criminals to psychiatric care. An article written by Frances and First reported that the paraphilia section of DSM-4 was vastly misinterpreted, specifically referring to the forensic evaluations of sexually violent predators, leading to “inappropriate medicalization of criminal behavior to serve a practical public safety purpose”"and it had “been manipulated heavily to favor the legal
The judge investigating Kim’s case requested a Forensic Mental Health Assessment (FMHA) be conducted (de Ruiter & Kaser-Boyd, 2015). The FMHA conducted consisted of forensic assessment instruments such as a standardized psychometric test of adult personality and psychopathology, the Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Also used was the Structured Interview of Reported Symptoms (SIRS) and the Structured Interview for DSM-IV Personality (de Ruiter & Kaser-Boyd, 2015). The MMPI-2 was used in this case to assess Kim’s personality traits and psychopathology. The SIRS was conducted to assess malingering of mental disorders and related response styles.
Famed psychologist, Sigmund Freud, is perhaps one of the most iconic and influential figures in the sphere of faulty scientific reasoning to date. Though his theories and ideas remain to be integral parts of psychological culture, a large number of them have been wildly disproven by modern scientists, who cite Freud’s misuse of evidence (more specifically, case studies) as a contributing factor to the erroneousness of his claims. Case study, Freud’s preferred method of investigation, extensively examines a single group, person, etc. As a result of this, one cannot use a case study as a dependable source of information, nor can one generalize a case study to a broader population, despite Freud’s multiple attempts to do just that, in a variety of studies dealing with mentally-ill patients. It is outdated and unreliable; a source of evidence that is of little to no scientific value, yet, one that still endures to be staple among discredited scientists and groundless researchers alike.
An Investigative Approach to Gwen Araujo’s Murder Case Diya Moliki College of Public Affairs (B.S Criminal Justice) Supervisor: Dr. Berry Grant University of Baltimore November 27, 2014 Gwen Araujo’s Case Description Gwen Araujo (Edward Araujo Jr.) was born February 24, 1985.
This causes many issues within the system due to the lack of evaluation during cases’, and hardly any representations of illnesses. These cases can be altered due to the public opinions during publicized cases which can pursue the judges and create a new outcome of a case. While the insanity plea proves that some criminals are mentally unstable, it should be used with caution because many convicted criminals abuse it during court cases’, imitate being mentally ill during an examination, and are able to avoid the death
There is also a different account of a man named Alex, who up until his 40 years of age never experienced abnormal sexual preference towards children. He was engulfed with the pleasure of child pornography, prostitution. He restrained himself as much as he could but the sexual advances he made towards his step daughter alarmed his wife. Not to long after that she discovered his secret life he was trying to keep away from his family and friends. On his was to prison he experienced severe headache and was send to the emergency room where he underwent surgery to remove a tumor from his orbitofrontal vortex.
Pedophilia should be considered a mental disorder because just like a mental disorder, pedophilia affects a person 's emotions, thoughts, and behaviors. A mental illness is influenced by distress, similarly to as what Professor DeRuiter stated in the film; that pedophiles build so much stress and that it causes them to act on their urges. There should be treatments that can help lower distress, such as interventions and/or support groups. The book Family Violence Across the Lifespans states that some researchers concluded that pedophilia may be caused by neurobiological factors (231), so medical treatments should be made more accessible to people seeking help as well as medical confidentiality protecting the individual 's identity unless the individual confesses to a crime. Medical treatments such as chemical castration should be enforced and not voluntary and should be considered as a form of treatment, not
Fetishism and paraphilia can be defined as a longstanding and persistent sexual interest that describes a powerful eroticization of a part of another person’s body (feet, hair, breasts), non-living objects (shoes, clothing, objects), (Kafka, 2010) or activities and experiences (sadism, masochism, voyeurism, and pedophilia) (Friedman & Downey, 2000). Many individuals view their fetishes to be a healthy expression of sexuality; however, it is considered a paraphilia disorder if it produces significant psychological distress or impairment of functioning (Dawson, Bannerman, & Lalumière, 2016). For the purpose of this paper, fetishism and paraphilia are defined as one in the same. Many fetishes are accepted by society such as seductive clothes,
The shift is attributed to the unexpected clinical needs of this new outpatient population, the inability of community mental health centers to meet these needs, and the changes in mental health laws (Pollack & Feldman, 2003). Thousands of mentally ill people flowing in and out of the nation 's jails and prisons. In many cases, it has placed the mentally ill right back where they started locked up in facilities, but these jail and prison facilities are ill-equipped to properly treat and help them. In 2006 the Bureau of Justice Statistics estimated that there were; 705,600 mentally ill inmates in state prisons, 78,000 in federal prisons, and
Although these instances can be seen as the individuals that suffer from paraphilia and the ones that suffer from sexual sadism disorder, one must understand the forms of treating them to inhibit the symptoms and the disorder as a whole. For individuals suffering from paraphilia, such as Chris Brown’s inappropriate actions towards Rihanna, can be prevented in a multitude of ways. Most cases of this form of sexual disorder can be treated with counseling as well as therapy to aid in the person’s adjustment of his/her conduct. Medications can also aid in the inhibition/decrease in their neurotic intentions associated with the disorder and diminish the amount of deviant sexual thoughts and desires. On occasion, the individual’s hormones can be
In 1974, the highly influential book Sybil was published, and later made into miniseries in 1976 and again in 2007. Describing what Robert Rieber called “The Trird most Famoust of Multiple Personalitu Cases”, it presented a detailed discussion of the problem of treatment of “Sybil”, a pseudonym for Shirley Ardell Mason. Though the book and subsequent films helped popularize the diagnosis and trigger an epidemic of the diagnosis, later analysis of the case suggesred different interpretations, ranging from Mason’s problrms being caused by the therepeutiv methods used by her psychiatrist, Cornelia B. Wilbur or an inadvertent hoax due in pasrt to the lucrutative publisging rights, thought this conslution has itself been challenged Dr. Davin Spiegel,
Likewise, the porn-addicted male person derives meaning and temporary relief in correlation with a specific area of deprivation (ex: mistrust, hate, anger, guilt, need for power, need for self-affirmation, etc.). This meaning and temporary relief is realized by utilizing a depicted image or expansive video image(s) (homosexuality, intercourse, rape, sodomy, personal stripping and masturbation, sex with animals, male or female fellatio, female or male ejaculation facials, pedophilia, defecation or urination, etc.) in order to accentuate meaning and relief toward that area of deprivation by achieving orgasmic pleasure and a sense of personal security in association with the meaning given to the image or images viewed – a sort of temporary state of healing that must be repeated over and over again – hence the reinforcing the addiction and the experiencing of any self-destructive consequences associated with the addiction. Is Pornography Addiction a Mental Illness?
Transvestic Fetishism Disorder has two parts in the diagnosis, they are a) over a period of at least 6 months, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing and b) the fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning (American Psychiatratic Association, 2013). Sexual Sadism Disorder is characterized by intense feeling of sexual excitement when fantasizing about or witnessing another personl receiving physical or psychological suffering of another person (American Psychiatric Association, 2013). Prevalance rate of sexual sadism disorder range from 10% of convicted sex offenders in the United States and 37% to 75% of sex offenders who had committed homicide was sexually motivated (American Psychiaratic Association, 2013). A subtype of sexual sadism disorder severe sexual sadism which involves the “sexual perferences that focuses on humilation and subjugation of the victim which can lead to sever injury and/or death” (Nitsche, Blendl, Ottermann, Osterheider, & Mokros, 2009, p. 685). Nitsche et al (2009) admits that is
Homosexuality as a pathology In the 18th century arose to explain the idea of homosexual inclinations as a kind of natural anomaly, a disease (this concept was a special case of Lombroso’s theory: a person is born as a criminal). With the development in the 19th century of clinical psychopathology and psychiatry, homosexuality was understood as a mental disorder. Finally, in the 20th century, the concept of homosexuality as a disease was developed in Hitler's Germany as an understanding of homosexuality as an irremovable genetic defect, the natural inferiority of the individual. Unlike all previous ways of conceptualizing homosexuality, the biomedical approach to it does not focus on certain concrete actions or behaviours of the subject, but
Sex addiction is rapidly becoming recognized as a major social problem with similarities being drawn to drug addiction. Nevertheless, there is controversy surrounding the classification of sex addiction as a real addiction due to the lack of peer reviewed evidence in establishing the cause and pathogenesis of the disorder (Kafka, 2010). A proposed criteria for sexual addiction by Kafka (2010) for DSM-5 by the name hyper sexuality contends that to be diagnosed the patients need to demonstrate following features: time consumed interferes with other non-sexual important activities, repetitively engaging in sexual fantasies and urges in response to dysphonic mood states or stressful life events and unsuccessful attempt to control behavior. Correspondingly,
Sexuality and sexual function Sexuality is determined by anatomy, physiology, the culture in which a person lives, relationships with others and developmental experiences throughout the life cycle. It includes the perception of being male or female and private thoughts and fantasies as well as behavior. To the average normal person, sexual attraction to another person and the passion and love that follow are deeply associated with feelings of intimate happiness. Normal sexual behavior brings pleasure to oneself and one’s partner, involves stimulation of the primary sex organs including coitus and often leads to climax; it is devoid of inappropriate feelings of guilt or anxiety and is not compulsive. Recreational, as opposed to relational