Transvestism - Comorbid Conditions • Transvestism and Gender Identity Disorder in Adults • Mar 30 06 Mental health professionals’ understanding of comorbidity in transvestism is rudimentary, largely because it has not been systematically studied. Such work would require reliable diagnostic assessments in a large group of transvestites derived from… Transvestism - Phenomenology • Transvestism and Gender Identity Disorder in Adults • Mar 30 06 A consideration of treatment issues in men with transvestic fetishism requires, first, an appreciation of the multiple motivations for cross-dressing. Cross-dressing is a complex social and psychological phenomenon involving sexual, affective, and identity components.… Transvestism - Clinical Presentation • Transvestism and Gender Identity Disorder in Adults • Mar 30 06 Transvestites who present for treatment are likely to be a minority of heterosexual cross-dressers (Docter 1988; Prince and Bentler 1972; Wise 1990). For example, a range of 17%-49% of members of transvestite social… Sources of Information on Transvestism • Transvestism and Gender Identity Disorder in Adults • Mar 30 06 Knowledge of transvestism is derived from four sources: 1. Psychoanalytic case studies of small numbers of patients treated over long periods of time (e.g., see Stoller 1966, 1971, 1985) 2. Patients… Transvestism • Transvestism and Gender Identity Disorder in Adults • Mar 30 06 Definition Clothing is the unconscious language of the spirit. Emanuel Hermann (1878) Magnus Hirschfeld, a progressive German sexologist and contemporary of Freud, originally described a group of 17 cross-dressers he termed die transvestiten (the transvestites),… Transvestism and Gender Identity Disorder in Adults • Transvestism and Gender Identity Disorder in Adults • Mar 30 06 Transvestism and Gender Identity Disorder in Adults Introduction Transvestism Definition Sources of Information on Transvestism … Coordinated Efforts With Other Professionals • Pedophilia • Mar 29 06 Treating pedophiliac individuals requires coordinating the efforts of a variety of professionals so that services will not be duplicated, and focusing on the already-existent skills of various professionals so that the final… Treatment to Resolve Intrapsychic Conflicts • Pedophilia • Mar 29 06 A number of other forms of therapy are available that focus primarily on the intrapsychic conflicts that have led the pedophiliac individual to commit sexually offensive acts. The goals of such therapies… Maintaining Treatment Gains and Preventing Relapse • Pedophilia • Mar 29 06 Treatment programs for pedophiles do not assume that treatment is something to be delivered only in the therapist’s office and that once it is delivered, the pedophile is cured. Instead, treatment… Other Treatment Modalities • Pedophilia • Mar 29 06 Sexual Addiction Treatment A popular treatment for pedophiliac individuals involves the sexual addiction model developed by Carnes (1990). The similarities between paraphilias and addictions include denial of a problem, secrecy of the deviant… Treatment to Develop Prosocial Behavior • Pedophilia • Mar 29 06 Pedophiliac persons may receive treatment to decrease pedophiliac arousal or enhance arousal to adults but still be unable to interact with adults because of deficits in the skills necessary for such interaction… Treatment to Establish Adult Sexual Interest • Pedophilia • Mar 29 06 The majority of pedophiliac individuals are sexually attracted to and involved with adult sexual partners. Only 6.6% of these persons report no adult sexual attraction or interest (Abel and Osborn, in… Treatment to Decrease Attitudes and Beliefs Supportive of Pedophiliac Behavior • Pedophilia • Mar 29 06 When individuals behave in a manner that is counter to societal norms, they frequently lose self-esteem and become anxious or depressed about what they have done. The… Pedophilia - Imaginal Desensitization • Pedophilia • Mar 29 06 McConaghy and co-workers (McConaghy 1990; McConaghy et al. 1985) described a treatment component for decreasing pedophiliac arousal without aversion therapy. Pedophiliac individuals frequently report having irresistible urges to become sexually involved with children.… Paraphilias and Paraphilia-Related Disorders • Paraphilias and Paraphilia-Related Disorders • Mar 29 06 Paraphilias and Paraphilia-Related Disorders Introduction What Are Paraphilias and Paraphilia-Related Disorders? Paraphilias Paraphilia-Related… Pedophilia • Pedophilia • Mar 29 06 Pedophilia Introduction Treatment to Reduce Pedophiliac Interests Covert Sensitization Olfactory Aversion … Sexual Pain Disorders - Conclusions • Sexual Pain Disorders • Mar 29 06 Vaginismus takes a tremendous toll on both partners in an unconsummated marriage. Typically, the woman feels inadequate, deficient, humiliated, and unwomanly, a “freak” who is different from all “normal women.” Often, she… Erroneous Assumptions About Treatment • Sexual Pain Disorders • Mar 29 06 A number of assumptions about the treatment of vaginismus occur in the clinical literature. These must be challenged, especially when working with long-standing, treatment-refractory cases. Assumption l: Husbands Are Only Peripherally Important in… Major Theoretical Explanations of Vaginismus • Sexual Pain Disorders • Mar 29 06 Psychoanalytic Explanations and Treatment Approaches Historically, psychoanalytic explanations of vaginismus conceived of the disorder as a rejection of the female role, a resistance against male sexual prerogative, a defense of the… Vaginismus • Sexual Pain Disorders • Mar 29 06 Vaginismus is a perplexing and fascinating problem. The woman who experiences the involuntary, spasmodic contraction of the pubococcygeus and related muscles controlling the vaginal introitus may be unable to tolerate penetration or have intercourse but may… Psychological Causes of Dyspareunia • Sexual Pain Disorders • Mar 29 06 In virtually all cases of dyspareunia, psychological factors are implicated either directly (as the cause) or indirectly (as a concomitant of the sexual discomfort). Psychological assessment must include a complete developmental history, with… Treatment of Dyspareunia • Sexual Pain Disorders • Mar 29 06 As indicated above, dyspareunia is best treated via a cooperative team of professionals. A thorough physical examination by a skilled physician is necessary, along with laboratory tests, to make the initial diagnosis. Not only… Differential Diagnosis of Dyspareunia • Sexual Pain Disorders • Mar 29 06 Complaints of sexual pain - that is, dyspareunia or vulvodynia - typically fall into one of three categories - vulvar pain (pain at the opening or at the external genitalia), vaginal pain, or… Physical Causes of Painful Intercourse in Males • Sexual Pain Disorders • Mar 29 06 In men as in women, there are a number of physical factors that may cause sexual discomfort. Pain is sometimes experienced in the testicular or glans area of the penis… Sexual Pain Disorders • Sexual Pain Disorders • Mar 29 06 Sexual Pain Disorders Introduction Sandra Risa Leiblum, Ph.D. For most people, the anticipation of, or reflection about, sexual exchange conjures up images of sexual passion, abandonment, pleasure, and intimacy. However, for a… Page 36 of 39 pages « First < 34 35 36 37 38 > Last » << Back to main Please enable JavaScript to view the comments powered by Disqus.
