Sexual Dysfunctions and Deviations

Skinner, Linda J.; Becker, Judith V.

doi:10.1007/978-1-4615-6826-1_9

Cited by 3 publications

(2 citation statements)

References 59 publications

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“…Coprophilia refers to sexual excitement from viewing, smelling, or handling feces, as well as fantasizing about another person engaging in these activities (Adams & McAnulty, 1993;Aggrawal, 2009;Dobbert, 2004). A coprophile might also become aroused by watching his partner defecate (Skinner & Becker, 1985). As with other types of paraphilias, coprophilia is often comorbid with other paraphilia-all with a focus on a particular individual or object (Aggrawal, 2009;Dobbert, 2004).…”

Section: Coprophilia and Coprophagia: Definedmentioning

confidence: 99%

Coprophilia and Coprophagia: A Literature Review

Arnone,

Conti,

Preckajlo

2023

J Am Psychiatr Nurses Assoc

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BACKGROUND: Coprophilia and coprophagia are distinct paraphilias that fall under the category of other specified paraphilic disorders in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. Coprophilia refers to sexual excitement from viewing, smelling, or handling feces, as well as fantasizing about another person engaging in these activities. Coprophagia, or eating one’s own or another person’s excrement, has also been observed in some patients with coprophilia. AIMS: The purposes of this review are to examine the current literature on the etiology, symptoms, interviewing techniques, pharmacotherapy, and psychotherapy used for each disorder and to elicit best practice guidelines in the treatment of patients with coprophila and coprophagia. METHODS: Electronic and hand searches were initiated using CINAHL, EBSCOhost, SAGEpub, and MEDLINE databases between 1990 and 2022 using the terms “coprophilia,” “coprophagia,” “paraphilia NOS,” and “other specified paraphilic disorder” restricted to English. RESULTS: Individual case reports and limited studies were found in this literature. Reported treatment protocols included individual and tandem use of pharmacotherapy and psychotherapy, with mixed outcomes. Future studies are needed to explore the factors that mitigate the paraphilias, therapeutic management, and treatment outcomes, to produce evidence-based practice treatment guidelines. CONCLUSIONS: Understanding the psychological and biological factors that may contribute to these disorders’ manifestations may portend a greater understanding and insight into the genesis of the paraphilias. Having specific evidence-based treatment protocols will afford the psychiatric nurse practitioner to render patient-centered, safe, and culturally competent care and effect better patient outcomes among this understudied population.

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Section: Coprophilia and Coprophagia: Definedmentioning

confidence: 99%

Coprophilia and Coprophagia: A Literature Review

Arnone,

Conti,

Preckajlo

2023

J Am Psychiatr Nurses Assoc

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“…The psychologist can do this only by explicitly obtaining informed consent to these conditions at the start of the evaluation. An alternative approach is to conduct the diagnostic assessment with the intention of maintaining the patient's confidentiality to the greatest extent possible, and then adopting specific techniques of interviewing and rules of recordkeeping that serve to make it maximally difficult for the social service agencies to acquire information through the therapist (Becker, 1990;Skinner & Becker, 1985). The rationale for this approach is typically that, given the patient's natural predilection for secrecy, adding the threat of public disclosure almost ensures an invalid assessment and thus precludes accurate diagnosis or effective treatment.…”

Section: Issues Raised By the Tensions Between Systemsmentioning

confidence: 99%

Conflicts and issues in the treatment of child sexual abuse.

Pogge¹,

Stone²

1990

Professional Psychology: Research and Practice

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Although the very nature of child sexual abuse (CSA) cases necessitates the interface of three very different systems-judicial, social service, and mental health systems-the disparities in methods, goals, and perspectives of these systems often places them in direct conflict. Moreover, the lack of consensus within the mental health professions regarding the conceptualization and treatment of CSA cases combines with the tensions between these systems to raise a host of unique and highly problematic practical dilemmas. This article reviews some of these issues with the goal of highlighting the conflicts they reflect in the hope of raising professional awareness and engendering debate, which may lead to resolution or at least consensus within the field.

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