PSYCH 3830 Lecture Notes - Lecture 4: Gender Dysphoria, Paraphilia, Transvestic Fetishism
9 May 2018
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Lecture 4 - Friday March 30
PARAPHILIC DISORDERS (ego syntonic, some part of the symptoms the person enjoys) -
target of their sexual attraction
The person is sexually attracted to something that might cause them distress. The person must
be having clinically distress or impairment.
1. Fetishistic Disorder - sexual arousal from non living objects or non genital body parts as
manifest by urgencies or behaviors
○ Shoes more attractive than the person wearing
○ Person more attracted to the persons elbows than the person
○ Example: foot fetish
2. Transvestic Disorder - person has 6 months of recurrent urges to cross dress as the
other gender
○ If the person is transgender it is not this
○ If the person is in the drag show for entertainment, it is not this
○ Dressing in clothes of the opposite sex as a means of becoming sexually
aroused
3. Sexual Masochism Disorder - person has recurrent and intense sexual arousal from the
act of being beaten, bound or other form of suffering
○ The person suffers pain or humiliation during sex
These disorders DO affect other people. The partner can be seen as
unwilling/nonconsenting. The person has distress or impairment OR acted on with
nonconsenting other (someone who does not consent)
1. Sexual Sadism Disorder - the person has fantasies arising form the physical or
psychological suffering of someone else
○ Most likely in a private setting
○ Involve inflicting pain and humiliation on his or her sex partner
○ In order for it to be a diagnosis: must be causing the person performing the act
distress, or must be done on a nonconsenting person
2. Voyeuristic Disorder - sexual arousal from observing a person who is naked and this
person is unaware they are being watched
○ This is nonconsenting
○ Illegal
3. Exhibitionist Disorder - the person exposes their genitals to an unsuspecting person
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Document Summary
Paraphilic disorders (ego syntonic, some part of the symptoms the person enjoys) - target of their sexual attraction. The person is sexually attracted to something that might cause them distress. The person must be having clinically distress or impairment: fetishistic disorder - sexual arousal from non living objects or non genital body parts as manifest by urgencies or behaviors. Shoes more attractive than the person wearing. Person more attracted to the persons elbows than the person. Example: foot fetish: transvestic disorder - person has 6 months of recurrent urges to cross dress as the other gender. If the person is transgender it is not this. Dressing in clothes of the opposite sex as a means of becoming sexually. If the person is in the drag show for entertainment, it is not this aroused: sexual masochism disorder - person has recurrent and intense sexual arousal from the act of being beaten, bound or other form of suffering.
