PARAPHILLIA DISORDERS by dr gitesh boliwar.pdf

The new emerging disorder in the world which impact on the human psychology. . The disease may lead to social disturbances unknowingly. .

1. PARAPHILLIA
(disorders of sexual
behaviours..)

Pres. By - Dr. Gitesh m. Boliwar
Mentor- Dr. Ashish chepure sir

2. # INTRODUCTION
.
Word- PARAPHILLIA

Derived from Greek word

Para- Next
Philia - Meaning love.
Etymological Definition - Next
to or alongside of love

3. #DEFINITION
A)  PARAPHILLIA

It denotes any intense and persistent Sexual
interest Other than sexual interest In genital
stimulation
Or
The preparatory founding with phenotypically
normal, physical mature and consenting human
partners.

4. B) PARAPHILIC DISORDERS

It is a paraphilia that is currently causing distress
or impairment to the individual.
OR
paraphilia whose satisfaction has entailed
personal harm, Risk of harm to the others.

5. **Normal sexual
Behaviours **

1) For assist in bonding
2) Create mutual pleasure
3). cooperative with partner to
Express & Enhance love
Between them

6. #CLINICAL FEATURES

Beside normal sexual behaviour.
1) Aggression

2) One sidedness

3) Victimization.

4) Concentrate of fulfillment their sexual desire
5) Always thing to carry unusual behavior

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6) Options to get their desired object.
7 )Personal distress
8 ) Impairment in social work
9) Commonly involve sexual arousal,
orgasm, usually through .
masturbation and fantasy.
10 ) Harm others

8. #HISTORY
Richard von Kraft, Ebing.

             German psychiatrist.

          Formerly introduced study of
sexology as psychiatric phenomenon

           .identify paraphilia first in 1886
.
           That is sexual psychopathy.

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Friedrich Salomon Krauss coined
the term paraphillia in 1903

avelock Ellis pointed to an example of
sexual masochism in the 15th century.

word popularized by John Money in the
1980s as a non-pejorative designation for
unusual sexual behaviour

10. #ETIOLOGY
Exact etiology is not known .
1) psychoanalytical theory
       at earlier level of psychosexual development result in
repeated pattern of sexual behaviour
2) behavioural theory
        Via process of conditioning, non sexual objects can
become sexual arousal if the frequency and repeatedly
associated with pleasurable sexual activity
3) learning theory

4) biological
Frontal temporal lobe damage. Subtle defect of Right
amygdala , Schizophrenia, impulsive disorder ,bipolar disorder

11. ****some following
condition causes --**
1)  young boy who is sexually abused
2) Fear of sexual performance
3)  Alcohol intake
4) Physiological problems
5) Socio cultural factor.
6) Psychosexual trauma.
7) Parents who humiliate and punish a small boy for struggling
around with an erect penis
8)individual who is dressed in a woman clothes as a form
of.Parental punishment

12. #. TYPESTYPES.
according to the ICD 10 and DSM 5 criteria
Sexual arousal by
1)exhibitoNism -
Exposure to ones genitals to the other.

2) fetishism.-
Non living.Object clothes, body parts
.
3) Frotteurism- 
Touching or rubbing against non consenting person

4) pedophilia - aged 13 years or younger

13. 5) Sexual masochism - Pain to self.


6) Sexual sadism - Pain to other


7)  Voyeurism - Arousal to naked  person
unsuspecting.

8) Transvestism -cross dressing.

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Some PARAPHILIAs

a) TelephoneScatologia - with telephone

b) Necrophilia. -with dead bodies

C)  Zophilia -- with animals

D) Caprophilia. - with

E)  urophilia - with urine
,
F) klimsophilia - enemas

G) Somnophilia. - sleeping persons

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1) Experimental act-
but that is not recurrent or compulsive. And then
for its novelty first
2) Psycho physiological test-
. It can measure phenyl volumetric size in
response to the paraphilic and non paraphilic
stimulus
3) penile plethysmography
-  measurement of the sexual arousal of blood
flow to penis.
# DIAGNOSIS

16. #COURSE & PROGNOSIS
** It is mainly present in adolescent or early
adulthood.

* - Occasionally or infrequent Done Does not
have this disorder.*

*RANGE normal behavior -
Personal harm
Harm to family
Destructive to society

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#TREATEMENT.

The seldom seek treatment because of their
guilt, shame and fear of socialism are legal
problems.

But efficacy is unknown.
A) External management
1) First external control
2)  Reduction of sexual drive.
3) Treatment of comorbid condition.  

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B) cognitive behavioral therapy

a).Social skills training,
b)  sex education
c) relaxation technique
d) Learning Restructuring.

C) inside oriented psychotherapy
-   long standing.

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D) Pharmacological
1)anti androgen.          a) Cryoprotein acetate.
          .    b)  Maddoxi progesterone.
MOA- , Decreased lipid erections,            
Ejaculation
2) hormonal legends. a) Leupride
Long acting GNRH agonist.
MOA. - decrease LH, testosteroone
3) SSRI. Sertraline.
Fluxamine
Fluxetine.

20. E) surgical treatment

         a) Neurosurgery-  involves stereotonic
removal of the parts of hypothalamus to
disrupt production of male hormones.


        b) Surgical castration of testes.