What is Paraphilia (Sexual Disorders)
What does paraphilia mean?
Paraphilia characterizes around the necessity of repetitive and intense sex drive, fantasy or behavior involving unusual objects, actions or situations for sexual arousal and orgasm. In order to determine paraphilia, the person must have an orgasm due to certain and repetitive conditions. Different sexual activities from time to time are paraphiliac.
Most common paraphilic disorders are :
- Voyeuristic disorder: watching an unsuspecting/non-consenting individual who is either nude, disrobing, or engaging in sexual activity
- Exhibitionistic disorder: exposing one’s own genitals to an unsuspecting person
- Frotteuristic disorder: touching or rubbing against a non-consenting person
- Sexual masochism disorder: being humiliated, beaten, bound, or otherwise suffering
- Sexual sadism disorder: the physical or emotional suffering of another person
- Pedophilic disorder: sexual activity with a child that is prepubescent (usually 13 years old or younger)
- Fetishistic disorder. sexual fascination with nonliving objects or highly specific body parts (partialism). Examples of specific fetishisms include somnophilia (sexual arousal by a person who is unconscious) and urophilia (deriving sexual pleasure from seeing or thinking about urine or urinating)
When does it occur ?
Paraphilic behaviors usually start before the age of 18 and most commonly occur between the ages of 15-25.
How common is paraphilia ?
Although there is little reliable information about the incidence of paraphilias, it appears to be more frequent than predictions. The incidence of males is higher.
Are treatments successful in paraphilias?
The success of the treatment is in parallel with personality development and maturity level. Treatment is easier and more successful in patients with advanced personality development and without a serious personality disorder, whereas treatment in patients with severe personality disorders takes much longer. The high motivation of the treatment affects the success of the treatment.
What are the causes of paraphilias?
The causes of paraphilians have not been fully elucidated. Normally accepted sexual desires only establish after childhood. In normal development, the effects of these desires weaken at the age of 5-6 years. The paraphilic person has an attachment at an earlier stage of this development. Sometimes the person has no access to mature sexuality and has stopped developing at an early stage.
What should someone with paraphilia do?
It is recommended to seek help from a psychiatrist. However, even if these people have serious problems in their relationships, they rarely apply to psychiatry for treatment purposes.
How to treat paraphilias?
Psychotherapy is the primary treatment, however, drug treatments are also effective.