{"id":419,"date":"2022-05-17T10:39:12","date_gmt":"2022-05-17T09:39:12","guid":{"rendered":"http:\/\/www.trecpsicologia.com\/?page_id=419"},"modified":"2026-09-30T12:28:56","modified_gmt":"2026-09-30T11:28:56","slug":"otros-problemas-sexuales","status":"publish","type":"page","link":"https:\/\/trecpsicologia.com\/ca\/otros-problemas-sexuales\/","title":{"rendered":"Otros problemas sexuales"},"content":{"rendered":"<h1 class=\"has-text-align-center wp-block-heading\">ALTRES PROBLEMES SEXUALS<\/h1>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-background\" style=\"background-color:#a0d2c3;color:#a0d2c3\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Paraf\u00edlies<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les paraf\u00edlies impliquen l&#039;excitaci\u00f3 sexual davant d&#039;objectes, situacions i\/o destinataris at\u00edpics (p. ex., nens, cad\u00e0vers, animals). Tot i aix\u00f2, algunes pr\u00e0ctiques sexuals que semblen inusuals a altres persones oa algun personal sanitari no constitueixen un trastorn paraf\u00edlic simplement perqu\u00e8 siguin inusuals. Les persones poden tenir interessos paraf\u00edlics sense complir els criteris per a un trastorn paraf\u00edlic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Els patrons d&#039;excitaci\u00f3 sexual no convencionals a les paraf\u00edlies es consideren trastorns patol\u00f2gics nom\u00e9s quan ambdues de les caracter\u00edstiques seg\u00fcents apliquen:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>S\u00f3n intensos i persistents.<\/li><li>Provoquen una angoixa o un deteriorament significatiu a les \u00e0rees social, laboral o d&#039;altres \u00e0rees importants de funcionalitat, o danyen o tenen el potencial de danyar altres (p. ex., nens, adults sense consentiment)<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Les persones amb un trastorn paraf\u00edlic poden tenir una alteraci\u00f3 en la capacitat de sentir afecte i mantenir una intimitat emocional sexual rec\u00edproca amb la seva parella. Tamb\u00e9 hi pot haver alteracions daltres aspectes de lajustament personal i emocional.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El patr\u00f3 de l\u00b4excitaci\u00f3 er\u00f2tica sol estar ben desenvolupat abans de la pubertat. Almenys hi ha 3 procediments implicats:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>L&#039;ansietat o un trauma emocional preco\u00e7 interfereixen amb el desenvolupament psicosexual normal.<\/li><li>El patr\u00f3 est\u00e0ndard d&#039;excitaci\u00f3 \u00e9s reempla\u00e7at per un altre, de vegades a trav\u00e9s d&#039;una exposici\u00f3 preco\u00e7 a una experi\u00e8ncia amb una c\u00e0rrega sexual clara que refor\u00e7a l&#039;experi\u00e8ncia de plaer sexual de la persona.<\/li><li>El patr\u00f3 d&#039;excitaci\u00f3 sexual adquireix sovint elements simb\u00f2lics i de condicionament (p. ex., un fetitxe simbolitza l&#039;objecte d&#039;excitaci\u00f3, per\u00f2 tamb\u00e9 pot haver estat elegit perqu\u00e8 es va associar accidentalment amb la curiositat, el desig i l&#039;excitaci\u00f3).<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Hi ha controv\u00e8rsia sobre si el desenvolupament de totes les paraf\u00edlies \u00e9s conseq\u00fc\u00e8ncia d&#039;aquests processos psicodin\u00e0mics, i en algunes paraf\u00edlies es troben signes d&#039;una alteraci\u00f3 del funcionament cerebral i l&#039;anatomia funcional (p. ex., a la pedof\u00edlia).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En la majoria de les cultures, les paraf\u00edlies s\u00f3n for\u00e7a m\u00e9s freq\u00fcents entre els homes. \u00c9s possible que hi hagi raons biol\u00f2giques per a aquesta distribuci\u00f3 desigual, per\u00f2 no es coneixen b\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S&#039;han descrit desenes de paraf\u00edlies, per\u00f2 la majoria s\u00f3n poc freq\u00fcents o rares. Les m\u00e9s freq\u00fcents s\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Pedof\u00edlia<\/strong>: es caracteritza per fantasies, impulsos o conductes sexualment excitants, intenses i recurrents que involucri nens, adolescents prep\u00fabers o joves menors d&#039;edat.<\/li><li><strong>Voyeurisme<\/strong>: consisteix a assolir l&#039;excitaci\u00f3 sexual observant persones nues, sense roba o que participen en una activitat sexual sense el consentiment de l&#039;altra persona.<\/li><li><strong>Travestisme<\/strong>: implica una excitaci\u00f3 sexual recurrent i intensa a partir de l&#039;\u00fas de peces de roba del sexe oposat, que es pot manifestar com a fantasies, impulsos o comportaments.<\/li><li><strong>Exhibicionisme<\/strong>: es caracteritza per aconseguir l&#039;excitaci\u00f3 sexual a trav\u00e9s de l&#039;exposici\u00f3 dels genitals, habitualment davant d&#039;un estrany que est\u00e0 desprevingut. Tamb\u00e9 pot \u00e9sser tenir un desig potent de ser observat pels altres durant l&#039;activitat sexual. Implica actuar sense el consentiment de laltra persona.<\/li><li><strong>Masoquisme sexual<\/strong>: \u00e9s la participaci\u00f3 en una activitat en qu\u00e8 el subjecte \u00e9s humiliat, copejat i lligat o \u00e9s objecte d&#039;algun tipus d&#039;ab\u00fas per experimentar excitaci\u00f3 sexual.<\/li><li><strong>Sadisme sexual<\/strong>: consisteix a infligir un patiment f\u00edsic o psicol\u00f2gic (humiliaci\u00f3 o terror) en una altra persona per estimular l&#039;excitaci\u00f3 sexual i l&#039;orgasme.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Disf\u00f2ria de g\u00e8nere<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La disf\u00f2ria de g\u00e8nere es manifesta de diverses maneres. Per\u00f2 per al diagn\u00f2stic de la disf\u00f2ria de g\u00e8nere, els criteris del DSM-5 requereixen la pres\u00e8ncia de:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Incongru\u00e8ncia marcada entre el sexe de naixement i la identitat de g\u00e8nere que sent (identificaci\u00f3 amb el sexe oposat) que ha estat present durant \u2265 6 mesos<\/li><li>Malestar cl\u00ednicament significatiu o deteriorament funcional que resulta d&#039;aquesta incongru\u00e8ncia<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A m\u00e9s de les caracter\u00edstiques requerides, els adolescents i els adults han de presentar \u2265 1 dels seg\u00fcents:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Un fort desig de no posseir els seus trets sexuals primaris i\/o secundaris (o en el cas dels adolescents, prevenir-ne el desenvolupament)<\/li><li>Un fort desig de les caracter\u00edstiques sexuals prim\u00e0ries i\/o secund\u00e0ries que corresponen al g\u00e8nere amb qu\u00e8 s&#039;identifiquen<\/li><li>Un fort desig de pert\u00e0nyer al sexe oposat (oa algun altre g\u00e8nere)<\/li><li>Un fort desig de ser tractat com un altre g\u00e8nere<\/li><li>Una forta convicci\u00f3 que tenen sentiments i reaccions t\u00edpiques d&#039;un altre g\u00e8nere<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">El diagn\u00f2stic de disf\u00f2ria de g\u00e8nere en els adults s&#039;enfoca a determinar si hi ha una angoixa significativa o un deteriorament evident de les \u00e0rees socials, laborals o altres \u00e0rees importants de funcionalitat. La disconformitat de g\u00e8nere no \u00e9s suficient per al diagn\u00f2stic.<\/p>","protected":false},"excerpt":{"rendered":"<p>OTROS PROBLEMAS SEXUALES Paraf\u00edlias Las parafilias implican la excitaci\u00f3n sexual ante objetos, situaciones y\/o destinatarios at\u00edpicos (p. ej., ni\u00f1os, cad\u00e1veres, animales). No obstante, algunas pr\u00e1cticas sexuales que parecen inusuales a otras personas o a alg\u00fan personal sanitario no constituyen un trastorno paraf\u00edlico simplemente porque sean inusuales. Las personas pueden tener intereses paraf\u00edlicos sin cumplir los &#8230; <a title=\"Otros problemas sexuales\" class=\"read-more\" href=\"https:\/\/trecpsicologia.com\/ca\/otros-problemas-sexuales\/\" aria-label=\"M\u00e9s informaci\u00f3 sobre Otros problemas sexuales\">Read more<\/a><\/p>","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-419","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Otros problemas sexuales: sexolog\u00eda en Barcelona | TREC<\/title>\n<meta name=\"description\" content=\"Terapia sexual para parafilias y otros problemas sexuales en Barcelona. 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