Deck 20: Paraphilic Disorders

Question 1

All of the following include a common characteristic of paraphilic disorders in the DSM-5 EXCEPT:

A) Unusual preferences in erotic activity (e.g., exposing genitals to unsuspecting individuals).
B) Unusual preferences in the targets of erotic activity (e.g., with children, corpses, animals).
C) Normative sexual activity with a consenting adult.
D) Sexual arousal from activities involving pain and suffering.

Answer 1

Normative sexual activity with a consenting adult.

Question 2

Which of the following is true regarding paraphilias and paraphilic disorders?

A) The majority of those who have them are female.
B) 80% or more of those who have them are single adults.
C) "Paraphilic coercive disorder" is the most recent paraphilic disorder to appear in the DSM.
D) Paraphilias often begin in adolescence or early adulthood and peak between the ages of 20-30.

Answer 2

Paraphilias often begin in adolescence or early adulthood and peak between the ages of 20-30.

Question 3

Clinicians who work with those who have committed sexual offenses can anticipate:

A) Mostly clients who are self-referred for therapy.
B) Needing to manage their own countertransference reactions to those who have committed offenses against nonconsenting individuals.
C) That clients who are court-ordered are generally highly motivated for treatment.
D) All of the above.

Answer 3

Needing to manage their own countertransference reactions to those who have committed offenses against nonconsenting individuals.

Question 4

Treatment for sexual disorders, including those for sex offenders, have primarily focused on:

A) Cognitive-behavioral approaches.
B) Biological interventions (e.g., antiandrogenic medications).
C) Gestalt therapies.
D) Group therapy.

Question 5

A minimum age of 18 is required for the diagnosis of voyeuristic disorder:

A) Because it is not considered illegal before that age.
B) Because it has not been found to occur by those younger than 18.
C) To ensure it is differentiated from the heightened sexual curiosity and interest that is typical of adolescents.
D) Because the diagnosis "voyeurism, early onset" is given prior to age 18.

Question 6

All of the following are true of exhibitionistic disorder EXCEPT:

A) It involves sexual pleasure from exposing one's genitals.
B) Exposure is usually done to neighbors or others who are known to the individual.
C) Most of the targets are women, underage girls, and underage boys.
D) The diagnosis can be given in the absence of self-reported distress about the behavior.

Question 7

Touching or rubbing against an unsuspecting stranger in a sexual manner while in a crowded bus is most likely indicative of:

A) Dacryphilic disorder.
B) Klismaphilic disorder.
C) Dendrophilic disorder.
D) Frotteuristic disorder.

Question 8

Sexual masochism with asphyxiophilia seeks to enhance sexual arousal by:

A) Reducing the flow of oxygen to the brain.
B) Using cocaine before having pain inflicted.
C) Increasing the amount of oxygen in the brain.
D) Reducing blood flow to the extremities.

Question 9

Pedophilic disorder could be diagnosed in which of the following situations?

A) A person admits to sexual fantasies and preferences for children, but has not acted on those desires or urges.
B) A person denies attraction to children, but continues to molest them.
C) A 17-year-old who has a consensual sexual relationship with a 15-year-old.
D) All of the above.

Question 10

Which of the following is required for the diagnosis of fetishistic disorder in DSM-5?

A) Sexual arousal by touching or fondling a woman's underwear.
B) Sexual arousal by touching a woman's feet.
C) A male wearing female garments under his clothing.
D) Significant distress or impairment in social, occupational, or other areas of functioning as a result of the fantasies, sexual urges, or behaviors.

Question 11

A male has had year-long pattern of cross-dressing and imaging himself as a female in order to achieve sexual arousal. If he is distressed about this pattern, the most likely diagnosis is _____:

A) Transvestic disorder with fetishism.
B) Fetishistic disorder with transvestism.
C) Transvestic disorder with autogynephilia.
D) Fetishistic disorder with autogynephilia.