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Currently, in this writer's practice as well as in some sex offender treatment programs, SRIs are the primary biological treatments for sex offenders and men and women with paraphilia-related disorders. He was motivated to practice the aversion therapy, carried the ammonia ampoules with him at all times, and practiced using them to extinguish self-generated “homework” sexual fantasies that were arousing. The common paraphilias described include exhibitionism (exposure of genitals to a stranger), pedophilia (sexual activity with a prepubescent child, generally 13 years of age or younger), voyeurism (observing others' sexual activities), fetishism (use of inert objects, such as female undergarments), transvestic fetishism (cross-dressing), sexual sadism (inflicting suffering or humiliation), sexual masochism (being humiliated, beaten, bound or made to suffer) and frotteurism (touching, rubbing against a nonconsenting person). Relapse prevention is an integrated cognitive-behavioral and group therapy treatment approach that originally evolved from a theoretical understanding of, and treatment for, addictive disorders such as alcohol abuse, nicotine dependence, and overeating (Marlatt and Gordon 1980). In addition, some theorists believe that because fantasies and interests are very private and not shared with those who could discourage such behavior, they become an ingrained response that continues throughout a lifetime. Mr. K was a 35-year-old divorced male who was referred to me following his third arrest for exhibitionism. Ann Pharmacother. New York: Plenum Press; 1990.11. Preliminary observations of DSM III-R axis I comorbidity in men with para-philias and paraphilia-related disorders. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. There could be sexual arousals to atypical objects, situations and targets like corpses and animals too. Normally, frottage provides their only venue of sexual release. | Fedoroff JP. 1992;5(4):239-246.22. 2019 May-Jun;61(3):253-257. doi: 10.4103/psychiatry.IndianJPsychiatry_194_18.
1993;6(2):105-121. Sertraline pharmacotherapy for paraphilias and paraphilia-related disorders: an open trial.
Cognitive behavioural therapy appears to be the preferred therapeutic choice for paraphilic disorders . Pharmacological tolerance to their effects has not been described, and either agent can be tapered without a rebound increase in sexual or aggressive behaviors. 1991).
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The shift is aimed at “fading” the intensity of the conditioned unconventional stimulus and strengthening the presence, proximity, and arousal produced by “conventional” sexual fantasies during masturbation (Marques 1970).