Paraphilia

Paraphilia - a disorder characterized by constant and intense sexual impulses, fantasies or behavior associated with inanimate objects, children, adults indifferent to this person, or when a person experiences sexual pleasure from their own suffering or humiliation of others).
At the same time, a person is excited only in the presence of an appropriate stimulus, or needs a stimulus only from time to time and during a period of stress.
According to the DSM-IV handbook, the diagnosis of paraphilia can be made to a patient only if impulses, fantasies, or behavior last for at least six months. These fantasies or behaviors should also cause suffering or interfere with a person’s social life or work. People whose paraphilia is associated with sexual attraction to children or adults indifferent to them find themselves in the therapist's office when they break the law.
While theorists offer various explanations for paraphilia, practical research says little about the causes of most of these disorders.
In addition, many of the treatments that are applied to them have not yet proven their effectiveness in the course of research.
Psychological and sociocultural treatment of paraphilia has been used for a long time, but, as well as in the treatment of sexual dysfunctions, biological interventions have attracted increasing attention in recent years. Some clinicians, for example, use drugs that reduce the production of testosterone, the male sex hormone, and thus reduce sexual drive.
Such drugs in fact sometimes change the patterns of sexual perversions in patients, but some of them also reduce sexuality in general. Thus, drugs are currently used when the perversity of a person is a danger to the person himself or to others. Clinicians also show a strong interest in the possible use of second generation antidepressants for the treatment of paraphilia. Therapists hope that such drugs can change manic sexual behavior, as well as help save a person from obsession with other dysfunctions.