Cognitive Behavior Therapy: Intervention, And Treatments

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Intervention/ Treatments Psychological treatments There are a number of interventions accessible for treating sadist and masochist to eliminate unwanted sexual excitement. Psychotherapy treatment is to control the symptoms of sexual sadism and sexual masochism and help the patient decrease the undesirable arousal. Group and individual therapy are effective for sadism and masochism patients’ involved cognitive-behavioral therapy and behavior therapy understand through the cause of sexual behavior (Thibaut, Barra, Gordon, Cosyns, & Bradford 2010). Sexual arousal and pleasure can be changed to neutral stimulus by using behavioral therapy (Barlow & Durand, 2015). Before beginning the therapy, the client should have a fundamental understanding …show more content…

In cognitive behavior therapy, therapist assist patient to recognize the consequences of behavior and to alter thought of unwanted desire and sexual behavior that engage in sexual activity. Maladaptive behavior and emotion derive from distortion thought. CBT can help patient to overcome and correct difficulties with sadism and masochism to reach goal by changing undesirable arousal, violent behavior and irrational cognitive toward giving severe hurt and pain to other people. Besides, good therapeutic relationship between patient and therapist is essential for strengthening appropriate sexual behavior and thinking in order to increase self-awareness (Laws & O’Donohue, …show more content…

Testosterone is a main male hormone produced by testes (Barlow & Durand, 2015). Cyproterone acetate is an antiandrogen to regulate the level of testosterone, decrease the number and times of erections consisting masturbation and sexual activity. If patient fails to take the medicine the symptoms will be returned immediately. Medroxyprogesterone acetate (Depo-Provera) is drugs that can help patient to reduce testosterone especially treat for severe patient. This medicine helps to control paraphilia occurrence. However, these two medicines are consisting side effect such as weight disturbance, headache, insomnia and increase blood pressure (Thibaut, Barra, Gordon, Cosyns, & Bradford 2010). Besides, fluoxetine (Prozac) is one of the antidepressant can be used to eliminate the sex stimulus and sex drive. Pharmacological intervention Sexual sadism disorder patient can be used castration surgery for suppressing hormones and high sexual desire toward victims or partners (Weinberger, Sreenivasan, Garrick, & Osran, 2005). However, this method has been rarely in use and irreversible which offered to patient with sadism. Surgical castration did provide side effects such as weight gain and eliminate androgen level produce by testes (Thibaut, Barra, Gordon, Cosyns, & Bradford

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