Deck 14: Paraphilic Disorders: Atypical Sexual Behaviors

Question 1

Tim frequently looks through windows and watches women undress.He does not believe that he is harming anyone because he never makes contact with any of the women he observes.How would society judge this behavior?

A) positively, because he did not attempt to make contact
B) negatively, because he did not attempt to make contact
C) positively, because it is a rite of passage for males
D) negatively, because it is illegal

Answer 1

D

Question 2

Brian is sexually turned on by sex with dead people; his behavior is referred to as ________.

A) necrophilia
B) urophilia
C) gerontophilia
D) stigmatophilia

Answer 2

A

Question 3

Your instructor asks you to answer the following question in class.Is sexual addiction a paraphilia?

A) Yes, because the behavior is seen as being abnormal or deviant by society.
B) Yes, because the person engages in compulsive and recurrent behaviors.
C) Yes, because the person is seeking sexual gratification.
D) No, because it does not meet the criteria for paraphilia.

Answer 3

D

Question 4

Which one of the following paraphilias would be considered victimless?

A) necrophilia
B) exhibitionism
C) telephone scatalogia
D) transvestism

Question 5

Joshua is an urophiliac and is sexually aroused by ________,while Keith is a coprophiliac and is sexually aroused by ________.

A) looking at genitals; looking at feet
B) copulation; fornication
C) urine; feces
D) underarm hair; facial hair

Question 6

______________ wrote Psychopathia Sexualis,which was a medical text that provided a thorough account of paraphilic behaviors.

A) Henry Havelock Ellis
B) Masters and Johnson
C) Richard von Krafft-Ebing
D) Sigmund Freud

Question 7

Based upon what he has read,Jason believes that he has a paraphilia.For the last 6 months,he has been experiencing personal distress about his paraphilic behaviors.He wants to go to a psychologist to see if he has a paraphilic disorder.According to the DSM-5,what is one other criterion that could qualify Jason for a diagnosis of paraphilic disorder?

A) sexual desires or behaviors that have been causing distress for at least 5 years
B) sexual desires or sexual behaviors that involve harm to self
C) sexual behaviors that cause harm or involve someone who cannot or will not consent
D) sexual desires or sexual behaviors that are victimless in nature

Question 8

One example cited from the 1886 book,Psychopathia Sexualis,discussed a man who enjoyed having intercourse with ________.

A) shoes
B) horses
C) dead people
D) hens

Question 9

The paraphilias are considered in the context of two categories,those that ________.

A) involve humans and those that do not
B) are nonvictimizing and those that involve nonconsenting victims
C) are legal and those that are not
D) are normal and those that are abnormal

Question 10

The Diagnostic and Statistical Manual of the American Psychiatric Association lists specific criteria for the diagnosis of all of paraphilias.The term "disorder" is used when a paraphilia meets certain criteria for a clinical diagnosis.So,________.

A) pedophilic disorder is used instead of frotteurism
B) exhibitionistic disorder is used instead of voyeurism
C) transvestic disorder is used instead of fetishistic disorder
D) voyeuristic disorder is used instead of voyeurism

Question 11

In Krafft-Ebing's time,what activities were condemned as abnormal or a paraphilia?

A) menstruation and menopause
B) sexual intercourse and orgasm
C) kissing and hand holding
D) anal sex, oral sex, and masturbation

Question 12

When is a sexual behavior considered as being strange or abnormal?

A) when only a few people within society believe the behavior is strange or abnormal
B) when some people within society believe the behavior is strange or abnormal
C) when most people within society believe the behavior is strange or abnormal
D) when all members of society believe the behavior is strange or abnormal

Question 13

Several criteria are used to determine whether a sexual behavior is a paraphilia.One criterion requires that the behavior be recurrent.In fact,the person may not be able to stop the undesirable behavior.This is the _____ component of paraphilias.

A) depressive
B) compulsive
C) sexual arousal
D) judgment by society

Question 14

A case presented from the 1886 book Psychopathia Sexualis involved a fetish in which a man was sexually aroused by a ________.

A) handkerchief
B) high heel
C) coat hanger
D) feather

Question 15

According to the text,it is unclear whether or not David's particular paraphilic behavior of ________ is considered to be victimizing or victimless.

A) fetishism
B) sadism
C) zoophilia
D) pedophilia

Question 16

Jim has a sexual attraction to animals,which is referred to as ________.

A) coprophilia
B) klismaphilia
C) zoophilia
D) necrophilia

Question 17

Dan's paraphilic behavior would be considered victimizing.Which of the following is his behavior?

A) transvestism
B) voyeurism
C) fetishism
D) klismaphilia

Question 18

John's counselor says his sexual activity would generally be considered to be a paraphilia because it meets all of the following conditions except ________.

A) the behavior is engaged in for the purpose of sexual arousal or gratification
B) the behavior tends to be compulsive and recurrent
C) a clear majority of those in a given cultural setting would consider the behavior to be strange, deviant, pathological or abnormal
D) the behavior involves another person

Question 19

Your professor asks you to give an example of a paraphilia behavior that is harmful or destructive to the person engaging in it.What example can you give?

A) a person who participates in extreme masochism to the point of serious injury
B) a woman who wears only dresses in public
C) a teenager who masturbates
D) a person who enjoys receiving pain to the point of serious injury

Question 20

"Paraphilia" literally means ________.

A) abnormal love
B) strange sexual practices
C) fantasy fixation
D) attraction to persons from Paris

Question 21

A "peeping Tom" is another name for ________.

A) an exhibitionist
B) machismo
C) frotteurism
D) a voyeur

Question 22

The psychodynamic theory of the origins of paraphilias can be most closely associated with ________.

A) Masters and Johnson
B) Henry Havelock Ellis
C) Sigmund Freud
D) Abraham Maslow

Question 23

In terms of the origins of paraphilias,our understanding could best be summarized by saying ________.

A) nobody really knows what causes paraphilias
B) most paraphilias are caused by hormonal imbalances in utero
C) paraphilias are the result of childhood trauma
D) most paraphilias have a medical basis in their development

Question 24

Sometimes bondage,discipline,and sadomasochism is simply referred to as BDSM or ________.

A) sadomasochism
B) masochism
C) discipline training
D) transvestism

Question 25

One study found levels of ________ in men who have pedophilia to be significantly higher.

A) estrogen
B) serotonin
C) adrenaline
D) progesterone

Question 26

In regards to pedophilia,one group that has received widespread media attention over the past few years consists of ________.

A) postal workers
B) psychologists
C) airline pilots
D) Catholic priests

Question 27

One hormone that appears to be related to compulsive sexual behavior is ________.

A) testosterone
B) estrogen
C) progestin
D) serotonin

Question 28

The ________ theory of paraphilic origin suggests that dysfunctional or problematic behaviors in adulthood are caused by traumatic events that occurred in childhood.

A) behavioral
B) psychodynamic
C) biological
D) hormonal

Question 29

In terms of consent and paraphilias,________.

A) it can still be a paraphilia, even if the other person gives consent
B) as long as the person consents, it is not a paraphilia
C) consensual, victimless acts cannot be considered paraphilic
D) paraphilias imply that there is always consent

Question 30

Perry is learning about sexual sadism disorder.He is learning that the sadist ____________________.

A) is usually a woman who seeks to humiliate and terrorize other women
B) gets sexually excited by terrorizing victims just like some serial rapists
C) gets excited by receiving pain as opposed to inflicting it
D) usually abides by strict ground rules and agreements

Question 31

A "flasher" refers to someone who enjoys ________.

A) exhibitionism
B) machismo
C) frotteurism
D) voyeurism

Question 32

According to the text,a paraphilia will be more likely to be judged negatively for all of the following reasons except that the behavior ________.

A) is harmful or destructive to the person engaging in it
B) is illegal
C) interferes with the person's ability to form and maintain loving, intimate and sexual relationships with others
D) occurs outside a marital relationship

Question 33

As an exhibitionist,Eric's sexual arousal usually ________.

A) decreases if he thinks he will get caught
B) decreases if the victim shows shock
C) increases if his victim shows shock
D) increases if the victim approaches him

Question 34

Andrew,Terry,and Eugene are in a support group for voyeurs.One thing they all have in common as voyeurs is that they ________.

A) often seek arousal by going to topless beaches
B) prefer to remain unseen while watching their victims without their consent
C) are aroused when their victims notice them
D) like to be in the nude to view their victims

Question 35

What is the relationship between gender and paraphilias??

A) An overwhelming majority of people engaging in paraphilias are males.
B) Most of the coercive paraphilias are associated with females.
C) Men and women are equally likely to exhibit paraphilias.
D) Most paraphiles are women.

Question 36

Dr.Stone believes the origin of Ted's paraphilia relies on components of classical and operant conditioning.Dr.Stone would be considered a ________ theorist.

A) behavioral
B) psychodynamic
C) biological
D) hormonal

Question 37

The use of spy cameras and "web cams" are examples of high-tech devices used by ________.

A) voyeurs
B) exhibitionists
C) frotteurists
D) masochists

Question 38

The one paraphilic behavior that is found in both men and women (although still more common in men)is ________.

A) transvestism
B) voyeurism
C) sexual masochism
D) exhibitionism

Question 39

Steve's doctor feels that by giving him a prescription for medications that will block the action of ________,Steve may find that his paraphilic compulsions are reduced to more controllable levels.

A) testosterone
B) serotonin
C) hormones
D) blood platelets

Question 40

What are the names of the three theories that are used to describe how paraphilia develops?

A) biological, behavioral, and psychodynamic
B) genetic exhibitionist, behavioral, and psychodynamic
C) biological, genetic exhibitionist, and psychodynamic
D) biological, behavioral, and genetic exhibitionist

Question 41

The difference between sexual sadism and sexual masochism is that in the latter ________.

A) the partners make agreements and ground rules
B) there is always a woman in the dominate position
C) bondage is not used
D) humiliation is not included

Question 42

If James is a frotteurist,he enjoys ________.

A) crowded subways
B) peering through windows
C) watching people make love
D) displaying his genitals

Question 43

In the United States,pedophiles makeup about ____ of the population.

A) 20%
B) 10%
C) 4%
D) 1%

Question 44

What is a fetishistic disorder?

A) a sexual preference that is expressed by rubbing against other people in public
B) a strong sexual desire toward large and small animals
C) a strong sexual desire toward prepubescent children
D) a sexual preference or obsession for an inanimate object or specific body part

Question 45

Which of the following would a mental health worker consider to be a transvestite?

A) a male who dressed as Marilyn Monroe for Halloween
B) a male homosexual in drag
C) a man who experiences sexual satisfaction from wearing women's underwear
D) a professional female impersonator

Question 46

Approximately ________ of the victims of pedophiles are girls aged 8 to 11.

A) 25%
B) 45%
C) 65%
D) 85%

Question 47

Karen's class is studying the issue of pedophiles.She is learning a lot but she is surprised to learn that ________.

A) they are more often women
B) they have a low sex drive
C) they have never been exposed to sexual abuse
D) many are married and have children of their own

Question 48

Ian obtains sexual arousal and gratification when either fantasizes about being-or is actually-hurt or humiliated.This is called _______.

A) bondage
B) sadism
C) masochism
D) physical abuse

Question 49

Sadomasochism is the term used when the sexual activity _________________.

A) involves both sadism and masochism
B) involves inflicting pain on others
C) is about receiving pain
D) is about treating someone like an infant

Question 50

Daniel obtains sexual gratification by inflicting pain and humiliation.His behavior would be referred to as ________.

A) masochism
B) sexual sadism
C) sex play
D) discipline

Question 51

When an individual exploits a child for his or her own sexual gratification,that is a paraphilia.Which paraphilia is this behavior classified as?

A) exhibitionism
B) pedophilia
C) frotteurism
D) voyeurism

Question 52

When a person engages in _______,sexual arousal is obtained by _______.

A) exhibitionism; watching others for sexual gratification without consent
B) pedophilia; rubbing one's genitals against someone without consent
C) frotteurism; rubbing one's genitals against someone without consent
D) voyeurism; showing one's genitals without consent

Question 53

Jeff can only become aroused when he is fondling or thinking about high heels.His condition is called ________.

A) frotteurism
B) fetishism
C) transvestism
D) psychosis

Question 54

How many people die each year as a result of autoerotic asphyxiation?

A) 10,000
B) 1,000
C) 100
D) 10

Question 55

Autoerotic asphyxiation involves ________.

A) binding the feet
B) torturing the victim by suffocation
C) oxygen deprivation through hanging or strangulation
D) masturbating to unconsciousness

Question 56

It is thought that about ________ of all strangulation-related deaths due to strangulation among teens are due to autoerotic asphyxiation.

A) one-tenth
B) one-quarter
C) one-third
D) one-half

Question 57

The most common fetish objects include all of the following except ________.

A) shoes and boots
B) women's underwear and lingerie
C) feet and toes
D) breasts

Question 58

Many paraphilias are ________ because the activities are _______________.

A) victimizing; solitary or involve consenting adults
B) nonvictimizing; solitary or involve consenting adults
C) self-victimizing; performed by consenting adults
D) illegal; inconsistent with societal rules for sexual behaviors

Question 59

Ted has transvestic fetishism.Which of these statements is true about him?

A) He is most likely to self-identify as homosexual or bisexual.
B) He achieves sexual arousal by wearing female clothing.
C) He is confused about his gender identity.
D) He is transitioning from male to female for gender reassignment surgery.

Question 60

Part of the arousal for Barry,who is an exhibitionist,is the ________ response of the victim.

A) pleasure
B) shock
C) non-
D) humorous

Question 61

Sam is going through incorporation therapy as a treatment for his paraphila.All of the following relate to this type of treatment except ________.

A) it is a compromise, in that the frequency of the paraphilic behavior will be decreased, but not completely abolished
B) it is successful when the partner of the paraphile is distressed and unwilling to accept the intensity of the behavior, but can endure milder forms
C) the couple may work together to reach a point where they can both accept a certain level of the paraphilic behavior
D) it seeks to incorporate the behavior into lovemaking

Question 62

According to the text,the reason why someone might seek some form of treatment for a paraphilia _______.

A) is to learn how to successfully orgasm while engaging in the paraphilia
B) is to instill a sense of pride about the paraphilia
C) is to continue working on the harmony within their primary relationship
D) because it was ordered by the court to seek treatment as part of sentencing or probation

Question 63

Individuals who seek treatment for paraphilias have a higher likelihood of success if they obtain help because they are ________ rather than ________.

A) court-ordered; experiencing self-distress
B) experiencing self-distress; having been court-ordered
C) court-ordered; experiencing relationship distress
D) court-ordered; experiencing distress due to sexual dysfunction

Question 64

Which of the following is true with regard to treatment effectiveness?

A) Most paraphilias are easily treated.
B) Studies seem to indicate that no treatment is significantly better than another.
C) The success rate for treating most paraphilias is not high.
D) Statistics on treatment effectiveness are usually obtained from the criminal justice system.

Question 65

Robert is in a therapy session.The therapist tells him that he can fantasize or use an object or image that is related to his paraphilia.When he begins to feel like he will have an orgasm,he needs to switch to fantasies,objects or images that are socially acceptable.This type of treatment is known as ________.

A) incorporation therapy
B) orgasmic reconditioning
C) aversion therapy
D) social skills training

Question 66

Describe treatment approaches for paraphilias discussed in the textbook.

Question 67

The most recent class of medications to show promise in treating paraphilias is ________.

A) alcohol
B) SSRIs
C) hormone replacement
D) methadone

Question 68

Discuss what is known about the more common nonvictimizing paraphilias.

Question 69

The most successful treatments have been shown among people who ________.

A) have received continuous treatment while incarcerated for paraphilic behaviors
B) do not have a history of counseling and drug therapy
C) have abnormal adult sexual relationships
D) are motivated to stop, have sought treatment early, and are in normal adult sexual relationships

Question 70

The treatment of paraphilic behavior ________.

A) involves the complete extinguishment of the paraphilic behaviors
B) depends on what paraphilia is being treated
C) usually includes group therapy
D) does not work

Question 71

Discuss the three most common theories on the origins of paraphilias.

Question 72

Describe the five most common victimizing paraphilias.

Question 73

Traditionally,medications like Depo-Provera have been used for paraphilias to ________.

A) prevent or eliminate sexual fantasies
B) reduce the appetite of all sexually active males
C) block or reduce hormones like testosterone
D) reduce sensitivity to sexual intercourse

Question 74

Discuss the three basic criteria used to determine if something is a paraphilia or not.

Question 75

Due to the ethical issues involved,psychotherapy is less likely to involve ________.

A) aversion therapy
B) covert sensitization therapy
C) group therapy
D) cognitive behavioral therapy

Question 76

Lindsey is seeking treatment for paraphilia.She is sexually gratified when she receives pain.As her therapist,you believe that she has learned to associate pain with pleasure.How would you treat her problem?

A) use orgasmic reconditioning by encouraging her to avoid having orgasms
B) use covert sensitization so she can fantasize about pain while experiencing pain
C) use aversion therapy by pairing her need for pain with electric shock
D) use cognitive-behavioral therapy to change her thinking patterns and behaviors