A client's medical record documents a history of sexual paraphilias. Which of the following statements most accurately describes paraphilias?
A) Paraphilias are odd but harmless sexual practices.
B) Paraphilias are exceedingly rare.
C) Paraphilias are lifelong, chronic disorders.
D) Paraphilias are restricted to illegal practices.
Ans: C
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Paraphilias are sexual expressions characterized by recurrent, intense sexually arousing fantasies, sexual urges, or behaviors, generally involving (1) nonhuman objects, (2) suffering or humiliation of oneself or one's partner, or (3) children or other nonconsenting persons, that occur over a period of at least 6 months. To be considered paraphilias, the urges, fantasies, and behaviors also must cause clinically significant distress or impair social, occupational, or other important areas of functioning. Although the frequency and intensity of the sexual urges, fantasies, and behaviors may vary, these disorders tend to be lifelong and chronic. They are not necessarily harmless.
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