Paraphilic disorder: clinical characterization and treatment

Authors

Abstract

Introduction: Paraphilic disorder are non tradicional sexual behaviors like the sexual activity with the boys/girls, to exhibit the genital to an unaware person or others.
Objective: To systematize the theoretical bases that sustain the clinical characterization and the treatment of the paraphilic disorder in the world and in Cuba.
Methods: The bibliographical search was made in the electronic databases ClinicalKey and PubMed, Cuban investigations were used.
Results: Paraphilia is any intense and persistent sexual interest that is not the interest in the genital stimulation or preparatory caresses with a human normal, mature physically, with consenting persons; they are paraphilics disorders when the paraphilia causes distress or deterioration in the social, labor or others. Excellent clinical characteristics: they prevail in the masculine sex, cognitive distortions exist, comorbidities among different types of paraphilics disorders, dysfunctions for use of substances and disorders personality. The pharmacological treatment embraces the selective serotonin reuptake inhibitors, in Cuba the Sertraline is used (100-200 mg/day); analogues of the hormone Gonadotropin-Releasing Hormone Agonists and antiandrogens used in the country Androcur (50-100 mg/day). Technical of cognitive and behavioral psychotherapy: covered sensitization, empathy development toward the victims and cognitive restructuring.
Conclusions: Clinically it is indispensable to differentiate the paraphilia of the paraphilics disorders, considered mental illnesses, with generally chronic course and generally comorbid psychiatric. In Cuba, for their treatment it is used the Sertraline or Androcur and technical of cognitive and behavioral psychotherapy.

DeCS: PARAPHILIC DISORDERS/etiology; PARAPHILIC DISORDERS/drug therapy; PARAPHILIC DISORDERS/psychology; MENTAL DISORDERS; COGNITIVE BEHAVIORAL THERAPY.

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Author Biographies

Elvia de Dios-Blanco, Universidad de Ciencias Médicas. Centro Nacional de Educación Sexual. Departamento de Trabajo Comunitario. La Habana, Cuba.

MSc. en Sexualidad y Salud Mental Comunitaria. Especialista de Primer grado en Fisiología y de Segundo Grado en Psiquiatría. Profesora Auxiliar.Universidad de Ciencias Médicas de La Habana. Centro Nacional de Educación Sexual. Departamento de Trabajo Comunitario

Annia Duany-Navarro, Universidad de Ciencias Médicas. Hospital Docente Clínico Quirúrgico Dr. Salvador Allende. Servicio de Psiquiatría. La Habana, Cuba.

Doctor en Ciencias Médicas. Especialista de Primer Grado en Medicina General Integral y de Segundo Grado en Psiquiatría. Profesora e Investigadora Auxiliar. Universidad de Ciencias Médicas de La Habana. Hospital Docente Clínico Quirúrgico Dr. Salvador Allende. Servicio de Psiquiatría.

María del Carmen Vizcaíno-Alonso, Instituto de Ciencias Básicas y Preclínicas Victoria de Girón. Departamento de Salud Pública. La Habana, Cuba.

Especialista 2do. Grado en Psiquiatría, Doctora en Ciencias Médicas.Profesora Consultante y Titular.Investigadora Titular. Máster en Pedagogía de la Sexualidad. Sexologa Clinica

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Published

2022-07-17

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1.
de Dios-Blanco E, Duany-Navarro A, Vizcaíno-Alonso M del C. Paraphilic disorder: clinical characterization and treatment. Arch méd Camagüey [Internet]. 2022 Jul. 17 [cited 2025 Aug. 2];26:e8919. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/8919

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Vol. 26 (2022): (publicación continua)

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