背景:Paraphilias是反复发作的幻想,思想,以及给患者和周围人带来痛苦的行为。此病例报告详细介绍了以强迫性行为管理多个亲友的挑战。
方法:一名48岁的马来人出现强迫性行为,包括偷窥狂,frotteurism,和暴露狂的行为,多年来逐步增加,伴随着高估的狂热思想。尽管职业和社会上的功能障碍程度很高,没有明显的精神病患者,躁狂,或抑郁症状。有机检查并不引人注目,他被诊断出患有多个副嗜血杆菌.开始用选择性5-羟色胺再摄取抑制剂治疗,在心理上,他接受了强迫性行为特有的技术。
结论:尽管文献中很少见,亲热障碍和强迫性行为对患者及其家人来说都非常痛苦,彻底的生物心理学调查对于确保可逆原因不被忽视至关重要。
BACKGROUND: Paraphilias are recurrent and arousing fantasies, thoughts, and behaviors that cause distress to sufferers and surrounding people. This
case report details the challenge of managing multiple paraphilias with compulsive sexual behavior.
METHODS: A 48-year-old Malay man presented with compulsive sexual behavior, encompassing voyeuristic, frotteurism, and exhibitionistic behavior, increasing progressively over the years, with accompanying overvalued ideas of erotomania. Despite the high level of dysfunction occupationally and socially, there were no apparent psychotic, manic, or depressive symptoms. An organic workup was unremarkable, and he was diagnosed with multiple paraphilias. Treatment with selective serotonin reuptake inhibitors was commenced, and psychologically he was managed with techniques specific to compulsive sexual behavior.
CONCLUSIONS: Though rare in the literature, both paraphilic disorders and compulsive sexual behaviors are very distressing to sufferers and their families alike, and thorough biopsychological investigations are essential to ensure reversible causes are not overlooked.