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PSY 394 Chapter 11

Terms in this set (50)

Over time, the language used to describe unusual sexual behavior has become:
a. more specific
b. more morally based
c. more liberal or accepting
d. more neutral
c. more liberal or accepting
All but which of the following are adjectives used to define atypical sexual behaviors?
a. amoral
b. bizarre
c. unusual
d. extraordinary
a. amoral
The DSM:
a. is published by the American Psychological Association
b. defines what is a legitimate mental health diagnosis
c. is the same thing as the ICD
d. has not been revisited for 10 years
b. defines what is a legitimate mental health diagnosis
Initially, atypical sexual behavior was believed to be:
a. a manifestation of psychosis
b. so rare that it did not warrant inclusion in the ICD
c. only found in men
d. symptoms of a serious personality disorder
d. symptoms of a serious personality disorder
In the 2nd edition of the DSM, your same-sex sexual partner was considered:
a. psychotic
b. to have a serious personality disorder
c. an "object"
d. never mentioned as there was no mention of homosexuality in that edition
c. an "object"
All but which of the following are diagnostic criteria that need to be present before calling an atypical sexual behavior a "disorder"?
a. it needs to have started in adolescence
b. distress
c. coercion
d. impairment
a. it needs to have started in adolescence
A qualifier of the personal distress diagnostic criteria is that the distress:
a. needs to be so significant that you are taking medication to address it
b. cannot simply arise from society's disapproval of the sexual behavior
c. needs to have endured for more than 2 years
d. needs to have caused a crisis in your personal life
b. cannot simply arise from society's disapproval of the sexual behavior
The American Psychiatric Association seriously considered removing all but which of the following diagnoses from the DSM?
a. sadomasochism
b. fetishism
c. transvestism
d. voyeurism
c. transvestism
All but which of the following are included as disorders in the DSM-5?
a. necrophilia
b. frotteuristic
c. transvestic
d. sexual masochism
a. necrophilia
All but which of the following are included as disorders in DSM-5?
a. sexual sadism
b. zoophilia
c. exhibitionistic
d. voyeuristic
b. zoophilia
All but which of the following would fall into the new DSM-5 category, Other Specified Paraphilic Disorder?
a. klismaphilia
b. urophilia
c. voyeurism
d. copraphilia
c. voyeurism
The "Unspecified Paraphilic Disorder" diagnosis is used when:
a. there are too many paraphilic disorders present in one patient
b. the patient's attorney does not want his diagnosis part of the legal record
c. the patient is unable to communicate the nature of his attractions
d. the clinician chooses not to reveal why a specific disorder is not being diagnosed
d. the clinician chooses not to reveal why a specific disorder is not being diagnosed
All but which of the following are true of paraphilias?
a. if you have a paraphilia, you are unable to function sexually if your preferred stimuli is not present, physically or in fantasy
b. what has been considered "abnormal" has changed over time
c. people with paraphilias rarely initiate therapy on their own
d. sometimes the paraphilic stimuli is necessary for sexual arousal
a. if you have paraphilia, you are unable to function sexually or if your preferred stimuli is not present, physically or in fantasy
All but which of the following often accompany paraphilias?
a. personality disorder
b. depression
c. intellectual impairment
d. sexual dysfunction
c. intellectual impairment
All but which of the following is true regarding the paraphiliac's experience?
a. all of them are sociopathic and feel no remorse
b. some of them feel guilt
c. some of them experience no distress and save their frustration at society's reaction to them
d. some of them feel shame
a. all of them are sociopathic and feel no remorse
All but which of the following are possible reasons why paraphiliacs are almost exclusively male?
a. men are more aggressive
b. women are more moral
c. men have higher testosterone levels
d. male sexual differentiation is more complicated
b. women are more moral
All but which of the following are possible reasons why paraphiliacs usually engage in more than one paraphilia?
a. engaging in one lowers one's inhibitions about trying another
b. they might not have relationships to keep their sexual behavior in check
c. due to social censure, they often feel alienated
d. exposure to pornography
d. exposure to pornography
Dr. Spencer believes there should be some discussion of paraphilias in schools because:
a. this is when they start and kids ought to be able to talk about it
b. kids need the tools to identify the perverts among them
c. it would keep girls safer from sexual harassment
d. it would help us incarcerate potential offenders early before they harm someone
a. this is when they start and kids ought to be able to talk about it
Perhaps the best way to understand the extent of paraphilias is:
a. to have the CDC track doctor visits associated with paraphilias
b. to include questions about paraphilias in the Census questionnaire
c. to look at the market for paraphilic porn and paraphernalia
d. to require therapists to report to their professional boards all paraphilia patients
c. to look at the market for paraphilic porn and paraphernalia
One non-clinical sample of men revealed that:
a. 30% were pedophiles
b. more than 60% had paraphilia-associated sexual arousal patterns
c. 25% had engaged in zoophilia
d. paraphilia-associated sexual arousal patterns were really quite rare
b. more than 60% had paraphilia-associated sexual arousal patterns
Sexual arousal in response to all but which of the following would exclude one from a diagnosis of fetishism?
a. sex toys
b. breasts
c. women's shoes
d. articles of female clothing used in cross-dressing
c. women's shoes
All but which of the following is true of fetishism?
a. women represent about 15% of all fetishists
b. if the desired object is not present, sexual dysfunction may occur
c. the diagnosis is reserved for men
d. sometimes the fetishist wants his partner to wear the desired object
a. women represent about 15% of all fetishists
If fetishism is going to lead to legal problems, it most likely will involve:
a. being sued by one's partner for divorce
b. burglary
c. losing custody of one's children
d. distributing pornographic pictures of yourself with the object
b. burglary
The most parsimonious explanation for the development of fetishism is:
a. pornography
b. sibling rivalry
c. family conflict
d. classical conditioning
d. classical conditioning
Fetishism has been found to be comorbid with all but which of the following?
a. rape
b. voyeurism
c. pedophilia
d. telephone scatalogia
a. rape
Fetishistic behaviors, like many other paraphilic behaviors:
a. is probably a result of an error in prenatal sexual differentiation
b. arises out of childhood sexual abuse
c. exists among a continuum from kink to paraphilia
d. is usually inspired by pornography
c. exists among a continuum from kink to paraphilia
What is the difference between cross-dressing and transvestism?
a. there is no difference, they are synonyms
b. only cross-dressing carries a psychiatric diagnosis
c. cross-dressing is a behavior, transvestism is a phenomenon
d. one refers to wearing just one article of clothing, and the other to a complete outfit
c. cross-dressing is a behavior, transvestism is a phenomenon
Transvestism usually begins:
a. in adolescence
b. at Halloween
c. in childhood when your siblings dress you up
d. after a diagnosis of Gender Dysphoria
a. in adolescence
When cross-dressing is done for the purposes of sexual arousal, we call it:
a. transgenderism
b. sexual cross-dressing
c. fetishistic transvestism
d. transsexualism
c. fetishistic transvestism
Which of the following is true?
a. boys who cross-dress in adolescence usually grow up to be gay men
b. cross-dressing rarely extends beyond adolescence
c. boys who begin cross-dressing in adolescence usually end up as transsexuals
d. the type of transsexualism that might grow out of cross-dressing is autogynephilia
d. the type of transsexualism that might grow out of cross-dressing is autogynephilia
Once cross-dressing begins in adolescence:
a. it always ends up with the cross-dresser working as a female impersonator
b. it is impossible to predict where it will lead
c. it always ends up in transgenderism
d. it usually lands the person in jail
b. it is impossible to predict where it will lead
Curiously, a lot of men began cross-dressing:
a. after they cross-dressed at Halloween
b. after they went to a drag queen show
c. at the encouragement of their female partners
d. as part of a BDSM ritual
a. after they cross-dressed at Halloween
In order to receive a diagnosis of fetishistic transvestism:
a. one needs to be married
b. one needs a partner who is distressed about the cross-dressing
c. one needs to feel distress about one's own cross-dressing
d. one needs to have been arrested for cross-dressing in public
c. one needs to feel distress about one's own cross-dressing
The first time the DSM-5 allowed for the diagnosis of fetishistic transvestism, it was to be applied to:
a. women
b. children
c. transsexuals
d. gay or bisexual men
d. gay or bisexual men
Which of the following is true of fetishistic transvestism?
a. most of those who are diagnosed are feminine gay men
b. in order to be diagnosed, the behavior needs to have persisted for at least 6 months
c. in order to receive the diagnosis, the cross-dressing needs to occur 50% of the time
d. lesbians are more likely to be diagnosed than straight women
b. in order to be diagnosed, the behavior needs to have persisted for at least 6 months
Fetishistic transvestism has been found to be associated with all but which of the following?
a. necrophilia
b. sexual masochism
c. autoerotic asphyxia
d. autogynephilia
a. necrophilia
All but which of the following is part of the diagnosis of Sexual Sadism?
a. has been going on for at least 6 months
b. involves deriving sexual pleasure from receiving pain
c. distress
d. involves getting aroused from the suffering of another
b. involves deriving sexual pleasure from receiving pain
All but which of the following are included in the diagnostic criteria for Sexual Sadism?
a. frotteurism
b. strangulation
c. cutting
d. whipping
a. frotteurism
All but which of the following is true of Sexual Sadism?
a. it is usually chronic
b. this diagnosis is reserved for men
c. in combination with Antisocial Personality Disorder, the victim may be seriously injured or killed
d. fantasies are often present in childhood
b. this diagnosis is reserved for men
If women develop Sexual Sadism:
a. it usually starts in childhood
b. they usually have a masochistic partner
c. they usually have a brain injury
d. they are also usually psychotic
b. they usually have a masochistic partner
Which of the following is true of Sexual Sadism?
a. there are more Sexual Sadists than there are sexual masochists
b. there are more women who are Sexual Sadists than men
c. Sexual Sadism usually follows sexual masochism
d. most stumble on this arousal pattern in middle age
c. Sexual Sadism usually follows sexual masochism
When we say that Sexual Sadism is highly comorbid with other paraphilias, we mean:
a. Sexual sadists tend to hang out with other people with paraphilias
b. you will find Sexual Sadism in the sexual repertoire of many other people with paraphilias
c. Sexual Sadism is the "gateway" paraphilia in that it's often the first
d. Sexual Sadism is biologically linked with other paraphilias
b. you will find Sexual Sadism in the sexual repertoire of many other people with paraphilias
The key criteria in diagnosing Sexual Masochism is:
a. distress
b. whether there are scars
c. whether the "harm" you receive is psychological or physical
d. how old you were when it started
a. distress
All but which of the following is true of Sexual Masochism?
a. it may be engaged in alone or with a partner
b. hypoxyphilia is one expression
c. it rarely involves actual physical harm
d. forced infantilism is one expression
c. it rarely involves actual physical harm
What makes Sexual Masochism unique as a paraphilia?:
a. it begins later in life
b. women are sometimes diagnosed
c. a clear childhood event, i.e. sexual abuse, is its cause
d. it is responsive to psychotherapy
b. women are sometimes diagnosed
All but which of the following has been found to be true of those who practice Sexual Masochism recreationally?
a. they have a history of childhood sexual abuse
b. they tend to be well-educated
c. they tend to be successful
d. they are above average in mental health
a. they have a history of childhood sexual abuse
What has research found with regards to BDSM over time?
a. a significant increase in the number of women who report BDSM fantasy content
b. a significant increase in the number of people who report BDSM fantasy content
c. a significant decrease in the number of people who report BDSM fantasy content
d. a significant increase in the number of men who report BDSM fantasy content
b. a significant increase in the number of people who report BDSM fantasy content
It has been suggested that the "mainstreaming" of BDSM might be attributed to:
a. pop music
b. our gun culture
c. Fifty Shades of Grey
d. Amazon
c. Fifty Shades of Grey
All but which of the following explains the popularity of BDSM?
a. the tension between the partners enhances the sexual experience
b. the physiological arousal enhances the sexual arousal
c. since most people are taking drugs when they have sex, they need the heightened arousal to feel anything
d. it provides an escape from oneself
c. since most people are taking drugs when they have sex, they need the heightened arousal to feel anything
Which of the following is true of practitioners of BDSM?
a. for most, this is just a part of what they like to do sexually
b. for most, the BDSM role playing begins to take over their sexual life
c. for most, they have been rejected by partners who objected to these activities
d. for most, they would prefer BDSM activities to having an ongoing relationship
a. for most, this is just a part of what they like to do sexually
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