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DSM-5 Paraphilias and Paraphilic Disorders

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1.  Per the DSM-V, what does the term paraphilia mean?
  1. “an intense and persistent sexual interest that is outside the realm of normative sexual behaviors and involving a nonconsenting individual”
  2. “intense and persistent sexual interest other than genital stimulation or preparatory fondling with normal, physically mature, and consenting human partners”
  3. “recurrent and intense sexual arousal causing distress or impairment to the individual or entailing personal harm, or risk of harm, to others”
  4. All of the above
2.  How would you distinguish between a paraphilic disorder such as voyeuristic, exhibitionistic, sexual sadism, sexual masochism disorders, and non-disordered BDSM?
  1. To meet criteria for a paraphilic disorder, the individual must have acted on their urges with a nonconsenting person.
  2. Non-disordered BDSM is highly distinct from paraphilic disorders due to the cultural context in which healthy BDSM is practiced.
  3. Paraphilic disorders typically involve fantasies, urges, or behaviors that, if acted upon, would constitute a criminal offense; this is not the case for most BDSM.
  4. An individual practicing consensual BDSM can still meet criteria for a paraphilic disorder.
3.  Which of the following is NOT an argument against paraphilic disorders existing in the DSM-V?
  1. The clinical utility of paraphilic disorders is questionable.
  2. There is a lack of high-quality research to support paraphilic disorders.
  3. Paraphilic disorders require criminal behaviors to be present rather than prioritizing the arousal element of the disorder.
  4. The DSM-V definition of paraphilic disorders pathologizes a wide variety of sexual interests and behaviors that may not actually be causing any harm or distress.
4.  What is one of the primary ways that pharmacological therapy treats paraphilic disorders?
  1. Reducing hormone levels, specifically, estrogen
  2. Reducing hormone levels, specifically, testosterone
  3. Antipsychotic medications
  4. Antidepressant medications
5.  Which of the following patients would be the best candidate for treatment for a paraphilic disorder?
  1. A patient who is practicing sexual sadism with a consenting adult partner.
  2. A patient who is experiencing significant distress due to their addiction to pornography
  3. A patient who crossdresses and experiences arousal while doing so
  4. A patient who has exposed his genitals to a nonconsenting person.
6.  You are a therapist providing CBT to a patient with pedophilic disorder who has acted upon his sexual urges. What would be your primary objective in treatment?
  1. To reduce recidivism rate
  2. To reduce distress associated with the sexual fantasies and urges
  3. To reduce incidence of sexual fantasies
  4. To reduce libido
7.  Which of the following DSM-V disorders are most often associated with paraphilic disorders?
  1. Obsessive-compulsive disorder
  2. Psychotic disorders
  3. Antisocial personality disorder
  4. ADHD
8.  According to the DSM-5, which of the following individuals would meet the criteria for pedophilic disorder?
  1. A 23-year-old man who has sexually arousing fantasies about young children but has never acted upon any urges and denies distress or interpersonal difficulty.
  2. An 18-year-old boy who is in a sexual relationship with a 13-year-old girl.
  3. A 16-year-old boy who has highly distressing sexual fantasies about a 9-year-old cousin.
  4. A 45-year-old woman who is sexually involved with a 16-year-old girl.
9.  What is an ethical problem with the distress and functional impairment criterion when it comes to paraphilic disorders?
  1. The role of stigma in causing distress and functional impairment is not adequately considered.
  2. Internalized stigma does not typically translate into clinically significant levels of distress.
  3. People with paraphilic disorders typically do not feel distress about their fantasies, urges, or behaviors.
  4. People with paraphilic disorders only experience functional impairment if they commit a crime.
10.  Based on Joyal & Carpenter’s (2017) study, which paraphilias are not considered to be statistically unusual?
  1. Exhibitionism, masochism, frotteurism, and crossdressing
  2. Masochism, sadism, voyeurism, and exhibitionism
  3. Frotteurism, masochism, pedophilia, crossdressing
  4. Voyeurism, fetishism, frotteurism, and masochism

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