Deck 16: Atypical Sexual Behavior

Question 1

One reason why voyeurism is considered to be a coercive paraphilia is that:

A) usually the target is emotionally manipulated into agreeing to be seen naked.
B) everybody dislikes being seen naked.
C) the target has not consented to being seen naked.
D) the voyeur is typically sexually aroused by the experience.

Answer 1

C

Question 2

Which of the following paraphilias is the one MOST likely to be expressed by women?

A) Fetishism
B) Sexual sadism
C) Sexual masochism
D) Exhibitionism

Answer 2

C

Question 3

Which of the following statements regarding atypical sexual behavior is FALSE?

A) Atypical sexual behaviors often occur in clusters.
B) Some paraphilias are inherently more coercive than others.
C) Some atypical sexual behaviors are illegal.
D) Research indicates that women engage in these behaviors more often than men.

Answer 3

D

Question 4

Which of the following would generally NOT be considered a coercive paraphilia?

A) Exhibitionism
B) Necrophilia
C) Voyeurism
D) Fetishism

Question 5

Atypical sexual behavior may be more prevalent among men because:

A) men are socially conditioned to be more free regarding their range of sexual expression than women.
B) of the somewhat biased nature of differential reporting and prosecution.
C) men are much more likely than women to have dysfunctional relationships with their mothers, which may result in atypical sexual behavior.
D) men are under the influence of greater amounts of testosterone than women.

Question 6

Paraphilia literally means:

A) "mild, infrequently expressed tendencies."
B) "affectionate or loving relationship."
C) "bizarre activity."
D) "beyond usual or typical love."

Question 7

Every now and then Hugh finds it sexually arousing when his wife, Barbara, causes him physical pain. About once a month, at his request, Barbara spanks Hugh with a metal brush. Hugh and Barbara both describe their relationship as very satisfying. Hugh:

A) is engaging in a coercive paraphilia.
B) risks being arrested for his sexual behavior.
C) does not meet DSM 5 criteria for a mental disorder.
D) most likely did not begin to have sexual desires and fantasies involving pain until several years after he reached adulthood.

Question 8

A paraphilia is considered to be coercive if:

A) it involves unwilling recipients of behavior.
B) it involves the infliction of pain.
C) no one is traumatized by the behavior.
D) society considers it unacceptable.

Question 9

From the authors' perspective, which of the following terms would be LEAST acceptable in labeling uncommon sexual behaviors?

A) Paraphilia
B) Atypical
C) Deviant
D) Variant

Question 10

Which of the following would generally be considered a noncoercive paraphilia?

A) Frotteurism
B) Necrophilia
C) Zoophilia
D) Coprophilia

Question 11

Generally speaking, atypical sexual behaviors are MORE frequently reported in:

A) males.
B) females.
C) men and women who have been in a long-term relationship.
D) gay and lesbian individuals.

Question 12

Coercive paraphilias:

A) always involve significant physical force.
B) involve unwilling recipients of the behavior.
C) involve a victim who is known to the perpetrator.
D) involve emotional manipulation.

Question 13

Which of the following is TRUE regarding the involvement of females in atypical sexual behavior?

A) Females are much more likely than males to engage in atypical sexual behaviors.
B) Atypical sexual behaviors may be underreported in females because they are less likely than males to be arrested for behaviors such as exhibitionism.
C) There are no recorded cases of females engaging in atypical sexual behavior.
D) Females are generally more interested in atypical sexual behaviors than males, but because their male partners discourage this, females rarely engage in these behaviors.

Question 14

Jose was diagnosed with voyeuristic disorder. Which of the following is TRUE regarding Jose?

A) Jose most likely can be diagnosed with another paraphilic disorder.
B) Jose must be institutionalized and kept away from the public at large.
C) Jose is a threat for violence to society.
D) Jose must not have been raised by his mother.

Question 15

Which of the following statements concerning atypical sexual behavior is FALSE?

A) Men tend to be more likely to engage in atypical sexual behavior than women.
B) Individuals who are unwilling recipients of atypical sexual behavior may be psychologically traumatized.
C) Individuals who are unwilling recipients of atypical sexual behavior are not necessarily negatively affected.
D) Individuals who engage in atypical sexual behavior are as able to establish satisfying sexual and intimate relationships with partners as those who do not engage in such behaviors.

Question 16

Compared to those who are not involved in such behaviors, people who engage in atypical sexual behaviors:

A) report higher-than-average levels of satisfaction in their sexual and intimate relationships with partners.
B) tend to be more outgoing and self-confident.
C) often find it difficult to establish satisfying intimate relationships.
D) are less likely to have criminal records.

Question 17

In the reading, what is the definition of atypical sexual behaviors ?

A) Behaviors that involve another person's psychological distress, injury, or death, or that involve nonconsenting persons
B) Behaviors that cause the person engaging in them significant distress or dysfunction
C) Behaviors not typically expressed by most people in our society
D) Sexual behaviors that nearly all people engage in from time to time, but that are not most people's primary means of sexual expression

Question 18

The cluster effect of paraphilias is LIKELY due to:

A) the fact that most people who engage in paraphilias are also psychotic.
B) one atypical sexual behavior reducing a person's inhibitions to the point that engaging in another paraphilia becomes more likely.
C) social reinforcement for engaging in unusual sexual behaviors.
D) men engaging in multiple paraphilias to please their female partners.

Question 19

Research indicates that individuals who display one paraphilia:

A) usually engage in it only rarely, and otherwise tend to express themselves sexually in very conventional ways.
B) are more likely to be female than male.
C) by definition are significantly mentally ill.
D) often engage in several other paraphilias.

Question 20

What is one of the key factors in determining whether a paraphilia is coercive or noncoercive?

A) The number of individuals involved in a specific paraphilia
B) Participants need to be talked into engaging in a paraphilia
C) Involves the exchange of bodily fluids
D) Basic rights of a participant violated in the pursuit of the paraphilia

Question 21

George finds vegetables very sexually arousing. George realizes this is unusual, and it has caused him to lose several relationships, but he keeps returning to the behavior because he finds it difficult to become aroused without vegetables. George could be diagnosed with:

A) klismaphilia.
B) urophilia.
C) transvestic disorder.
D) fetishism.

Question 22

Obtaining sexual excitement primarily or exclusively from an inanimate object or a particular part of the body is called:

A) transvestic disorder.
B) fetishism.
C) klismaphilia.
D) frotteurism.

Question 23

Frank is a heterosexual male who frequently wears women's clothing because he finds it very sexually arousing. Frank and his wife often argue about his preference, and he feels so embarrassed and frustrated he is becoming increasingly depressed. Frank could be diagnosed with:

A) transvestic disorder.
B) gender dysphoria.
C) transgenderism.
D) no disorder as he does not meet criteria for any diagnosable disorder.

Question 24

Transvestic disorder typically includes:

A) wearing an entire outfit of the other sex.
B) living as a member of the other sex.
C) viewing or fondling an article of clothing of the same sex.
D) going without some portion of expected clothing in public.

Question 25

Which of the following offenses is MOST frequently associated with voyeurism?

A) Assault
B) Murder
C) Burglary
D) Exhibitionism

Question 26

Which of the following individuals would MOST likely be described as a fetishist?

A) A man who has a higher sex drive than his partner
B) A man who uses partial asphyxiation as a way to enhance orgasm
C) A man who becomes sexually aroused whenever he sees a woman with large breasts
D) A man who cannot reach orgasm unless he is masturbating with a woman's high-heeled shoe

Question 27

Transvestic disorder occurs primarily in:

A) females.
B) gay males.
C) unmarried males who identify themselves as primarily gay, although some engage in occasional heterosexual behavior.
D) married males who identify themselves as primarily heterosexual.

Question 28

Which of the following would be considered a transvestic fetishist?

A) Rodney, who has multiple piercings and tattoos
B) Marcia, who wears leather because she is aroused by the smell
C) Manuel, who becomes sexually aroused by wearing his wife's panties
D) Jonathan, who likes to cross-dress because he enjoys the look of women's clothing

Question 29

When he was a child, Antonio often saw his mother's pantyhose hanging up to dry, which he found sexually arousing. Antonio, who is now in his mid-50s, has never been able to become sexually aroused unless he is handling pantyhose, or his partner is wearing it. Antonio could be diagnosed with:

A) fetishistic disorder.
B) transvestic disorder.
C) exhibitionistic disorder.
D) frotteuristic disorder.

Question 30

Irvin finds it sexually arousing to inflict pain on his sexual partner. Irvin is engaging in:

A) fetishism.
B) masochism.
C) frotteurism.
D) sadism.

Question 31

Joe frequently asks his wife to wear blue patent leather boots during sex because he has difficulty becoming aroused if she is not wearing the boots. Joe has a(n):

A) exhibitionistic fantasy.
B) transvestic fetish.
C) shoe fetish.
D) masochistic fetish.

Question 32

______ is an especially popular fetish object.

A) Leather
B) Feces
C) Urine
D) Cotton

Question 33

Transvestic disorder refers to men who dress as women:

A) for purposes of entertainment.
B) to experience sexual excitement, although this pattern causes distress or dysfunction.
C) to express their true gender identity.
D) before becoming a woman.

Question 34

According to the American Psychological Association (APA), transvestic disorder is appropriately applied to:

A) anyone who dresses in garments of the other gender.
B) individuals who dress as the other gender because that is a more accurate reflection of their gender identity.
C) individuals who experience psychological distress or dysfunction as a result of frequent cross-dressing.
D) any individual who obtains sexual pleasure from dressing in the garments of the other gender.

Question 35

All of the following could be considered examples of transvestic disorder EXCEPT:

A) a man who becomes sexually aroused from touching women's underwear.
B) a man who becomes sexually aroused from wearing a bra.
C) a man who becomes sexually aroused from dressing entirely as a woman in his home.
D) a man who becomes sexually aroused from dressing entirely as a woman and going out in public.

Question 36

Symbolic transformation is one explanation for how ____ develops.

A) zoophilia
B) coprophilia
C) fetishism
D) exhibitionism

Question 37

Noncoercive paraphilias:

A) involve significant physical force.
B) by definition involve partner activity.
C) do not involve the violation of anyone's basic rights.
D) by definition are illegal.

Question 38

Kirby began masturbating in early adolescence while looking at pictures of women in a catalog. In young adulthood, Kirby started buying items of women's clothing that he would first handle while masturbating, and then wear while masturbating. Because Kirby has such a strong connection between women's clothing and sexual arousal, Kirby has difficulty becoming aroused unless he is wearing women's garments. Kirby's experience illustrates the process of:

A) symbolic transference.
B) symbolic transformation.
C) conditioning.
D) social reinforcement.

Question 39

Which of the following would MOST likely be a fetish object?

A) Leather boots
B) A German shepherd
C) A doctor
D) A person of the same sex as the fetishist

Question 40

According to many members and supporters of the transgender community, transvestic disorder:

A) inappropriately labels a legitimate source of sexual arousal and expression as pathological.
B) at long last recognizes a pattern of behavior that causes distress and dysfunction to many people.
C) is a major source of concern and should be criminalized.
D) should be recognized as a disability, and people with this diagnosis should be able to qualify for financial support from the government.

Question 41

Becoming sexually aroused by watching someone defecate or by defecating on someone is an example of:

A) frotteurism.
B) klismaphilia.
C) coprophilia.
D) urophilia.

Question 42

Klismaphilia refers to a variation in sexual behavior in which:

A) a person may become primarily or exclusively aroused by having sex with a much older person.
B) a person obtains sexual arousal from contact with feces.
C) an individual becomes sexually aroused from receiving enemas.
D) a person becomes sexually aroused by something soiled or filthy.

Question 43

Which of the following statements concerning sadomasochism is FALSE?

A) A person who engages in sadism most always exhibits masochistic behavior as well.
B) Although sadomasochistic behaviors can be physically dangerous, most people who engage in sadomasochism have agreed-upon limits.
C) Many people who engage in sadomasochistic activities are motivated by a desire to experience dominance or submission, or both, rather than pain.
D) Sadomasochism is the association of sexual expression with pain.

Question 44

MOST people who engage in S/M activities are usually motivated by:

A) a need to experience power and control.
B) a need to experience pain and guilt.
C) a need to experience dominance and submission.
D) hyperactive sexual desire.

Question 45

A study of sadomasochistic (S/M) participants in a nonclinical environment found that S/M activities for most participants involve:

A) consensuality.
B) the expression of both sadism and masochism within the same encounter.
C) coercion.
D) severe physical pain.

Question 46

Taylor finds it very sexually arousing to receive an enema. Taylor:

A) most likely is female.
B) may have received frequent enemas from caring parents in childhood.
C) is engaging in coprophilia.
D) is engaging in a coercive paraphilia.

Question 47

Some theorists have suggested that S/M allows participants to:

A) increase self-awareness.
B) increase ego control.
C) escape from the restrictive roles they occupy in everyday life.
D) express thanatological urges.

Question 48

People with masochistic tendencies would be most sexually aroused by:

A) something soiled or filthy, such as dirty underwear.
B) having intercourse with a corpse.
C) inflicting mental pain.
D) being spanked, whipped, or humiliated.

Question 49

Which of the following experiences would be LEAST likely to result in a subsequent desire to engage in S/M activity?

A) Getting a spanking for being caught masturbating
B) Experiencing nurturing during childhood only when ill or injured
C) Receiving a spanking when one's pants are pulled down and becoming sexually aroused as a result of the physiological stimulation
D) Being caught "playing doctor" as a child and being verbally embarrassed and humiliated for doing so

Question 50

Kelly finds contact with urine very sexually arousing. Kelly is exhibiting:

A) stigmatophilia.
B) urophilia.
C) necrophilia.
D) coprophilia.

Question 51

The clinical term for sexual expression that involves "golden showers" is:

A) urophilia.
B) coprophilia.
C) frotteurism.
D) necrophilia.

Question 52

Consensual aggressive interaction during sex play:

A) is viewed by the mental health community as a practice that, by definition, causes harm to participants.
B) usually takes place between partners who are relative strangers to each other.
C) in the large majority of cases escalates from minor displays of violence to behaviors that significantly threaten life.
D) is a fairly commonly reported means of sexual expression.

Question 53

All of the following are elements of sadomasochism EXCEPT:

A) bondage and discipline.
B) dominance and submission.
C) role-playing.
D) forced participation.

Question 54

_____ are the MOST reported group to engage in autoerotic asphyxia.

A) Married couples
B) White males
C) Sadists
D) Masochists

Question 55

Research suggests that most people who practice sadomasochism:

A) engage in sexual behaviors involving severe physical pain and suffering.
B) engage in sexual behaviors involving severe mental degradation and humiliation with unwilling participants.
C) have personality disorders or severe emotional problems.
D) view it as a form of sexual enhancement that involves elements of dominance and submission.

Question 56

In autoerotic asphyxia, oxygen deprivation is usually accomplished by applying pressure to the neck with all of the following EXCEPT:

A) barbed wire.
B) a chain.
C) a leather belt.
D) a rope noose.

Question 57

Which of the following statements regarding bondage is FALSE?

A) Bondage is a form of masochistic behavior.
B) Bondage may involve one person who "administers discipline" to the other.
C) Less than 5% of women report engaging in this practice.
D) Bondage involves being tied up, spanked, or whipped.

Question 58

Which of the following reasons would be LEAST likely to explain why people may engage in S/M behavior?

A) Masochistic behavior may provide a guilt-relieving mechanism for people who believe sex is sinful and immoral.
B) Sadistic behavior may temporarily alleviate feelings of insecurity.
C) Sadistic or masochistic behavior may heighten physiological arousal.
D) Sadomasochism may help individuals overcome sexual aversion.

Question 59

Which of the following paraphilias would MOST likely result in death?

A) Fetishism
B) Coprophilia
C) Autoerotic asphyxia
D) Frotteurism

Question 60

Jorge finds it sexually arousing when his partner causes him pain. Jorge is engaging in:

A) klismaphilia.
B) masochism.
C) exhibitionism.
D) sadism.

Question 61

One of the problems encountered in defining voyeurism is that:

A) so few people find it sexually arousing to view others nude.
B) there is no captive population of voyeurs that can be studied, as voyeurism is not illegal.
C) a certain amount of voyeurism is socially acceptable.
D) most people do not mind being viewed while naked.

Question 62

Mel likes jogging on a raised bike path in the early morning because it enables him to look into the upper windows of homes, where women often are changing their clothes. Mel is engaging in:

A) exhibitionism.
B) sadism.
C) coprophilia.
D) voyeurism.

Question 63

All of the following are noncoercive paraphilias EXCEPT:

A) frotteurism.
B) coprophilia.
C) klismaphilia.
D) fetishism.

Question 64

In the United States, it is estimated that as many as ______ people a year die from accidental suffocation through autoerotic asphyxia.

A) 1,000
B) 100
C) 650
D) 5,300

Question 65

Exhibitionism is often called:

A) nudity.
B) indecent exposure.
C) normal behavior.
D) pervertism.

Question 66

Sam is 14 years old and likes to hide in his treehouse to watch his neighbor change her clothes at the end of the day. Which of the following would be TRUE for Sam?

A) If caught, Sam would be charged with voyeuristic disorder.
B) Sam would be considered an exhibitionist.
C) Sam should be arrested and sent to a mental institution for treatment.
D) Sam would not be considered a voyeur because as a child he would naturally be curious about naked bodies.

Question 67

Deaths from autoerotic asphyxia are sometimes attributed to:

A) attempted murder.
B) murder.
C) suicide.
D) assault.

Question 68

Joanne is going out to her car after taking a night class, and just as she is about to open the car door, a man appears who has his pants down to his knees and is masturbating. According to the text, Joanne's BEST immediate response prior to notifying campus security would be to:

A) scream loudly.
B) stand still and watch for a while.
C) calmly ignore the man.
D) start laughing and tell him to put the silly thing away.

Question 69

Which of the following is a voyeur LEAST likely to do?

A) Peer into someone's bedroom window at night
B) Stand outside the door of a women's restroom
C) Drill a hole through the walls of a women's dressing room
D) Go to a nude beach

Question 70

Tom finds it sexually arousing to call up women listed in the student directory and make sexually explicit comments and suggestions. Tom's behavior is called:

A) telephone coprophilia.
B) telephone scatalogia.
C) cybersex.
D) cyberscatalogia.

Question 71

Which of the following would be LEAST likely to explain what may motivate exhibitionistic behavior?

A) A man looking for affirmation of his masculinity
B) A man seeking attention
C) A man who has hostile feelings toward women
D) A man who was raised in a family or in a culture where public nudity was the social norm

Question 72

Ron just went through the drive-up window of a fast food restaurant while not wearing pants, which he found to be very sexually arousing. Ron:

A) likely has strong self-esteem.
B) most likely was hoping to establish a lasting relationship with the young woman at the window.
C) may be afraid to reach out to another person in a more socially acceptable way out of fear of rejection.
D) is not engaging in an illegal activity.

Question 73

Generally speaking, voyeurism is expressed by:

A) older females.
B) men in their early 20s with feelings of inferiority and inadequacy.
C) individuals with highly developed sociosexual skills.
D) women in their late 40s with feelings of inferiority and inadequacy.

Question 74

The data supporting the profile of the typical exhibitionist is problematic because:

A) there are so many available studies that it is difficult to draw overall conclusions.
B) most of the available data is on females, which does not provide insight into the motivations of male exhibitionists.
C) there is no clear line establishing acceptable exhibitionism from unacceptable exhibitionism.
D) most of the studies on exhibitionism are based on arrested offenders.

Question 75

In autoerotic asphyxia, accidental deaths sometimes occur because of all of the following EXCEPT:

A) mistake.
B) on purpose in order to reach the highest sexual climax.
C) equipment malfunction.
D) errors in placement of noose or ligature.

Question 76

Voyeuristic behavior may include which of the following activities?

A) Rubbing or pressing against a fully clothed person in a crowded public place
B) Dressing in clothing emblematic of one's own sex for sexual gratification
C) Boring holes into the walls of public dressing rooms
D) Engaging in behaviors associated with somnophilia

Question 77

Based on the available data, which of the following would LEAST characterize an exhibitionist?

A) An adult male in his 20s or 30s
B) Someone with feelings of inadequacy
C) Someone raised in an oppressive sexual atmosphere
D) An adult female in her late teens or early 20s

Question 78

Jesse often goes to crowded places like shopping malls, removes his pants, and approaches female shoppers. Jesse could be diagnosed with:

A) voyeurism.
B) exhibitionism.
C) frotteurism.
D) fetishism.

Question 79

People diagnosed with voyeuristic disorder derive sexual pleasure from looking at the naked bodies of:

A) people they are close to.
B) strangers.
C) their partners.
D) their parents.

Question 80

Which of the following is an exhibitionist LEAST likely to do?

A) Masturbate while exhibiting himself
B) Masturbate later to the mental image of the observer's reaction to his exposure
C) Physically assault the woman to whom he is exposing himself
D) Expose himself in a subway