Nick is being treated for his paraphilia by first becoming sexually aroused by imagining the paraphilic object. Next, just before orgasm, he is instructed to switch from the paraphilic imagery to culturally appropriate imagery, and he is instructed to orgasm while focusing on these images. The technique being used is called

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The technique being used is orgasmic reconditioning, as Nick is being taught to switch his focus from paraphilic imagery to culturally appropriate imagery just before orgasm, in order to re-associate sexual arousal with the appropriate imagery. Social skills training involves teaching individuals how to interact appropriately in social situations, aversion therapy involves pairing a negative stimulus with the paraphilic behavior in order to decrease the likelihood of the behavior occurring again, and systematic desensitization involves gradually exposing an individual to the feared or aversive stimulus while teaching them relaxation techniques to reduce anxiety.

Nick Is Being Treated for His Paraphilia by First Becoming