Deck 14: Paraphilias: Atypical Sexual Behaviors

Question 1

A case presented from the 1886 book Psychopathia Sexualis involved a fetish in which a man was sexually aroused by a ________.

A)handkerchief
B)high heel
C)coat hanger
D)feather

Answer 1

A
Explanation: A case study described in Psychopathia Sexualis was about a man who had a fetish for handkerchiefs.

Question 2

The ________ component of paraphilias is manifested in the inability to stop the undesirable behavior.

A)depressive
B)compulsive
C)fetish
D)post-traumatic stress

Answer 2

B
Explanation: The compulsive component of the paraphilia is manifested in the inability to stop the undesirable behavior.

Question 3

Dan's paraphilic behavior would be considered victimizing.Which of the following is his behavior?

A)transvestism
B)voyeurism
C)fetishism
D)klismaphilia

Answer 3

B
Explanation: An example of a victimizing paraphilia is voyeurism.

Question 4

In terms of consent and paraphilias, ________.

A)it can still be a paraphilia, even if the other person gives consent
B)as long as the person consents, it is not a paraphilia
C)consensual, victimless acts cannot be considered paraphilic
D)paraphilias imply that there is always consent

Question 5

The Diagnostic and Statistical Manual of the American Psychiatric Association lists specific criteria for the diagnosis of all of the following except ________.

A)voyeurism
B)exhibitionism
C)fetishism
D)deadophilia

Question 6

In terms of gender and paraphilias, ________.?a.nearly all those who engage in paraphilias are male
B)most of the coercive paraphilias are associated with males
C)men and women are likely to exhibit paraphilias
D)most paraphiles are women

Question 7

"Paraphilia" literally means ________.

A)abnormal love
B)strange sexual practices
C)fantasy fixation
D)attraction to paras

Question 8

In Krafft-Ebing's time, ________ was condemned as abnormal or a paraphilia.

A)masturbation
B)oral sex
C)anal sex
D)all of the above

Question 9

When considering paraphilias, all of the following are examples of behaviors that are harmful or destructive to the person engaging in it except a ________.

A)person who participates in extreme masochism to the point of serious injury
B)man who dresses in women's clothes in public and is ridiculed
C)teenager involved in autoerotic asphyxiation behaviors
D)man who enjoys ordering high heels online

Question 10

Jim has a sexual attraction to animals, which is referred to as ________.

A)coprophilia
B)klismaphilia
C)zoophilia
D)dogphilia

Question 11

Paraphilias are sexual behavior that would strike ________ people in a particular cultural setting as strange or abnormal.

A)few
B)some
C)most
D)all

Question 12

Brian is sexually turned on by sex with dead people; his behavior is referred to as ________.

A)necrophilia
B)urophilia
C)gerontophilia
D)deadophilia

Question 13

All of the following paraphilias would be considered victimless except ________.

A)transvestism
B)klismaphilia
C)formicophilia
D)exhibitionism

Question 14

John's counselor says his sexual activity would generally be considered to be a paraphilia because it meets all of the following conditions except ________.

A)the behavior is engaged in for the purpose of sexual arousal or gratification
B)the behavior tends to be compulsive and recurrent
C)a clear majority of those in a given cultural setting would consider the behavior to be strange, deviant, pathological or abnormal
D)the behavior involves another person

Question 15

According to the text, it is unclear whether or not David's particular paraphilic behavior of ________ is considered to be victimizing or victimless.

A)fetishism
B)sadism
C)zoophilia
D)pedophilia

Question 16

The paraphilias are considered in the context of two categories, those that ________.

A)involve humans and those that do not
B)involve nonconsenting victims and those that are nonvictimizing
C)are legal and those that are not
D)are normal and those that are abnormal

Question 17

According to the text, a paraphilia will be more likely to be judged negatively for all of the following reasons except that the behavior ________.

A)is harmful or destructive to the person engaging in it
B)is illegal
C)interferes with the person's ability to form and maintain loving, intimate and sexual relationships with others
D)occurs outside a marital relationship

Question 18

One example cited from the 1886 book, Psychopathia Sexualis, discussed a man who enjoyed having intercourse with ________.

A)shoes
B)horses
C)dead people
D)hens

Question 19

One of the first detailed accounts of paraphilic behaviors was in a medical text written in 1886, called Psychopathia Sexualis, by ________.

A)Henry Havelock Ellis
B)Masters and Johnson
C)Richard von Krafft-Ebing
D)Sigmund Freud

Question 20

Joshua is a urophiliac and is sexually aroused by ________, while Keith is a coprophiliac and is sexually aroused by ________.

A)looking at genitals; looking at feet
B)copulation; fornication
C)urine; feces
D)underarm hair; facial hair

Question 21

In terms of the origins of paraphilias, our understanding could best be summarized by saying ________.

A)nobody really knows what causes paraphilias
B)most paraphilias are caused by hormonal imbalances in utero
C)paraphilias are the result of childhood trauma
D)most paraphilias have a medical basis in their development

Question 22

Daniel enjoys inflicting pain and humiliation for sexual gratification.His behavior would be referred to as ________.

A)masochism
B)sexual sadism
C)sex play
D)discipline

Question 23

Part of the arousal for Barry, who is an exhibitionist, is the ________ response of the victim.

A)pleasure
B)shock
C)non-
D)humorous

Question 24

The ________ theory of paraphilic origin suggests that dysfunctional or problematic behaviors in adulthood are caused by traumatic events that occurred in childhood.

A)behavioral
B)psychodynamic
C)biological
D)hormonal

Question 25

Karen's class is studying the issue of pedophiles.Some of the things she is likely to learn include all of the following except that ________.

A)they are more often men
B)many are married
C)they themselves were sexually abused as children
D)they have a high sex drive

Question 26

One hormone that appears to be related to compulsive sexual behavior is ________.

A)testosterone
B)estrogen
C)progestin
D)serotonin

Question 27

A "peeping Tom" is another name for ________.

A)an exhibitionist
B)machismo
C)frotteurism
D)a voyeur

Question 28

The one paraphilic behavior that is found in both men and women (although still more common in men) is ________.

A)transvestism
B)voyeurism
C)sexual masochism
D)exhibitionism

Question 29

Approximately ________ of the victims of pedophiles are girls aged 8 to 11.

A)25%
B)45%
C)65%
D)85%

Question 30

Dr.Stone believes the origin of Ted's paraphilia relies on components of classical and operant conditioning.Dr.Stone would be considered a ________ theorist.

A)behavioral
B)psychodynamic
C)biological
D)hormonal

Question 31

Andrew, Terry, and Eugene are in a support group for voyeurs.One thing they all have in common as voyeurs is that they ________.

A)often seek arousal by going to topless beaches
B)prefer to remain unseen while watching their victims without their consent
C)are aroused when their victims notice them
D)like to be in the nude to view their victims

Question 32

The use of spy cameras and "web cams" are examples of high-tech devices used by ________.

A)voyeurs
B)exhibitionists
C)frotteurists
D)masochists

Question 33

Steve's doctor feels that by giving him a prescription for medications that will block the action of ________, Steve may find that his paraphilic compulsions are reduced to more controllable levels.

A)testosterone
B)serotonin
C)hormones
D)blood platelets

Question 34

A "flasher" refers to someone who enjoys ________.

A)exhibitionism
B)machismo
C)frotteurism
D)voyeurism

Question 35

The psychodynamic theory of the origins of paraphilias can be most closely associated with ________.

A)Masters and Johnson
B)Henry Havelock Ellis
C)Sigmund Freud
D)Maslow

Question 36

________ refers to the exploitation of prepubescent children for an adult's sexual purposes.

A)Exhibitionism
B)Pedophilia
C)Frotteurism
D)Voyeurism

Question 37

As an exhibitionist, Eric's sexual arousal usually ________.

A)decreases if he thinks he will get caught
B)decreases if the victim shows shock
C)increases if his victim shows shock
D)increases if the victim approaches him

Question 38

If James is a frotteurist, he enjoys ________.

A)crowded subways
B)peering through windows
C)watching people make love
D)displaying his genitals

Question 39

________ refers to the compulsion to rub one's genitals against a nonconsenting person for sexual arousal.

A)Exhibitionism
B)Pedophilia
C)Frotteurism
D)Voyeurism

Question 40

One study discussed in the text found levels of ________ in men who have pedophilia to be significantly higher.

A)estrogen
B)serotonin
C)adrenaline
D)while blood cells

Question 41

In terms of treatment effectiveness, all of the following are true except ________.

A)the primary source of statistics is the criminal justice system
B)studies seem to indicate that treatment is significantly better than no treatment
C)the success rate for most paraphilias is not terribly optimistic
D)most paraphilias are easily treated

Question 42

The most common fetish objects include all of the following except ________.

A)shoes and boots
B)women's underwear and lingerie
C)feet and toes
D)breasts

Question 43

The most dangerous of all the paraphilias mentioned in the text is ________.

A)sexual masochism
B)autoerotic asphyxiation
C)transvestism
D)frotteurism

Question 44

Which of the following would a mental health worker consider to be a transvestite?

A)a male who dressed as Marilyn Monroe for Halloween
B)a male homosexual in drag
C)a man who experiences sexual satisfaction from wearing women's underwear
D)a professional female impersonator

Question 45

Many paraphilias are ________, in that they are solitary activities or involve adults who have given their consent to participate.

A)coercive
B)nonvictimizing
C)deviant
D)illegal

Question 46

The treatment of paraphilic behavior ________.

A)is to extinguish the behavior completely
B)depends on what paraphilia is being treated
C)usually includes group therapy
D)does not work

Question 47

The difference between sexual sadism and sexual masochism is that in the latter ________.

A)the partners make agreements and ground rules
B)there is always a woman in the dominate position
C)bondage is not used
D)humiliation is not included

Question 48

Sam is going through incorporation therapy as a treatment for his paraphila.All of the following relate to this type of treatment except ________.

A)it is a compromise, in that the frequency of the paraphilic behavior will be decreased, but not completely abolished
B)it is successful when the partner of the paraphile is distressed and unwilling to accept the intensity of the behavior, but can endure milder forms
C)the couple may work together to reach a point where they can both accept a certain level of the paraphilic behavior
D)it seeks to incorporate the behavior into lovemaking

Question 49

Ian's sexual arousal and gratification is associated with acts or fantasies of being hurt, humiliated, or otherwise being made to suffer.This refers to ________.

A)bondage
B)sadism
C)masochism
D)physical abuse

Question 50

According to the text, the reason why someone might seek some form of treatment for a paraphilia may include all of the following except ________.

A)it was court-ordered
B)self-distress
C)relationship distress
D)a need to act out a fantasy

Question 51

Jeff can only become aroused when he is fondling or thinking about high heels.His condition is called ________.

A)frotteurism
B)fetishism
C)transvestism
D)psychosis

Question 52

________ involves telling the client to masturbate using objects, fantasies, or images related to his paraphilia, but as orgasm approaches, he is instructed to switch completely to objects, fantasies, and images of more mainstream, socially acceptable sexual behaviors.

A)Masturbatory re-initiation
B)Orgasmic reconditioning
C)Aversion therapy
D)Social skills training

Question 53

Historically, drug therapy for paraphilias consisted of medications that would reduce ________.

A)fantasies
B)appetite
C)testosterone
D)sensitivity

Question 54

Autoerotic asphyxiation involves ________.

A)binding the feet
B)torturing the victim by suffocation
C)depriving the brain of oxygen through some form of strangulation
D)masturbating to unconsciousness

Question 55

The most successful treatments appear to be all of the following except those who ________.

A)are treated early in their history
B)are the most motivated to stop
C)involve themselves in normal adult sexual relationships
D)have a history of being in counseling

Question 56

The motivation for seeking treatment that tends to have a higher likelihood of success is ________.

A)court-ordered
B)self-distress
C)social ostracism
D)distress due to sexual dysfunction

Question 57

The most recent class of medications to show promise in treating paraphilias is ________.

A)alcohol
B)SSRIs
C)hormone replacement
D)methadone

Question 58

It is thought that about ________ of all deaths due to strangulation among teens are due to autoerotic asphyxiation.

A)10%
B)20%
C)30%
D)50%

Question 59

Ted has transvestic fetishism.Which of these statements is true about him?

A)He usually has homosexual tendencies.
B)He achieves sexual arousal by wearing female clothing.
C)He is confused about his gender identity.
D)He is tired of wearing pants all day.

Question 60

Due to the ethical issues involved, psychotherapy is less likely to involve ________.

A)aversion therapy
B)covert sensitization therapy
C)group therapy
D)cognitive behavioral therapy

Question 61

Calvin is sexually aroused watching his partner undress prior to sex, going to clubs with sex shows, or watching sexually explicit videos; this would qualify as voyeurism.

Question 62

Little scientific research supports or even suggests a single, clear, definitive answer to the causes of paraphilias.

Question 63

Some research has found that in cultures where sexual activity serves primarily as a reproductive function, paraphilias are significantly less common.

Question 64

According to the text, it is fairly easy, using a few simple criteria, to analyze a particular behavior to see if it is likely to be a paraphilia.

Question 65

Sara's sexual fantasies are usually about being in control and dominating the man she is with.This would qualify as a paraphilia.

Question 66

Carl enjoys dressing up as a woman in public but he is often made fun of and has even been the target of violence.Because of the response, he knows his behavior is judged more negatively by society.

Question 67

What we now know is that people are born with particular sexual eccentricities.

Question 68

Exactly what behaviors qualify as paraphilias has changed markedly throughout history.

Question 69

A person who enjoys walking around the house naked when home alone is a good example of a paraphilia called exhibitionism.

Question 70

Stan has an obsessive preoccupation with and compulsive need for sex.His therapist says this is what is typically referred to as sexual addiction.

Question 71

The DSM-IV-TR allows for several of the victimizing paraphilias to be diagnosed as disorders, if they are acted upon, even if they do not cause distress or interpersonal difficulties for the person who engages in the behavior.

Question 72

The reason most paraphilic behavior is attributed to men is because men have a stronger sex drive than women.

Question 73

Damon is sexually aroused by bondage, which means he is a sexual sadist.

Question 74

As with other coercive paraphilias, frotteurism is considered a form of sexual assault.

Question 75

If there is consent, then the behavior is not considered a paraphilia.

Question 76

Ben's paraphilia involves an attraction to elderly people.He has recently found a new job in an elderly community and knows he may be at risk of acting on his paraphilia.If he did act on his paraphilia, it would be referred to as gerontophilia.

Question 77

Our knowledge of paraphilias is quite recent.

Question 78

Jeff loves to call women who live alone and talk sexually to them.It is a turn on.His paraphilia would be considered nonvictimizing since he is not technically hurting them.

Question 79

The compulsive component of Joe's paraphilia is manifested in his inability to stop the undesirable behavior.

Question 80

Behavioral theories of the development of paraphilias suggest any behavior that occurs in a particular setting and is followed by a rewarding event will be more likely to reoccur in the future in a similar setting.