Complete a five-axis diagnosis for Mr. A.and provide specific supporting information for each axis.
Explain family and social issues that should be addressed and why, and briefly describe any additional information that might be significant to the diagnosis and assessment of this individual.
Briefly describe any difficulties you might have in assessing or diagnosing this individual, and any background issues or biases you might have that would contribute to making this a challenging case to assess or diagnose.
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(1) Complete a five-axis diagnosis for Mr. A.and provide specific supporting information for each axis.
Based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR [APA]. 2000), Mr. A has a disorder associated with paraphilia. The essential features of a paraphilia are recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving 1) nonhuman objects, 2) the suffering or humiliation of oneself or one’s partner, or 3) children or other non-consenting persons that occur over a period of at least 6 months (Criterion A). Some of the paraphilic fantasies occur during stress. Mr. A’s disorder is classified as Transvestic Fetishism and involves fantasies such as: (a) cross dressing, (b) sexual arousal accompanied by images [such as the desire to be female, and (c) wearing women’s garments with no attention to genitalia.
The DSM-IV-TR (2000) describes Tranvestic Fetishism as …
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