Monday, January 14, 2008

Exhibitionism

"exposing self"/"indecent exposure"/"flashing"

Exhibitionism, known variously as flashing, apodysophilia and Lady Godiva syndrome, is the psychological need and pattern of behavior to exhibit naked parts of the body to another person with a tendency toward an extravagant, usually at least partially sexually inspired behavior to captivate the attention of another in an open display of bare "private parts", parts of the human body which would otherwise be left covered under clothing in nearly all other cultural circumstances. A disorder in which the act of exposing the genitals to an unsuspecting stranger produces sexual excitement with no attempt at further sexual activity with the stranger." Law enforcement people invariably call it "indecent exposure".

Involves intense, recurrent and sexually arousing fantasies involving the exposure of the individual's genitals. This may, in turn, translate into putting this fantasy into action and engaging in these behaviors. However, a key feature of this need is that the individual be a stranger or unsuspecting. This disorder is characterized by either intense sexually arousing fantasies, urges, or behaviors in which the individual exposes his or her genitals to an unsuspecting stranger. To be considered diagnosable, the fantasies, urges, or behaviors must cause significant distress in the individual or be disruptive to his or her everyday functioning.

Typically, the part(s) of the body exposed when referring to "flashing" are bare female breasts and/or buttocks. In theory, however, flashing and exhibitionism can also involve the genitalia or buttocks of either gender. A "male flasher" stands in stark comparison to this definition as the latter usually refers to a male indecently exposing his penis to an unwilling observer.

Usually, flashing is done as a momentary "thrill" to inflate the ego of the flasher while having the "added bonus" of increasing the sexual arousal of the recipient(s). Exhibitionists who view exhibitionism as a lifestyle as opposed to a rare thrill, however, more carefully select their target audience and make the exposure brief, inconspicuous and apparently unintentional. While all exhibitionism is, whether on the end of the giver or the receiver, ultimately a sexual fetish, many practitioners see it as an art form. Night clubs and goth bars encourage mild exhibitionism to enhance the venue's atmosphere. This all contrasts with non-sexualized social nudity, in which the exposure is not connected with sexual expression, such as sunbathing or swimming at nude beaches or other participation in public nudity events where nudity is the norm.

Some exhibitionists wish to display themselves sexually to other people singly or in groups. This can be done consensually as part of swinging or group sex. When done non-threateningly, the intent is usually to surprise and/or sexually arouse the viewer, giving the exhibitionist an ego rush. Some people like to expose themselves in front of large crowds, typically at sporting events; see streaking. A similar phenomenon is when, at the conclusion of a sporting event, a woman may flash her breasts while sitting atop someone's shoulders in a dense crowd of people. Other exhibitionists like to go beyond physical exposure and use the internet to distribute their stories and pictures on websites, sometimes using webcam feeds and other amateur methods. A further purpose here could be to further sexually arouse the recipient by giving the impression that the exposure is "first time" and/or "innocent."

Many mild and considered acceptable forms of exhibitionism are considered normal in our culture. Children often have a natural curiosity about their genitals and the genitals of others. Young children may like to try to shock adults or other children by showing their genitals or underwear. This is typically a passing phase and only calls for professional treatment if it persists. Similarly, adolescents have been expressing disapproval through "mooning" for years. Wearing suggestive clothing or strip teasing for a significant other are common activities.

In order to be correctly diagnosed with this condition, you need to meet two criteria:
- Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one's genitals to an unsuspecting stranger.
-The person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty. This causes clinically important distress or impairs work, social or personal functioning.

One expert in the field of treating paraphilias has suggested classifying the symptoms of exhibitionism according to level of severity, based on criteria from the DSM-III-R(1987):

* Mild. The person has recurrent fantasies of exposing himself, but has rarely or never acted on them.
* Moderate.The person has occasionally exposed himself (three targets or fewer) and has difficulty controlling urges to do so.
* Severe. The person has exposed himself to more than three people and has serious problems with control.
* A fourth level of severity, catastrophic, would not be found in exhibitionists without other paraphilias. This level denotes the presence of sadistic fantasies which, if acted upon, would result in severe injury or death to the victim.

Causes
These could be things such as traumatic experiences or chance associations and stay with us for the rest of our lives.

* Biological theories. These generally hold that testosterone, the hormone that influences the sexual drive in both men and women, increases the susceptibility of males to develop deviant sexual behaviors. Some medications used to treat exhibitionists are given to lower the patients' testosterone levels.

* Learning theories. Several studies have shown that emotional abuse in childhood and family dysfunction are both significant risk factors in the development of exhibitionism.

* Psychoanalytical theories. These are based on the assumption that male gender identity requires the male child's separation from his mother psychologically so that he does not identify with her as a member of the same sex, the way a girl does. It is thought that exhibitionists regard their mothers as rejecting them on the basis of their different genitals. Therefore, they grow up with the desire to force women to accept them by making women look at their genitals.

* Head trauma. There are a small number of documented cases of men becoming exhibitionists following traumatic brain injury (TBI) without previous histories of alcohol abuse or sexual offenses.

* A childhood history of attention-deficit/hyperactivity disorder (ADHD). The reason for the connection is not yet known, but researchers at Harvard have discovered that patients with multiple paraphilias have a much greater likelihood of having had ADHD as children than men with only one paraphilia.






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