Sexual Disorders: Paraphilic Disorders

Exhibitionism: Definition and Overview

Exhibitionism is a psychiatric condition categorized under paraphilic disorders. It involves sexual gratification derived from exposing one's genitals to unsuspecting individuals in inappropriate settings.

Clinical Presentation

• Recurrent and intense sexually arousing fantasies, urges, or behaviors related to exposing oneself.
• Significant distress or impairment in social and occupational functioning.
• Often accompanied by compulsive tendencies and inability to control urges.

Causes and Risk Factors

Possible causes include neurobiological dysfunctions, childhood trauma, and maladaptive sexual conditioning. Risk factors such as antisocial traits and a history of impulsive behaviors contribute to its development.

Diagnosis and Treatment

Diagnosis is made through clinical assessment based on DSM-5 criteria. Treatment involves cognitive-behavioral therapy, pharmacotherapy, and psychoeducation aimed at impulse control and harm reduction.

Impact on Individuals and Society

Unmanaged exhibitionistic disorder can lead to legal consequences, strained interpersonal relationships, and psychological distress for both the individual and the victims.