Clinical issues in the therapy of the sexual preferences disorders – part two
Keywords:
pharapilia, pharmacotherapy, psychotherapyAbstract
Sexual deviation (paraphilia) is a psychosexual disorder, erotosexual state in which sexual gratification is obtained through highly unusual practices that are harmful or humiliating to others or socially repugnant. According to the ICD-10 diagnostic criteria paraphilia is a mental disorder characterized by recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving nonhuman objects, suffering or humiliation of oneself or one's partner or children or other non-consenting persons, that occur over a period of at ≥ 6 months, causing significant distress or impairment in social, occupational, or other important areas of functioning.
The aim of the study is to describe several paraphilias (pedophilia, fetishism, exhibitionism, voyeurism, transvestitism, sadism) and to present the main issues which are connected with biological therapy (pharmacotherapy and surgical treatment) – the first part of the article. In the second part - psychotherapy (individual and group psychotherapy) of the sexual preferences disorders was described.
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