Practical Guide to Paraphilia and Paraphilic Disorders

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1 Practical Guide to Paraphilia and Paraphilic Disorders

2 Editor Practical Guide to Paraphilia and Paraphilic Disorders

3 Editor Department of Psychiatry and Behavioral Neurosciences Wayne State University Detroit, MI, USA Department of Anesthesiology Wayne State University Detroit, MI, USA ISBN DOI / ISBN (ebook) Library of Congress Control Number: Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

4 Foreword Paraphilias/paraphilic disorders are an entity of many unknowns prevalence, etiology, many treatment and management issues, and others. This book is intended to be what its title says a practical, clinically oriented, up-to-date guide to paraphilias/paraphilic disorders. It does not intend to replace some classic or reference volumes such as Sexual Deviance, Theory, Assessment, and Treatment [1]. We hope that our volume will serve busy clinicians who may encounter paraphilias/paraphilic disorders and would like to learn some basics about this group of disorders and their management. As this guide is clinically oriented, we have tried to enrich individual chapters by clinical examples wherever appropriate. To make this book really up-to-date and modern, we included a few topics that are usually not covered in volumes on paraphilias. These include the hotly debated and in the new version of the DSM not yet accepted hypersexual disorder; emerging trends such as online compulsive paraphilic behavior; ethical issues in the management of paraphilic disorders; and cultural aspects of paraphilias/paraphilic disorders. We also hope that this volume may serve the reader as an introduction to an interesting yet neglected and almost abandoned area of psychiatry.

5 vi Foreword Reference 1. Laws DR, O Donohue WT (eds.) Sexual deviance. Theory, assessment, and treatment. 2nd ed. New York: Guilford; 2008.

6 Contents 1 Introduction to the Realm of Paraphilias General Information: History, Etiology and Theory (e.g., Courtship), Diagnosis, Comorbidity and Prevalence Assessment and Basic Management Principles of Paraphilic Disorders Deyadira Baez-Sierra, Chandrika Balgobin, and Thomas N. Wise 4 Treatment of Paraphilic Disorders Deyadira Baez-Sierra, Chandrika Balgobin, and Thomas N. Wise 5 Voyeuristic Disorder Exhibitionistic Disorder Frotteuristic Disorder Sexual Masochism Disorder Rebecca A. Wylie and Kevan R. Wylie 9 Sexual Sadism Disorder David V. Hamilton and Jordan Rosen

7 viii Contents 10 Pedophilic Disorder Julia Machado Khoury, Marco Antônio Valente Roque, and Frederico Duarte Garcia 11 Fetishistic Disorder Scott F. Martin 12 Transvestic Disorder Other Specified Paraphilic Disorders Peer Briken, Verena Klein, and Fritjof von Franqué 14 Non-paraphilic Hypersexual Disorder Fritjof von Franqué, Verena Klein, and Peer Briken 15 Emerging Issues: Compulsive Online Sexual Behaviors Gabriel Tobia and Waguih William IsHak 16 Ethics and the Therapeutic Relationship in the Care of People Living with Paraphilic Disorders Christina Tara Khan, Tara C. Collins, and Laura Weiss Roberts 17 Legal Issues Involved in the Management of Paraphilic Disorders Brad D. Booth 18 Cultural Aspects of Unusual Sexual Interests A. Pacheco Palha and Mário F. Lourenço Index

8 Contributors Deyadira Baez-Sierra, M.D. Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine, Virginia Commonwealth University, Inova Fairfax Hospital, Falls Church, VA, USA Department of Psychiatry, Inova Fairfax Hospital, Falls Church, VA, USA Chandrika Balgobin, D.O. Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine, Virginia Commonwealth University, Inova Fairfax Hospital, Falls Church, VA, USA, M.D. Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA Department of Anesthesiology, Wayne State University, Detroit, MI, USA Brad D. Booth, M.D., F.R.C.P.C. Integrated Forensic Program, Division of Forensic Psychiatry, Department of Psychiatry, Royal Ottawa Mental Health Centre, University of Ottawa, Ottawa, ON, Canada, Peer Briken, M.D., F.E.C.S.M. Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg- Eppendorf, Hamburg, Germany Tara C. Collins, M.D., M.P.H. Department of Psychiatry, University of California, San Francisco, CA, USA

9 x Contributors Fritjof von Franqué, Dipl.-Psych., ECPS Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg- Eppendorf, Hamburg, Germany Frederico Duarte Garcia, M.D., Ph.D. Department of Mental Health, Regional Center on Addictions (CRR-UFMG) and Post-graduation in Molecular Medicine of the Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil Inserm Unity 1073, Rouen University, Mont-Saint-Aignan, France David V. Hamilton, M.D., M.A. Department of Psychiatry and Neurobehavioral Sciences, Charlottesville, VA, USA Waguih William IsHak, M.D., F.A.P.A. Department of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA Christina Tara Khan, M.D., Ph.D. Department of Psychiatry and Behavioral Sciences, Palo Alto, Stanford, CA, USA National Center for Posttraumatic Stress Disorder, Dissemination and Training Division, Veterans Affairs Palo Alto Health Care System Julia Machado Khoury, M.D. Department of Mental Health, Regional Center on Addictions (CRR-UFMG) and Postgraduation in Molecular Medicine of the Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil Verena Klein, Dipl.-Psych. Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg- Eppendorf, Hamburg, Germany Mário F. Lourenço, M.D., Ph.D. Couple s Clinic, Psychiatric and Mental Health Department, Alto Ave Hospital Center, Guimarães, Portugal Scott F. Martin, M.D. Department of Psychiatry, Case Western Reserve University School of Medicine, Center for Marital and Sexual Health, Beachwood, OH, USA

10 Contributors xi A. Pacheco Palha Faculty of Medicine of Porto University, Rua do Carvalho, Porto, Portugal Laura Weiss Roberts, M.D., M.A. Department of Psychiatry and Behavioral Sciences, Stanford, CA, USA National Center for Posttraumatic Stress Disorder, Dissemination and Training Division, Veterans Affairs Palo Alto Health Care System Marco Antônio Valente Roque, M.D. Department of Mental Health, Regional Center on Addictions (CRR-UFMG) and Post-graduation in Molecular Medicine of the Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil Jordan Rosen, M.D. Department of Psychiatry and Neurobehavioral Sciences, Charlottesville, VA, USA Gabriel Tobia, M.D. Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA Thomas N. Wise, M.D. Department of Psychiatry, Inova Fairfax Hospital, Falls Church, VA, USA Department of Psychiatry, Johns Hopkins University, Virginia Commonwealth University, George Washington University, Falls Church, VA, USA Kevan R. Wylie, M.D., F.R.C.P., F.R.C.Psych. Department of Neurosciences, University of Sheffield, Sheffield, South Yorkshire, UK Rebecca A. Wylie, B.Sc., M.Sc., M.B.Ps.S. Fishawack Facilitate Limited, Brighton, East Sussex, UK

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