Most people have some knowledge or experience with mental illness, but not as many people are familiar with Paraphilia. Paraphilias is a mental disease where the patient is sexually attracted to an object or life form that a normal human would not be attracted to (Association.). There are over 547 specific types of paraphilias; all of them can be put into categories of being aroused by non-human objects, the humiliation of a person or their partner, children, or a non-consenting person. Although this sounds like a terrible disease, many groups around the world are trying to research the acceptance of these patients sexual diversity. However, in today's version of the DSM paraphilias is not diagnosable as a psychiatric disorder, unless it causes discomfort or harm to an individual or others (Association.).
Categorization of paraphilia first came into history in the late 1800s. The first terms used to describe this condition were sodomy and perversion. Later, in the first two editions of the DSM (Diagnostic and Statistical Manual of Mental Disorders) manual, the term sexual deviation was used. In 1980 the term paraphilia was presented in the DSM-IV (Association.). Since the discovery of paraphilia, classification has been a major area of focus. Determining which types of this condition can be considered psychiatric disorders is ever changing in the Diagnostic and Statistical Manual of Mental Disorders. The DSM states that there are 547 different paraphilia; many people argue that there are more, because of the DSM's classification of normal and abnormal sexual arousals (Association.). All the Paraphilias have one thing in common down to their roots, they all are connected to what a "normal" human being would be attracted to; they are just exaggerations of these "normal" sexual attractions. One of these abnormal sexual attractions was homosexuality, until 1973, when the American Psychiatric Association removed homosexuality from the DSM since it had become...
RESEARCH BASED INTERVENTIONS ON PARAPHILIAS 2 Research Based Interventions on Paraphilia Specifically Pedophilia Paraphilia is a sexual behavior pattern in which unusual objects, rituals, or situations are required for full sexual satisfaction (Butcher, Hooley, & Mineka, 2014). There are eight subcategories of paraphilia which include pedophilia, the focus of this paper. Pedophilia is the strong sexual urge, fantasy, or sexual acts with children birth to age 17 (Thibout, 2012). The symptoms and compulsions associated with pedophilia have been treated in clinicial trials of pharmaceutical and psychotherapy. The information in this paper will discuss the pharmaceutical research associated with pedophilia, effective treatments, and the psychodynamic viewpoint of this disorder. Research Analysis In a single-subject pharmaceutical trial of Risperidone and Fluoxetine in the treatment of pedophilia, a 27-year-old male with a history of obsessive sexual thoughts was treated over a 6-week period. He was diagnosed with Pedophilia, non-exclusive type and Dysthymic Disorder, early onset and began Fluoxetine 20mg per day with minimal titration to a maximum dosage of 80mg per day. He reported nominal declines in obsessive thoughts and no improvement in the depression. In addition to the Fluoxetine, he was prescribed Trifluoperazine Augmentation 3mg twice daily. The patient reported significant relief in the sexual obsession and depression symptoms however developed akathisia. A trial of Risperidone, which is a serotonine/dopamine blocker was administered rather than treat the akathisia (Bourgeois & Klein, 1996). After 3 weeks, he was titrated off the Trifluoperazine and began Risperidone 3mg twice daily. The patient tolerated the Risperidone and Fluoxetine combination and after 1 week he reported he was finally free of sexual thoughts for the first time in his life. He no longer had symptoms of akathisia, mood increased, and began group therapy.