Faculty of Medicine and Health Sciences, University Malaysia Sabah, Jalan UMS, 88400, Kota Kinabalu, Sabah, Malaysia.
Faculty of Medicine and Health Sciences, University Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
J Med Case Rep. 2023 Feb 13;17(1):46. doi: 10.1186/s13256-023-03774-8.
Paraphilias are recurrent and arousing fantasies, thoughts, and behaviors that cause distress to sufferers and surrounding people. This case report details the challenge of managing multiple paraphilias with compulsive sexual behavior.
A 48-year-old Malay man presented with compulsive sexual behavior, encompassing voyeuristic, frotteurism, and exhibitionistic behavior, increasing progressively over the years, with accompanying overvalued ideas of erotomania. Despite the high level of dysfunction occupationally and socially, there were no apparent psychotic, manic, or depressive symptoms. An organic workup was unremarkable, and he was diagnosed with multiple paraphilias. Treatment with selective serotonin reuptake inhibitors was commenced, and psychologically he was managed with techniques specific to compulsive sexual behavior.
Though rare in the literature, both paraphilic disorders and compulsive sexual behaviors are very distressing to sufferers and their families alike, and thorough biopsychological investigations are essential to ensure reversible causes are not overlooked.
性癖好是反复出现并引起性唤起的幻想、想法和行为，会给患者和周围的人带来痛苦。本病例报告详细介绍了管理伴有强迫性行为的多种性癖好的挑战。
一名 48 岁的马来男性出现强迫性行为，包括窥阴癖、摩擦癖和露阴癖，这些行为逐年加重，并伴有钟情妄想等过高的观念。尽管在职业和社会功能方面存在严重障碍，但没有明显的精神病、躁狂或抑郁症状。有机检查无明显异常，被诊断为多种性癖好。给予选择性 5-羟色胺再摄取抑制剂治疗，同时采用针对强迫性行为的特定心理治疗方法进行心理管理。
尽管在文献中很少见，但性癖好障碍和强迫性行为都会给患者及其家人带来极大的痛苦，因此彻底的生物心理调查至关重要，以确保不会忽视可逆转的病因。
