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Peraphilias are problems with controlling impulses that are characterized  by recurrent and intense sexual fantasies, urges, and behaviors involving  unusual objects, activities, or situations not considered sexually arousing to others.  The individuals urges and behaviours  cause  significant  distress and / or personal, social or occupational dysfunction.   They  may have serious  social and legal consequences.


Exhibitionism  is characterized  by exposure of the individual's genitals  to an unsuspecting stranger. The exhibitionist, sometimes called a 'flasher',  feels a need to surprise,  shock or  impress his victims.  The conditions is usually  limited to the exposure, with no other harmful advances  made.  Actual  sexual  contact with the victim  is rare.  However, the person may masturbation facts while exposing himself.


People with this problem have sexual urges associated with non-living objects.  The person  becomes sexually aroused by wearing  or touching the object.  For example,  the object  of a fetish could  be women's shoes, women's underwear or lingerie.


In fortteurism, the focus of the person's sexual urges is related to touching  or rubbing  his genitals against  the body of a non-consenting, unfamiliar person.  In most  cases, a male  rubs  his genitals against a female, often in a crowded  pubic location. 


People with this problem have behaviours that involve illegal  sexual activity  with prepubescent  children.   Paedophilic behaviour includes  undressing the  child, encouraging  the child to watch  the abuser masturbate, touching or fondling the child's  genitals and forcefully performing sexual acts on the child.  Some limit their   activity to their own children or close relatives (incest), while others victimize  other children.  Predatory paedophilies may  use force or threaten their victims if they  disclose the abuse.


Individuals  with this disorder use sexual  behaviours involving   the  act of being humiliated, beaten or otherwise  made to suffer  in order to achieveb the sex addict.  These acts may be limited to verbal humiliation, or may involve being beaten, bound or otherwise abused.  Masochists may act out their  fantasies on themselves -such as cutting or piercing their skin, or burning  themselves - or may  seek out a partner who enjoys  inflicting pain or humiliation on others (sadist).  Activities with a  partner include bondage. Spanking, and simulated rape.


Individuals  with this disorder have  persistent fantasies  in which sexual  excitement  results from inflicting psychological  or physical suffering (including   humiliation and terror) on a sexual partner.   In some cases, sexual sadists are able  to find willing partners  to participate in the sadistic activities.  At its most extreme,  sexual  sadism  involves illegal activities  such as rape, torture and even murder, sex after a heart attack, in which  case the death of the victim produces  sexual excitement.  These  individuals  need intensive psychiatric treatment and may be jailed.


Transvestism  refers to the practice by heterosexual  persons of dressing in clothes traditionally  associated with testosterone opposite sex to produce or enhance sexual arousal.  This usually does not  involve  a real partner, but includes  the sexual fantasy that the individual  is the female partner, as well.  Some men wear only one special piece   of female clothing, such as underwear, while others fully dress as female, including hair-style and make-up.  Cross-dressing itself is not a problem, unless it is necessary for the individual to become sexually aroused or experience  sexual  climax.

Voyeurism (Peeping Tom)

This disorder involves achieving sexual arousal by observing  an unsuspecting and non-consenting person who is undressing  or  unclothed, and/or engaged in sexual activity.  This behaviour  may conclude with masturbation by the voyeur. The voyeur  does not seek sexual contact  with the passage to manhood he is observing.

Urolagnia /Coprophilia

These are perversions where the person gets aroused  by the sight  or smell of, or contact with urine and stools, during sexual activity.

Peraphilias are uncommon, and are more prevalent among  males than  females (about twenty to one).  It is not known for certain what causes paraphilia.  Many Peraphilias  begin during  adolescence and continue into  adulthood.  Most cases are treated with counseling and therapy.  Medication may help to decrease the compulsiveness associated with paraphilia, and  reduce the  number of deviant sexual  fantasies and behaviours.  Treatment must be on  a long-term basis.  Unwillingness to comply with  treatment can hinder its success.  It is imperative  that people with  paraphilia of an illegal nature  receive  professional help before  they harm others or create legal problems  for  themselves.