Exhibitionistic disorder

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]

Synonyms and keywords: Exhibitionism

Differential Diagnosis

• Conduct disorder
• Antisocial personality disorder
• Substance use disorder

Epidemiology and Demographics

Prevalence

The prevalence of exhibitionistic disorder is 2,000 to 4,000 per 100,000 (2% to 4%) of the overall male population.

Risk Factors

• Antisocial history
• Antisocial personality disorder
• Alcohol misuse
• Male gender
• Pedophilic sexual preference

Natural History, Complications and Prognosis

Prognosis

Poor prognostic factors include:

• Alcohol misuse
• Antisocial personality disorder
• History of childhood emotional or sexual abuse

Diagnostic Criteria

DSM-V Diagnostic Criteria for Paranoid Personality Disorder

“

A. Over a period of at least 6 months, recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors. AND B. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Specify whether: Sexually aroused by exposing genitals to prepubertal children Sexually aroused by exposing genitals to physically mature individuals Sexually aroused by exposing genitals to prepubertal children and to physically mature individuals Specify if; In a controlled environment: This specifier is primarily applicable to individuals living in institutional or other settings where opportunities to expose one’s genitals are restricted. In full remission: The individual has not acted on the urges with a nonconsenting per son, and there has been no distress or impairment in social, occupational, or other areas of functioning, for at least 5 years while in an uncontrolled environment.

”