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    Paraphilic Disorder

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    Mayan Bonifacio
    This document presents a case study of a client diagnosed with pedophilic disorder. It provides background on the history and classification of paraphilic disorders according to the DSM-5. The client is a 46-year-old man referred to treatment by court order. He reports a history of abuse as a child and currently experiences sexual attractions towards males and prepubescent children. Psychological testing revealed issues with impulsivity and restricted fantasizing. The client is diagnosed with pedophilic disorder and a treatment plan involving outpatient psychotherapy and aversion therapy is recommended.

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    Paraphilic Disorder

    Uploaded by

    Mayan Bonifacio
    323 views15 pages
    This document presents a case study of a client diagnosed with pedophilic disorder. It provides background on the history and classification of paraphilic disorders according to the DSM-5. The client is a 46-year-old man referred to treatment by court order. He reports a history of abuse as a child and currently experiences sexual attractions towards males and prepubescent children. Psychological testing revealed issues with impulsivity and restricted fantasizing. The client is diagnosed with pedophilic disorder and a treatment plan involving outpatient psychotherapy and aversion therapy is recommended.

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    A case report about Paraphilic Disorder

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    This document presents a case study of a client diagnosed with pedophilic disorder. It provides background on the history and classification of paraphilic disorders according to the DSM-5. The client is a 46-year-old man referred to treatment by court order. He reports a history of abuse as a child and currently experiences sexual attractions towards males and prepubescent children. Psychological testing revealed issues with impulsivity and restricted fantasizing. The client is diagnosed with pedophilic disorder and a treatment plan involving outpatient psychotherapy and aversion therapy is recommended.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    323 views15 pages

    Paraphilic Disorder

    Uploaded by

    Mayan Bonifacio
    This document presents a case study of a client diagnosed with pedophilic disorder. It provides background on the history and classification of paraphilic disorders according to the DSM-5. The client is a 46-year-old man referred to treatment by court order. He reports a history of abuse as a child and currently experiences sexual attractions towards males and prepubescent children. Psychological testing revealed issues with impulsivity and restricted fantasizing. The client is diagnosed with pedophilic disorder and a treatment plan involving outpatient psychotherapy and aversion therapy is recommended.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 15

    A CASE PRESENTATION

    FOR
    PARAPHILIC DISORDER
    Alcalde, Geralyn Claire S.
    Bonifacio, Marian Ammylou M.
    Tan, Ma. Cristina Chesca M.

    INTRODUCTION
    Sexual Disorder
    History of the Disorder
    1950's psychoanalysis as freud's theory

    1960's psychiatry started moving away from


    theory and toward empirical
    1973 American Psychiatric Association removed
    homosexuality from the DSM list of paraphilias
    1980 and replaced it as "ego-dystonic
    homosexuality"

    Epidemiology
    practiced by only a small percentage of the
    population
    the repetitive nature of the disorder results
    in a high frequency of such acts
    the prevalence of paraphilias is significantly higher
    than the number of cases diagnosed in general
    clinical facilities

    Epidemiology
    pedophilia is most common of all childern, 10 to
    20% have been molested by age 18
    of adults females, 20% haven been the target of
    persons w exhibitionism and voyeurism
    fetishism almost always occurs in men
    more than 50% of all paraphilias have their onset
    before age 18
    the occurrence of the behavior peaks bet ages 15
    and 25 and gradually declines

    Etiology
    Psychosocial Factors
    - classic psychoanalytic model
    - failed to complete the normal developmental
    process toward sexual adjustment
    Biological Factors
    -positive organic findings 74% with abnormal
    hormone levels

    PARAPHILIC DISORDERS
    CLASSIFICATIONS OF DSM-5
    1. Voyeuristic Disorder

    2. Exhibitionistic Disorder
    3. Frotteuristic Disorder
    4. Sexual Masochism Disorder
    5. Sexual Sadism Disorder

    6. Pedophilic Disorder
    7. Fetishistic Disorder
    8. Transvestic Disorder
    9. Other Specified Paraphilic Disorder
    10. Unspecified Paraphilic Disorder

    CLINICAL CASE FORMULATION


    Profile of the Client

    NAME: Mr. SB
    AGE: 46
    PLACE OF BIRTH: Undisclosed
    CURRENT PLACE TO LIVE: Undisclosed
    REFERRED TO CLINICIAN BY: Court Order
    DATE REFERRED TO CLINICIAN: Undisclosed

    MENTAL STATUS EXAMINATION


    Appearance Dressed like a teenager
    Behavior Ostensibly uncomfortable
    Speech Hesitant, long delay
    Emotion Humiliated, Mortified, Distressed
    Thought Process coherent, Blocking
    Thought Content Consistent with reality
    Cognition & Intellectual Resources Responsive

    CLINICAL CASE FORMULATION


    CLINICAL CASE HISTORY
    Physically abused by his Father
    Somewhat neglected by the Mother
    Sexually abused by his Fathers Good Friend
    Became a volunteer at the Camps
    Decided to get married

    CLINICAL CASE FORMULATION


    ASSESSMENT
    A. Personality Test/s:
    MMPI-2 guarder and suspiscious
    Rorschach- Impulsive & Restricted ability to
    fantasize
    TAT Naive/ unfounded optimism/ Unrealistic
    happily ever after
    B. Intelligence Test/s- WAIS-III
    Average Inteligence

    CLINICAL CASE FORMULATION


    DIAGNOSIS : Exclusive Type, Sexually attracted to

    Males, Pedophilic Disorder


    Criteria A
    Over a period of 6 months, recurrent, intense
    sexually arousing fantasies, sexual urges, or
    behaviors involving sexual activity with a
    prepubescent child or children

    CLINICAL CASE FORMULATION


    Criteria B
    The individual has acted on these sexual urges or
    fantasies caused marked distress or
    interpersonal difficulty
    Criteria C
    The individual is at least age 16 years and at
    least 5 years older than the child or children in
    criterion A
    *Exclusive Type

    *Sexually attracted to males

    CLINICAL CASE FORMULATION


    TREATMENT PLAN
    Out-patient Care
    Intensive individual & group Psychotherapy
    Aversion Therapy

    References:
    DSM-V
    Sadock, B.J.; Sadock, V.A; Ruiz, P. M.D. Kaplan
    and Sadock's Synopsis of Psychiatry:
    Behavioral Sciences/Clinical Psychiatry.
    Eleventh Ed. (p.541)
    Whitbourne, S.; Halgin, R.P. Abnormal
    Psychology: Clinical Perspectives On
    Psychological. (p. 242-246)

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