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Pharmacological Therapy Case Study

520 Words3 Pages

As a therapist, how will you deal with a client who has disclosed that he (or she) is an exhibitionist?
If a client were to disclose their being an exhibitionist I would have many concerns beyond just this presentation. One such concern would be of the risk for developing other sexually offending behaviors (Kafka & Hennen, 1999) or their already engaged deviant behaviors that have not yet been revealed such as frottage or rape (Freund,1990) or voyeurism or child molestation (Abel & and Osborn,1992). Another secondary concern would be for any nonparaphilic disorders they may have such as mood disorders, dysthymic disorder, major depression disorder, anxiety disorder, substance use disorder, or attention-deficit/hyperactivity disorder (ADHD) (Kafka & Hennen, 2003). Furthermore, because the above paraphilic disorders are criminal acts there is cause for alarm for incarceration. An ethical dilemma also exists due to confidentiality and public safety.
2. What are treatment options …show more content…

In pharmacological therapy, “more emotively known as chemical castration” (Harrison & Rainey, 2009, p. 47) the use of certain anti-androgens (e.g., Medroxyprogesterone Acetate (MPA) and Cyproterone Acetate (CPA)) and psychotropic medications (e.g., SSRIs) are utilized to suppress testosterone and reduce a person’s sexual drive, respectively. Likewise, a surgical intervention is the physical act of castration. Arguments exist on both sides for their usage (Besharov, 1992; Harrison & Rainey, 2009). The use of SSRIs as an intervention is not only because of their side effects for reducing sexual libido, but also because sexual addiction problems have a high comorbidity rate with other psychiatric disorders such as anxiety disorders, mood disorders, and substance abuse disorders (Kafka & Hennen,

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Treatments

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Bio-Psycho-Social-Spiritual Implications Related to Exhibitionistic Disorder Biological implications. Just as most psychology modalities have overlap in some way or another, so too do bio-psycho-social-spiritual implications experience the same problem. Many who suffer from sexual disorders such as exhibitionism lack the interpersonal skills and the ability to form healthy relationships, whether they are sexual or nonsexual (Långström, 2009). Would this be considered a social problem because it deals with others besides the self or would it be considered a biological issue due to an individual having never been properly taught how to interact appropriately with others? Or what if they were taught, but just not appropriately?

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Chapter 6 stated that everybody must get stoned. I agree to a certain extent since it heightens the state of consciousness and it gives individuals clarity that leads to coming up with better solutions. However, not all psychedelic drugs provide a good trip, which can be scary because it can cause horrifying thoughts. Although, different types of animals seek ways to intoxicate themselves because it lets them break free from the norm, I don’t agree that drug-seeking and drug-taking are naturally normal behaviors.

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The treatment

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Paraphilias are sexual activities that are practiced by a small percentage of people, in which most members of a given culture would consider abnormal, deviant, or pathological. I initially thought I knew a lot about this topic, but since my background knowledge comes from an endless number of “Law & Order: Special Victim Unit” episodes, it’s safe to say I was caught up in the cinematic ideal of the subject and I learned a lot more than I thought I would. Reading through this chapter a widespread flood of emotions came across me as I read about the different behaviors and types of paraphilia; I felt confused, both judgmental and understanding at the same time, shocked, etc. In the beginning I thought paraphilia appeared to be very subjective.

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In 1974, the highly influential book Sybil was published, and later made into miniseries in 1976 and again in 2007. Describing what Robert Rieber called “The Trird most Famoust of Multiple Personalitu Cases”, it presented a detailed discussion of the problem of treatment of “Sybil”, a pseudonym for Shirley Ardell Mason. Though the book and subsequent films helped popularize the diagnosis and trigger an epidemic of the diagnosis, later analysis of the case suggesred different interpretations, ranging from Mason’s problrms being caused by the therepeutiv methods used by her psychiatrist, Cornelia B. Wilbur or an inadvertent hoax due in pasrt to the lucrutative publisging rights, thought this conslution has itself been challenged Dr. Davin Spiegel,

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Although these instances can be seen as the individuals that suffer from paraphilia and the ones that suffer from sexual sadism disorder, one must understand the forms of treating them to inhibit the symptoms and the disorder as a whole. For individuals suffering from paraphilia, such as Chris Brown’s inappropriate actions towards Rihanna, can be prevented in a multitude of ways. Most cases of this form of sexual disorder can be treated with counseling as well as therapy to aid in the person’s adjustment of his/her conduct. Medications can also aid in the inhibition/decrease in their neurotic intentions associated with the disorder and diminish the amount of deviant sexual thoughts and desires. On occasion, the individual’s hormones can be

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Sexual addiction can have serious consequences whether it is out of reach from legal action or behind bars. The most common out of legal means is having affairs or casual sex. The most common illegal means is prostitution, viewing child pornography on the internet, sex with minors, and more. For someone, that is, a sex addict, availability to material or the lack of caring to be caught can send an addict to desperate measures. The known death of a young boy changed the nation and started a wave to protect that entire are in site sex offenders.

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Nevertheless, through Pink Viagra, their sexual desire can now be found again. 2. It’s been a hard road finding out a drug for the decrease of sexual desire in women Dysfunction and the lack of sexual desire in women have always been a difficult subject for scientists and researchers, as there have been no answer for the question of how much desire is normal, what is the mechanism that the researchers should target, and what amount of drugs is the most efficient to solve the problem. 3.

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O’Toole examined David Parker Ray’s infamous “toy box” and the sexual paraphernalia, drawings, and videos found suggested that Ray was infact a criminal sexual sadist. As David Parker Ray was diagnosed with psycho-sexual disorder and he was labeled as a criminal sexual sadist, Ray’s diagnosis played no part in his trial and sentencing. The key factors of David Parker Ray’s diagnosis was the “toy box” that included a gynecologist's table, spreader bars, sex toys, whips, pulleys, saws, knives, syringes, drugs, diagrams of the human body, an electricity generating device, and other sexual paraphernalia.

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However, his false bravado and self-created grandiose image, will most likely impede his ability to accept the needed treatment and potentially diminish the likelihood for a positive prognosis. A thorough familiarity with his diagnoses, background, cultural influences, treatment history and motivation to fully engage in the process are needed to develop an effective treatment plan for this young man. II.

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DISCUSSION From the beginning, the therapist had to deal with own doubts and anxiety. The therapist had heard a lot about the psychodynamic psychotherapy but this was the first time he conduct the sessions by himself. Unlike pharmacotherapy, there is no standard clinical practice guideline or recommendation for the therapist to refer to or follow. The therapist was worried that he was unable to conduct the therapy effectively and his patient would not benefit from the therapy.

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The society has also grown more tolerant of sexual portrayals. Pornography however, as much as it is criticized, has its advantages (Krayzelburg, 2011). In addition, pornography also can be used as therapy in cases where he partner having problem in libido or lack of interest in the sexual intercourse. It also can be used in several cases like erectile dysfunctions where it was cured by using pornography as a therapeutic application. By using pornography, the sexual desire of the couple can be improved significantly as it leads to intensifying of sexual orgasmic feeling.

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