Personality disorders — MCQs

Q: Which paraphilic disorder is exhibited by a person who achieves sexual gratification by watching or handling objects shown below?

Fetishistic disorder. ***Fetishistic disorder*** - This disorder involves **recurrent, intense sexual arousal** from inanimate objects (fetishes) or specific non-genital body parts - The image shows a **mannequin**, which is an inanimate object used for sexual gratification - The sexual gratification is derived from **watching or handling** these objects, directly aligning with the question description - According to **DSM-5**, the arousal must persist for at least 6 months and cause significant distress or impairment *Voyeuristic disorder* - Involves sexual arousal from **observing an unsuspecting person** who is naked, disrobing, or engaging in sexual activity - The focus is on watching **real people without their consent**, not inanimate objects like mannequins - Does not involve deriving pleasure from handling objects *Exhibitionistic disorder* - Involves sexual arousal from **exposing one's genitals to an unsuspecting stranger** - This disorder focuses on **one's own exposure**, not on deriving pleasure from watching or handling objects - The gratification comes from the act of exposing oneself, not from object interaction *Frotteuristic disorder* - Characterized by sexual arousal from **touching or rubbing against a non-consenting person**, typically in crowded places - Involves **physical contact with another person**, not an inanimate object like a mannequin - The arousal is specifically from touching people without consent, not objects *Pedophilic disorder* - Involves sexual arousal toward **prepubescent children** (typically age 13 or younger) - The focus is on **sexual attraction to children**, not inanimate objects - Does not involve deriving pleasure from watching or handling non-living objects

Q: Which fetish is seen in this male patient?

Bestiality. ***Bestiality*** - The image shows a **snake** coiled around a human leg, suggesting sexual activity with an animal. - **Bestiality** (or zoophilia) is a paraphilia involving sexual attraction and activity between a human and a non-human animal. *Transvestism* - Transvestism involves deriving sexual arousal from **dressing in clothing typically associated with the opposite gender**. - There is no visual information in the image to suggest cross-dressing. *Frotteurism* - **Frotteurism** is a paraphilia characterized by obtaining sexual pleasure from **rubbing against or touching a non-consenting person** in a crowded public place. - The image does not depict any such interaction with another person. *Foot fetishism* - Foot fetishism, or **podophilia**, is a sexual attraction to feet. - While feet are visible in the image, the primary object of sexual interest depicted is clearly the snake, not the feet themselves. *Voyeurism* - **Voyeurism** is a paraphilia involving sexual arousal from **watching unsuspecting people who are naked, undressing, or engaging in sexual activity**. - The image depicts direct contact with an animal, not observing others, making this incorrect.

Practice by Chapter

Cluster A personality disorders (paranoid, schizoid, schizotypal)

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Antisocial personality disorder

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Borderline personality disorder

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Narcissistic personality disorder

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Histrionic personality disorder

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Avoidant personality disorder

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Dependent personality disorder

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Obsessive-compulsive personality disorder

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Assessment and diagnosis challenges

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Psychotherapeutic approaches (DBT, MBT)

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Pharmacotherapy role in personality disorders

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Comorbidity with Axis I disorders

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Long-term management strategies

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