Résumé
A 44-year-old male patient with a foreign body in rectum [beverage bottle], introduced as sexual perversion, is presented with literature review. The management emphasis is on transanal retrieval and ruling out of the rectal and colonic perforation and the requirement for postremoval psychiatric treatment
Sujets)
Humains , Mâle , Corps étrangers/imagerie diagnostique , Corps étrangers/thérapie , Perforation intestinale , Paraphilies/thérapie , Forceps obstétrical , Hémorragie gastro-intestinale/étiologie , RectumRésumé
Gender identity disorder and paraphilia and related therapies are of debatable issues in psychiatry. The authors introduce some of the disorders which to be cured via behaviorial techniques. In all of patients the diagnosis was compatible with DSMIV criterion. Therapeutic method considered for them was cognitive behaviord regardless of any type of comorbidities. The mentioned therapeutic technique resulted in considerable improvement signs [except for one case] in these patients. Positive effects of CBT in almost all of these patients mean that morbiological treatment could be considered as an effective therapeutic approach. Although good compliance in patients was not ignorable for successful results, considering CBT in any patients should be a role before nonreversible treatments such as surgery or stigmatizing patients as treatment resistant case
Sujets)
Humains , Thérapie cognitive , Paraphilies/thérapie , Transsexualisme/thérapieRésumé
O autor realiza revisäo bibliográfica sobre pedofilia, um transtorno da preferência sexual que ocorre principalmente em homens e que acerreta vários problemas pessoais, sociais e legais, dando ênfase ao conceito, epidemiologia, etiologia, quadro clínico e tratamento desta condiçäo