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Paraphilias: Diagnostics, Comorbidities, and Treatment

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Psychiatry and Sexual Medicine

Abstract

The present chapter initially summarizes diagnostic criteria and guidelines for paraphilic disorders proposed by standardized diagnostic schemes (i.e., DSM-5, ICD-11). When assessing paraphilic interests in clinical practice, applying multiple sources of information is considered necessary (e.g., self-report questionnaires, objective measures, third-party assessment). Referring to the recent state of research regarding comorbid disorders in individuals with paraphilias, multiple paraphilic interests are not rare. Furthermore, psychiatric disorders (e.g., depression, social phobia, ADHD) were also shown to be related to paraphilic disorders. Concerning treatment in paraphilic patients, research has demonstrated the effectiveness of psychotherapy as well as sex education. In the case of individuals with a risk for sex offending or a psychiatric comorbidity (e.g., depression), pharmacotherapy and social skills training are of additional relevance. Current findings on the effectiveness of the diverse psychotherapeutic and pharmacological treatment strategies are discussed.

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Author information

Authors and Affiliations

  1. Institute for Sex Research and Forensic Psychiatry, University Medical Centre, Hamburg-Eppendorf, Germany

    Safiye Tozdan & Peer Briken

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  1. Safiye Tozdan
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  2. Peer Briken
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Correspondence to Safiye Tozdan .

Editor information

Editors and Affiliations

  1. Department of Psychiatry, Centre of Postgraduate Medical Education, Warsaw, Poland

    Michal Lew-Starowicz

  2. Psychiatric Center Copenhagen, Sexological Clinic, Rigshospitalet, Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

    Annamaria Giraldi

  3. Department of Psychiatry, Social Psychiatry and Psychotherapy, Section of Clinical Psychology and Sexual Medicine, Hannover Medical School, Hannover, Germany

    Tillmann H. C. Krüger

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Tozdan, S., Briken, P. (2021). Paraphilias: Diagnostics, Comorbidities, and Treatment. In: Lew-Starowicz, M., Giraldi, A., Krüger, T. (eds) Psychiatry and Sexual Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-52298-8_27

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  • DOI: https://doi.org/10.1007/978-3-030-52298-8_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-52297-1

  • Online ISBN: 978-3-030-52298-8

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