Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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    1. 3.^202 a nonconsenting person (APA, 2000). Sexual excitement is be fantasized, solitary, or with a partner. Examples include underpants, stockings, shoes, boots, or other wearing apparel. The fetish object is generally used during masturbation or in-corporated into sexual activity with another person to pro-duce sexual excitation. When the fetish involves cross-dressing, the disorder is calledmade to suffer (APA, 2000). These masochistic activities may lester is 16 or older and is at least 5 years older than the child. Frotteurismthe act of being humiliated, beaten, bound, or otherwise arousing fantasies, of at least 6 months’ duration, involving occupation with intense sexual urges or fantasies, of at least 6 months’ duration, involving touching or rubbing against (APA, 2000). Common fetish objects include bras, women’s derived from the actual touching or rubbing, not from the coercive nature of the act.sexual activity with a prepubescent child. The age of the mo-Pedophilia6 months’ duration, involving the use of nonliving objects der is recurrent, intense sexual urges, behaviors, or sexually Sexualarousing fantasies, of at least 6 months’ duration, involving assaults.of pedophilia as recurrent sexual urges, behaviors, or sexually This category of paraphilia is the most common of sexual^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Masochism. The. This disorder is defiDSM. The identifying feature of this disor- transvestic fetishism.-IV-TR describes the essential feature ned as the recurrent pre-
      2506_Ch11_201-217.indd 0202 2506 Ch 11 201 - 217 .ind^ 7. 6. d 0 becoming sexually aroused by self-inflsexually arousing fantasies, of at least 6 months’ duration, involving acts in which the psychological or physical suffer-ing (including humiliation) of the victim is sexually exciting (APA, 2000). The sadistic activities may be fantasized or acted on with a consenting or nonconsenting partner. In all instances, sexual excitation occurs in response to the suffer-ing of the victim. Examples include rape, beating, torture, or even killing.restrained, raped, or beaten by a sexual partner.Voyeu r ismSexualidentifisexual urges, behaviors, or sexually arousing fantasies, of at least 6 months’ duration, involving the act of observ-ing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity (APA, 2000). Sexual excitement is achieved through the act of looking, and no contact with the person is attempted. Masturba-tion usually accompanies the “window peeping” but may 202 ed as recurrent, intense, sexual urges, behaviors, or^ Sadism. This disorder is identifi. The essential feature of sexual sadism is ed by recurrent, intense icted pain or by being 1 10/1/10 9:35:43 AM 0 / 1 / 10 9 : 35 : 43 AM



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