Disorders of Sexual Preference
Definition
Paraphilias are disorders of sexual preference in which sexual arousal occurs persistently and significantly in response to objects which are not a part of normal sexual arousal (e.g. non human objects; suffering or humiliation of self and/or sexual partner; children or non consenting person). [2]
The concept of "disorders of sexual preference" is outdated and inaccurate. Sexual orientation (heterosexual, lesbian, gay, bisexual) is a natural part of human variation.
Here’s what you might be looking for instead:
- Paraphilias: These are intense sexual interests that are atypical and can cause distress or interfere with daily life. They are different from sexual orientation.
Overview
Disorders of Preference of Sexual Object
Disorder of Preference of the sexual Act
Epidemiology
Causes
Types
Risk Factors
Pathogenesis
Pathophysiology
Clinical Features
Sign & Symptoms
Clinical Examination
Diagnosis
Differential Diagnosis
Complications
Investigations
Treatment
Prevention
Homeopathic Treatment
Diet & Regimen
Do’s and Don'ts
Terminology
References
Also Search As
Overview
Disorders of sexual preference are sometimes know as paraphilias.
A Paraphilias can said to be abnormal by three criteria i.e.:
- Firstly; Most people in a society regard the sexual preference as abnormal.
- Secondly; The sexual preference can harmful to other people (e.g. sadistic sexual practices).
- Thirdly; The person with the preference suffers from its consequences (e.g. from a conflict between sexual preferences and moral standards). [1]
Disorders of Preference of Sexual Object
Disorders of Preference of the Sexual Object
1. Fetishism:
- In fetishism, the sexual arousal occurs either solely or predominantly with a nonliving object, which is usually intimately associate with the human body.
- In this condition, an inanimate object is the prefer or only means of achieving sexual excitement. Additionally, Almost all fetishists are men and most are heterosexual.
- The word fetish means magical, i.e. the nonliving object ‘magically’ becomes phallic for that person.
- Fetishism is not diagnose if the sexual object is the wearing of clothes of another sex (in other words; fetishistic transvestism), the use of a human body part (masturbation), or the use of a genital-stimulating object (e.g. vibrator). [2]
- Among the many objects that can evoke arousal in different people, For example; rubber garments, women’s underclothes, also high-heeled shoes.
- Besides this; The smell and texture of these objects is often as important as their appearance in evoking sexual arousal. Some fetishists buy the objects, but others steal them and so come to the notice of the police.
- Lastly; Sometimes the behaviour is carry out with either a willing partner or with a paid Sex worker, but often it is a solitary accompaniment of masturbation. [1]
2. Fetishistic Transvestism:
- The person actually or in fantasy wears clothes of the another sex (in other words; cross-dressing) for sexual arousal.
- Furthermore; This disorder occurs exclusively in heterosexual males.
- This disorder should differentiate from dual-role transvestism and trans exualism.
- In detail; It may be associated with fantasies of other males approaching the person who is in a female dress.
- Masturbation or rarely coitus is associated with cross-dressing to achieve orgasm.
- To be call a disorder, this should be a persistent and significant mode of sexual arousal in the person. [2]
- Crossdressing nearly always begins after puberty.
- All in all, At first, the clothes are worn only in private; a few people, however, go on to wear the clothes in public, usually hidden under male outer garments, but occasionally without precautions against discovery. [1]
3. Paedophilia:
- Paedophilia is a persistent or recurrent involvement of an adult (age >16 years and at least 5 years older than the child) in sexual activity with prepubertal children, either heterosexual or homosexual.
- This may associate with sexual sadism.
- The paedophilic behaviour may either limited to incest or may spread to children outside the family.
- In most civilised societies, paedophilia is a serious offense also the convicted paedophile’s name remains on a sex offenders register in order to protect the society. [2]
- The sexual contact may involve fondling, masturbation, or full coitus with consequent injury to the child. [1]
Disorder of Preference of the sexual Act
The second group of disorders of sexual preference involves variations in the behaviour carried out to obtain sexual arousal.
Generally, the acts are direct towards other adults but sometimes towards children (e.g. by some exhibitionists or sadists).
1. Exhibitionism:
- Exhibitionism is a persistent (or recurrent) and significant method of sexual arousal by the exposure of one’s genitalia to an unsuspecting stranger.
- This is often follow by masturbation to achieve orgasm. The disorder is almost exclusively see in males, and the ‘unsuspecting stranger’ is usually a female (child or adult). [2]
- The act of exposure is usually preceded by a period of mounting tension which is released by the act. Usually, the exhibitionist seeks to shock or surprise a female.
Most exhibitionists fall into two groups:
- The first consists of men with inhibited temperament who generally expose a flaccid penis also feel much guilt after the act.
- The second consists of men with aggressive personality traits who expose an erect penis while masturbating, also feel little guilt afterwards.
When exhibitionism begins in middle or late life the possibility of organic brain disorder, depressive disorder, or alcoholism should be considered since these conditions occasionally ‘release’ this pattern of behaviour.
In other people, the exhibitionism may start during a period of temporary stress.
2. Voyeurism:
- This is a persistent or recurrent tendency to observe unsuspecting persons (usually of the other sex) naked, disrobing or engaged in sexual activity. [2]
- Most voyeurs are inhibit heterosexual men. Some voyeurs spy on couples who are having intercourse, others on women who are undressing or naked.
- This is often follow by masturbation to achieve orgasm without the observed person(s) being aware. [1]
3. Sexual Sadism:
- In this disorder, the person (i.e. the ‘sadist’) is sexually arouse by physical and/or psychological humiliation, suffering or injury of the sexual partner (i.e. the ‘victim’).
- Most often the person inflicting the suffering is male, although this is not essential.
- The methods used range from restraining by tying, beating, burning, cutting, stabbing, to rape also even killing, but occasionally the acts cause serious injuries from which the partner may die. [2]
4.Sexual Masochism:
- Generally, This is just the reverse of sexual sadism.
- Here the person (the ‘masochist’) is sexually aroused by physical and/or psychological humiliation, suffering or injury inflicted on self by others (usually ‘sadists’).
- In detail; Most often the masochist is a female though any pattern is possible.
- The methods used are the same as the ones used in sexual sadism. Only there is a role reversal.
- To be called a disorder, this should be a persistent and significant mode of sexual arousal in the person. [2]
- Sexual sadism and sexual masochism are often seen in the same individual also are on a continuum; therefore they are classified together as sadomasochism in ICD-10.
- Besides this, Mild sadomasochistic behaviour is common and is considered to be part of the range of normal sexual activity.
- All in all; The disorder should be diagnosed only if sadomasochistic activity is the most important source of gratification or necessary for sexual stimulation. [1]
Epidemiology
Epidemiology
There is limited epidemiological data available on Disorders of Sexual Preference (DSP) in India. The term itself is considered outdated and potentially stigmatizing. It has largely been replaced by terms like paraphilic disorders or atypical sexual interests.
However, some studies have explored the prevalence of specific paraphilias in India. For example, A study published in the Indian Journal of Psychiatry in 2010 examined the prevalence of exhibitionism among male psychiatric patients in India. It found that exhibitionism was present in 2.8% of the sample.[8]
Another study published in the Indian Journal of Psychological Medicine in 2015 explored the prevalence of sexual dysfunctions in India. It found that the prevalence of various sexual dysfunctions ranged from 20-50%, depending on the specific dysfunction and the population studied.[9]
It’s important to note that these studies provide only a glimpse into the complex landscape of atypical sexual interests and behaviors in India. Further research is needed to gain a more comprehensive understanding of this topic.
Causes
Causes of Disorders of Sexual Preference
Physical causes
- Many physical and / or medical conditions can cause problems with sexual function, these conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, alcoholism, and drug abuse.
- Also, the side effects of some medications, including some antidepressants, can affect sexual function.
Psychological causes
- They include work-related stress and anxiety, concerns about sexual performance, marital or relationship problems, depression, feelings of guilt, concerns about body image, and the effects of past sexual trauma. (4)
Types
Disorders of sexual preference are divide into i.e.:
1. Abnormalities of the sexual object:
- Sexual fetishism
- Transvestism
- Paedophilia
2. Abnormalities of the sexual act:
- Exhibitionism
- Voyeurism
- Sexual sadism
- Sexual masochism [1]
Risk Factors
Risk factors of Disorders of Sexual Preference
- Depression or anxiety
- Heart and blood vessel disease
- Neurological conditions, such as spinal cord injury or multiple sclerosis
- Gynecological conditions, such as vulvovaginal atrophy, infections or lichen sclerosus
- Certain medications, such as antidepressants or high blood pressure medications
- Emotional or psychological stress, especially with regard to your relationship with your partner
- A history of sexual abuse (5)
Pathogenesis
Pathogenesis
The pathogenesis of Disorders of Sexual Preference (now referred to as Paraphilic Disorders) in detail.
The book Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, highlights that the exact cause of paraphilias is unknown, but a multifactorial model is likely, involving:
Biological Factors:
Neurotransmitter imbalances (dopamine, serotonin), hormonal dysregulation (testosterone), and genetic predispositions have been implicated.Psychological Factors:
Early childhood experiences, learning, and conditioning processes play a role.Social Factors:
Cultural norms, societal attitudes, and exposure to sexually explicit material may contribute.
The book emphasizes that paraphilias are complex and often require a comprehensive approach to treatment, addressing both the biological and psychological components.[10]
Pathophysiology
Pathophysiology of Disorders of Sexual Preference
- Disorders of sex development (DSD) are rare disorders occurring when there is a discordance between chromosomal, gonadal, or phenotypic sex.
- These occur in the presence of genetic mutations that affect one of the two major processes in sex development: sex determination or sex differentiation.
- In sex determination, the bipotential gonad is genetically programmed based on the sex chromosome complement to become either a testis or ovary.
- Sex differentiation occurs in the presence of a formed testis or ovary and is dependent upon the ability of the gonad to produce hormonal factors and/or the presence of the appropriate receptors in extragonadal tissues. (5)
Clinical Features
Clinical Features
Key features include:
Recurrent, intense sexually arousing fantasies, urges, or behaviors involving:
- Nonhuman objects (Fetishistic Disorder)
- Suffering or humiliation of oneself or a partner (Sexual Masochism Disorder, Sexual Sadism Disorder)
- Nonconsenting persons (Voyeuristic Disorder, Exhibitionistic Disorder, Frotteuristic Disorder)
- Children (Pedophilic Disorder)2. Significant distress or impairment in social, occupational, or other areas of functioning due to these fantasies, urges, or behaviors.
Duration of at least six months.
The DSM-5 emphasizes that not all atypical sexual interests constitute a disorder. For a diagnosis, the interests must cause significant distress or impairment, or involve harm or risk of harm to oneself or others.
It’s important to note that this is a simplified summary. The DSM-5 provides a detailed description of each paraphilic disorder, including specific criteria and subtypes.[11]
Sign & Symptoms
Sign & Symptoms of Disorders of Sexual Preference
Men
- Inability to have an erection (erectile dysfunction).
- Absent or delayed ejaculation despite adequate sexual stimulation (delayed ejaculation).
- Inability to control the moment of ejaculation (premature or premature ejaculation).
Women
- Inability to reach orgasm.
- Too little vaginal lubrication before and during intercourse.
- Inability to relax or stimulate the vaginal muscles to allow intercourse.
In male and female
- Lack of interest or desire for sex.
- Inability to get aroused
- Pain during sexual intercourse. (4)
Clinical Examination
Clinical Examinations
There is no specific book that exclusively details the clinical examinations for Disorders of Sexual Preference (now known as Paraphilic Disorders). The assessment of paraphilias is a complex process involving multiple components. However, relevant information can be found in several authoritative sources:
- This Diagnostic and Statistical Manual of Mental Disorders provides the diagnostic criteria and descriptions for each paraphilic disorder. While it doesn’t explicitly outline the examination process, it offers valuable insights into the clinical features and associated symptoms that need to be explored during assessment.[11]
- This textbook Kaplan & Sadock’s Comprehensive Textbook of Psychiatry offers a more comprehensive discussion of paraphilias, including their etiology, epidemiology, and treatment approaches. It provides a broader context for understanding the clinical presentation of these disorders and can inform the assessment process.[12]
Clinical assessment typically involves:
- Detailed clinical interview: Exploring the patient’s sexual history, fantasies, urges, behaviors, and associated distress or impairment.
- Psychometric assessment: Utilizing standardized questionnaires and scales to assess paraphilic interests and related psychological factors.
- Risk assessment: Evaluating the risk of harm to oneself or others, which is a crucial consideration in the management of paraphilic disorders.
Important Note: The assessment of paraphilias is a specialized area and is best conducted by mental health professionals with expertise in this field.
Diagnosis
Diagnosis of Disorders of Sexual Preference
Disorders of Sexual Preference in its basic form, it conducted with the use of disorders criteria defined in classification:
- The unusualness of content of sexual urge, pattern stability in time (more than 6 months) exhibiting behaviors in accordance with atypical urges, experiencing distress or impairment of social functioning in connection with Preference.(6)
Differential Diagnosis
Differential diagnosis of Disorders of Sexual Preference
5-Alpha-Reductase Deficiency
Androgen Insensitivity Syndrome
Congenital Adrenal Hyperplasia
Denys-Drash Syndrome
Gender Identity
Genital Anomalies
Gonadoblastoma
Hypogonadism
Hypospadias
Menstruation Disorders in Adolescents
Microphallus
Pediatric Hydrocele and Hernia Surgery
Pediatric Hypopituitarism
Precocious Puberty (7)
Complications
Complications
The complications associated with Paraphilic Disorders (formerly known as Disorders of Sexual Preference).
- Legal Consequences:
- Many paraphilic behaviors are illegal, leading to arrest, prosecution, and incarceration. This can have devastating effects on the individual’s life, including social stigma, loss of employment, and damaged relationships.
- Relationship Problems:
- Paraphilic behaviors can strain or destroy intimate relationships. Partners may feel betrayed, disgusted, or fearful, leading to separation or divorce.
- Psychological Distress:
- Individuals with paraphilias often experience significant shame, guilt, anxiety, and depression related to their behaviors. This can further impair their functioning and quality of life.
- Social Isolation:
- The stigma associated with paraphilias can lead to social isolation and rejection. This can exacerbate psychological distress and hinder recovery.
- Health Risks:
- Certain paraphilic behaviors, such as sadomasochism or autoerotic asphyxiation, can pose serious health risks or even be fatal.
- Comorbid Mental Disorders:
- Paraphilias frequently co-occur with other mental disorders, such as mood disorders, anxiety disorders, or substance use disorders. These comorbid conditions can complicate treatment and worsen outcomes.
The book Kaplan & Sadock’s Comprehensive Textbook of Psychiatry emphasizes the importance of early identification and comprehensive treatment of paraphilic disorders to minimize these complications. It also highlights the need for a multidisciplinary approach, involving mental health professionals, legal experts, and social support systems.[12]
Investigations
Investigation
There is no single book that comprehensively covers the investigation of Paraphilic Disorders (formerly known as Disorders of Sexual Preference). However, relevant information can be found in several authoritative sources:
Diagnostic and Statistical Manual of Mental Disorders,
This manual provides the diagnostic criteria and descriptions for each paraphilic disorder. It doesn’t detail specific investigations but emphasizes the importance of a thorough clinical assessment, including a detailed sexual history, to establish a diagnosis.[11]
Kaplan & Sadock’s Comprehensive Textbook of Psychiatry
This textbook discusses the assessment of paraphilic disorders, including the use of clinical interviews, psychometric tools, and risk assessment instruments. It also mentions the potential role of neuroimaging and neuropsychological testing in understanding the underlying mechanisms of these disorders.[12]
The Journal of Sexual Medicine
This peer-reviewed journal publishes research on various aspects of sexual medicine, including paraphilias. It often includes articles on the assessment and diagnosis of paraphilic disorders, providing insights into the latest research and clinical practices.[13]
Investigations for Paraphilic Disorders may include:
- Clinical Interview: A thorough exploration of the individual’s sexual history, fantasies, urges, behaviors, and associated distress or impairment.
- Psychometric Assessment: The use of standardized questionnaires and scales to assess paraphilic interests, cognitive distortions, and related psychological factors.
- Risk Assessment: Evaluation of the risk of harm to oneself or others, including the use of specialized risk assessment tools.
- Neuroimaging (e.g., MRI, PET): To investigate potential brain abnormalities associated with paraphilic disorders.
- Neuropsychological Testing: To assess cognitive functions and identify any deficits that may contribute to the development or maintenance of paraphilias.
Important Note: The investigation of paraphilic disorders is a complex and sensitive process that requires expertise in sexual medicine and mental health. It’s crucial to approach this topic with sensitivity, respect, and a non-judgmental attitude.
Treatment
Treatment Disorders of Sexual Preference:
Assessment of abnormalities of sexual preference:
- Identify the problem and its course
- Exclude associated mental disorder (especially depressive disorder, alcoholism, also dementia)
- Assess normal sexual functioning
- Consider the ‘role’ of the abnormal sexual behaviour
- Assess motivation for treatment [1]
Treatment:
Psychoanalysis and psychoanalytic psychotherapy i.e.:
This is of particular help if the patient psychologically minded and has good ego strength for therapy.
Behaviour therapy i.e.:
A version therapy is the treatment of choice in severe, distressing paraphilia, with the patient’s consent.
Drug therapy i.e.:
- Antipsychotics have sometimes use for severe or dangerous aggression associated with paraphilias.
- Benperidol was earlier believed to particularly useful but the claim has not substantiated, and the drug is not available in the market.
- Antiandrogens ( cyproterone acetate or medroxyprogesterone acetate) can use in paraphilias with excessive sexual activity. It have use to reduce sexual drive, especially in patients whose abnormal sexual behaviour is potentially dangerous to other people.
Other treatments i.e.:
Castration and psychosurgery are extremely rare choices these days. [2]
Prevention
Prevention
The prevention of sexual disorders, including what is now referred to as paraphilic disorders.
The book "The Prevention of Sexual Disorders: Issues and Approaches"suggests that prevention can be approached at three levels:
Primary Prevention: This involves preventing the development of paraphilic disorders in the first place. Strategies include:
- Early childhood education: Promoting healthy sexual development and teaching children about appropriate boundaries and consent.
- Public awareness campaigns: Raising awareness about the signs of paraphilic disorders and the importance of seeking help.
- Reducing risk factors: Addressing social and psychological factors that may contribute to the development of paraphilias, such as childhood trauma, neglect, or exposure to sexually explicit material.
Secondary Prevention: This focuses on early detection and intervention to prevent the progression or exacerbation of paraphilic disorders. Strategies include:
- Screening programs: Identifying individuals at risk of developing or engaging in paraphilic behaviors.
- Early intervention programs: Providing therapy and support to individuals who exhibit early signs of paraphilic interests or behaviors.
Tertiary Prevention: This aims to minimize the harm and complications associated with established paraphilic disorders. Strategies include:
- Treatment programs: Providing comprehensive treatment, including psychotherapy and medication, to individuals with paraphilic disorders.
- Support groups: Offering support and guidance to individuals and their families affected by paraphilic disorders.
- Rehabilitation programs: Helping individuals reintegrate into society and reduce the risk of reoffending.
The book emphasizes that prevention of paraphilic disorders is a complex issue and requires a multifaceted approach. It also highlights the need for further research to develop and evaluate effective prevention strategies.[14]
Homeopathic Treatment
Homeopathic Treatment of Disorders of Sexual Preference
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.
Which includes
- The medical history of the patient,
- Physical and mental constitution,
- Family history,
- Presenting symptoms,
- Underlying pathology,
- Possible causative factors etc.
A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.
What Homoeopathic doctors do?
A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?
The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. Now a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.
The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improve with homeopathic medicines.
Homeopathic Medicines for Disorders of Sexual Preference
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.
So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).
Medicine:
Lachesis:
"Sees" through, is highly sexual and possessive and wants to keep his loved ones under tight control. He puts sex to love; according to him sex is the only way of love.
Emissions always ameliorate him and he can’t control his sexual instinct also suffers from suppression of sex.
He is romantic, joyous, also passionate, and ecstatic and the female lachesis is mannish and often takes a lead in sexual activity.
Conium:
Represents imbalance of energy between upper also lower parts of the body.
He is no longer able to draw up energy from the lower parts to upper parts. Additionally, The energy finds its way soon in emission on the slightest provocation.
Besides this, Forced abstinence causes sexual impotence or/and excessive desire (e.g. satyriasis, nymphomania).
The suppressed sexual energy goes deeper to cause aberrant immune response, to cause cancer.
Fluoric-Acid:
It is materialistic, libertinistic and hedonist.
He has irresponsible gaiety, an easy going complacency he is interested in only physical pleasure without any emotional involvement.
Lastly, He goes from one sexual partner to another and suffers from STDs.
Staphysagria:
Represents a range of action from shyness of another sex to excessive indulgence in sex.
It has unsatisfied sexual urge; in widows.
Sex is for the sake of honour and ‘no’ to sex by other partner is viewed by staph as indignation.
He can then show the violent outburst of passion. Moreover, Sex then can be harassing for the partner who has to tolerate the wrath of staph.
Haughtiness, libertinism also wounded honour characterize staph.
Lycopodium:
Generally, Represents the right side, the masculinity and this is reflected in sexual relations.
In detail, The inner weakness, anticipation, also anxiety of performance fall upon the organ that is unable to show its worth.
Repeated bad experiences makes Lyco refrain from sex as he wants to keep his honour.
Lyco has both loss of sexual desire and too strong sexual desire.
Lyco is deceptive, a liar, also an opportunistic.
The sense of impotency inside is reflected to act as bravado ‘I-am-potent.’ [3]
Diet & Regimen
Diet & Regimen
There is no specific diet or regimen mentioned in any reputable medical or psychiatric textbook for the treatment of Paraphilic Disorders (formerly known as Disorders of Sexual Preference). The focus of treatment is primarily on psychotherapy and, in some cases, medication.
However, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can contribute to overall well-being and mental health, which may indirectly support the treatment of paraphilic disorders.
While no specific book addresses this directly, general information on healthy lifestyles can be found in:
- Kaplan & Sadock’s Comprehensive Textbook of Psychiatry
This textbook emphasizes the importance of a holistic approach to mental health treatment, which includes addressing physical health needs. While it does not specifically mention diet and exercise for paraphilic disorders, it highlights the interconnectedness of physical and mental health and the potential benefits of a healthy lifestyle for overall well-being.[12]
Do’s and Don'ts
Do’s & Don’ts
While there isn’t a specific book that explicitly lists "do’s and don’ts" for individuals with Paraphilic Disorders (formerly known as Disorders of Sexual Preference), guidance can be gleaned from several reputable sources:
Do’s
- Do: Seek professional help. Paraphilic disorders are complex and often require specialized treatment, including psychotherapy and medication.
- Do: Be open and honest with your therapist. Discussing your thoughts, feelings, and behaviors is essential for effective treatment.
- Do: Follow your treatment plan. This may include attending therapy sessions, taking medication as prescribed, and participating in support groups.
- Do: Practice self-care. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques, can support overall well-being and treatment progress.
- Do: Participate in relapse prevention programs. These programs teach individuals to identify triggers for their paraphilic behaviors and develop coping skills to manage those triggers.
- Do: Be patient with yourself. Recovery from paraphilic disorders takes time and effort.
Dont’s
- Don’t: Engage in risky or harmful behaviors. This includes any behaviors that could harm yourself or others, or that are illegal.
- Don’t: Isolate yourself. Connecting with supportive friends, family, or support groups can be helpful during treatment and recovery.
- Don’t: Give up. Treatment for paraphilic disorders can be challenging, but it is possible to manage the disorder and live a fulfilling life.[12]
- Don’t: Minimize or deny the impact of your behaviors. It’s important to acknowledge the harm caused by paraphilic behaviors and take responsibility for your actions.[15]
Important Note: These are general guidelines, and individual needs and treatment plans may vary. It’s crucial to work with a qualified mental health professional to develop a personalized treatment plan and address specific concerns.
Terminology
Terminology
Absolutely! Here’s a breakdown of the terminologies used in the article, along with their meanings:
Disorders of Sexual Preference (DSP):
An outdated and potentially stigmatizing term previously used to describe atypical sexual interests. It has largely been replaced by "Paraphilic Disorders."
Paraphilias:
Intense and persistent sexual interests that are not typical and may involve objects, situations, or individuals that are not usually considered sexually arousing.
Paraphilic Disorders:
A type of mental disorder characterized by recurrent, intense sexually arousing fantasies, urges, or behaviors involving atypical objects, situations, or individuals. These disorders can cause distress or impairment in various areas of life.
Fetishism:
A paraphilia in which sexual arousal is achieved primarily through the use of nonliving objects (e.g., shoes, underwear).
Fetishistic Transvestism:
A paraphilia in which sexual arousal is achieved by dressing in the clothing of the op-posite sex.
Paedophilia (Pedophilic Disorder):
A paraphilia characterized by recurrent, intense sexual arousal to prepubescent children. It is a serious mental disorder and a criminal offense.
Exhibitionism (Exhibitionistic Disorder):
A paraphilia characterized by exposing one’s genitals to an unsuspecting stranger for sexual arousal.
Voyeurism (Voyeuristic Disorder):
A paraphilia characterized by observing unsuspecting individuals who are naked, disrobing, or engaged in sexual activity for sexual arousal.
Sexual Sadism (Sexual Sadism Disorder):
A paraphilia in which sexual arousal is achieved by inflicting physical or psychological suffering on another person.
Sexual Masochism (Sexual Masochism Disorder):
A paraphilia in which sexual arousal is achieved by experiencing physical or psychological suffering.
Homeopathy:
A system of alternative medicine based on the principle of "like cures like," where highly diluted substances are used to treat symptoms similar to those they cause in larger doses.
Let me know if you’d like any other terms defined or have any further questions!
References
Reference
- Psychiatry, Fourth Edition- Oxford Medical Publications – SRG- by Geddes, Jonathan Price, Rebecca McKnight / Ch 30.
- A Short Textbook of PSYCHIATRY 7th edition by Niraj Ahuja / Ch 10.
- Homeopathy in treatment of Psychological Disorders by Shilpa Harwani / Ch 16.
- Sexual Disorder: What It Is, Types, Categories, Symptoms And More – PsychoTreat
- Disorders of Sex Development – an overview | ScienceDirect Topics
- diagnosis of Disorders of Sexual Preference – Search (bing.com)
- Differences (Disorders) of Sex Development (DSDs) Differential Diagnoses (medscape.com)
- Indian Journal of Psychiatry in 2010 examined the prevalence of exhibitionism among male psychiatric patients in India.
- Indian Journal of Psychological Medicine in 2015 explored the prevalence of sexual dysfunctions in India.
- Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Kaplan & Sadock’s Comprehensive Textbook of Psychiatry (10th ed.). Wolters Kluwer.
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
- Sadock, B. J., Sadock, V. A., & Ruiz, P. (2017). Kaplan & Sadock’s Comprehensive Textbook of Psychiatry (10th ed.). Wolters Kluwer.
- The Journal of Sexual Medicine
- Sager, C. J., Kaplan, H. S., & Friedman, A. M. (Eds.). (1980). The Prevention of Sexual Disorders: Issues and Approaches. Brunner/Mazel.
- "The Wiley Handbook of Sex Offender Assessment and Treatment" (2019) edited by Douglas P. Boer.
Also Search As
Also Search As
People can search for this article on homeopathy and Paraphilic Disorders using various methods:
Search Engines:
- Use keywords like "homeopathy Paraphilic Disorders," "homeopathic treatment for atypical sexual interests," or "homeopathic remedies for sexual disorders."
- Include the specific disorder name, if applicable, like "homeopathy for exhibitionism."
- Use search engines like Google, DuckDuckGo, or Ecosia.
Homeopathic Websites and Forums:
- Look for articles and discussions on reputable homeopathic websites and forums.
- Search for specific homeopathic practitioners or clinics that specialize in mental health and sexual health issues.
- Be cautious of biased information and always consult with a qualified healthcare professional.
Social Media:
- Search relevant hashtags on platforms like Twitter or Facebook groups dedicated to homeopathy or sexual health.
- Follow homeopathic practitioners or organizations that share information on their social media channels.
Academic Databases:
- If you’re looking for research articles on homeopathy and Paraphilic Disorders, you can search academic databases like PubMed or Google Scholar.
- Keep in mind that research on this topic is limited, and the existing evidence is often of low quality.
Consult a Homeopathic Practitioner:
- The best way to find personalized information is to consult with a qualified homeopathic practitioner. They can assess your individual needs and recommend appropriate remedies and treatment plans.
Important Note: Remember that homeopathy is not a scientifically proven treatment for Paraphilic Disorders. While some individuals may report positive experiences, it’s important to consult with a qualified healthcare professional for accurate diagnosis and evidence-based treatment options.
Given that the focus is on homeopathy and Paraphilic Disorders, potential searchers would likely be seeking information from specific angles. Here are tailored ways they’d approach finding the article for:
Individuals Seeking Alternative Treatment:
Search Terms:
"Homeopathy for sexual urges", "natural remedies for paraphilias", "non-traditional therapy for sexual compulsions".
Platforms:
Homeopathy clinic websites, forums for alternative medicine, social media groups discussing holistic health.
Concerned Family/Friends:
Search Terms:
"Help for loved one with unusual sexual behavior", "homeopathic support for paraphilias", "safe therapies for sexual issues".
Platforms:
Support groups for families of those with mental health issues, online forums for caregivers, general health information websites.
The Academically Inclined:
Search Terms:
"Homeopathic research on paraphilias", "evidence for homeopathy in sexual disorders", "alternative medicine literature on sexual deviance".
Platforms:
Academic databases (PubMed, Google Scholar), libraries with homeopathy sections, specialized journals on complementary medicine.
Skeptics/Fact-Checkers:
Search Terms:
"Criticism of homeopathy for sexual disorders", "scientific evidence against homeopathy for paraphilias", "risks of untreated paraphilias".
Platforms:
Skeptic forums, science-based medicine websites, fact-checking organizations, mainstream medical resources.
Additional Tips:
Use Boolean operators:
Combine keywords with "AND" (homeopathy AND paraphilia) or "OR" (fetish OR exhibitionism) to narrow/broaden results.
Check dates:
Ensure information is recent, as terminology and understanding of paraphilias evolve.
Vary sources:
Don’t rely solely on pro-homeopathy sites, get a balanced view.
Look for author credentials:
Is the writer a licensed practitioner, researcher, or just an enthusiast?
The article’s title should ideally reflect these search terms, e.g., "Homeopathy for Paraphilic Disorders: A Critical Look" or "Exploring Alternative Support for Atypical Sexual Interests".
Frequently Asked Questions (FAQ)
What is Paraphilias?
Paraphilias are disorders of sexual preference in which sexual arousal occurs persistently also significantly in response to objects which are not a part of normal sexual arousal.
What are the 8 Paraphilic Disorders?
- Sexual fetishism
- Transvestism
- Paedophilia
- Exhibitionism
- Voyeurism
- Sexual sadism
- Sexual masochism
What are the examples of Paraphilias?
- Fetishism
- Fetishistic Transvestism
- Paedophilia
Can homeopathy help in addressing disorders of sexual preference?
Homeopathy aims to address the underlying emotional and psychological factors that might contribute to disorders of sexual preference. While research on its effectiveness is limited, some anecdotal evidence and case studies suggest that homeopathy may offer support in managing these conditions.
How does a homeopath select the right remedy for disorders of sexual preference?
- Fetishism
- Fetishistic Transvestism
- Paedophilia
How long does it take to see improvement with homeopathic treatment for disorders of sexual preference?
Response time varies depending on individual factors and the complexity of the condition. Some individuals may experience gradual shifts in thoughts and behaviors over time, while others might require longer-term treatment.
Can homeopathy "cure" disorders of sexual preference?
Homeopathy focuses on promoting overall well-being and addressing the underlying causes of distress or dysfunction. While complete "cure" may not always be possible, homeopathy can potentially help individuals manage their sexual preferences, reduce associated anxiety or guilt, and improve their quality of life.
Is it safe to use homeopathic remedies alongside conventional therapies for disorders of sexual preference?
Homeopathic remedies are generally safe and can often be used alongside conventional therapies, such as psychotherapy. It is crucial to inform your healthcare provider about all medications and therapies you are using.
Is homeopathy a substitute for psychotherapy or other forms of counseling for disorders of sexual preference?
Homeopathy can be a valuable complementary therapy but should not be considered a substitute for psychotherapy or other forms of counseling, especially when dealing with complex emotional or psychological issues.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Paraphilias?
- Lachesis
- Conium
- Fluoric-Acid
- Staphysagria
- Lycopodium
