A Man Has Persistent Fantasies About Having Sex with Non-Consenting

question 32

Multiple Choice

A man has persistent fantasies about having sex with non-consenting people. Although he has not acted on them, these fantasies have lasted for almost a year and cause the man severe distress. What diagnosis is appropriate and why?

• A) paraphilia, because the man is severely distressed by his fantasies even though he has not acted on them
• B) no mental disorder, because unless the man acts on his fantasies, there is no form of sexual deviance
• C) sexual dysfunction, because the man is not able to achieve sexual arousal normally
• D) gender dysphoria, because the man has fantasies about having sex with non-consenting people

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Definitions:

Crisis

A critical or tumultuous situation that requires immediate attention and action, often leading to a turning point.

Structured Problems

Challenges that have clearly defined parameters and can be solved through known procedures or algorithms.

Programmed Decisions

Routine decision-making processes that follow established procedures or rules, often used for common and predictable situations.

Academic Probation

A warning status granted to students whose academic performance falls below an institution's required minimum, indicating a need for improvement.