Another blog post, another free DSM practice question to help get you ready for the social work licensing exam. This one comes from the paraphilic disorders chapter. Do you know one from the other? Here's the complete DSM-5 list:
- Voyeuristic Disorder
- Exhibitionistic Disorder
- Frotteuristic Disorder
- Sexual Masochism Disorder
- Sexual Sadism Disorder
- Pedophilic Disorder
- Fetishistic Disorder
- Transvestic Disorder
- Other Specified Paraphilic Disorder
- Unspecified Paraphilic Disorder
We'll save some typing by referring you to the Desk Reference to the DSM for quickish summaries of each. Find more resources linked after the question. Here's the question:
A man comes to see a therapist after having been arrested for rubbing up against a woman in the subway. The man started the behavior a couple of years ago, when first moving to the city. What is the MOST likely diagnosis for this man?
A) Sexual Masochism Disorder
B) Fetishistic Disorder
C) Exhibitionistic Disorder
D) Frotteuristic Disorder
Have your answer?
Let's take A-D one at a time. Sexual masochism disorder involves sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer. (Not it.) Fetishistic disorder is diagnosed when arousal comes from nonliving objects or nongential body parts (e.g., shoes, feet). (Not it.) Sexual arousal in exhibitionistic disorder comes from exposing one's genitals to an unsuspecting person. (Not what's described.) That leaves one answer, the correct answer, D, frotteuristic disorder, which starts with this essential criterion:
Over a period of at least 6 months, recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors.
Also, as with all of these, symptoms "cause clinically significant distress or impairment in social, occupational, or other important areas of functioning."
Got it? Great.
Here are some places to read up on paraphilic disorders:
Get more practice from the DSM and throughout social work by signing up for SWTP's full-length practice tests. Good luck on the exam!
February 22, 2016