Deck 15: Atypical Sexuality

Question 1

The condition in which a person is sexually aroused by the presence of a particular item or type of material is called

A) transvestism.
B) masochism.
C) sadism.
D) exhibitionism.
E) fetishism.

Answer 1

E

Question 2

A person whose life is dominated by an atypical desire is most likely a(n)

A) child.
B) senior citizen.
C) woman.
D) man.
E) adolescent.

Answer 2

D

Question 3

Fetishistic attraction to body parts is called

A) zoophilia.
B) partialism.
C) necrophilia.
D) autoeroticism.
E) frotteurism.

Answer 3

B

Question 4

Heterosexual men who wear women's clothing because they find it sexually arousing are called

A) transvestites.
B) transexuals.
C) bisexual.
D) voyeurs.
E) exhibitionists.

Question 5

For any sexual act to be morally, socially, and legally acceptable, _______ is required.

A) marriage
B) reproduction
C) consent
D) orgasm
E) religious belief

Question 6

Meg is sexually aroused while whipping Mark, and Mark is aroused while being whipped. Meg is a _______ and Mark is a _______.

A) sadist; masochist
B) masochist; sadist
C) brute; coward
D) butch; femme
E) man hater; self-loather

Question 7

You are developing educational material about BDSM. To reach the greatest number of affected individuals, you should discuss the topic of

A) male tops.
B) male bottoms.
C) male subs.
D) female tops.
E) female subs.

Question 8

A woman paid by a man to inflict pain is called a

A) bitch.
B) femme.
C) top.
D) bottom.
E) dominatrix.

Question 9

The scientific term for problematic sexual desire or behavior is

A) partialism.
B) paraphilia.
C) paranormal.
D) polygynous.
E) polyandry.

Question 10

Paraphilic behaviors are often illegal, especially when they involve other people without

A) their consent.
B) the use of contraceptives.
C) the expectation of orgasm for both individuals.
D) the climacteric.
E) their parents' permission.

Question 11

Which of the following would not characterize a man as having an interest in sex play as opposed to having a paraphilia?

A) A desire to be spanked once by his wife
B) A one-time fantasy of being spanked by his wife
C) An agreement between a husband and wife to experiment with sexual spanking
D) Spanking his wife 4 times in the past 6 months despite her indication that she did not want to participate in this behavior
E) Daily masturbation

Question 12

Which of the following does not meet the proposed definition of sexual sadism disorder in DSM-5?

A) Over the course of a year, a person is distressed by his desire to hurt a partner for the purpose of sexual arousal
B) Over the course of 6 months, a person is distressed by his desire to hurt a partner for the purpose of sexual arousal
C) A person has actually hurt 1 non-consenting partner for the purpose of sexual arousal
D) A person has hurt 2 non-consenting partners for the purpose of sexual arousal
E) A person has hurt 3 non-consenting partners for the purpose of sexual arousal

Question 13

You are scheduled to evaluate a person diagnosed with a paraphilia. Before looking at their medical record, you can assume the following is probably true about your patient?

A) The person is a prepubertal female.
B) The person is a prepubertal male.
C) The person lacks social skills.
D) The person is manic.
E) The person has no other cognitive or psychiatric problems.

Question 14

You are scheduled to evaluate an older man diagnosed with a paraphilia. Once again, before reviewing his medical record, you can assume the following is probably true about your patient.

A) His problem started during early adolescence.
B) His problem started after a mid-life crisis.
C) Except for his paraphilia, he gets along very well with women.
D) He has no symptoms of other psychiatric problems.
E) He has only one paraphilia.

Question 15

Far more _______ than _______ develop paraphilias.

A) women; men
B) men; women
C) adolescents; children
D) homosexuals; heterosexuals
E) homosexuals; bisexuals

Question 16

Which of the following atypical behaviors is very common in reported fantasies by men, but is not commonly reported as a behavior that is carried out?

A) Sex with young boys
B) Sex with animals
C) Obscene telephone calls
D) Sex with young girls
E) Exhibitionism

Question 17

Which of the following atypical behaviors is not necessarily reported by men during fantasies, but is a common behavior that is carried out?

A) Sex with young boys
B) Sadism
C) Masochism
D) Rape
E) Voyeurism

Question 18

_______ are men who expose their genitals to women in public or semipublic places.

A) Transvestites
B) Frotteurs
C) Mashers
D) Sadists
E) Exhibitionists

Question 19

When an exhibitionist misinterprets his victim's reactions as a reciprocation of his sexual interest, he is experiencing

A) habituation.
B) cognitive distortion.
C) self-flattery.
D) self-importance.
E) rational thinking.

Question 20

Exhibitionism accounts for over _______ of convictions for sex crimes in the United States.

A) one-quarter
B) one-third
C) one-half
D) two-thirds
E) three-quarters

Question 21

You are concerned about recidivism of paraphilias. The plan to reduce recidivism should focus on

A) exhibitionists.
B) voyeurs.
C) transvestites.
D) pedophiles.
E) child molesters.

Question 22

A man who sexually aroused only while watching women undress would be considered a

A) transvestite.
B) transexual.
C) masher.
D) flasher.
E) voyeur.

Question 23

An adult who has sexual contact with a prepubescent child is called a child

A) sadist.
B) masochist.
C) molester.
D) pervert.
E) lover.

Question 24

Adults who are sexually attracted to children 11-14 years of age are called

A) pedophiles.
B) molesters.
C) perverts.
D) hebephiles.
E) intrafamilial molesters.

Question 25

The following statements describe a "typical" pedophile except

A) attraction to young children started at 12-14 years of age.
B) this person is male.
C) this person is attracted to girls 13-14 years of age.
D) this person is attracted to girls 10 years of age.
E) this person is attracted to boys 10 years of age.

Question 26

It is not "typical" for a pedophile

A) to have developed the attraction to young children at a rather young age (12-14 years).
B) to be male.
C) to be attracted to girls 13-14 years of age.
D) to be attracted to 10-year-old girls.
E) to be attracted to 10-year-old boys

Question 27

Which of the following statements about child molestation is false?

A) Child molesters are always pedophiles.
B) Child molesters are typically convicted for nonpenetrative sex acts.
C) Molestation of one's own biological child is called incest.
D) Molestation of a stepchild is called incest.
E) The molestation may be intrafamilial or extrafamilial.

Question 28

In terms of sexual orientation, _______ pedophiles outnumber _______ pedophiles by more than two to one.

A) bisexual; transexual
B) homosexual; heterosexual
C) heterosexual; homosexual
D) asexual; hypersexual
E) hypersexual; asexual

Question 29

Which of the following statements comparing homosexual pedophiles to heterosexual pedophiles is false?

A) Homosexual pedophiles are more likely to be emotionally disturbed.
B) Homosexual pedophiles tend to have more victims.
C) Homosexual pedophiles are less likely to know their victim.
D) Homosexual pedophiles predominate in number.
E) Homosexual pedophiles are more likely to reoffend.

Question 30

Jack the Ripper and Jeffrey Dahmer were two serial killers who may have been paraphilic _______ in the clinical sense.

A) masochists
B) sadists
C) frotteurs
D) flashers
E) voyeurs

Question 31

When a man calls an unknown woman and makes sexual suggestions to her, he is perpetrating

A) voyeurism.
B) frotteurism.
C) telephone scatalogia.
D) transexualism.
E) exhibitionism.

Question 32

"Megan's laws" are directed specifically at

A) hebephiles.
B) sadomasochists.
C) exhibitionists.
D) voyeurs.
E) registered sex offenders.

Question 33

Which of the following apprehended child molesters would be most likely statistically to reoffend?

A) A pedophile
B) A person who has not otherwise exhibited antisocial tendencies
C) A person with no prior sexual offenses
D) A person with no prior criminal history
E) A person who is not violent

Question 34

Which of the following does not provide evidence that a person's biology may contribute to their paraphilic behavior?

A) Genetics
B) Neuroanatomy
C) Studies of Alzheimer's disease
D) Heredity
E) Immunology

Question 35

The observation in one study that 18.5% of paraphiliacs have first-degree relatives who are also paraphiliacs suggests that the condition may be

A) habitual.
B) common.
C) due to obsessive-compulsive disorder.
D) partially heritable.
E) learned.

Question 36

According to Freund's theory of paraphilia, a disorder of the initial stage of courtship is likely to lead to

A) frotteurism.
B) obscene phone calling.
C) voyeurism.
D) paraphilic rape.
E) pedophilia.

Question 37

According to Freund's theory of paraphilia, a disorder of the final stage of courtship is likely to lead to

A) frotteurism.
B) obscene phone calling.
C) voyeurism.
D) paraphilic rape.
E) pedophilia.

Question 38

Which of the following traits is not common among people with paraphilias?

A) Hypersexuality
B) Obsessive-compulsive disorder
C) High intelligence
D) Low intelligence
E) Impulsivity

Question 39

One theory of paraphilia proposes that the disorders result from the _______ of normal avenues of sexual expression.

A) blockage
B) bondage
C) concealment
D) acceptability
E) distortion

Question 40

The idea that people who become abusers in adulthood were themselves abused in childhood is called

A) obsessive-compulsive disorder.
B) the cycle of abuse.
C) cognitive distortion.
D) emotional disturbance.
E) classical conditioning.

Question 41

The origin of paraphilias is

A) a mystery.
B) not well defined.
C) genetic.
D) hormonal.
E) learned.

Question 42

In _______ therapy, a pleasant experience is paired with unpleasant stimuli, such as electric shock.

A) covert sensitization
B) positive reinforcement
C) relapse prevention
D) habituation
E) aversion

Question 43

_______ is a variant of aversion therapy in which participants imagine unpleasant experiences.

A) Relapse prevention
B) OCD
C) Masturbatory reconditioning
D) Habituation
E) Covert sensitization

Question 44

Of the drugs used to treat paraphilias, _______ blocks the physiologic actions of androgens.

A) Zoloft
B) Viagra
C) estradiol
D) cyproterone acetate
E) Prozac

Question 45

Which of the following could not be used to decrease production of testosterone in a male pedophile?

A) SSRIs
B) Depo-Provera
C) Medroxyprogesterone acetate
D) Lupron
E) Leuprolide

Question 46

Surgical removal of the testes is called

A) vasectomy.
B) castration.
C) excision.
D) circumcision.
E) hysterectomy.

Question 47

Sexual arousal by inanimate objects, materials, or body parts is called

A) partialism.
B) apotemnophilia.
C) acrotomophilia.
D) autogynephilia.
E) fetishism.

Question 48

Women are well represented in which of the following paraphilias?

A) Frotteurism
B) Pedophilia
C) Media fetishism
D) Object fetishism
E) Partialism

Question 49

Transexuals typically are interested in _______ the other sex, and their cross-dressing _______ generally for sexual arousal purposes.

A) passing as; is not
B) passing as; is
C) parodying; is not
D) parodying; is
E) glorifying; is not

Question 50

Transvestic fetishism may be viewed as part of a continuum of traits that in a more extreme form may manifest as

A) acrotophilia.
B) autogynephilia.
C) frotteurism.
D) autoerotic asphyxiation.
E) apotemnophilia.

Question 51

The terms "masochism" and "sadism" were coined by

A) Richard von Krafft-Ebing.
B) Alfred Kinsey.
C) Masters and Johnson.
D) Leopold von Sacher-Masoch.
E) None of the above coined those terms.

Question 52

Consent is required for which of the following forms of sexual expression to be legal?

A) Coitus
B) BDSM scenes
C) Oral sex
D) Anal sex
E) All of the above

Question 53

Because of the shortage of _______ for heterosexual sadomasochistic interactions, the services of a _______ may be sought.

A) bottoms; dominatrix
B) bottoms; supplicant
C) tops; dominatrix
D) tops; supplicant
E) slaves; dominatrix

Question 54

An ethical issue for psychiatrists dealing with paraphilias is often

A) getting patients with paraphilias to talk about their behavior.
B) balancing patient confidentiality with protecting the public.
C) distinguishing a paraphiliac's behavior from his identity as a human being.
D) normalizing sometimes rare behavior to gain trust and show positive regard.
E) finding and using the best treatment plan.

Question 55

Through the process of _______, an exhibitionist typically perceives the reactions of the woman he has targeted to be expressions of sexual excitement.

A) emotional misperception
B) selective blindness
C) cognitive distortion
D) sexual reinforcement
E) choice blindness

Question 56

Which of the following statements about exhibitionism is true?

A) About one-third of exhibitionists are women.
B) This is a rare paraphilia.
C) Exhibitionism is harmless because it involves no actual sexual contact.
D) Exhibitionists can derive sexual pleasure from other behaviors besides exhibitionism.
E) Exhibitionists usually "grow out" of this behavior.

Question 57

Frotteurism involves

A) no victims.
B) male and female perpetrators.
C) clandestine sexual touching in public places.
D) consensual touching.
E) clandestine sexual viewing in public places.

Question 58

Hebophiles are sexually attracted to

A) old people.
B) receiving amputations.
C) reptiles.
D) pubescent children.
E) prepubescent children.

Question 59

The proposal to add hebephilia as a new diagnostic category in the DSM-5 generated controversy about

A) whether attraction to pubescent boys or girls lies within the realm of normal sexuality.
B) whether psychiatrists should be agents of state control.
C) whether too many known victims were required for a diagnosis.
D) whether civil commitment is appropriate for offenders against pubescent boys or girls.
E) All of the above

Question 60

The psychological profiles of incarcerated pedophiles have recently been the subject of renewed research. This recent research suggests that which of the following is typical of most pedophiles?

A) Lack of empathy
B) Poor self-esteem
C) Loneliness
D) Hypersexual
E) None of the above

Question 61

NAMBLA directly opposes laws criminalizing

A) sex with animals.
B) gay sex.
C) sex with children.
D) simulated child pornography.
E) sex that is non-consensual simply because a participant is drunk.

Question 62

According to Kinsey's surveys, about _______% of men have had at least one sexual contact with an animal.

A) 1
B) 3
C) 8
D) 17
E) 50

Question 63

Zoophilia is defined as

A) arousal from watching animals copulate.
B) arousal by sexual contact with animals.
C) arousal by the odor of animal feces.
D) arousal by pretending to be a spermatozoon.
E) arousal by killing animals.

Question 64

Telephone scatologia is most closely related to

A) frotteurism.
B) voyeurism.
C) zoophilia.
D) exhibitionism.
E) necrophilia.

Question 65

Which of the following about autoerotic asphyxiation is false?

A) It can be misidentified as suicide.
B) Practitioners believe it gives supernormal orgasms.
C) It is most common in men.
D) It may include paraphilic elements such as bondage.
E) It is extremely rare.

Question 66

Which of the following factors does not predict an increased likelihood of recidivism in sex offenders?

A) Sexual abuse as a child
B) Antisocial tendencies
C) General criminal history
D) Atypical sexual interests
E) Prior history of violent offenses

Question 67

The idea that many of the paraphilias tend to be extreme exaggerations of aspects of normal male sexuality conceptualizes paraphilia as a _______ disorder.

A) relationship
B) courtship
C) copulatory
D) sensitivity
E) fantasy

Question 68

In the case of men being sexually attracted to young boys, _______ may involve showing these men pictures of young boys, accompanied by some unpleasant stimulus such as the smell of ammonia.

A) aversion therapy
B) reparative therapy
C) positive reinforcement
D) correction of cognitive distortions therapy
E) covert sensitization

Question 69

Depo-Provera, Lupron, and cyproterone acetate all reduce paraphilic sexual feelings through effects on _______-mediated mechanisms.

A) progesterone
B) hypothalamus
C) serotonin
D) testosterone
E) None of the above

Question 70

SSRIs such as Prozac

A) seem to work by lowering sex drive.
B) involve suppression of androgens.
C) make paraphilias worse.
D) can be taken as a condition of release from prison.
E) may be helpful in the treatment of erectile dysfunction.

Question 71

Castration as a method of treating and releasing sex offenders has been criticized because

A) castrated men may have not paid their debt to society.
B) castration as a condition for release from prison is hardly voluntary.
C) castrated men can obtain illegal testosterone and reawaken their sex drive.
D) some castrated men retain sexual desires and behaviors.
E) All of the above

Question 72

The term "sado-masochism" was named after _______ and _______.

Question 73

Fetishistic attraction to body parts is called _______.

Question 74

Men who are sexually aroused by the idea of being women are exhibiting _______.

Question 75

In an S/M relationship, the person who enjoys being punished is called the _______.

Question 76

_______ is the term used to describe a situation in which restraints are used for sexual gratification.

Question 77

A woman who inflicts humiliation in a BDSM setting is called a _______.

Question 78

Men who derive sexual satisfaction from reenacting infancy are called _______.

Question 79

Psychiatrists refer to problematic forms of sexual behavior as _______.

Question 80

The legal term for exhibitionism is _______.