PSYCH 115 Lecture Notes - Lecture 22: Trans Woman, Psy, Cyproterone
Document Summary
Covert desensitization sexually arousing images associated with the very consequences of the behaviour that bring the patient to treatment in the first place; entirely in imagination of patient. Immediate pleasure (strong reinforcement) more than overcomes any thoughts of possible harm/danger that might arise in future (long-term consequences) In imagination, harmful/dangerous consequences can be associated directly with unwanted behaviour. Therapist narrates scenes dramatically for first few sessions and then instructs patient to imagine them every day until all arousal disappears. Orgasmic reconditioning patients instructed to masturbate to usual fantasies but substitute more desirable ones just before ejaculation. With repeated practice, they should be able to begin desired fantasy earlier in masturbatory process and retain arousal. Relapse prevention treatment created to addictions; patients taught to recognize early signs of temptation and to institute variety of self-control procedures before urges become too strong. Most popular antiandrogen called cyproterone acetate.
