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Treatment of Sexual Paraphilias

Abstract: Treatment can help avoid problems.

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Treatment of Sexual Paraphilias

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Written by: Wendy Moelker, psychologist in charge of Emergis, Goes, the Netherlands.
First version: 22 Jul 2008.
Latest revision: Aug 2008.

How can paraphilias be treated?


Sexual variations sometimes get people into trouble. The chance of conflicts with society is greater for people with an exceptional sexual preference. Very a few people with one or more paraphilias look for help with a social worker. They usually do this because they suffer from the paraphilia or because others, e.g their partner, suffer from it or society disapproves of heir behavior and makes them liable for punishment. Treatment may be focused on two areas. Space can be created for the development of the paraphilia. In this case patients get tips for getting in with fellow-sufferers and accepting themselves. On the other hand the paraphilia can be suppressed so that it occupies a smaller and more controllable place in the life of the person. This second treatment is more common. Medicinal treatments with anti-androgens (hormones) or psychopharmacology can influence the intensity and the frequency of the paraphilia.
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