Philia
-NON-CONSENTING ADULTS
• From a Greek
• An excessive desire, fondness or arousal - SUFFERING or HUMILIATION.
• Often translated "brotherly love"
• Is one of the four ancient Greek words for Caution:
love: philia, storge, agape and eros
• In Aristotle's Nicomachean Ethics, "philia" • Sexual Offense is a CRIME, therefore, the
is usually translated as "friendship" or sexual offender suffering from paraphilic
affection. disorder and engages into an offensive
• The complete opposite is called a phobia. sexual activity may be both a victim and a
perpetrator.
Mania
Management
• Means obsession
• Defined as a "mental illness marked by • Management is focused on decreasing the
periods of great excitement or euphoria, arousal to the deviant sexual behavior, rather
delusions, and yer activity" (review Bipolar than extinguishing the sexual orientation.
Disorder-manic episode)
• Nymphomania - uncontrollable sexual desire • Management involves both clinical
in a woman (subjective) and testing (objective)
component.
Paraphilia Disorder
Clinical Management
• any emotional disorder characterized by includes a detailed sexual history inquiring about:
sexually arousing fantasies, urges, or
behaviors that are recurrent, intense, ✓childhood exposure to sexual acts
• occurs over a period of at least 6 months, ✓sexual partners
and cause significant distress or interfere
✓sexual functioning such as masturbation pattern
with the sufferer's work, social function, or
other important areas of functioning.
• A general medical and psychiatric history should
be obtained to identify psychiatric comorbidity or
Paraphilic Disorders
medical conditions that mimic paraphilias
(traumatic brain injuries, dopaminergic agents).
• Occurs when the paraphilia causes impairment to
the individual or harm to others
Objective Testing Management
• Etiology is unknown, but it is probably a learned
• Objective testing can be helpful in identifying
behavior.
problematic sexual orientation as well as measuring
• Occur primarily in males with an average onset
an individual's response to treatment
between ages 8 and 12.
• They are a lifelong condition.
✔Sexual history polygraphs
Abel screen (associating visual reaction time with
sexual interests)
✓ Penile plethysmograph (measuring penile
tumescence to sexual stimuli)
As a Summary, management include:
• Medication
• Behavioral therapy
• Social skills training
• Sex education
• Cognitive behavioral therapy
• Monitoring with polygraph and penile
plethysmograph
PARAPHILIC DISORDERS
RECURRENT, INTENSE URGE or SEXUALLY
AROUSING FANTASY
DISTRESSING or DISABLING
INVOLVES
~INANIMATE OBJECTS - CHILDREN O
• Bibliophilia – books
• Catopthrophilia/ Eisoptrophilia - mirror
• Cenophilia - new things or ideas
• Cibophilia - food
• Cleptophilia - stealing
• Clinophilia - going to bed
• Coimetrophilia - cemeteries
• Coitophilia - coitus
• Cyberphilia - computers
• Cynophilia-dogs or rabbits
Cypridophilia/Cypriphilia - prostitutes
• Dipsophilia - drinking
• Ephebiphilia - teenagers
• Eremophilia - being oneself or loneliness
The Abel Assessment for Sexual Interest-AASI • Erotophilia - sexual love
• a computer-based test used to measure a person's • Eurotophilia - female genitalia
sexual interests, especially towards children.
• Genophilia - sex
• It consists of answering a lengthy questionnaire
and viewing on a computer, twice, a series of 160 • Gymnophilia - nudity
slides of people in different situations
• Gynephilia - women
Penile Plethysmography
• Haphephilia - being touched
is measurement of bloodflow to the penis, typically
used as a proxy for measurement of sexual arousal. • Hedonophilia - feeling pleasure
The most commonly reported methods involve the • Hemophilia - blood
measurement of the circumference of the penis with
a mercury in-rubber or electromechanical strain • Heterophilia - opposite sex
gauge, or the volume of the penis with an airtight
cylinder and inflatable cuff at the base of the penis • latrophilia - going to doctor
Management • Malaxophilia/ Sarmassophilia - love play
• •The risk of committing future sexual • Mastigophilia - punishment
offenses is lowered with the combination of
biologic and psychologic treatments. • Necrophilia - death or dead things
• More specifically, evidence-based practice • Ophthalmophilia - being stared at
supports the use of biologic treatment,
namely antiandrogen and hormonal • Orthophilia - property
medications, in dangerous sexual offenders.
• Paraphilia - sexual perversion
• The management of sexual offenders in the
US has largely been under the clinical • Pedophilia - children
expertise of psychologists.
• Philemaphilia - kissing
Common Philias • Philophilia - being in love or falling in love
• Ablutophilia - washing or bathing • Rhabdophilia - being punished or beaten
• Agliophilia - pain Agoraphilia/demophilia - Stigmatophilia - tattoos and piercings
public places
• Agraphilia/Contreltophilia - sexual abuse • Tomophilia - surgical operations
• Androphilia/ Arrhenphilia - men
• Arsonphilia - fire • Trypanophilia - injections
• Zoophilia - animals
Substance intoxication, a group of substance-
induced disorders, details the symptoms that
people experience when they are "high" from
drugs.
Disorders of substance intoxication include:
• Marijuana intoxication
• Cocaine intoxication
• Methamphetamine intoxication (stimulants)
• Heroin intoxication (opioids)
• Acid intoxication (other hallucinogen or
intoxication "acid trip")
• Substance intoxication delirium
Management
• Psychosocial Treatment
• Family and Multi-system Therapy
• Support Groups
• Rehabilitation
• Behavioral Therapy
• Motivational approaches
• Pharmacotherapy
