Treatment Of The Paraphilias

Treatment of the paraphilias may be biological or psychological. Although there are case reports of success based solely on one, state-of-the-art treatment today is most often a thoughtful integration of both. This section of the chapter reviews the research on pharmacological interventions followed by a discussion of critical variables in the assessment of the paraphilias. The chapter concludes with an overview of the principles of psychotherapeutic treatment. A core assumption of the authors is that paraphilias are most often chronic and incurable but highly manageable. Treatment is a process of determining and implementing those interventions that offer the patient maximal opportunity to control behavior, manage affect and impulses, and reduce distress.

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