Do
you feel that a client with a sexual dysfunction disorder would respond to
therapy differently than a person with a paraphilic disorder? What are unique issues related to treating
each disorder?
The short answer is yes…Sexual dysfunctions include
delayed ejaculation, erectile disorder, female orgasmic disorder, female sexual
interest/arousal disorder, Genito-pelvic pain/penetration disorder, male
hypoactive sexual desire disorder, premature (early) ejaculation,
substance/medication-induced sexual dysfunction, another specified sexual
dysfunction, and unspecified sexual dysfunction. Sexual dysfunctions are a
heterogeneous group of disorders that are typically characterized by a
clinically significant disturbance in a person’s ability to respond sexually or
to experience sexual pleasure. An individual may have several sexual
dysfunctions at the same time. In such cases, all of the dysfunctions should be
diagnosed. These are not the same desires in Paraphilia cases. This therapy can
be done and if right can help in most of these causes. Medical attention also
used in this type of help because if a person has endometriosis this can be
handled through a Gynecologist.
If a paraphilia
causes distress or impairment to the individual or if its satisfaction entails
personal harm (or the risk of such harm) to others, it is considered a
paraphilic disorder. This criminal behavior at times and has to be treated with
therapy and legal means. People with paraphilic disorders may be difficult to
interview because of guilt and reluctance to share information openly with the
interviewer. It is essential to establish rapport with these patients to allow
them to talk more freely about their disorder. In other words, they will feel
more embraced by their behavior then a person with a sexual disorder because of
the acts they commit to get off. (Sorry for being so blunt).
Reference
DSM-5 Library 2017. Sexual Disorders. Retrieved from https://dsm.psychiatryonline.org/doi/10.1176/appi.books.9780890425596.dsm13?code=dsm-site
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