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A Case Study of Cognitive-Behavior Therapy in Iran: Treatment of Sexual Masochism along with Co-morbid Disorders in a Collectivist Society

A Case Study of Cognitive-Behavior Therapy in Iran: Treatment of Sexual Masochism along with Co-morbid Disorders in a Collectivist Society

The essential features of Paraphilia include recurrent, intense sexual arousal, fantasies and sexual urges or behavior involving the suffering or humiliation of oneself or one’s partner who can be children, non-consent persons and non-human objects. Sexual masochism disorder is a class of paraphilia, which causes impairment in occupational, social and personal areas of functioning. Masochism disorder may lead to severe physical injuries and even death. In addition to drug therapy, research has shown that psychotherapy such as behavior therapy, cognitive therapy (CT) and cognitive-behavior therapy (CBT) are effective in the treatment of sexual masochism.

The purpose of the present study was to report a successful case of a 35 year-old Iranian male who suffered from his homosexual desires, sexual masochism and co-morbid disorders. This study was a case study and employed CBT consisting of cognitive reconstruction, behavior analysis, problem solving, relaxation, self-management and positivism. The instruments used in the present study included BID, MMPIandSCL-90-R.The measures were administrated and interpreted before treatment, after treatment and once a year after the termination of treatment as a follow-up study. The results indicated that CBT not only is an effective approach for treating sexual masochism and co-morbid disorders but also offers some skills to help the subject prevent the relapse of the disorders.

The roles of cognitive reconstruction, positivism and altering the subject’s irrational and distorted beliefs about oneself, others and sexual behaviors were also discussed.