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Counselling Challenges for persons with Paralhilia

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Can you briefly describe two paraphilias, their characteristic behaviors, and the theories as to how each paraphilia develops? Discuss the challenges you would have when facing a client who comes to you with one of the two paraphilias you described. How would you proceed in order to provide this client with ethical services?

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This solution discusses the challenges for counselors in the treatment of persons with paraphilia, and how they provide ethical services.

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(1) Can you briefly describe two paraphilias, their characteristic behaviors; and the theories as to how each paraphilia develops?

Paraphilia means 'abnormal or unnatural attraction.' The essential feature of a paraphilia are recurrent, intense sexually arousing fantasies of a sexual origin, or behaviors generally involving: non human objects, the suffering of oneself or their partner, or children or other no consenting persons that occur over a period or at least 6 months (Criterion A), sexual relationships of people that differ from normal in regard to their sexual activity such as sexual activities that revolve around themes such as objects, nonhuman animals, humiliation, pain and suffering, and non-consenting persons (Diagnostic and Statistical Manual of Mental Disorders [APA], 2000, p. 566). Based on the DSM-IV-TR, the sexual activities include desires or fantasies about ...

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