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Sexual Deviance

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Therapies for Sexual Deviants

Sexual deviants almost never voluntarily seek therapeutic treatment for the simple reason that they do not identify their condition as atypical sexual behavior. They meet a doctor only when an unwilling partner or a victim decides to take legal action or when concerned family members who have detected a paraphilic behavior refer and compel them to benefit from a mental health system. Also, given the immense pleasure sexually deviant people derive from their paraphilic behaviors they are reluctant to change their compulsive behavior and hinder therapeutic treatments Ėespecially psychotherapy and behavior therapies.


It is a non-invasive treatment where a client and the therapist (usually a psychiatrist or a trained social worker) converse for a period of time each week to help the person overcome powerful urges that dictate paraphilic behaviors. This method has not proved very effective, even in the case of cognitive therapy where the therapist tries to change the mindset of the sexually deviant person. Cognitive therapists try to change a personís maladaptive abnormal sexual behaviors by changing what he thinks about these acts. The reason why these therapies meet with very little success is that, other than the obsessive nature of deriving pleasure from such acts, the clients believe that the problems associated with these sexual acts stem from societyís intolerance of their variant sexual behaviors.

Behavior Therapy

Behavior therapy works on the assumption that maladaptive sexual behaviors have been learned and hence can be unlearned. Aversive conditioning, Systematic desensitization, Organic reconditioning and Satiation therapy are some of the therapeutic methods employed in Behavior therapy.

Aversive conditioning: Recent studies have shown some degree of success in the use of aversive conditioning to treat exhibitionism. An undesired sexual behavior such as masturbating to a paraphilic fantasy is given an aversive (negative) stimulus like mildly painful electric shocks or a nausea-inducing drug. These are also administered to a person while he is viewing photographs or slides depicting paraphilic behavior.

Systematic desensitization: This Behavior therapy works on the premise that people are sexually deviant because of a sense of inadequacy and lack of interpersonal skills that trigger anxiety and cause deviant behavior. The technique aims to help such people to overcome their anxieties and condition them to relax in socio-sexual situations so they can replace deviant behavior with satisfying sexual relationships. The basic technique links gradual exposure to anxiety-inducing situations with relaxation training.

Orgasmic reconditioning: In this behavior therapy masturbation plays a central role. The client is instructed to masturbate to his usually desired deviant fantasy and when orgasm is imminent he is to switch to more socially healthy fantasies particularly at the moment of masturbatory orgasm so that he may get conditioned to sexual arousal from socially acceptable behaviors.

Satiation therapy: In this technique too masturbation plays a central role. The client is encouraged to masturbate to orgasm while fantasizing on appropriate sexual situations. Immediately after orgasm he/she is instructed to continue masturbating while switching to his/her desired deviant fantasy. The idea behind this technique is to experience reduced sexual arousal to inappropriate stimuli.

Drug Treatment

Anti-androgen drugs thatcan drastically lower testosterone levels are widely used to block deviant sexual arousal patterns in coercive paraphilic behavior. Sex offenders who are referred to therapists by legal authorities are commonly treated with Medroxyprogesterone acetate (MPA) and cyproterone acetate (CPA). Drug treatments are most effective in sexual deviants when combined with psychotherapy or behavior therapy.

Social skills training

This treatment is based on the premise that sexual deviants have difficulty forming healthy relationships that give access to healthy forms of sexual expression. The training is designed to teach clients the necessary social skills like conversation, courtship, companionship, to cope with rejection etc, to enable the person to enter into and maintain satisfying intimate, healthy relationships with a sexual partner.

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I'm a divorced male in my early 50s. I was faithful to my wife for the 25 years married. She always rejected my romantic advances so I became accustomed to masturbating. My fantasies varied over the years during masturbation and my post divorce real life sexual encounters have been receiving meaningless anonymous oral sex from women and men. It's the only thing that seems to stimulate me to orgasm. Recently, I met the most beautiful, smart, sexy woman and I love her but she does not stimulate me enough to orgasm. I now realize I have completely disassociated sex and love. This is my problem to fix but it certainly affects her. I have stopped receiving anonymous sex but I still masturbate while thinking about it. Can anyone with medical or behavioral knowledge please suggest how I can get back to associating love and intimacy with exciting sex? She is starting to ask, "what's wrong?" and I don't know how to explain it. I really love this woman!
KevHelp Tuesday, June 5, 2012
If your arousal is based on the anonymity, you will probably have to continue what you're doing and masturbate to your fantasy. If your arousal is based on oral pleasure, you will need too tell her "what's wrong" and trust that she cares enough about you to open up to the idea. Either way it will take time and either reconditioning or being satisfied with your masturbatory sessions and good lovemaking with someone you care for.
GladiatiorofPsi Monday, November 18, 2013
I have problems with both frotteurism and fetishism. The impulses are totally out of my control and despite my concience objections and strong will to refrain it is almost like I am posessed and can only stand by and watch. The frotterurism is weird to, I have an impulse to grasp a woman's skirt hem between my fingers without her noticing. I do this in bars and crowed malls mostly. The fetishism is the obsession with womens undergarments from the act of shopping for them to wearing them and filtching them out of my friends and neighbors laundry hampers. I really want to get over this stuff. Chronic mastubation is also a problem...definately associated sex addition from an early age. Never been sexually abused.....but started chronic masturbation very early....child hood considered abusive because very strict parenting causing daily fear and stress...neighborhood bullying also probmatic...and started sexual activity with partners late in life, 19.
Chazz_32 Tuesday, March 6, 2012
i was at Kmart one day and i saw this guy walk up next to a lady with a short skirt he bends down to pretend to look at a dvd,he then picks up the dvd lifts up his shirt from his side and rubs his lower back or waste on her leg, she did not no it was deliberate he said sorry she said ''oh thats ok''he got up and walked away. i also have seen him do it in other stores same thing to women with short skirts
luvherlegz Tuesday, January 31, 2012
Pleaew list other nonj-coercive paraphilias besides coprophilia, urophilia, Klismaphilia,transvestic fertishism and S and M. Seeking background for a presentation
nyccj Sunday, October 16, 2011
I once saw a middle aged Polish immigrant guy grab a young African American woman's butt on the downtown 1 train just north of 59th st - she whipped out her xacto knife from the sleeve of her jacket with ninja-like speed and, in less than a second the perverted guy was crying out in pain and bewilderment as his blood splattered the subway car's floor. My suggestion is that if you see this use your cellphone and snap a picture, even if you don't get the act, you can follow this guy around until you can get a good shot and then take the time to do a report with Metro Police. Two separate reports with the same photo, has the tendency to make the hunter the hunted.
SuzieDsouza Tuesday, February 22, 2011
Any kind of obsession grows when we try to suppress it [What we resist, persists- C.G.Jung]. I believe the human heart is home to the noblest and the basest thoughts. Most of us will have struggled with 'bad' thoughts at some point in life. The more we struggle, the more attention we give it, and it grows in power.

The trick is to develop an attitude of witnessing- like when you watch traffic from the top of a building. It just passes by-don't try to dig up the root cause of each thought. Just be aware of the thought. And preferably you should have a center-focusing on the breath will give you a stable center to hold on. Whenever you feel uncomfortable emotions and thoughts, breathe. Breathe into the emotion or the thought. Don't bother about when it will end. Our job is to maintain awareness of all that goes on in us. In the light of your calm, non-judgmental, awareness, you will heal. :) Cheers.

sud68 Friday, October 22, 2010
I am a masochist and a coprophiliac, and the two things for me are very much connected and related. whilst I fantasize about eating feces, for men and women,s pleasure, amusement, and entertainment, I do not eat or swallow it, because of the health risks, although when I am fantasizing about it, I sometimes kiss and lick it, but I wash my mouth and lips thoroughly after-wards, with anti-septic mouthwash and water.

I've searched all over the net, and can find next to nothing about the causes and treatment of coprophilia, other than many sites who say it involves misconceptions about nudity and sex being dirty, and that it is caused by morbid depression, and both of these explanations are very much false in my opinion and experience. Most coprophiliacs have no problem, appreciating the pure and natural beauty of the human body, and they are not morbidly depressed, as coprophilia makes them very happy. I like being a coprophiliac, but again I will not actually eat feces, and I would sometimes like to moderate these urges, which can sometimes get very intense.

i have my own theory on what causes coprophilia, from my own experiences, but I'd like to know what you can tell me about this more generally or specifically.

Also, as I am a British person, sadistic scatological humor is very much a part of our culture (as it is in German society), and so there's not much of a taboo about it here in the UK.

please shed more light on all of this, or point me in a better direction, because I can find next to nothing on the net about it all, and I want to know a lot more about it.

Thank you


westernhigh Friday, March 12, 2010
Sure you're ok man? You've got me all worried. Maybe you should quit browsing the Net for info for a while and see a health professional. Hurry, boss.
thilakaravi Sunday, March 14, 2010
This person is not hurting anyone or anything. He is only expressing his sexuality, most of this stays in his imagination. Too few people are able to express themselves and they should in privacy or consenting a trustworthy be able to. It is you that should broaden your imagination which may enlighten you, and gain a valiable lesson. Never judge others.
guest Saturday, March 20, 2010
It's okay to judge people that kiss and lick feces and have fantasies about eating it. Dude really needs some help and maybe you need some too. Tolerance isn't always a good thing.
guest Wednesday, July 14, 2010
Like there aren't enough demented people in the world today. Please seek professional help. Even if society accepts bad behavior, i.e. homosexuality and other perverted acts, does not make it okay.
guest Tuesday, August 17, 2010
I believe it is infact okay to have strange sexual desires. What different is his coprophilia than someone else's masochism or bondage/rape fetish? Atleast he is healthy about it. And maybe he feels looking on the net is his only option, due to being fearful of going to someone like you who will be judgemental about his sexual preference?
KeepingThePeace Tuesday, March 8, 2011
Peter you say "
I've searched all over the net, and can find next to nothing about the causes and treatment of coprophilia" if you read some of Freuds theories on human sexuality you will see that at the end of the day all our sexual drives boil dowm to oral or anal fixations because thats what we do as babies...put things in our mouths and poo! you mentioned looking on the net for treatment... any freudian based psychoanalyst would be able to help...

guest Sunday, August 1, 2010
i never heard of this type of paraphilia s. i learned them in my sexual behaviors class in college, but wow, it really is true. i mean im sure u can some how control it, like the other guy said it earlier, just breath, breath with the thought, the brain needs oxygen!!! it will cause u to think clearer!!! i hope u do control ur self, it is in ur hands. i wish u luck, i am not judging u, never. as long as ur not harming others i guess its ok. thats what we all say. but im so shocked to even know such deviance, wow. ma i the only one that is new to this???
inessichka Tuesday, November 8, 2011
Well this is very useful information ..
Thanks for sharing ...

netpharmaworld Thursday, January 7, 2010
Thank you DR.Shroff for inviting me to post my findings on this matter. Trinidad like many other Caribbean countries has its fair share of sexual deviant behavior. Our society is affected by persons who endulge in a myraid of a-typical sexual behavior. In my research I have found that scatologia, public masturbation, public sex, beastility and paedophilia are the most common paraphilias. I have only found one publically know case of autoerotic asphixia. These deviances are never understood and are very taboo in this country where even homosexuality is spoken in hushed tones. Therapy is hard to access. Sex offenders never bebefit from any therapy, we have had a spate of child rape-murder cases in the past 5 years. The most recent was a 9yr girl, she was raped/buggered/ strangled and battered to death, her accuser committed suicide...We must educate our citizens to identilfy and seek help before they harm themselves or others. But sex therapy is an infant science, more so in Trinidad
shazaramohammed Saturday, July 25, 2009
i must add that your article was never insightful, i am doing a course entitled 'contextualizing desire from the victorian to viarga' with DR. Cambell of the universiyt of the west indies in Trinidad and part of this couse deal with the treatment of cocercive paraphilias, thank you.
shazara Tuesday, July 14, 2009

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