Human Sexuality Pathology

Question 1

Q: What is the definition of a paraphilia?

Answer 1

A: An intense, persistent atypical sexual interest

Question 2

Q: Does a paraphilia automatically imply a mental disorder?

Answer 2

A: No (it does not necessarily cause impairment or distress)

Question 3

Q: What are the two conditions that upgrade a paraphilia to a Paraphilic Disorder?

Answer 3

A: 1. Causes personal distress/impairment
2. Involves harm/risk to others (or non-consent)

Question 4

Q: What is the minimum duration of symptoms required for a Paraphilic Disorder diagnosis?

Answer 4

A: At least 6 months

Question 5

Q: What is a fetish?

Answer 5

A: Sexual gratification linked to inanimate objects or non-genital body parts

Question 6

Q: What is a kink?

Answer 6

A: A broad term for unconventional sexual desires/practices (deviation from the norm)

Question 7

Q: True or False: All kinks are fetishes.

Answer 7

A: False (All fetishes are kink, but not all kinks are fetishes)

Question 8

Q: What triggers arousal in Exhibitionistic Disorder?

Answer 8

A: Exposing genitals to an unsuspecting person

Question 9

Q: What triggers arousal in Voyeuristic Disorder?

Answer 9

A: Observing an unsuspecting person (naked, disrobing, or engaging in sex)

Question 10

Q: What is the minimum age for a Voyeuristic Disorder diagnosis?

Answer 10

A: 18 years old

Question 11

Q: What triggers arousal in Frotteuristic Disorder?

Answer 11

A: Touching or rubbing against a non-consenting person

Question 12

Q: What triggers arousal in Sexual Masochism Disorder?

Answer 12

A: Being humiliated, beaten, bound, or made to suffer

Question 13

Q: What triggers arousal in Sexual Sadism Disorder?

Answer 13

A: The physical or psychological suffering of another person

Question 14

Q: What triggers arousal in Fetishistic Disorder?

Answer 14

A: Use of nonliving objects or specific focus on non-genital body parts

Question 15

Q: What objects are excluded from Fetishistic Disorder criteria?

Answer 15

A: Cross-dressing clothing (Transvestic) and genital stimulation devices (vibrators)

Question 16

Q: What triggers arousal in Transvestic Disorder?

Answer 16

A: Cross-dressing

Question 17

Q: What triggers arousal in Pedophilic Disorder?

Answer 17

A: Sexual activity with a prepubescent child (generally ≤13)

Question 18

Q: What are the age requirements for the perpetrator in Pedophilic Disorder?

Answer 18

A: At least 16 years old AND at least 5 years older than the victim

Question 19

Q: What class of pharmacological treatment is used to inhibit sexual arousal?

Answer 19

A: SSRIs

Question 20

Q: What pharmacological therapy is used for severe cases in males?

Answer 20

A: Antiandrogen therapy

Question 21

Q: Name two examples of steroidal antiandrogens.

Answer 21

A: Cyproterone acetate and medroxyprogesterone acetate

Question 22

Q: Name two examples of GnRH agonists used in treatment.

Answer 22

A: Leuprolide, triptorelin

Question 23

Q: What is the primary psychotherapeutic treatment for paraphilic disorders?

Answer 23

A: Cognitive Behavioral Therapy (CBT)

Question 24

Q: Is “transgender” a psychiatric diagnosis?

Answer 24

A: No

Question 25

Q: What does Gender Dysphoria diagnose?

Answer 25

A: The distress resulting from incongruence between assigned sex and gender identity

Question 26

Q: How many criteria (symptoms) are required to diagnose Gender Dysphoria in adolescents/adults?

Answer 26

A: At least 2

Question 27

Q: How many criteria (symptoms) are required to diagnose Gender Dysphoria in children?

Answer 27

A: At least 6

Question 28

Q: Which specific criterion is mandatory for diagnosing Gender Dysphoria in children?

Answer 28

A: A strong desire to be (or insistence that one is) the other gender

Question 29

Q: What is social affirmation?

Answer 29

A: Adopting pronouns, names, and gender expression matching identity

Question 30

Q: What is legal affirmation?

Answer 30

A: Changing names and gender markers on government ID

Question 31

Q: What medical affirmation is available for younger adolescents (Tanner stage 2)?

Answer 31

A: Pubertal suppression (blockers)

Question 32

Q: Is medical affirmation recommended for prepubertal children?

Answer 32

A: Never