On their long journey at a railway station two ladies, a mother and her teenage daughter, were horrified when a man showed his genitals. When I looked around there was no sign of him. Apparently, that was the end of the story. "He is there," shrieked the mother, obviously scared. Before big commotion the man disappeared. The ladies were frightened, "What if the man follows us?" and were seriously considering seeking help from the police. I assured, that it won't be necessary, they were safe. [The above story is based on actual incidence.] More about each sexual perversion.

The ladies had seen an exhibitionist.
Exhibitionists are harmless. They do not rape or pursue you. However, they can scare women.

Quiz: Is making obscene telephone calls some kind of sexual perversion? Find out.

There are 8 major sexual perversions
1. *Exhibitionism: the recurrent urge or behavior to expose one's genitals to an unsuspecting person.

2. * Fetishism: the use of non-sexual or nonliving objects or part of a person's body to gain sexual excitement. Partialism refers to fetishes specifically involving nonsexual parts of the body.

3. * Frotteurism: the recurrent urges or behavior of touching or rubbing against a non-consenting person.

4. * Pedophilia: the sexual attraction to prepubescent or peripubescent children.

5. *Sexual Sadism the recurrent urge or behavior involving acts in which the pain or humiliation of the victim is sexually exciting.

6. * Transvestic fetishism: a sexual attraction towards the clothing of the opposite gender.

7. *Voyeurism: the recurrent urge or behavior to observe an unsuspecting person who is naked, disrobing or engaging in sexual activities, or may not be sexual in nature at all.

[Diagnostic and Statistical Manual of Mental Disorders]
What is the word meaning of paraphilia?
Paraphilia (in Greek para παρά = besides and -philia φιλία = friendship)—in psychology and sexology, is a term that describes a group of persistent, intense fantasies, urges, or behaviors involving sexual arousal to nonhuman objects, pain or humiliation experienced by oneself or one's partner, or children or other non-consenting individuals.
What is not sexual perversion?
Sexual Practices are not Sexual Perversions if they do not
fulfill the specifications mentioned below.

* the activity must be the sole means of sexual gratification
* for a period of six (6) months, and either
* cause "clinically significant distress or
* impairment in social, occupational, or other important areas of functioning" or
* involve a violation of consent to be diagnosed as a paraphilia

Paraphilias include fantasies, behaviors, and/or urges which:

* involve nonhuman sexual objects, such as shoes or undergarments
* require the suffering or humiliation of oneself or partner
* involve children or other non-consenting partners

Other rarer paraphilias: Not otherwise specified (ICD-9-CM equivalent of "Sexual Disorder NOS") and include
.telephone scatalogia (obscene phone calls),
• necrophilia (corpses),
• partialism (exclusive focus on one part of the body),
• zoophilia (animals),
• coprophilia (feces),
• klismaphilia (enemas),
• urophilia (urine),
• emetophilia (vomit).
Psychopharmacological agents
Drugs that drastically lower testosterone temporarily (antiandrogens) have been used for the control of repetitive deviant sexual behaviors and have been prescribed for paraphilia-related disorders as well. Cyproterone acetate inhibits testosterone directly at androgen receptor sites. In its oral form, the usual prescribed dosage range is 50–200 mg per day.
Serotonergics (drugs that boost levels of the brain chemical serotonin) are prescribed for anxious and depressive symptoms. Of the serotonergic agents reported, fluoxetine has received the most attention, although lithium, clomipramine, buspirone, and sertraline are reported as effective in case reports and open clinical trials with outpatients.
Other alternative augmentation strategies that may be effective include adding a low dose of a secondary amine tricyclic antidepressant to the primary serotonergics, but these reports are only anecdotal.

psychoanalysis and
hypnosis are hardly beneficial

Current methods

1.* Aversion imagery involves the pairing of a sexually arousing paraphilic stimulus with an unpleasant image, such as being arrested or having one's name appear in the newspaper.
2. * Desensitization procedures neutralize the anxiety-provoking aspects of nonparaphilic sexual situations and behavior by a process of gradual exposure. For example, a man afraid of having sexual contact with women his own age might be led through a series of relaxation procedures aimed at reducing his anxiety.

3. * Social skills training is used with either of the other approaches and is aimed at improving a person's ability to form interpersonal relationships.
4. * Orgasmic reconditioning may instruct a person to masturbate using his paraphilia fantasy and to switch to a more appropriate fantasy just at the moment of orgasm.

Treatment Results No high degree of success.
Most therapists would say.
The general public would prefer to "lock up" the sex offender than offer treatment.

Paraphilia and paraphilia-related disorders are more prevalent than most clinicians suspect as they are cloaked in shame and guilt.


American Psychiatric Association.
Diagnostic and Statistical Manual of Mental Disorders. 4th ed.
Washington DC

Masters, William H., Virgina E. Johnson, and Robert C. Kolodny. Human Sexuality. Harper Collins Publishers, Inc., 1992.

Abel, Gene G., et al. "Multiple Paraphiliac Diagnoses Among Sex Offenders." Bulletin of the American Academy of Psychiatry and Law (Spring 1988).

American Academy of Clinical Sexologists. 1929 18th St., N.W., Suite 1166, Washington, DC 20009. (202) 462-2122.
American Association for Marriage and Family Therapy. 1133 15th St., NW Suite 300, Washington, DC 20005-2710.(202) 452-0109.
American Association of Sex Educators, Counselors & Therapists. P.O. Box 5488, Richmond, VA 23220-0488.
Oxford university press
Source: Thanks to David James Doermann

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