Sexual sadism disorder

1. Sexual sadism disorder By: Megan Chapa & Lexie Bradley

2. Definition • Sadomasochism is the giving and/or receiving of pleasure—often sexual—from acts involving the infliction or reception of pain or humiliation. A subset of BDSM, practitioners of sadomasochism usually seek out sexual gratification from these acts, but often seek out other forms of pleasure as well. While the terms sadist and masochist specifically refer to one who either enjoys giving pain (sadist), or one who enjoys receiving pain (masochist), many practitioners of sadomasochism describe themselves as at least somewhat of a switch, or someone who can receive pleasure from either inflicting or receiving pain.

3. symptoms Sexual Sadism: Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not simulated) in which the psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

4. prognosis • Because of the chronic course of sexual sadism and the uncertainty of its causes, treatment is often difficult. The fact that many sadistic fantasies are socially unacceptable or unusual leads many people who may have the disorder to avoid or drop out of treatment. Treating a paraphilia is often a sensitive subject for many mental health professionals. Severe or difficult cases of sexual sadism should be referred to a specialized clinic for the treatment of sexual disorders or to professionals with experience in treating such cases. • As was noted previously, acts of sexual sadism tend to grow more violent or bizarre over time. As males with the disorder grow older, however, their ability to commit such acts begins to decrease. Sexual sadism is rarely diagnosed in men over 50.

5. Therapy techniques • Behavior therapy is often used to treat paraphilias. This approach to treatment may include the management and conditioning of arousal patterns.Therapiesinvolving cognitive restructuring and social skills training are also often utilized. • Medication may be used to reduce fantasies and behavior relating to paraphilias. This form of treatment is especially recommended for people who exhibit sadistic behaviors that are dangerous to others. The medications that may be used include female hormones (most commonly medroxyprogesterone acetate, or MPA), which speed up the clearance of testosterone from the bloodstream; antiandrogen medications, which block the body's uptake of testosterone; and the selective serotonin reuptake inhibitors, or SSRIs. • Treatment of sexual sadism may also be complicated by health problems related to sexual behavior. Sexually transmitted diseases and other medical problems may be present, Especially when the sadistic behavior involves the release of blood or other body fluids.ttp://www.minddisorders.com/Py-Z/Sexual-sadism.html#ixzz2UgzOGJnJ