Paraphilia and abuse-martyrdom: exhibitionism as a paradigm for reciprocal couple counseling combined with antiandrogen.

Abstract

A paraphiliac with syndrome of exhibitionism has received treatment with the anti-androgenic hormone, Depo-Provera, for three years and is maintained on 350 mg, intramuscularly each week. He and his wife had been in a pathological oppressor/martyr relationship, he as a paraphiliac-oppressor and she as an abuse-martyr. They both receive reciprocal counseling therapy in individual and couple sessions. Antiandrogen diminishes paraphilic fantasy and enhances self-governance of its behavioral concomitants, but does not totally suppress erotosexual expression. Reciprocal counseling therapy enhances erotosexuality and pair-bondedness between the two partners as they both change, not singly, but mutually, toward a more healthy life style.

• Authors: J Money
• Journal: Journal of sex & marital therapy (J Sex Marital Ther) Vol. 7 Issue 2 Pg. 115-23 ( 1981) ISSN: 0092-623X [Print] England
• PMID: 7345152 (Publication Type: Case Reports, Journal Article, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Medroxyprogesterone

Topics

• Adult
• Exhibitionism (psychology, rehabilitation)
• Humans
• Male
• Marital Therapy (methods)
• Masochism
• Medroxyprogesterone (therapeutic use)
• Paraphilic Disorders (psychology, rehabilitation)
• Sadism
• Sex Offenses