DSSSB 14 August 2024
Mental Health Nursing
Easy
Which of the following involves recurrent, intense sexual arousal from cross-dressing?
Appeared in: DSSSB 14 August 2024
Explanation
- The question asks to identify the term for recurrent, intense sexual arousal from cross-dressing.
- Transvestism, specifically Transvestic Disorder in DSM-5, is defined as experiencing recurrent and intense sexual arousal from the act of cross-dressing.
- This arousal, or the fantasies and urges related to it, must be present for at least six months and cause significant distress or impairment for a formal diagnosis.
- The core feature of this condition is the link between wearing clothes of the opposite sex and achieving sexual excitement.
Why Other Options Were Wrong
- Option B: Frottage involves arousal from non-consensual touching or rubbing against another person, not from cross-dressing.
- Option C: Bestiality (also known as Zoophilia) involves sexual arousal focused on animals, not on wearing clothing.
- Option D: Sodomy is a broad, often legal, term for certain sexual acts (like oral or anal sex) and is not a clinical diagnosis related to arousal from cross-dressing.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Paraphilic Disorders: Transvestism as background academic context rather than a clinical decision trigger.
- Nurses must approach patients with non-judgmental and professional attitudes, regardless of their sexual interests or behaviors, to provide effective and compassionate care.
- It is crucial to differentiate between transvestism (a paraphilia), cross-dressing for non-sexual reasons, and gender dysphoria (distress from a conflict between assigned sex and gender identity). They are distinct concepts with different clinical implications.
- What if? If a patient who cross-dresses reports no sexual arousal from the act but does it to express their gender identity, the focus shifts from a paraphilic disorder to assessing for gender dysphoria. The nursing approach would then center on support, affirmation, and referral to specialists in gender-affirming care.
How to Approach the Question
- First, read the question carefully and identify the key descriptive phrase: 'recurrent, intense sexual arousal from cross-dressing'.
- Next, analyze the options provided, which are all terms related to sexual behaviors or disorders.
- Recall or look up the specific definition for each term.
- Match the definition from the question stem to the correct term. 'Transvestism' is the direct medical term for sexual arousal associated with cross-dressing.
- Eliminate the other options by confirming their definitions do not match the question's description (Frottage = rubbing, Bestiality = animals, Sodomy = specific acts).
Concept Tested & Keywords
- Concept Tested: Paraphilic Disorders: Transvestism
- Stem keywords: recurrent, intense sexual arousal, cross-dressing
- Lead-in keywords: Which of the following
- Negative lead-in flag: false
Question ID
QgAcGihxFxVEM09o8YT2gu
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 6736-6738
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 1706-1708, 1707-1709
Practise the full DSSSB 14 August 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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