title: Paraphilia and abuse-martyrdom: exhibitionism as a paradigm for reciprocal couple counseling combined with antiandrogen.
abstract: A paraphiliac with syndrome of exhibitionism has received treatment with the anti-androgenic hormone, Depo-Provera, for three years and is maintained on 350 mg, intramuscularly each week. He and his wife had been in a pathological oppressor/martyr relationship, he as a paraphiliac-oppressor and she as an abuse-martyr. They both receive reciprocal counseling therapy in individual and couple sessions. Antiandrogen diminishes paraphilic fantasy and enhances self-governance of its behavioral concomitants, but does not totally suppress erotosexual expression. Reciprocal counseling therapy enhances erotosexuality and pair-bondedness between the two partners as they both change, not singly, but mutually, toward a more healthy life style.
mesh_terms: D000328:Adult; D005084:Exhibitionism / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008388:Marital Therapy / Q000379:methods*; D008398:Masochism; D008525:Medroxyprogesterone / Q000627:therapeutic use*; D010262:Paraphilic Disorders / Q000523:psychology / Q000534:rehabilitation*; D012448:Sadism; D012742:Sex Offenses
chemical_list: D008525:Medroxyprogesterone