Elimination of a sadistic fantasy by a client-controlled counterconditioning technique: A case study.

Davison, Gerald C.

doi:10.1037/h0025440

Cited by 138 publications

(28 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, reactive depression might be viewed as a consequence of unnecessary sensitivities that, themselves, could be translated into an anxiety hierarchy. By the same token I wonder whether the extensive clinical and experimental work in aversion therapy (e.g., Feldman & MacCulloch, 1971) or "Playboy therapy" (e.g., Davison, 1968), or heterosocial-heterosexual skills training do not channel the assessment and problem-solving activities of behavioral clinicians into working to change sexual orientation and to persuade homosexual clients that this is a worthwhile goal-Why else would we be spending so much time working on the techniques?…”

Section: No Cure Without a Diseasementioning

confidence: 99%

Homosexuality: The ethical challenge.

Davison¹

1976

Journal of Consulting and Clinical Psychology

Self Cite

110

View full text Add to dashboard Cite

It is suggested that behavior therapists have not attended sufficiently to the factors influencing the desire of some homosexuals to change their sexual orientation. Therapists of all persuasions constantly make decisions for their voluntary clients, encompassing both the goals of therapy and the means to be used to achieve those goals. A perusal of the psychotherapy and behavior therapy literature indicates that therapists generally regard homosexuality as undesirable, if not pathological. Since professionals are unlikely to work on treatment procedures unless they sec a problem, it is probable that the very existence of changc-of-orienlation programs strengthens societal prejudices against homosexuality and contributes to the self-hate and embarrassment that are determinants of the "voluntary" desire by some homosexuals lo become heterosexual. It is therefore proposed that we stop offering therapy lo help homosexuals change and concentrate instead on improving the quality of their interpersonal relationships. Alternatively, more energy could be devoted to sexual enhancement procedures in general, regardless of the adult gender mix.

show abstract

Section: No Cure Without a Diseasementioning

confidence: 99%

Homosexuality: The ethical challenge.

Davison¹

1976

Journal of Consulting and Clinical Psychology

Self Cite

110

View full text Add to dashboard Cite

show abstract

“…The contrasting findings of Davison (1968) and Jackson (1969) may relate to the present focus of discussion. Davison and Jackson treated a male sadist and voyeur respectively.…”

Section: Discussionmentioning

confidence: 84%

An Experimental Investigation of Preorgasmic Reconditioning and Postorgasmic Deconditioning

Kantorowitz

1978

J of App Behav Analysis

View full text Add to dashboard Cite

The effects of pre-and postorgasmic presentation of moderately erotic cues were assessed in an analogue study. Eight heterosexual male volunteers (18 to 23 years) participated in three assessment (baseline, termination-of-treatment, and two-to three-month followup) and eight masturbatory conditioning sessions. Three slides of nude females of initially equal erotic value were paired respectively with the plateau, refractory, and resolution phases of the subjects' sexual cycles. Over treatment, stimuli paired with the plateau phase increased significantly in penile tumescence indices of eroticism; conversely, stimuli paired with the refractory phase decreased significantly. The conditioned effects on tumescence were largely extinguished at followup. While treatment did not alter shortterm subjective indices of eroticism, stimuli presented during the refractory phase were rated significantly less erotic than the other stimuli at followup. The findings suggest that the "pairing" model of orgasmic conditioning is insufficient to account for previously reported clinical findings. A broader conceptualization of the mechanisms of orgasmic conditioning, and implications for treatment are discussed.DESCRIPTORS: sexual behavior, sexual deviation, penile erection, postorgasmic deconditioning, pre-orgasmic reconditioning, heterosexual males Over the last 14 yr, a number of successful case reports involving the application of orgasmic reconditioning (guided fantasy in masturbation) to modify stimulus control of sexual arousal have been published (see review by Abel and Blanchard, 1974 instructed a 20-yr-old male voyeur to masturbate whenever he felt the urge to peep; he was further told to focus on his most exciting pornographic photos before ejaculation. After two weeks of this regimen, the client reported no desire to peep; pornographic pictures were then replaced with Playboy-type nude female photos. At nine-month followup the client again reported no desire to peep and that he had experienced two satisfactory heterosexual relations in the interim. Finally, in a series of own-controlled experiments, Conrad and Wincze (1976) assessed attitudinal, behavioral, and physiological responses of four homosexuals to orgasmic reconditioning treatment. While the subjects in this study reported improvements in their sexual adjustment, behavioral and physiological measures failed to change.Considering the sparse, confounded, and variable state of the orgasmic reconditioning literature there is a clear need for controlled studies to evaluate the effectiveness of orgasmic reconditioning and method(s) by which its effects are achieved.

show abstract

“…Wie die systematische Literaturrecherche von Mokros et al (2019) gezeigt hat, gibt es keine aktuellen Behandlungsstudien zur forensisch-relevanten zwangsweisen sexuell-sadistischen Störung. Die meisten der wenigen Behandlungsstudien stammen aus den 1960er-und 1970er-Jahren und beziehen sich auf rein verhaltenstherapeutische Interventionen wie aversive Konditionierung (Laws et al 1978;Marks et al 1970;Mees 1966) oder verdeckte Desensibilisierung (Davison 1968;Hayes et al 1978). Die Aussagekraft dieser Veröffentlichungen ist zudem dadurch eingeschränkt, dass es sich bei 3 Artikeln lediglich um Berichte über Fallstudien handelt (Davison 1968;Laws et al 1978;Mees 1966).…”

Section: Behandlungsprognoseunclassified

Sexueller Sadismus: Aktueller Wissensstand und die Codierung gemäß DSM-5-TR und ICD-11

Mokros

Nitschke

2021

Forens Psychiatr Psychol Kriminol

View full text Add to dashboard Cite

ZusammenfassungSexualsadismus bezeichnet eine lustvolle Erregbarkeit durch die Kontrolle, Erniedrigung oder Schmerzzufügung zulasten einer anderen Person. In den psychiatrischen Klassifikationskatalogen wird heute auf Zwang und Nichteinvernehmlichkeit abgestellt, um die forensische Ausprägung des Sexualsadismus von der konsensuellen Spielart im Sinne sadomasochistischer Rollenspiele abzugrenzen („bondage“ und Disziplinierung, Dominanz und Submission, Sadismus und Masochismus; kurz: BDSM). Ferner ist zwischen diesen Formen des Sexualsadismus und dem sog. Charakter- oder Alltagssadismus als Persönlichkeitszug zu unterscheiden. Im vorliegenden Beitrag wird die aktuelle Nosologie der forensisch-psychiatrisch bedeutsamen zwangsweisen sexuell-sadistischen Störung („coercive sexual sadism disorder“) gemäß ICD-11 erläutert. Die Sexual Sadism Scale wird als diagnostisches Hilfsmittel für die gutachterliche Beurteilung vorgestellt. Befunde zur Kriminalprognose werden dargestellt, wobei die Diagnose per se nicht nennenswert mit erneuter Sexual- oder Gewaltdelinquenz nach Entlassung assoziiert ist, aber einen starken Zusammenhang mit äußerst schwerwiegenden Einweisungsdelikten zeigt (konkret: sexuell motivierte Tötungsdelikte). Wie aktuelle Literaturrecherchen ergeben, liegen aus den letzten Jahren keine Behandlungsstudien vor.

show abstract

Elimination of a sadistic fantasy by a client-controlled counterconditioning technique: A case study.

Cited by 138 publications

References 25 publications

Homosexuality: The ethical challenge.

Homosexuality: The ethical challenge.

An Experimental Investigation of Preorgasmic Reconditioning and Postorgasmic Deconditioning

Sexueller Sadismus: Aktueller Wissensstand und die Codierung gemäß DSM-5-TR und ICD-11

Contact Info

Product

Resources

About