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Psychiatry · Anxiety and related disorders: sexual masochism
Sample itemA 28-year-old man has for over a year had intense recurrent sexual arousal from being bound, beaten and humiliated by his partner, and he finds it distressing. Which diagnosis fits?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Sexual masochism disorder
Sexual masochism disorder is recurrent arousal from being humiliated, beaten, bound or made to suffer. Sadism is the mirror image, in which arousal comes from inflicting suffering on another person.
Option by option
A. Sexual masochism disorder (correct)
Correct. Arousal from his own suffering or humiliation is masochism.
B. Sexual sadism disorder
Sadism is arousal from causing suffering to another person.
C. Voyeuristic disorder
Voyeurism is arousal from watching an unsuspecting person undress or have sex.
D. Exhibitionistic disorder
Exhibitionism is arousal from exposing the genitals to an unsuspecting person.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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