💥💥💥I'm making my first online course - yay! Pre-order my course “Dr Syl’s Therapy Skills” for depression and anxiety symptoms. Order before July and use the code “PREORDER” to get 35% off.💥💥💥 Link: payhip.com/b/T4gtn
I fantasise about beautiful women with nice bellies like Shakira or Melonie Blatt, when they were in the prime of their beauty, getting brutally belly beaten in a women fight, such as a boxing march or any kind of marshal art. The thought of ether 1 of the 2 celebrity ladies I mentioned, on the severe belly beating business of a STRONG muscular woman wearing the hardest boxing gloves used in professional boxing before outlawed, as the STRONG attacker's unleashed untamed RAGE cause the victims bellybutton to swell to twice its natural size, all because the deranged attacker thought that Melonie Blatt's or Shakira's bellybutton was laughing at her. Does that make me a passive sexual sadist? Because I would NEVER go out to inflict that on someone.
@@sciencenotsrigmaI find that people underestimate the number of women who pay for sex workers, the number of customers is far higher than society thinks.
You put a lot of thought into communicating to those not medically trained. I learn so very much from you and I believe it helps to bring understanding and education.
It's important to remember that having any of these disorders is not a crime! Acting on it is. Some of these can even be ok if done with full consent between adults (voyeurisme, exhibitionist, even "non consensual" roleplay) I remember an interview with a psychiatrist on the topic of pedophilia, telling how people would not seek help out of fear of being reported, and those seeking help would often be turned away, especially by private clinics, because the risk for the therapists if something happens and they didn't report the patient is too much to bear.
It's not just a moral dilemma for the provider; where I come from at least, a mandatory reporter can be charged as well if it is found that they did not report concerns of abuse and it led to a crime being committed. I don't really know how you could make an airtight case for that, because it seems like it would just be a lot of hearsay, but either way the provider's reputation would be tarnished to some degree.
You are completely right, but I imagine that most, if not all the people who has these urges most likely have some dark history of being sexually molested. In acting on the sexual fantasy, rather than on seeking help might develop it to be worse. Also, this could be a trauma that your brain has masked so you only feel the urge but don't know why. Unless it would become "sexy" to seek help for such problems, i don't see it ever getting solved, Also, the chance for that being global at the same time is even more unlikely.
The inherent and intrinsic chaos and unconstructiveness of it all validates the idea that life is absurd and nobody ought to be born. Life's unfairness shows its too dangerous to deal with and its best to practice antinatalism.
@@followtruthwhereeveritleads2 I'm close to your thinking. Maybe it is a result of focusing on too much negativity, but I think it is humans intrinsic capability to ignore what they don't want to see or hear. I've contemplated many times the past few years over the impending doom the sun will send us, in the form of a extremely powerful solar storm, that will erase most life, if not all from earth. If it's something humans can survive, I bet the surviving will not be much better off than we were last time this happened.
I think its an important topic. talking about this topics from a psychiatric point of view gives it more perspective.Very interesting. And to many this is very black and white. The fact that it comes strong negative ractions in the comments just shows its importancy(as far as to work away some shame maybe). Good work😊
Albert Fish was a murderer and cannibal who had multiple paraphilias some of which were undocumented in any other case, for example pushing a rose stem, with thorns, into his urethra, staring at his penis/rose for a period of time, then eating the rose petals.
I’ve struggled with this my whole life. It has definitely complicated and ruined most all of my relationships 🙁 idk where it comes from or why my brain wants it like that but it has been really tough to work with/find people who are likeminded.
I appreciate the contextual tip of the hat to importance of interventions that aren’t pharmaceutical. And for USA docs it’s the insurance preferred choice. I believe it’s also the focus on their education.
Just stumbled on your channel. I’m a crusty old British psychiatrist, practising for longer than I can remember. Can’t imagine why any young, enthusiastic medic would want to enter this field, at least here in the UK where modern psychiatry is a medicolegal hellscape.
EVEN anal AND oral ARE paraphilias in a way, cause they are UNATURAL, they are DEVIANT, and THERE is no SUCH thing as oral AND anal sex, BECAUSE your ânus and your mouth are NOT sexual organs, so ITS IMPOSSIBLE tô call It sex, so in that case why dont we Make a hole in a pillow, Make sex with It, and then what? Are we Gonna call it "Pillow Sex"??? Cmon this is SICK Oral and anal are human creations and terma to try to justify imoral sexual acts
Hey Dr. Syl. I'm a men with many fetishs and I really appreciate the eay you describe the healthy side of it and the problematic side. BDSM and fetish are often seen as an disorder by other people. They usually think of the hard core BDSM, such as wipping. But there can be many fetishs that people have and dont even know is falls under de fetish espectrum. Liking man with beard for example, is considered fetish just like liking feet. The point you made, and should be reinforced here is that the illness should be view separate from the healthy fetish. Thank you very much to talk about this so professionally and wirhout judgmente like you do.
@@goodgirlwilliams158I think a preference v a fetish is something else really interesting. Are we as a society misusing the word fetish when we just mean strong preference for? Not trying to fight, just genuinely curious and seems like most commenters here are open minded and non judgmental, and would like to know their thoughts.
Yes, "fetish" certainly can be misused by laypeople to mean mere preference, sadmermaid. A beard fetish, to me, would probably mean being strongly aroused by beards alone. (Fake beards on women, cartoon characters, goats, etc. included.) Beards are a common secondary sexual characteristic of men, and liking evidence of ability to grow some facial hair is generally considered part of basic sexual attraction to men (i.e. stubble, moustache, bears, whatever.) Just like liking boobs usually isn't considered paraphilia. But a very specific attraction to specific type of beards and that alone, regardless of the person involved, well, that might move the attraction into a category of paraphilia. (Even asking somebody to put a false beard on, etc. say, or threatening to leave a partner who shaves the beard off?) I think it'd have to be highly and weirdly specific to count as a true fetishism. OTH, Feet and shoes are unisex and all ages (i.e. kids and adults both have feet.) so that's how that differs from liking beards, but given that foot binding has been part of cultures, again, as Dr. Syl says, culture can play a degree in this. So if the culture makes beards taboo even, maybe a liking for beards then would count as a fetish because it's so unusual.
Dr. Syl, would you please be so kind and make a video about masochism? or a video including masochism? I'd wanna hear your analysis on that, because I myself might be dealing with it... ...I'm not sure if I'm looking well enough, but there are not many videos here on this platform where it's properly explained. thank you in advance, have a nice day❤ ps: amazing and educational video as always, and kind of easy for us non-specialists to understand, keep up!
People with pedophilia themed ocd are some of the lowest risk people in the general public to ever act out sexually against a child… yes people with pedophilia can be obsessive and the med thing sounds plausible. Though the last bit about purely ocd people being “not as high risk” is quite misleading, as they have a revulsion or fear response to the idea rather than attraction. There is never an attraction, only a surplus of worry about the possibility of attraction.
Lowest risk, yes, that’s why the person would be called a pedophile. It’s only high risk when the OCD becomes so strong that they act upon it and therefore should be labelled a pedosexual.
I'd be very interested to know what diagnosis you would give to Sean Diddy Combs??? If you have insight please share 😊 The whole world would be interested
It was a VERY interesting video! Especially learning WHY the cutting of the balls was such a normal treatment once! As someone who has been around people that borders on the line to some of these things, i can definitely see the OCD part of these sexual disorders.. I think these things are way more common then we think, and i think that we do not talk enough about it in our given society! I had an ex who could almost not think about ANYTHING else but sex, it was taking over his mind, and it did affect out relationship, his relationship with his family and friends even.. It was an unhealthy obsession, but i did not know what to do or say in it, so i left before i ended out in unwilling situations.. We need to talk more about sex, healthy and unhealthy, and how to help and/or treat it. No shame should be put on anyone asking for help, ever, and help should be way more available.
Yes, that’s a very interesting history. Since, we have found that not all sexual behavior is directly caused by the anatomy and active hormones. If a person has gone through puberty at all, sex hormones have already affected brain development, such that physical or chemical castration may not change sexual ideation, or behavior, significantly. Also, as you mentioned, there are other influences. This is why some neutered cats and dogs often display sexual behaviors, anyway.
Interesting timing on this video considering yesterday’s press conference that addressed issues related to the daughter of the accused Long Island serial killer. The attorney for some of his alleged victims has linked the daughter to searches, art, blogs, books etc that depict some of the most violent, sadistic acts imaginable. These acts happen to be almost directly analogous to the exact and very specific types of crimes her father is accused of. It certainly opens up a whole bunch of questions if true
It could just be his father primed her by talking to her about violence or threatening her with such acts, without ever mentioning he was in fact a murderer. Another interesting case of you care is that of Cary Stayner.
Now, I'm absolutely *not* "defending" or exonerating anything, though I think it is nonetheless useful and important to point out that, not only are "paraphilias" societally determined, but more importantly, that society's mores and laws can and do change over time. In other words, what you and I (being Twenty-First Century Westerners) may find shocking, horrifying, or consider reprehensible and/or illegal, may not have always been thought of that way. And in some living modern (non-"Western") societies, may still not be thought of that way. Societal mores, in other words, are fluid and subject to change. What seems "right" and "normal" to us, may not seem that way to others, both past and present. We should always bear this in mind.
I couldn't have said it better! I completely agree with you. Whereas 150 years ago it was considered normal to marry off and impregnate children who were barely teenagers, we now find it horrifying due to the new information, education and medical knowledge we have. We do the best with the tools, culture and information we have. Humanity is nuanced as heck.
I think the overriding disorder is the false importance society places on sex. I wonder why this is never discussed. All “sexual disorder” behaviors can be defined more broadly in terms of human behavior - treatment of self and others, the sexual aspect only the outlet for those human behaviors. There are no sexual disorders. There are only human disorders. This ridiculous focus on sex is why we have negative moral judgement, discrimination, and actual psychological, emotional, and physical persecution of anyone who doesn’t “fit” another’s idea of “normal” sexuality. This false sacredness is also why a person’s entire life can be destroyed by any violation of a sexual nature. Our sexual aspect is only a part of who we are. It should not be so important that our ability to be happy depends on it. THIS is the bigger disorder never discussed.
The sole focus on male patients is a bit worrying. Just because cis women can't physically penetrate doesn't mean paedophilia, sadistic disorders etc don't exist in them. It seems rather outdated to treat "sexual deviation" as an exclusively male phenomenon. It was done back when homosexuality was (lamentably) considered a disorder and it doesn't really seem to have ended ... Also, isn't hebephilia considered its own category rather than a subcategory of paedophilia considering that the attraction to prepubescent kids is "unnatural" while the attraction to post-pubescent minors is biologically sound, if morally and legally (depending on the country) ranging from questionable to forbidden? The name certainly suggests that it is ...
A great video. I studied some of this topic in my psychology and human sexuality classes for my social science degree. The psychological aspect of it, not so much the pharmacology. But it makes a lot of sense the therapy mediums used to treat the paraphilias. This is definitely good information. Thank you. ❤
@DrSyl I just have to say that despite the serious topic, there's something about your voice that calms me. I found it hard to talk to my first psychologist, I asked him to find me a new psychologist because I found it too difficult to be open and honest due to having a strong sexual attraction to him, he was quite friendly and agreed that it would be hard for me to open up with him if I was simultaneously trying to impress him. I'm starting EMDR with the lady that takes my sessions now, I'm looking forward to perhaps being able to live my life fully.
the interesting thing about the reduction of testosterone being a contributor in recidivism conflicts somewhat with a reasonably high % of mtf trans re-offenders (specifically convicted offenders not just any trans people) who are on hormones that drastically reduce free testosterone I suppose this would suggest a psychological predisposition to committing said offenses as opposed to being biochemically "spurred on" toward a fixated behavior either way I find it an interesting scope to place upon the broader set of information about paraphilic disorders leading to crime
Agreed, was thinking the same thing. Perhaps the difference is that these “treatments” serve to perpetuate and justify their particular fixations, due to subjectively alienating them further from malehood and masculinity as viewed through a sexist lens. A lack of testosterone clearly does not stop violent inclinations and plans to offend-men with all levels of testosterone exhibit male-pattern criminality including the elderly-it only moderates the imperative impulses which can erupt into spontaneous violence. I believe a man’s firmly-held degenerate ideology will always overcome whatever you do to him chemically since we see this is broadly true in most circumstances (think about therapy, addiction treatment, youth rehab programs…).
@@ellisdunegan i think mostly as the fact that the defection of it isnt defined for expample the one on google would include most women and the actually study’s on it are few and limited and when it’ comes to accusing trans women of such thoughts one might not realize that some trans women dont have sexual attraction in first place would disprove the theory for them.
Fascinating stuff. I wonder if these ppl with these disorders are actually seeking medicine to stop this behavior. Especially when they’re incarcerated 🤔 more convos are needed with this topic
Unfortunately, when you seek medical help, you often are inviting the legal process in. My entire life, I've dealt with mental health issues, and for over 25 years, I haven't mentioned anything to a doctor out of fear of being put on a 3 day hold.
Yet recently they seem to be normalising men saying they’re women and going in women’s changing rooms not even trying to look or act feminine and clearly getting off on it while people say if they say they are a woman then they are 🤷🏾♂️ That’s definitely a disorder
What makes everything more difficult for people who has some of this sexual disorders is that they are considered very taboo, and as consequence of people not having enough information, they are criminalised. So there is always a very well funded fear to social rejection when someone has a sexual disorder/paraphilia. If this subjects could be more openly talked about, they could be trated way sooner. Another thing I want to comment is regarding the different treatments mentioned in the video. I know he is a doctor, but I wouldn't ever go to a medical treatment involving surgery or taking pills with who knows what side effects without first treating it with a psychologist. This disorders are basicaly psychological (not physical), so they should be trated as such.
This is a great video. Not shaming those who have these disorders is key. For those in a Ds relationship, as long as you are setting boundaries and having them respected, it’s absolutely ok.
my understanding also is for it to be a disorder it must be internal rather than external things causing the distress. In other words, if you yourself are the source of the distress for wearing the opposite sex's clothing. NOT the hatred, ignorance, bigotry piled on such a person for being "different" while hurting nobody. Also...why is it most of these are heaped on men, and very very rarely on women? ( I am more focused on the expression based ones mind you, transvestic fetishism to be precise, which gets heaped on to those that are merely Gender Non Conforming, and male.)
I loved this video! I really appreciated all of the detail and information conveyed with sensitivity and understanding, Thank you! Can you do a video on the Treatment of Sexual Masochism Disorder?
Thermodynamics is a branch of physics that deals with heat, work, and temperature, and their relation to energy, entropy, and the physical properties of matter and radiation. The behavior of these quantities is governed by the four laws of thermodynamics, which convey a quantitative description using measurable macroscopic physical quantities, but may be explained in terms of microscopic constituents by statistical mechanics. Thermodynamics applies to a wide variety of topics in science and engineering, especially physical chemistry, biochemistry, chemical engineering and mechanical engineering, but also in other complex fields such as meteorology.
Not much discussion around plain old classical conditioning and dopamine rewards. No doubt arousal around dopamine and adrenaline is just as important to consider. What I would call thrill or treat, both produce the same arousal (dopanergic, adrenal) effects it's just the interpretation that determines dread or desire. In some cases what a "normal" person would interpret as a threat, some with people with parafilia would interpret as a thrill. The edgyness and the illegality in some cases seems to add to the thrill whilst for others, and regular folk it produces dread. Dread in others is it self would seem to be what some interpret as exiting and desirable. With regard to SSRI's some of the side effects in relation to poor quality orgasm help along with the affect of reduction in dopanine (reward) function. A reduction in thrill is felt. Given the above there is room of talking treatments and desnsitisation and ruduction in stimulus responce is doable. Habbituation and associations can be reduced and or the interpretaion of the physical effects from the stimulation can be cognatively changed so that what been maladaptively interpreted as desire is interpreted as dread. Where criminal acts occure the legal consequences and punishments do to some extent have that effect. But more need to be done along clinical lines in corrective settings to reduce recidivism.
Hi Dr Syl, just discovered your channel. I don’t think there’s any real content out there of this but I have constant and persistent DP/DR - for pretty much 25 years now. Also diagnosed with what was Asperger’s when I was 48! Mixed with my wife’s Bipolar we have a house of fun! Anyway it’s audio only but would be interested in you reacting to the Doug Stanhope podcast - cliffhanger episode 1 & 2. Hard to listen to but so open and honest. The episodes are fairly old. Cheers.
@DrSyl Hi Dr Sly i'm from Sydney and an Ozzie like you. My question is... why is it so common in NSW / Australia that psychiatrists now are very reluctant to prescribe any form of stimulant medication be it dextroamphetamine Lisdexamfetamine methylphenidate etc.. , for ADD/ADHD patients, and they are even so bold to have blatant signs in their office waiting areas saying ... "We do not prescribe drugs of addiction and dependence in this clinic" and I have seen this regularly now in both GP practices and Psychiatrist practices and when asked "What does this sign actually mean? " they all say we do not prescribe any form of stimulant medication for ADHD etc.. or any form of opiate pain medication here at all , and only take a holistic approach here." Even though they are shown in peer-reviewed studies, to be highly effective both in the long and short term. And the positive results are seen a lot faster than literally any other form of behavioral treatment. i have seen this behavior by many..many.. doctors and it seems to me it does not matter how effective the medication "can be" to a patient, The doctors today do not want the responsibility, of managing patients on these medications, and to even mention them in passing you are instantly looked down upon and seen as a drug addict, who is seeking drugs . regardless if you have been prescribed these medications before and they were effective, it is irrelevant to a lot of doctors today they will just refuse to prescribe
I consider psychology as a whole one of my most passionate hyperfixations, but I don't know a lot about psychosexuality and dynamics. Dr Syl, for a passionate layman, do you have any book recommendations that explore this topic?
Could you talk about psychological trauma of sexual activity between siblings ? How does age of the children involved effect the level of trauma...and what therapy is recommended?
This was a very interesting video! I have never heard of all the different types but most of them. It must be really hard to get people to stop doing these things because I imagine it's partly the same as with people taking drugs. The fact that what they are doing is illegal, makes it all even more rewarding when doing them. I also have hard time believing that if you are a person who enjoy the "more advanced" types, that you would like to have any sexual arousal at all since it can't match that level. I might be completely wrong, please enlighten me if you know.
Long term progesterone has terrible side effects - weight gain, moon face, tremors, osteoporosis. If I were a man and that was my only choice, I’d have the family jewels removed rather than go the progesterone route
How do you treat a woman or nonbinary person with sadism and masochism disorders? Too much technical jargon in this one I didn't understand much of it.
I realize that in a casual overview of the topic, there's really not time to delve into the ethics of treating mental disorders (or perceived mental disorders) with surgeries and mind-altering drugs, and there's also no time to go into a side tangent reviewing misuse of medical practices from a historical perspective. So all I can really say is that the medical chat, rather than the disorders they're meant to treat, gives me the squirms. Especially when you point out that there's gray areas involved, there's not any solid agreement on whose job it is to deal with these problems, and these disorders are not particularly well studied. Like, it all seems to fall down to someone's gotta do something about 'em, and these are the best tools and practices we have to fix them, like it or not.
Ego-syntonic? Did i spell that right? Sounds like one of the worst moral dilemmas. The guy wants to reaffend. Refusing treatment, morally okay punishments are ineffective... is there really anything that can be done?
What is the term for a disorder wherein the patient is fixated on doing a rash and violent act because they think that the act will rid them of obsessive thoughts. The term begins with "catastro -"
I just watched the documentary - Harmed by Prescribed Medications: the Untold Story of Pharmaceutical Companies, by the channel ‘Best Documentary’. I wonder if you would be willing to give us your thoughts on it?
This is a good talk and subject matter which needs to be more openly discussed, but it seems a much more broad subject than this video came down to, which is treatment/medication for people who are a threat to others. I imagine a lot of people, the people who are not a danger to others but that it is affecting their lives need other courses of treatment, hard to believe that medication would be a first choice of treatment for those who fit other categories? Where are the modern techniques in neuro-reprogramming and such? EMDR, breath work/meditation, psychedelic treatment, NLP.
I disagree with your analysis of pedophilia disorder. You said attraction to people under age of 18 or 16. This is NOT the definition of pedophilia.. Pedophilia is the attraction to the prepubescent age of kids. Before their bodies have matured. Someone who is 15, 16, 17 etc.. their bodies , majority of them have matured and look no different to some one else body who is older. And since we are not attracted to numbers, but instead physical appearance , then a person would have no idea if a person is under 18, unless they are told. When I was in college there were girls there who were 17 to 23. I couldnt tell the difference between any of them, and I was attracted to all of them because they were attractive and had mature bodies, like any other woman. So please be careful using the term pedophilia for any person under 18, because it simply isnt true. Hebephilia and Ephebophilia are more appropriate terms. I think its irresponsible as a medical person to label such wrong names to people because it leads to people believe that someone attracted to something that is normal, like a matured female body is wrong. It also causes some of the most stringent laws and sex offenses put in place. When I was in highschool, I didnt graduate until I was 20. Started school late, failed 7th, and was in highschool an extra year. But I was 18 when I was a sophomore. When I was 17 there was a girl who was 14 and a freshman who insisted we go out. She watched me wrestle on the wrestling team. She pestered me until I finally said yes. I turned 18, and she turned 15 and we dated all the way through highshcool. I was 20 and she just turned 16 to 17. I went in the military, and came back and she became my wife. In todays world people get nuts about age, but back when I was a teen and age 20, no one cared about ages like they do today. They cared more about if their kid was with a good person. There needs to be a disorder where people become so hyper fixated on numbers it clouds their judgement and makes then emotional, irrational, and illogical people.
I agree with the first 4 sentences of your comment. P3d0phila only, by definition, applies to an attraction to somebody who HASN'T STARTED puberty. I disagree with your claim though that a person who is 15, 16, 17 is mature. They aren't, scientifically they are still going through puberty (acne, changing emotions, etc.). AND ALSO, 18, 19, and 20 year olds aren't completely mature either! I want to make that clear! Puberty doesn't end at 18!
@@followtruthwhereeveritleads2 I agree for the most part. As a society though, I think its important to not get so fixated on a special number. A lot of laws are based on the age of 18.. As if anything really magical happens at the stroke of midnight like in Cinderella. Maturity varies from person to person, mentally that is. Sure we are still maturing as we get to be 20, 21, 22.. But I find it abusrd when law makers want to try people as adults when they commit a crime at a young age. I dont like politics when it comes to lawmaking
The media and society in general really needs to stop using the P word when the victim is quite clearly not a child/prepubescent. It's so ill-informed. There is P***philia and sexual assault on minor (under age of consent - which varies country to country) and the two should not be confused but constantly are.
I have multiple paraphilias, which I endured the urges of. Which gave me some insight since I had to sit with the feelings instead of expl*it them to perp*trate. They're not exclusively s*xual, s*x is exploited as a replacement for genuine connection or intimacy. Every single time I experienced a disconnect from others it triggered urges. If I couldn't feel like I could be alive or present with people because of this darkness inside me, I'd feel like k*lling them because that'd be the only way they'd be with me. I supplement for the connection or postive experiences I feel I can't have. Everything, down to the positive child experience I didn't/don't have caused me to become vi*lent, desiring to cause harm because there was no happiness or anything for me. Just trauma, being traumatized by the innocence I never even got to have positively. It is way more complex than people like to make it. These aren't s*xual attractions, they are intimate, emotional, traumatic associations. We need to uncover and unravel these associations to feel better, and do better.
@@Redvelvetkuma I think my masochistic tendencies were to inflict psychological harm onto myself. I think that on a subconscious level I didn't feel worthy of receiving real intimacy and love. I think it has to do with my parents wanting me to be a boy. Or that I wanted to be a boy. Not 100% healed on this one because while reparenting my inner child I have caused retraumatization. I'm trying to be more gentle with myself, but it's so hard.
@Needy_nic I think I've felt similarly, but when I feel like hurting myself, I feel s*distic and h*micidal toward others. It doesn't feel like it is enough to hurt/off myself, I wanna make myself suffer. Methodically and meticulously crafting scenarios where I could suffer the most. Expanding on the trauma, in the hopes I could surpass my ability to to not experience the pain I'm experiencing. As a psychopath, I struggle feel or care about it, childhood, the ab*se, happiness, pain, everything. It never feels like I got/get to feel the pain of what I'm going through enough, since I am exceptional at bypassing pain and "coping" with it. I don't want to. I wanna crumble, I wanna hurt, I wanna cry and scream. But I don't know how to be emotional, or just express how I feel. And when I'm not perp*trating, the pain just sits there, inside with nowhere to go. There's no manual, nobody heals fully, so nobody has any guidance either. We get traumatized, then just left to sift through this all alone. It is hard.
What if...... Sexual arousal was actually childhood trauma, trapped within the sexual regions inside the body? What if..... The thoughts that create arousal aren't what you think? What if....... As a small child you never fully addressed these experiences, never fully got to feel these emotions in a healthy way? What if...... You are able to heal as an adult by sitting IN the arousal, doing nothing other than allowing whatever thought to arise. Listen to the thought. Feel the emotion that's trapped within the arousal. I bieve that for many if us we have repressed our emotions and our memories. It's not just about what happened to you, but what you made it mean about you. Inside us lives an inner child. Lost parts of our whole being. Parts of ourselves we refuse to listen to. The psyche twists and distorts reality. Sink into the arousal, and be open to hear its message in a non judgemental way.
I've known quite a few exclusively heterosexual men who liked to dress as women in private---full dress, shoes, wigs, etc, and also a few who wore women's underwear under their male identifying clothes in public. I thought the correct term was crossdressers, and thought of this as a fetish, inasmuch as they were sexually aroused by themselves looking like women.
I'd love to hear more about somnophilia, apologies if im getting the terms confused, i dont mean someone who's 'into it', more someone who does "sleepwalking romance". UA-cam autofilters certain words so i have to be vague, but there's people who whilst asleep either touch themselves down there, or touch their bed partner, seemingly in a rather aggressive manner, not just being sleepy and cuddling their partner, they fully are not awake and sometimes will wake up mid coitous very confused. I think its a sleep disorder but something that I'd love to hear more about. It's distressing to both parties and could be a salt possibly.
Anti depressants , side effects are individual to an extent One side effects that is permanent lack of sexual interest the opposite of libidinous behaviour. Clever, hormone replacement therapy lowing Testosterone with addition of female hormones 👌 .
Two thoughts, I've always been fascinated by the open acceptance of various paraphilias in adult stores in Japan (much of which would be refused classification in Australia). Secondly, how on earth would we describe those who feature in the Pain Olympics series of videos? Humans are fascinating and terrifying 😂
💥💥💥I'm making my first online course - yay! Pre-order my course “Dr Syl’s Therapy Skills” for depression and anxiety symptoms. Order before July and use the code “PREORDER” to get 35% off.💥💥💥
Link: payhip.com/b/T4gtn
I’m sure I’ll get accused of something for saying this, but it doesn’t seem very scientific to say attraction to anyone under 18 is PDF.
Wouldn’t incest fall under Paraphilia?
I fantasise about beautiful women with nice bellies like Shakira or Melonie Blatt, when they were in the prime of their beauty, getting brutally belly beaten in a women fight, such as a boxing march or any kind of marshal art. The thought of ether 1 of the 2 celebrity ladies I mentioned, on the severe belly beating business of a STRONG muscular woman wearing the hardest boxing gloves used in professional boxing before outlawed, as the STRONG attacker's unleashed untamed RAGE cause the victims bellybutton to swell to twice its natural size, all because the deranged attacker thought that Melonie Blatt's or Shakira's bellybutton was laughing at her. Does that make me a passive sexual sadist? Because I would NEVER go out to inflict that on someone.
A very taboo topic but I wish more people would discuss this
I think that alot of people avoid certain topics because of how uncomfortable it is. I also agree with people needing to discuss this stuff more
I agree! A lot of people (especially men) pay sex workers, because they can’t talk about this with their therapist!
@@sciencenotsrigma I know, I was a sex worker. Many need a release of non sexual nature.
@@sciencenotsrigmaof course they can. But they don't want to. Their image is more important to them.
@@sciencenotsrigmaI find that people underestimate the number of women who pay for sex workers, the number of customers is far higher than society thinks.
You put a lot of thought into communicating to those not medically trained. I learn so very much from you and I believe it helps to bring understanding and education.
It's important to remember that having any of these disorders is not a crime!
Acting on it is.
Some of these can even be ok if done with full consent between adults (voyeurisme, exhibitionist, even "non consensual" roleplay)
I remember an interview with a psychiatrist on the topic of pedophilia, telling how people would not seek help out of fear of being reported, and those seeking help would often be turned away, especially by private clinics, because the risk for the therapists if something happens and they didn't report the patient is too much to bear.
It's not just a moral dilemma for the provider; where I come from at least, a mandatory reporter can be charged as well if it is found that they did not report concerns of abuse and it led to a crime being committed. I don't really know how you could make an airtight case for that, because it seems like it would just be a lot of hearsay, but either way the provider's reputation would be tarnished to some degree.
You are completely right, but I imagine that most, if not all the people who has these urges most likely have some dark history of being sexually molested. In acting on the sexual fantasy, rather than on seeking help might develop it to be worse. Also, this could be a trauma that your brain has masked so you only feel the urge but don't know why. Unless it would become "sexy" to seek help for such problems, i don't see it ever getting solved, Also, the chance for that being global at the same time is even more unlikely.
The inherent and intrinsic chaos and unconstructiveness of it all validates the idea that life is absurd and nobody ought to be born. Life's unfairness shows its too dangerous to deal with and its best to practice antinatalism.
@@followtruthwhereeveritleads2 I'm close to your thinking. Maybe it is a result of focusing on too much negativity, but I think it is humans intrinsic capability to ignore what they don't want to see or hear. I've contemplated many times the past few years over the impending doom the sun will send us, in the form of a extremely powerful solar storm, that will erase most life, if not all from earth. If it's something humans can survive, I bet the surviving will not be much better off than we were last time this happened.
Pedophilia is a crime
I think its an important topic. talking about this topics from a psychiatric point of view gives it more perspective.Very interesting. And to many this is very black and white. The fact that it comes strong negative ractions in the comments just shows its importancy(as far as to work away some shame maybe). Good work😊
I learned all about different paraphilias in my sexual psychology course at university. Pretty interesting stuff!
Albert Fish was a murderer and cannibal who had multiple paraphilias some of which were undocumented in any other case, for example pushing a rose stem, with thorns, into his urethra, staring at his penis/rose for a period of time, then eating the rose petals.
I’ve struggled with this my whole life. It has definitely complicated and ruined most all of my relationships 🙁 idk where it comes from or why my brain wants it like that but it has been really tough to work with/find people who are likeminded.
BDSM
Maybe talking to an endocrinologist could be a start? Wish you luck.
@@WeirdRoamingWolf 😂
@@B4igo-i7n oh, interesting! Thanks for the advice and support 🙂
Which disorder you have?
I appreciate the contextual tip of the hat to importance of interventions that aren’t pharmaceutical. And for USA docs it’s the insurance preferred choice. I believe it’s also the focus on their education.
Just stumbled on your channel. I’m a crusty old British psychiatrist, practising for longer than I can remember. Can’t imagine why any young, enthusiastic medic would want to enter this field, at least here in the UK where modern psychiatry is a medicolegal hellscape.
Seeing that Dr Syl has posted a new video always makes my day.
Bet you never even watched it
Bots never do
I was rly stressed and your voice made me calm. Thx for the informative video
Super fascinating! Also interesting to hear some of these labelled as "disorders" instead of "addictions". Great video mate!
Addiction is an excessive of something thats harmful . Disorders are abnormalities . Two different definitions .
Addiction is acquired.. disorder is inborn.. wrong wiring. Please dont spread stupidity.
@@viankacruz7211 that's not it either
@@curiousnerdkitteh elaborate ?
EVEN anal AND oral ARE paraphilias in a way, cause they are UNATURAL, they are DEVIANT, and THERE is no SUCH thing as oral AND anal sex, BECAUSE your ânus and your mouth are NOT sexual organs, so ITS IMPOSSIBLE tô call It sex, so in that case why dont we Make a hole in a pillow, Make sex with It, and then what? Are we Gonna call it "Pillow Sex"??? Cmon this is SICK
Oral and anal are human creations and terma to try to justify imoral sexual acts
Hey Dr. Syl. I'm a men with many fetishs and I really appreciate the eay you describe the healthy side of it and the problematic side. BDSM and fetish are often seen as an disorder by other people. They usually think of the hard core BDSM, such as wipping. But there can be many fetishs that people have and dont even know is falls under de fetish espectrum. Liking man with beard for example, is considered fetish just like liking feet. The point you made, and should be reinforced here is that the illness should be view separate from the healthy fetish. Thank you very much to talk about this so professionally and wirhout judgmente like you do.
I never knew liking men with beards was a fetish and I like men with beards. Thanks for saying that because I probably would have never known.
@@goodgirlwilliams158It's called trichophilia in the cage of non pubic hair. Like beard, armpit and chest.
@@goodgirlwilliams158I think a preference v a fetish is something else really interesting. Are we as a society misusing the word fetish when we just mean strong preference for? Not trying to fight, just genuinely curious and seems like most commenters here are open minded and non judgmental, and would like to know their thoughts.
Yes, "fetish" certainly can be misused by laypeople to mean mere preference, sadmermaid.
A beard fetish, to me, would probably mean being strongly aroused by beards alone. (Fake beards on women, cartoon characters, goats, etc. included.)
Beards are a common secondary sexual characteristic of men, and liking evidence of ability to grow some facial hair is generally considered part of basic sexual attraction to men (i.e. stubble, moustache, bears, whatever.) Just like liking boobs usually isn't considered paraphilia.
But a very specific attraction to specific type of beards and that alone, regardless of the person involved, well, that might move the attraction into a category of paraphilia. (Even asking somebody to put a false beard on, etc. say, or threatening to leave a partner who shaves the beard off?) I think it'd have to be highly and weirdly specific to count as a true fetishism.
OTH, Feet and shoes are unisex and all ages (i.e. kids and adults both have feet.) so that's how that differs from liking beards, but given that foot binding has been part of cultures, again, as Dr. Syl says, culture can play a degree in this. So if the culture makes beards taboo even, maybe a liking for beards then would count as a fetish because it's so unusual.
@@ASLsoFine I strongly agree with this, liking beards is not a fetish its a preference. I have it.
Dr. Syl, would you please be so kind and make a video about masochism? or a video including masochism? I'd wanna hear your analysis on that, because I myself might be dealing with it... ...I'm not sure if I'm looking well enough, but there are not many videos here on this platform where it's properly explained. thank you in advance, have a nice day❤
ps: amazing and educational video as always, and kind of easy for us non-specialists to understand, keep up!
People with pedophilia themed ocd are some of the lowest risk people in the general public to ever act out sexually against a child… yes people with pedophilia can be obsessive and the med thing sounds plausible. Though the last bit about purely ocd people being “not as high risk” is quite misleading, as they have a revulsion or fear response to the idea rather than attraction. There is never an attraction, only a surplus of worry about the possibility of attraction.
Lowest risk, yes, that’s why the person would be called a pedophile. It’s only high risk when the OCD becomes so strong that they act upon it and therefore should be labelled a pedosexual.
Just what I needed to dive into my next big topic for my master’s report (so, thanks for the very unique study material).
Wow. This is SO SO interesting, Dr!!!! I don't think I can ever look at my birth control pills in the same way 😅😅
I'd be very interested to know what diagnosis you would give to Sean Diddy Combs??? If you have insight please share 😊 The whole world would be interested
It was a VERY interesting video!
Especially learning WHY the cutting of the balls was such a normal treatment once!
As someone who has been around people that borders on the line to some of these things, i can definitely see the OCD part of these sexual disorders.. I think these things are way more common then we think, and i think that we do not talk enough about it in our given society!
I had an ex who could almost not think about ANYTHING else but sex, it was taking over his mind, and it did affect out relationship, his relationship with his family and friends even.. It was an unhealthy obsession, but i did not know what to do or say in it, so i left before i ended out in unwilling situations..
We need to talk more about sex, healthy and unhealthy, and how to help and/or treat it.
No shame should be put on anyone asking for help, ever, and help should be way more available.
Yes, that’s a very interesting history. Since, we have found that not all sexual behavior is directly caused by the anatomy and active hormones. If a person has gone through puberty at all, sex hormones have already affected brain development, such that physical or chemical castration may not change sexual ideation, or behavior, significantly. Also, as you mentioned, there are other influences. This is why some neutered cats and dogs often display sexual behaviors, anyway.
Would love a more in depth video about this! It SUPER interesting!
😂
Thanks, I did find that interesting. Thanks for sharing, appreciate it!
I'm only 3 minutes into this video and I am already experiencing *heavy* sapiophylia!
😂
Interesting timing on this video considering yesterday’s press conference that addressed issues related to the daughter of the accused Long Island serial killer. The attorney for some of his alleged victims has linked the daughter to searches, art, blogs, books etc that depict some of the most violent, sadistic acts imaginable. These acts happen to be almost directly analogous to the exact and very specific types of crimes her father is accused of. It certainly opens up a whole bunch of questions if true
*ANY VIDEOS ?*
It could just be his father primed her by talking to her about violence or threatening her with such acts, without ever mentioning he was in fact a murderer. Another interesting case of you care is that of Cary Stayner.
Or it could be that she saw his porn (without him knowing) when she was a child and it left indelible mark on her brain
Now, I'm absolutely *not* "defending" or exonerating anything, though I think it is nonetheless useful and important to point out that, not only are "paraphilias" societally determined, but more importantly, that society's mores and laws can and do change over time. In other words, what you and I (being Twenty-First Century Westerners) may find shocking, horrifying, or consider reprehensible and/or illegal, may not have always been thought of that way. And in some living modern (non-"Western") societies, may still not be thought of that way. Societal mores, in other words, are fluid and subject to change. What seems "right" and "normal" to us, may not seem that way to others, both past and present. We should always bear this in mind.
Some cultures and times are healthier than others.
I couldn't have said it better! I completely agree with you. Whereas 150 years ago it was considered normal to marry off and impregnate children who were barely teenagers, we now find it horrifying due to the new information, education and medical knowledge we have.
We do the best with the tools, culture and information we have. Humanity is nuanced as heck.
@Oh.its.multiple indeed. And thank you!
Love Dr Syl and the education he gives us about mental health. But sorry the thumbnail had me 👀.
I think the overriding disorder is the false importance society places on sex. I wonder why this is never discussed. All “sexual disorder” behaviors can be defined more broadly in terms of human behavior - treatment of self and others, the sexual aspect only the outlet for those human behaviors. There are no sexual disorders. There are only human disorders. This ridiculous focus on sex is why we have negative moral judgement, discrimination, and actual psychological, emotional, and physical persecution of anyone who doesn’t “fit” another’s idea of “normal” sexuality. This false sacredness is also why a person’s entire life can be destroyed by any violation of a sexual nature. Our sexual aspect is only a part of who we are. It should not be so important that our ability to be happy depends on it. THIS is the bigger disorder never discussed.
SSRIs (even in normal doses) can also cause PSSD in “regular” people. So there’s that.
The sole focus on male patients is a bit worrying. Just because cis women can't physically penetrate doesn't mean paedophilia, sadistic disorders etc don't exist in them. It seems rather outdated to treat "sexual deviation" as an exclusively male phenomenon. It was done back when homosexuality was (lamentably) considered a disorder and it doesn't really seem to have ended ...
Also, isn't hebephilia considered its own category rather than a subcategory of paedophilia considering that the attraction to prepubescent kids is "unnatural" while the attraction to post-pubescent minors is biologically sound, if morally and legally (depending on the country) ranging from questionable to forbidden? The name certainly suggests that it is ...
"Cis" women?
the anti woman insults tells people all they need to know about this guy.
@@DreamsOfFinlandah yes the barbaric anti-woman slur of "[the latin prefix opposite to trans]".
A great video. I studied some of this topic in my psychology and human sexuality classes for my social science degree. The psychological aspect of it, not so much the pharmacology. But it makes a lot of sense the therapy mediums used to treat the paraphilias. This is definitely good information. Thank you. ❤
@DrSyl I just have to say that despite the serious topic, there's something about your voice that calms me. I found it hard to talk to my first psychologist, I asked him to find me a new psychologist because I found it too difficult to be open and honest due to having a strong sexual attraction to him, he was quite friendly and agreed that it would be hard for me to open up with him if I was simultaneously trying to impress him. I'm starting EMDR with the lady that takes my sessions now, I'm looking forward to perhaps being able to live my life fully.
This was very intersting. Thank you.
"disorder" is a pre-loaded descriptor
As a 30+ year Jungian Psychologist, I found this quite interesting.
Really? This was a very elementary discourse on the subject. Shouldn't be anything new to someone who's supposedly been a therapist for 30+ years🧐
the interesting thing about the reduction of testosterone being a contributor in recidivism conflicts somewhat with a reasonably high % of mtf trans re-offenders (specifically convicted offenders not just any trans people) who are on hormones that drastically reduce free testosterone
I suppose this would suggest a psychological predisposition to committing said offenses as opposed to being biochemically "spurred on" toward a fixated behavior
either way I find it an interesting scope to place upon the broader set of information about paraphilic disorders leading to crime
Surprised he didn't mention autogynephilia.
Agreed, was thinking the same thing. Perhaps the difference is that these “treatments” serve to perpetuate and justify their particular fixations, due to subjectively alienating them further from malehood and masculinity as viewed through a sexist lens. A lack of testosterone clearly does not stop violent inclinations and plans to offend-men with all levels of testosterone exhibit male-pattern criminality including the elderly-it only moderates the imperative impulses which can erupt into spontaneous violence. I believe a man’s firmly-held degenerate ideology will always overcome whatever you do to him chemically since we see this is broadly true in most circumstances (think about therapy, addiction treatment, youth rehab programs…).
In my opinion, it is more than reasonable to suspect there is psychological predisposition.
@@ellisdunegan i think mostly as the fact that the defection of it isnt defined for expample the one on google would include most women and the actually study’s on it are few and limited and when it’ comes to accusing trans women of such thoughts one might not realize that some trans women dont have sexual attraction in first place would disprove the theory for them.
@@bluewolf6465 actual woman don't get it. It's in the DSM-5 and there have been MRI studies that confirm its existence.
thank you for posting this!
Fascinating stuff. I wonder if these ppl with these disorders are actually seeking medicine to stop this behavior. Especially when they’re incarcerated 🤔 more convos are needed with this topic
Unfortunately, when you seek medical help, you often are inviting the legal process in.
My entire life, I've dealt with mental health issues, and for over 25 years, I haven't mentioned anything to a doctor out of fear of being put on a 3 day hold.
@claudermiller you only get a hold if you're an imitate threat to yourself or others
I am glad that psychiatry acknowledges the abnormality of these disorders, not normalizing them.
Yet recently they seem to be normalising men saying they’re women and going in women’s changing rooms not even trying to look or act feminine and clearly getting off on it while people say if they say they are a woman then they are 🤷🏾♂️
That’s definitely a disorder
What makes everything more difficult for people who has some of this sexual disorders is that they are considered very taboo, and as consequence of people not having enough information, they are criminalised. So there is always a very well funded fear to social rejection when someone has a sexual disorder/paraphilia. If this subjects could be more openly talked about, they could be trated way sooner.
Another thing I want to comment is regarding the different treatments mentioned in the video. I know he is a doctor, but I wouldn't ever go to a medical treatment involving surgery or taking pills with who knows what side effects without first treating it with a psychologist. This disorders are basicaly psychological (not physical), so they should be trated as such.
Very interesting topic, Dr. Syl. My minor in college was Psychology.
This is a great video. Not shaming those who have these disorders is key. For those in a Ds relationship, as long as you are setting boundaries and having them respected, it’s absolutely ok.
my understanding also is for it to be a disorder it must be internal rather than external things causing the distress. In other words, if you yourself are the source of the distress for wearing the opposite sex's clothing. NOT the hatred, ignorance, bigotry piled on such a person for being "different" while hurting nobody. Also...why is it most of these are heaped on men, and very very rarely on women? ( I am more focused on the expression based ones mind you, transvestic fetishism to be precise, which gets heaped on to those that are merely Gender Non Conforming, and male.)
I'm interested in learning more about this topic.
Great video, thank you Dr Syl!
More! OCD and desire how interesting!
I loved this video! I really appreciated all of the detail and information conveyed with sensitivity and understanding, Thank you! Can you do a video on the Treatment of Sexual Masochism Disorder?
Would Necrophilia and Zoophilia be categorized as fetishistic disorders?
They are paraphilias.
Please do more explicit video s. Very Good video.
Whoo-hoo! All the good stuff! 👍
Thermodynamics is a branch of physics that deals with heat, work, and temperature, and their relation to energy, entropy, and the physical properties of matter and radiation. The behavior of these quantities is governed by the four laws of thermodynamics, which convey a quantitative description using measurable macroscopic physical quantities, but may be explained in terms of microscopic constituents by statistical mechanics. Thermodynamics applies to a wide variety of topics in science and engineering, especially physical chemistry, biochemistry, chemical engineering and mechanical engineering, but also in other complex fields such as meteorology.
LOL.😂
@@Peeta-wn4hh 😘😘😘
Great hands!
Fascinating
Thank you….
Interesting and informative, would have like it if you covered more on the causation, is it hormonal? also how about masochist side of the equation?
Not much discussion around plain old classical conditioning and dopamine rewards. No doubt arousal around dopamine and adrenaline is just as important to consider. What I would call thrill or treat, both produce the same arousal (dopanergic, adrenal) effects it's just the interpretation that determines dread or desire. In some cases what a "normal" person would interpret as a threat, some with people with parafilia would interpret as a thrill. The edgyness and the illegality in some cases seems to add to the thrill whilst for others, and regular folk it produces dread. Dread in others is it self would seem to be what some interpret as exiting and desirable.
With regard to SSRI's some of the side effects in relation to poor quality orgasm help along with the affect of reduction in dopanine (reward) function. A reduction in thrill is felt.
Given the above there is room of talking treatments and desnsitisation and ruduction in stimulus responce is doable. Habbituation and associations can be reduced and or the interpretaion of the physical effects from the stimulation can be cognatively changed so that what been maladaptively interpreted as desire is interpreted as dread. Where criminal acts occure the legal consequences and punishments do to some extent have that effect. But more need to be done along clinical lines in corrective settings to reduce recidivism.
Dr syl looks like a good sub
Keep up the good work!
Very interested in the intersection of law and medicine in psychiatry, particulary where social mores inform law.
What should I react to next?
Here's a link to my upcoming newsletter (use it to follow for updates on my CBT course!): eepurl.com/iMHJp6
Hi Dr Syl, just discovered your channel. I don’t think there’s any real content out there of this but I have constant and persistent DP/DR - for pretty much 25 years now. Also diagnosed with what was Asperger’s when I was 48! Mixed with my wife’s Bipolar we have a house of fun! Anyway it’s audio only but would be interested in you reacting to the Doug Stanhope podcast - cliffhanger episode 1 & 2. Hard to listen to but so open and honest. The episodes are fairly old. Cheers.
What is your opinion on CBT once every 2 weeks for 6 months? Is that therapy because it doesn't feel like it.
@DrSyl
Hi Dr Sly i'm from Sydney and an Ozzie like you.
My question is...
why is it so common in NSW / Australia that psychiatrists now are very reluctant to prescribe any form of stimulant medication be it dextroamphetamine Lisdexamfetamine methylphenidate etc.. , for ADD/ADHD patients, and they are even so bold to have blatant signs in their office waiting areas saying ...
"We do not prescribe drugs of addiction and dependence in this clinic"
and I have seen this regularly now in both GP practices and Psychiatrist practices
and when asked "What does this sign actually mean? " they all say we do not prescribe any form of stimulant medication for ADHD etc.. or any form of opiate pain medication here at all , and only take a holistic approach here."
Even though they are shown in peer-reviewed studies, to be highly effective both in the long and short term.
And the positive results are seen a lot faster than literally any other form of behavioral treatment.
i have seen this behavior by many..many.. doctors and it seems to me it does not matter how effective the medication "can be" to a patient,
The doctors today do not want the responsibility, of managing patients on these medications, and to even mention them in passing you are instantly looked down upon and seen as a drug addict, who is seeking drugs .
regardless if you have been prescribed these medications before and they were effective,
it is irrelevant to a lot of doctors today they will just refuse to prescribe
Based on the video topic, we have a wildly different meaning for CBT. What does it mean here? Thanks
@@bruceh4180😂
How sadism might not cause harm to someone? If you're whipping someone - you're acting on it, so it's not normal.
Presumably only really when the other person is a consenting willing adult (maybe with masochistic tendencies)?
@@tozmom615 doesn’t matter. It’s paraphilia and hence a disorder of the mind. Not normal. Not good.
Can you please explain fat fetish/feederism/feedism etc.
I'm literally bagging you 🙏 I can't find anything good on this topic
I would also like to know in general what can be done to get rid of the fetish or get it under control
Yes, there certainly seems to be a problem with people who are feeders. Just watch 600 life etc.
I consider psychology as a whole one of my most passionate hyperfixations, but I don't know a lot about psychosexuality and dynamics. Dr Syl, for a passionate layman, do you have any book recommendations that explore this topic?
Could you talk about psychological trauma of sexual activity between siblings ? How does age of the children involved effect the level of trauma...and what therapy is recommended?
This was a very interesting video! I have never heard of all the different types but most of them. It must be really hard to get people to stop doing these things because I imagine it's partly the same as with people taking drugs. The fact that what they are doing is illegal, makes it all even more rewarding when doing them.
I also have hard time believing that if you are a person who enjoy the "more advanced" types, that you would like to have any sexual arousal at all since it can't match that level. I might be completely wrong, please enlighten me if you know.
Long term progesterone has terrible side effects - weight gain, moon face, tremors, osteoporosis. If I were a man and that was my only choice, I’d have the family jewels removed rather than go the progesterone route
How do you treat a woman or nonbinary person with sadism and masochism disorders? Too much technical jargon in this one I didn't understand much of it.
i need these meds
😭😭😭
I realize that in a casual overview of the topic, there's really not time to delve into the ethics of treating mental disorders (or perceived mental disorders) with surgeries and mind-altering drugs, and there's also no time to go into a side tangent reviewing misuse of medical practices from a historical perspective. So all I can really say is that the medical chat, rather than the disorders they're meant to treat, gives me the squirms. Especially when you point out that there's gray areas involved, there's not any solid agreement on whose job it is to deal with these problems, and these disorders are not particularly well studied. Like, it all seems to fall down to someone's gotta do something about 'em, and these are the best tools and practices we have to fix them, like it or not.
i've been told by one clinical psychiatrist the strangest sexual abnormality she's ever encountered is frigidity.
Can she treat my wife?
Ego-syntonic? Did i spell that right?
Sounds like one of the worst moral dilemmas. The guy wants to reaffend. Refusing treatment, morally okay punishments are ineffective... is there really anything that can be done?
Do women get these problems? I have seen many cases of female teachers abusing teenaged boys. Is there a treatment for this population
What is the term for a disorder wherein the patient is fixated on doing a rash and violent act because they think that the act will rid them of obsessive thoughts. The term begins with "catastro -"
great video .
I just watched the documentary - Harmed by Prescribed Medications: the Untold Story of Pharmaceutical Companies, by the channel
‘Best Documentary’. I wonder if you would be willing to give us your thoughts on it?
This is a good talk and subject matter which needs to be more openly discussed, but it seems a much more broad subject than this video came down to, which is treatment/medication for people who are a threat to others. I imagine a lot of people, the people who are not a danger to others but that it is affecting their lives need other courses of treatment, hard to believe that medication would be a first choice of treatment for those who fit other categories? Where are the modern techniques in neuro-reprogramming and such? EMDR, breath work/meditation, psychedelic treatment, NLP.
Is there a GNRH agonist to counter progesterone during the refractory period? Asking for a friend.
Yes
@@ForgeMasterXXL What's it called? The suspense is killing me.
Hey, people are into different things let them be as long as is not affecting me why should I care.
I think taking oestrogen actually maintains bone health.
I disagree with your analysis of pedophilia disorder. You said attraction to people under age of 18 or 16. This is NOT the definition of pedophilia.. Pedophilia is the attraction to the prepubescent age of kids. Before their bodies have matured. Someone who is 15, 16, 17 etc.. their bodies , majority of them have matured and look no different to some one else body who is older. And since we are not attracted to numbers, but instead physical appearance , then a person would have no idea if a person is under 18, unless they are told. When I was in college there were girls there who were 17 to 23. I couldnt tell the difference between any of them, and I was attracted to all of them because they were attractive and had mature bodies, like any other woman.
So please be careful using the term pedophilia for any person under 18, because it simply isnt true. Hebephilia and Ephebophilia are more appropriate terms. I think its irresponsible as a medical person to label such wrong names to people because it leads to people believe that someone attracted to something that is normal, like a matured female body is wrong. It also causes some of the most stringent laws and sex offenses put in place.
When I was in highschool, I didnt graduate until I was 20. Started school late, failed 7th, and was in highschool an extra year. But I was 18 when I was a sophomore. When I was 17 there was a girl who was 14 and a freshman who insisted we go out. She watched me wrestle on the wrestling team. She pestered me until I finally said yes. I turned 18, and she turned 15 and we dated all the way through highshcool. I was 20 and she just turned 16 to 17. I went in the military, and came back and she became my wife. In todays world people get nuts about age, but back when I was a teen and age 20, no one cared about ages like they do today. They cared more about if their kid was with a good person.
There needs to be a disorder where people become so hyper fixated on numbers it clouds their judgement and makes then emotional, irrational, and illogical people.
I agree with the first 4 sentences of your comment. P3d0phila only, by definition, applies to an attraction to somebody who HASN'T STARTED puberty. I disagree with your claim though that a person who is 15, 16, 17 is mature. They aren't, scientifically they are still going through puberty (acne, changing emotions, etc.). AND ALSO, 18, 19, and 20 year olds aren't completely mature either! I want to make that clear! Puberty doesn't end at 18!
@@followtruthwhereeveritleads2 I agree for the most part. As a society though, I think its important to not get so fixated on a special number. A lot of laws are based on the age of 18.. As if anything really magical happens at the stroke of midnight like in Cinderella. Maturity varies from person to person, mentally that is. Sure we are still maturing as we get to be 20, 21, 22.. But I find it abusrd when law makers want to try people as adults when they commit a crime at a young age. I dont like politics when it comes to lawmaking
The media and society in general really needs to stop using the P word when the victim is quite clearly not a child/prepubescent. It's so ill-informed. There is P***philia and sexual assault on minor (under age of consent - which varies country to country) and the two should not be confused but constantly are.
I have multiple paraphilias, which I endured the urges of. Which gave me some insight since I had to sit with the feelings instead of expl*it them to perp*trate. They're not exclusively s*xual, s*x is exploited as a replacement for genuine connection or intimacy.
Every single time I experienced a disconnect from others it triggered urges. If I couldn't feel like I could be alive or present with people because of this darkness inside me, I'd feel like k*lling them because that'd be the only way they'd be with me. I supplement for the connection or postive experiences I feel I can't have. Everything, down to the positive child experience I didn't/don't have caused me to become vi*lent, desiring to cause harm because there was no happiness or anything for me. Just trauma, being traumatized by the innocence I never even got to have positively. It is way more complex than people like to make it. These aren't s*xual attractions, they are intimate, emotional, traumatic associations. We need to uncover and unravel these associations to feel better, and do better.
Hi there, I wish you the very best. The fact you try so hard to deal with this means the dark hadn't overcome the light. Sending you good wishes ❤️
@mistressofstones Thanks for the kind comment, no matter how hard, I will continue to try my best.
@@Redvelvetkuma I think my masochistic tendencies were to inflict psychological harm onto myself. I think that on a subconscious level I didn't feel worthy of receiving real intimacy and love. I think it has to do with my parents wanting me to be a boy. Or that I wanted to be a boy. Not 100% healed on this one because while reparenting my inner child I have caused retraumatization. I'm trying to be more gentle with myself, but it's so hard.
@Needy_nic I think I've felt similarly, but when I feel like hurting myself, I feel s*distic and h*micidal toward others. It doesn't feel like it is enough to hurt/off myself, I wanna make myself suffer. Methodically and meticulously crafting scenarios where I could suffer the most. Expanding on the trauma, in the hopes I could surpass my ability to
to not experience the pain I'm experiencing. As a psychopath, I struggle feel or care about it, childhood, the ab*se, happiness, pain, everything. It never feels like I got/get to feel the pain of what I'm going through enough, since I am exceptional at bypassing pain and "coping" with it. I don't want to. I wanna crumble, I wanna hurt, I wanna cry and scream. But I don't know how to be emotional, or just express how I feel. And when I'm not perp*trating, the pain just sits there, inside with nowhere to go. There's no manual, nobody heals fully, so nobody has any guidance either. We get traumatized, then just left to sift through this all alone. It is hard.
Being normal is overrated😅
Um.. Where did you get that thumbnail pic? Asking for a friend
What if...... Sexual arousal was actually childhood trauma, trapped within the sexual regions inside the body?
What if..... The thoughts that create arousal aren't what you think?
What if....... As a small child you never fully addressed these experiences, never fully got to feel these emotions in a healthy way?
What if...... You are able to heal as an adult by sitting IN the arousal, doing nothing other than allowing whatever thought to arise. Listen to the thought. Feel the emotion that's trapped within the arousal.
I bieve that for many if us we have repressed our emotions and our memories. It's not just about what happened to you, but what you made it mean about you.
Inside us lives an inner child. Lost parts of our whole being. Parts of ourselves we refuse to listen to. The psyche twists and distorts reality. Sink into the arousal, and be open to hear its message in a non judgemental way.
I've known quite a few exclusively heterosexual men who liked to dress as women in private---full dress, shoes, wigs, etc, and also a few who wore women's underwear under their male identifying clothes in public. I thought the correct term was crossdressers, and thought of this as a fetish, inasmuch as they were sexually aroused by themselves looking like women.
Which do you love?
Are you familiar with Candaulism? Where would that fall?
can something so fun truly even be called a "disorder"? 😏
😂
😏
Fuck society and their degenerate norms. I hate how everything has to have a normative aspect
Who is SOCIETY to declare is someone is fit or not? All are created by God with adequate intrinsic traits.
It makes sense why all these serial killers were into bdsm.
I'd love to hear more about somnophilia, apologies if im getting the terms confused, i dont mean someone who's 'into it', more someone who does "sleepwalking romance". UA-cam autofilters certain words so i have to be vague, but there's people who whilst asleep either touch themselves down there, or touch their bed partner, seemingly in a rather aggressive manner, not just being sleepy and cuddling their partner, they fully are not awake and sometimes will wake up mid coitous very confused. I think its a sleep disorder but something that I'd love to hear more about. It's distressing to both parties and could be a salt possibly.
there's also dormaphilia, who's the one being touched sexually while sleeping or unconscious
I love dreams and fantasies
7:27 that was close there 😬
Just joking. Love your videos 😄
Anti depressants , side effects are individual to an extent
One side effects that is permanent lack of sexual interest the opposite of libidinous behaviour.
Clever, hormone replacement therapy lowing Testosterone with addition of female hormones 👌 .
I really enjoy listening to you and your knowledge / viewpoint. But i have to say the animations/transitions of your cuts throw me off every time.
I can hear a slight Australian accent coming from him, every once in awhile.
He's Australian, he sounds Australian the whole time to me as an Australian myself.
It's funny how shy he looks talking about this subject 🤭
yeah, he even had to resort to explaining bilateral orchiectomy jokingly @9:27.
You totally skipped women.
Women have a much much lower rates of paraphilias.
Men absolute outnumber women in every category of paraphilia, with the notable exception of the giant object one. Stats is stats
Anyone who used reddit back in the early days, you saw... a lot of this. 😅
Two thoughts, I've always been fascinated by the open acceptance of various paraphilias in adult stores in Japan (much of which would be refused classification in Australia). Secondly, how on earth would we describe those who feature in the Pain Olympics series of videos? Humans are fascinating and terrifying 😂
Omg I forgot about the pain Olympics 😂
Handsome. ❤