THE TREATMENT OF THE PARAPHILIAS
Behavior therapists have reported some favorable results in changing the
paraphilias, but the success fate is far from perfect (Maletzky, 1974; Rooth and Marks, 1974; Blair and Lanyon, 1981). If paraphilias arise by conditioning during fantasy and masturbation, it might be sufficient for aversion therapy to concentrate on fantasy.
For example in the 70's, the following regime
was be effective in changing paraphilias (McGuire et al.). During
voluntary therapy, a paraphilic is instructed to imagine a highly sexually
stimulating fantasy involving his paraphilia. While engaged in this fantasy,
an aversive stimulus, such as a strong electric shock or a nausea-inducing
agent, is presented. When the aversive event goes off and relief is experienced,
he is told to imagine conventional heterosexual fantasies. This procedure
should produce conditioned aversion to the paraphilic fantasy and
conditioned excitement to the nonparaphilic fantasy. Behavior therapists
also use desensitization and reconditioning to appropriate sexual stimuli,
social skills training, and imagery stopping techniques to modify paraphilias.
Although some success has been reported using these techniques with
exhibitionists (Ma1etsky), these procedures have also been known to
fail (McConaghy).
NOTE:
There has been much advancement in therapy since the 70's
with new psychotherapy methods that have proven successful.
paraphilias, but the success fate is far from perfect (Maletzky, 1974; Rooth and Marks, 1974; Blair and Lanyon, 1981). If paraphilias arise by conditioning during fantasy and masturbation, it might be sufficient for aversion therapy to concentrate on fantasy.
For example in the 70's, the following regime
was be effective in changing paraphilias (McGuire et al.). During
voluntary therapy, a paraphilic is instructed to imagine a highly sexually
stimulating fantasy involving his paraphilia. While engaged in this fantasy,
an aversive stimulus, such as a strong electric shock or a nausea-inducing
agent, is presented. When the aversive event goes off and relief is experienced,
he is told to imagine conventional heterosexual fantasies. This procedure
should produce conditioned aversion to the paraphilic fantasy and
conditioned excitement to the nonparaphilic fantasy. Behavior therapists
also use desensitization and reconditioning to appropriate sexual stimuli,
social skills training, and imagery stopping techniques to modify paraphilias.
Although some success has been reported using these techniques with
exhibitionists (Ma1etsky), these procedures have also been known to
fail (McConaghy).
NOTE:
There has been much advancement in therapy since the 70's
with new psychotherapy methods that have proven successful.
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