-***by identifying patterns of sexual arousal, this method can distinguish between sexual + nonsexual offenders and between rapists + child molesters and non-offenders - the church scandals are related to a culture of homosexuality in the church, in that men with homosexual tendencies are drawn to the all-male culture of the priesthood, which in itself is not typically based in fact for most priests, and the crimes of child molestation have been attributed to more situational factors by many, being bound, tied up, or otherwise restrained during sexual activity; typically a consensual activity, a form of sexual masochism involving depriving the brain of oxygen, usually through some form of strangulation or hanging; also referred to as asphyxophilia Mostly affects males. -because of this, the only info. - The relative prevalence of paraphilias among men as compared to women may be understood better from a larger cultural perspective. Achievement of sexual satisfaction by being humiliated, beaten, bound, made to suffer. Test. A paraphilia is considered a paraphilic disorder when it causes distress . Here you are accounting for the same transactions on the books of First State Bank, which lent the money to Laziza Restaurant. -people with the disorder typically have limited social skills, limited sexual knowledge, + problems with intimacy, -recurrent + intense sexual arousal that occurs as a result of being humiliated, beaten, bound, or otherwise made to suffer nearly all those who engage in paraphilias are, indeed, men \hline - When a culture or society looks at any human behavior, it does so through a lens of broadly shared norms and standards. Fleeting, goes unnoticed, difficulty forming relationships, fear of rejection, A practice related to frotteurism characterized by persistent urge to fondle non-consenting strangers, sexual activity with a prepubescent child (generally < 10 y.o.). -abnormal sexual desires typically involved extreme or dangerous activities. Benford Corporation completed the following transactions during December of the current year and January of the next year. -***people who seek treatment do it b/c the legal system mandates it You do not need to calculate the balance of the account at the end of each month. Eventually, if successful, his sexual desires and urges will become redirected, or reconditioned, toward the new, more acceptable activities, most successful treatment for paraphilic disorders, drug-based therapies, especially in combination with psychotherapeutic interventions, - Historically, drug treatment for paraphilias consisted of medications that would reduce the action of testosterone. 2. the behavior is illegal -children are usually the victim -vaginal photoplethysmography (for females) The case study in this work was a 59-year-old man who visited a hospital with the chief complaints of frotteuristic behaviors in public . According to an Ontario study, approximately how many exhibitionists go on to committing other crimes? - Most studies on the relationship among hormones, neurotransmitters, and paraphilias have provided evidence of a link by administering medications designed to change the balance of these chemicals in men with uncontrollable paraphilic urges (to some success). U.K.JapanCanadaChinaU.S.PriceofCoffeeGBP2.35JPY420CAD3.75CNY28USD3.75ExchangerateUSD1.60=GBP1JPY91=USD1CAD1.08=USD1CNY6.83=USD1. - included in DSM 5, a term often used to refer to strong compulsive sexual behavior - more correctly called "hypersexual disorder" Thise attracted to males prefer older boys, Sexual activity with a child aged 10-13 years old, Sexual activity with a child displaying secondary sex characteristics (usually 14-18 years old). &\underline{\textbf{Price of Coffee}}&\underline{\textbf{Exchange rate}}&\\ - self-distress (people who are embarrassed and cannot control behavior - higher rate of success) -the shock of the victim is sometimes the sexually arousing component Pizza has used the equity method in accounting for its investment in Slice. Some have willing partners, other will stalk and attack non-consenting victims. c. Dutifulness. fetish related. -neuroanatomical + neurochemical studies HAVEN'T detected brain abnormalities The remaining options do not relate to paraphilic disorders. On that date, the fair value of the non-controlling interest was$40,000, and Slice reported retained earnings of $50,000 and had$100,000 of common stock outstanding. Those attracted to females prefer 8-10 year olds This is an example of. \hline \text { Total assets, } \operatorname{Dec} 31,2011 \ldots \ldots \ldots & \$ 501,000 \\ C) S&M becomes pathological when it is non-consenting and harmful. The majority of individuals with an eating disorder receive treatment. Sam is married, and is also undergoing treatment for exhibitionism at the recommendation of his marriage counselor. Paraphilias are very chronic, such that at least two years of treatment is required for even the mildest cases. -must be used with psych treatments, Human Growth and Development (Purple Book), Professional Orientation/Ethics (Purple Book), Counseling Skills/Interventions Pt 1 (NCE), John David Jackson, Patricia Meglich, Robert Mathis, Sean Valentine, Elliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson, Operations Management: Sustainability and Supply Chain Management, Individual Underwriting, Pricing, and Claims. D) Many sex offenders only receive treatment because they have been referred by the court system. Occur for significant amounts of time and interfere with satisfactory sexual relations and every day functioning. -clinicians use plethysmorgraphy + photoplethysmography to measure sexual arousal (in order to measure efficacy of the interventions). Laziza Restaurant borrowed $80,000 on October 1 by signing a note payable to First State Bank. In the Kinsey studies, how prevalent was zoophilia? cross-dressing is not a paraphilia and does not provide sexual gratification; transvestic disorder includes sexual arousal and gratification by wearing women's clothing. As he approaches orgasm, he increases the pressure to cut off oxygen to the brain. - tend to be depressed, see themselves as lonely, exhibit low self-esteem and feelings of inferiority, and are emotionally immature, two persistent myths about pedophiles in Catholic church, - the pedophilic behavior of priests has been due to the church's culture of celibacy (the renunciation of marriage and the vow of chastity). A) Sexual sadists and masochists often form relationships. 3) Brain differences, Psychoanalytical causes for paraphilia (2), 1) Defenses against unresolved anxiety More common in men. It explains the role of the interprofessional healthcare team in . B) Paraphilias are more common among men than women. Explanations exist, but the research, or lack of it, points to one inescapable conclusion: Nobody knows for sure what causes paraphilias. In the Kinsey studies, what percentage of adolescent farm boys had achieved orgasm through sexual contact with farm animals? -the scene is presented to patient for a period of time and over repeated sessions until the patient's urges to engage in the deviant behavior have been eliminated, -pairing of unpleasant, but harmless odors (ex. Exhibitionistic disorder is classified as a paraphilic disorder, which means it's a highly dysfunctional sexual interest with the potential to cause harm to oneself or others. 4) High rates of recidivism Charles is a high school senior who can no longer reach orgasm without first looking at a picture of women's feet. -this method also predicts violent recidivism (tendency to re-offend) among sex offenders, Ethical, social, + medical concerns surrounding the method of penile plethysmography, 1) potential exploitation of children (because nude photos are used) There was $10,000 of inter-corporate receivables and payables at the end of 20X5. This is, for the most part, simply wrong. \text{Dividends Declared} & 30,000 && 10,000\\ paraphilic disorder. -is also attracted to older women The practice of being restrained in masochistic behaviour is called? This, they propose, is why no two people are sexually aroused by exactly the same patterns of situations and events. Which disorder is considered the most dramatic, least common, and most controversial dissociative disorder? Interpret the meaning of the term below: -***BUT, this is not supported, Behavioral Conditioning Theories for the Cause of Paraphilic Disorders, -ex. Cognitive-Behavioral Therapy. He now holds a chocolate bar next to his nose when he masturbates to achieve orgasm. 1577 was drawn to replenish the fund. -most often the perpetrator is male C) A psychiatric diagnosis of paraphilia requires that the person is distressed by his/her sexual urges. -BUT, we DO know that the disorders are rare Because you repressed them and pushed them into your unconscious, you are even now totally unaware that those conflicts exist A.Reduce frequency of auditory hallucinations. 5) Cognitive-Behavioral treatment, -involves exposing the person to the arousing stimuli + continuing that exposure for an extended period until the stimuli no longer produce positive, erotic feelings 2. \text{Depreciation Expense} & 25,000 && 15,000\\ -System desensitization to terminate the connection between stimulus and inappropriate response -drugs inhibit lutenizing hormone secretion, which lowers testosterone levels \text{U.S.}&\text{USD3.75}\\ - is victimless John Money theorized that every individual has a mental template of an ideal lover and the types of stimuli that are sexually arousing. A personality disorder involves a lasting pattern of emotional instability and unhealthy behaviors that seriously disrupt daily living and relationships. Obscene phone calls, messages, and videos to an unsuspecting person. (See also Overview of Paraphilic Disorders .) - but other hormones, such as epinephrine (adrenaline) and norepinephrine, have been implicated as well - most successful approach to treating paraphilic disorders Social Science. -Chemical Castration The rationale was that if male hormones are responsible for sex drive, less of it should decrease sex drive and paraphilic behavior along with it. Issue 12. The usage of antiandrogens, such as cyproterone acetate (CPA) and Provera, is a prominent form of treatment for paraphilic disorders. \text { Common equity, } \operatorname{Dec} 31,2011 \ldots \ldots &307,000 \\ Make First State Banks adjusting entry to accrue monthly interest revenue at October 31, at November 30, and at December 31. Estimating the bad debts expense by aging accounts receivable generally results in smaller errors than the percentage of credit sales approach. His doctor prescribed a serotonin-enhancing drug (SSRI) to help both the depression and paraphilic behaviors. Mark is a ______________. - victimless -low income, unemployed, alcoholic, lower IQ, psychopathic, characteristics of mens pedophilic acts with boys, -has many victims (up to hundreds) - commonly experience marital difficulties DSM-IV-TR moved transvestism from a disorder of gender identity to a paraphilia called transvestic fetishism. The differential assigned to depreciable assets should be written off over the following 10-year period. -mean age of victim is 8 years old 6) Usually 3-4 types of paraphilia diagnosed, -Resolving unconscious conflicts believed to originate in childhood. Flashcards . - contend that our personal, individual, sexual experiences determine each person's unique set of sexual likes and dislikes, preferences, and characteristic sexual inclinations. Examples are sexual sadism disorder, voyeuristic disorder and pedophilic disorder. Prepare the companys classified balance sheet in account format at December 31, 2012. As he continued this practice through the early years of puberty he began to eroticize his mother's shoes which were in the closet. D) Osama who is completely comfortable working as a male stripper. What theoretical approach do researchers believe presents the most accurate explanation for paraphilias? Imagine that you are asked to create a television commercial to sell a new product. D) Some cases of paraphilia are harmless and victimless. C) Steve, who likes to engage women in conversation at the beach with an erection visible under his speedo. C) Paraphilic sex offenders typically claim that they are able, if necessary, to control their paraphilic behaviour. C) They are usually also exhibitionists. The various paraphilic disorders affect a wide variety of people. The biological treatment of paraphilic disorders, then, is of paramount importance for psychiatry and society at large. Bradley's activity is typical of, rub against or touch a non-consenting person. D) People with paraphilias, treated or untreated, tend to take responsibility for their behaviour. High rates of reoffending are common following most treatment regimens. - sexual arousal and gratification that are associated with acts or fantasies of being hurt, humiliated, or otherwise made to suffer \text{Land} & 80,000 && 80,000\\ 1. Joe is extremely aroused by the smell of chocolate. He has no idea where this comes from, but he does remember he and his first sexual partner covered themselves in chocolate sauce prior to intercourse. The presence and frequency of any paraphilic fantasy and behavior was assessed by means of a clinical interview based on Diagnostic and Statistical Manual of Mental Disorders, 5th Edition criteria. \text{Japan}&\text{JPY420}&\text{JPY91 = USD1 }\\ Accounting forms are given in the Working Papers. -BUT, in some tropical areas where exposing your genitalia is the norm, this disorder may not be diagnosed, Developmental Factors in Paraphilic Disorders, -most common age of onset = adolescence--> young adult -reduces recidivism (chances to re-offend) rates compared to programs that use other approaches or compared to offenders who do not receive treatment due to lack of financial + therapeutic resources. - Selective serotonin reuptake inhibitors (SSRIs), originally developed as antidepressants, have shown promise in treating young adults and more resistant and serious cases of paraphilic disorders, effectiveness of treatment for paraphilic disorders, Overall studies examining the effectiveness of treatments for paraphilic disorders report two main findings: Treatment methods are marginally effective at best, and the research into treatment methods is inadequate B) Unless the offender is motivated to change, treatment is unlikely to be successful. -paraphilias that cause distress or impairment to the person or when the satisfaction of a paraphilia has caused harm or risk of harm to another person. William needs anal stimulation through enemas to achieve sexual arousal and gratification. Almost exclusively seen in males on crowded places. -***almost all people with paraphilic disorders are male (but can be found in women) A recent study used electroencephalography (EEG) to investigate electrical responses in the brain among paraphilics and control subjects. These explanations include ___________________________. Round percentage calculations to the nearest 0. Explain behavioral treatment and normal educational and intellectual functioning in young autistic children. - is not considered a psychological disorder. - Usually the humiliation and pain involved do not draw blood, break bones, or leave permanent scars. \text { Cash } & 41,000 & 5,500 \text { shares issued }&71,500 (American Psychiatric Association, 2013). \text { Retained earnings } & \$ 151,500 & \text { Common stock, } \$ 4 \text { par } \\ The level of severity, distress, and impairment (up to and including criminal behavior) resulting from these disorders also are highly variable. The difference between a cross-dresser and a transvestic disorder is ________________. - However, these acts, though appearing to be paraphilic in nature, are done as sexual play, usually with strict rules and agreements to ensure that the activities never cross any undesired pain or comfort boundaries for either partner 2) advise individual to seek professional help The treatment in which unwanted sexual behaviors and images are reduced by associating them with unpleasant stimuli, such as electric shocks or noxious odors, is called __________ therapy. Select the main goal of psychosocial therapies for persons with schizophrenia. Adam's marriage is at the breaking point over this behavior. D) Many sex offenders only receive treatment because they have been referred by the court system. -most common in males Pizza Corporation acquired 80 percent ownership of Slice Products Company on January 1, 20X1, for $160,000. - The neurotransmitter serotonin, which is known to be involved in various psychological disorders, especially depression, anxiety, and obsessive-compulsive disorder (OCD), has also been connected to paraphilias \end{array} Significance for Practicing Psychiatrists. Give your reasoning. Prepare an income statement. C) Transvestism is equally common among men and women. \text { Interest expense, } 2012 \ldots \ldots \ldots \ldots & 3,000 \\ -***measures levels of arousal before and after intervention, -measures changes in penile tumescence (when blood vessels are enlarged)/blood flow when the man is shown sexually arousing or non-arousing stimuli -Surgical castration as beeen performed on rapists and violent sex offenders Which of the following statements about transvestism is true? -people discontinue treatment once legal oversight is over - One of the most notable characteristics shared by the majority of pedophiles is that they were themselves sexually abused as children \text{Sales} && 200,000 && 100,000\\ Individuals who ___________________ show the most successful responses to treatment for paraphilic disorders. - Part of the attraction and excitement is the terror experienced by the victim any behavior, sexual or otherwise, that a person is unable to control regardless of repeated attempts to do so, paraphilic disorder in which sexual arousal is derived from observing unsuspecting individuals undressing or naked, a paraphilic disorder in which persons have repeated sexually arousing urges or fantasies about exposing their genitals to others, and may act upon those urges, a paraphilic disorder in which a person has repeated and intense sexual urges or fantasies about watching, touching, or engaging in sexual acts with children, and either acts on these urges or experiences clinically significant distress or impairment, a paraphilic disorder consisting of recurrent and intense sexual urges, fantasies, or behaviors that involve the use of a nonliving object or nongenital part, often to the exclusion of all other stimuli, accompanied by clinically significant distress or impairment, A paraphilic disorder consisting of repeated and intense sexual urges, fantasies, or behaviors that involve touching and rubbing against a non-consenting person. On the date of combination, the fair value of Slice's depreciable assets was $50,000 more than book value. You can see that this argument is misguided in that although celibacy may cause a buildup of sexual tension for some people (whether in the priesthood or not), most of those individuals will not make children the focus of their desire or their sexual acting out. In the Diagnostic and Statistical Manual of Mental Disorders (DSM), paraphilic disorders are often misunderstood as a catch-all definition for any unusual sexual behavior. -Sexual Masochism Disorder Individuals who _____ show the most successful responses to treatment for paraphilic disorders. -they do not seek out pain/humiliation in other types of activities Paraphilic disorders, also known as paraphilias, are mental illnesses in which people have intense and persistent sexual urges. May be chronic, due to development of small cameras making this easier, government considers it a crime to record or secretly observe where privacy is expected. Definition. c. On July 31, the petty cash fund had cash of $132.36 and the following receipts on hand: postage,$205.20; supplies, $197.04; and delivery service,$38.40. -these disorders are sometimes associated with criminal activities. On June 30, the petty cash fund had cash of$92.76 and the following receipts on hand: postage, $240.00; supplies,$149.64; delivery service, $74.40; and rubber stamp,$43.20. Post all three entries to the Interest Receivable account. Paraphilic Disorders / therapy* Psychotherapy / methods* Psychotherapy, Group . -***BUT, this is not supported, -in order to be diagnosed, there needs to be significant distress or functional impairment These disorders include sexual interest that causes personal distress or impairment or causes potential or actual harm to another person. B) They are typically psychologically introverted. A) It focuses on helping the individual improve his or her ability to relate to others. And engaging in bondage or S&M activities. -BUT, in sexual masochism, women prefer less pain than men, cultural factors involved in paraphilic disorders, -ex. - most are heterosexual Over time, Jonathan developed a shoe fetish. - is victimizing Match. - people attempt to satisfy their constant and overpowering sexual cravings by taking excessive time planning and engaging in sexual behavior. -few data supports the role of genetics, Psychosocial Theories for the Cause of Paraphilic Disorders, -commonly held belief is that people who abuse children were abused as a child themselves Can you explain why? These disorders can be hard to diagnose because the symptoms vary so much from person to person. a. 1) disorders based on anomalous (deviating from expected or normal) target preferences, Paraphilic disorders based on anomalous target preferences, -when sexual fantasies, urges, or behaviors are associated with targets that deviate from what is considered normal or expected, -recurrent + intense sexual arousal (fantasies, urges, or behaviors) that involves nonliving objects or a highly specific focus on non-genital body parts, -recurrent + intense sexual arousal that results from cross-dressing and is accompanied by significant distress or impairment, -recurrent + intense sexual urges, sexually arousing fantasies, or behaviors involving sexual activity directed towards a prepubescent child or children, prevalence of pedophilic acts with boys/girls, characteristics of mens pedophilic acts with girls, -has few victims Prepare the journal entries necessary to record each of these transactions. What type of paraphilia does he have? -theory is that people will look longer at pictures they find sexually arousing, Biological Treatments for Paraphilic Disorders, 1) Surgical Castration Sexual masochism disorder is a paraphilic disorder, which involves recurrent, intense, sexually arousing fantasies, urges, or behaviors that are distressing or disabling and have the potential to . - is victimizing . -treatment is based on classical + operant conditioning, Examples of ways to decrease or eliminate inappropriate sexual arousal (1st step of learning theory), 1) Satiation