Most of us like to think of ourselves as normal. We like to believe that our attitudes, desires and behaviors are not that different from anyone else's. However, when it comes to sexual arousal fantasies and often actual sexual behaviors, your neighbor may be very different than you would even want to know.



Transvestism is not simply dressing up in the other sex's garments for fun or for temporary effect. Paraphilias third types is Voyeurism is behavior to observe an unsuspecting person who is naked, disrobing or engaging in sexual activities, or may not be sexual in nature at all. In some cases, sexual sadists are able to find willing partners to participate in the sadistic activities. The caused of Paraphilia is childhood trauma, such as sexual abuse.

Others causes sexually arousing if they are frequently and repeatedly associated with a pleasurable sexual activity. In most cases, the individual with a paraphilia has difficulty developing personal and sexual relationships with others.

Causes of Paraphilias

Common causes and Risk factors of Paraphilias

Brain injury.

Schizophrenia.

Biological factors.

Sexual hormones.

Signs and Symptoms of Paraphilias

Common Sign and Symptoms of Paraphilias

Treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy.

Pharmacological interventions consist of antiandrogens that either completely reduce testosterone secretion and/or antagonize the action of testosterone at the level of the receptor, and psychotropic drugs, namely antidepressants.

Common paraphilias

-Pedophilia (attraction to children)

- Exhibitionism (exposing one's genitals)

- Fetishism (arousal to non-human objects, e.g. rubber, pantyhose, etc)

- Frotteurism (rubbing against strangers)

- Sexual masochism (pain or humiliation of self), including

- Hypoxyphilia/Autoerotic Asphyxia (stopping breathing)

- Sexual sadism (pain or humiliation of others)

- Transvestic fetishism (aroused wearing clothing usually worn by the other sex)

- Voyeurism (peeping)

Treatment of Paraphilias

The goal of most treatment approaches is to suppress the paraphilia so that it occupies a smaller and more controllable place in the life of the person. In certain types of paraphilias which are not considered harmful to self or others, the goal of treatment may be to assist the patient to accept the paraphilia as part of his or her life and to contact others suffering from the same problem for support and greater self-acceptance.

selective inhibition of pituitary-gonadal function by continuous administration of triptorelin, a long-acting agonist analogue of gonadotropin-releasing hormone, together with supportive psychotherapy, may be an effective treatment for men with severe paraphilia.