Question

Describe what is pedophilic disorder, what it might be like to live with this disorder.

Describe what is sexual masochism what it might be like to live with this disorder

Answer 1

Pedophilic disorder:

It is characterized by recurrent sexually arousing urges and fantasies or behaviours involving pre pubertal children usually less than 13 years.It is classified under paraphilia disorder. This causes significant distress or impairment, or involve personal harm or risk of harm to others.

Paraphilia involves intense and persistent sexual interest that center around children, non-humans (animals, objects, materials), or harming others or one's self during sexual activity. Sometimes this sexual interest focuses on the person's own erotic/sexual activities and in some cases it focuses on the target of the person's sexual interest. They typically include substance use disorders, depression and bipolar disorder, anxiety disorders, antisocial personality disorder, and other paraphilic disorders.

Symptoms:

Sexual fantasies and urge on pre pubertal children mllmover a period of at least six months.The individual is at least 16 years old and at least 5 years older than the child or children involved.

• Exclusive type (attracted only to children)
• Nonexclusive (attracted to both children and adults)
• Sexually attracted to males
• Sexually attracted to females
• Sexually attracted to both
• Limited to incest

Prevalence  for Pedophilic Disorder in the general population is unknown. Estimates for the highest percentage in males is thought to be 3-5% and in females is thought to be a small fraction of the rate in males.

Etiology some evidence that abnormal neurodevelopmental issues during fetal development may lead to an increased probability of developing the disorder.

Risk factors

There are temperamental, environmental and genetic/physiological risk factors for this disorder.

Treatments:

•Psychotherapy and medication

•Cognitive-behavioral therapy can be used where the therapist helps the person discover the underlying cause of the behavior.

•Aversion therapy and different types of imagery/desensitization.

•Cognitive restructuring (identifying and changing the thoughts that drive the behavior)

•Antidepressants to reduce sexual desire.

•Medications can be used to decrease the level of circulating testosterone.

The person with this disorder often have sexual urge and fantasies in presence and absence of pre pubertal children. They seem depressive. Sometimes they do everything involuntarily. Often they plan before and do it secretly on children.

Sexual Masochism:

Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of being humiliated, beaten, bound, or otherwise made to suffer.

The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

• With asphyxiophilia is a specifier given to the disorder name if the individual engages in the practice of achieving sexual arousal related to restriction of breathing.

Sexual masochism disorder falls under the psychiatric sexual disorders category of paraphilic disorders. This behaviour is usually evident in early adulthood.

Symptoms

•Sexual gratification from humiliation,pain or suffering

•pain and pleasure during sexual interaction

•Distress

•social and relationship problems

Etiology

Exact causes are unknown,but many believe problems start in adolescence with some people who experienced childhood trauma.

Treatment:

Treatment vary from person to person .

Psychotherapy

Cognitive therapies including restructuring cognitive distortions

Empathy training

Cognitive behaviour therapy