Disorder Exhibitionis m Dian istanti Nurul Istiqomah

Sexual Disorder
Sexual disorder is a psychiatric disorder in which sexual problems are considered to be socially atypical Have a potential to disturb meaningful relationship, And may result in insult or even significant injury to other people.

 PARAPHILIAS
The DSM-IV-TR clasifies sexual disorder as either gender identitiy disorder or one of the following paraphilias. Paraphilias, also known as sexual impulse disorder. These terms refer to act or sexual stimuli that are outside of what society considers normal but necessary for some individuals to experience desire,arousal,and orgasm ( Sadock&Sadock,2008).

Exhibitionism
is an illegal activity that involves the intentional display 100% of the genitals in a public place. Almost 100% of cases of exhibitionism involve a man exposing himself to a woman. But now a days it occur in woman.

 Some people with exhibitionism may experience deep shame Judge themselves by the same standard that society does and consider themselves perverts. Although exhibitionism is illegal, it seems to be done more for shock value than as a precursor to sexual assault or rape.

 Causes Exhibitionism 1.From hostility toward women. 2.Timidity, immaturity, and passivity. 3.Psychological profiles of exhibitionists harbored ambiguous feelings about one or both parents in childhood or grew up in homes with a striking lack of privacy and modesty.

 Symptoms 1. A repetitive, compulsive urge to expose oneself to strangers. 2. Deriving sexual excitement or satisfaction from self- exposure.

How to Diagnose and Treatment

How to Diagnosis
a) Be honest with yourself. b) See a doctor if you have exhibitionist urges you find impossible to suppress. c) An exhibitionist should be referred to a psychiatrist or clinical psychologist for evaluation.

 Treatment
a) Once learn how to do it correctly. b) Treatment usually combines several approaches. c) Treatment may include learning techniques to control impulses and manage stress and anger. d) Cognitive behavioural therapy has little to no effectiveness concerning this disorder. e) It can treated by appropriate psychotherapy. f) Serotonergic medication are effective in treatment of sexual paraphilias.

The Course of Exhibitionism

The disorder can develop at any time from adolescence to middle age but is most common in the mid-20s. The frequency of the deviant behavior varies greatly. Some exhibitionists expose themselves rarely, while others do it several times a week.

Exhibitionis m
Since the cause is unknown, it is difficult to outline specific preventive measures. Improving self-esteem and social skills may remove the underlying need for self-exposure.

Different Terms Used To Describe Various Exhibitionist

Anasyrma:Typically refers to the lifting of a skirt or dress by a woman when not wearing any knickers and exposing her genitals. Candaulism:Specifically refers to those people who expose themselves to their partners in a sexually explicit way. Flashing:Typically the brief display of bare female breasts or the brief showing of genitals by a man or woman. Martymachlia:Specifically refers to a paraphilic behaviour that involves being sexually aroused by having others watch the sexual act. Mooning:Typically refers to the displaying of bare buttocks by pulling down trousers and/or underwear. Evidence suggests that when performed by women the primary motivation may be sexual whereas for males it may be done for the sake of mockery or humour. Streaking:Typically refers to running naked (usually men) or topless (usually female) in a public place (e.g., a cricket or football match).

CASE
A26-year-oldman,had beenmarriedbuthabitscan not beremovedto expose himself. Thismanrealizedthathewoulddot hedeed,hetendstoexposehimselft oayoungteenagewomanbyshowing hisgenitals,sohefeelsarealman. Hewilllikely enjoyit regularlymasturbateif the victimreactsin shock,fear,and allother negativereactions

BACKGROUND CASE
In his childhood,the manwasnot fun. his fatherleft homebeforehewas bornandhis motheraheavy drinker. inhis childhoodhe wasout of theorphanage. beforehewas 10 years old,hehadengagedin sexual activitywithher neighbors,boysandgirls. he realizedthat there wasa certain satisfactionwhenshowinghis genitalstothe girlwholookedscaredwhenhe show edit anexhibitionistcanbebasedfrompast traumathat canleadhislifetopeople infected witha sexual disorder.

THANK YOU