Courtship disorder
Courtship disorder is a theoretical construct in a taxonomy of paraphilic sexual disorders. It was proposed by Kurt Freund in 1983 to diagnose and understand the behavior of certain sex offenders, particularly those who commit sexual assaults against adult women. The concept is based on the observation that courtship and sexual behavior in humans, like other animals, follow a predictable sequence of events, and that deviations from this sequence can result in paraphilic sexual interests.
Overview
Courtship disorder is characterized by a sequence of four phases: location, preliminary interaction, tactile interaction, and copulation. Freund suggested that in individuals with courtship disorder, these phases become disordered and can manifest as voyeurism, exhibitionism, frotteurism, and sexual assault, respectively.
Phases
The four phases of courtship disorder are:
- Location: This is the phase where an individual locates a potential sexual partner. In individuals with courtship disorder, this phase may manifest as voyeurism, where the individual derives sexual pleasure from observing others without their consent.
- Preliminary Interaction: This phase involves non-tactile interaction with the potential partner, such as talking or flirting. In courtship disorder, this phase may manifest as exhibitionism, where the individual exposes their genitals to others without their consent.
- Tactile Interaction: This phase involves physical contact with the potential partner. In courtship disorder, this phase may manifest as frotteurism, where the individual derives sexual pleasure from touching or rubbing against a non-consenting person.
- Copulation: This is the final phase, involving sexual intercourse. In courtship disorder, this phase may manifest as sexual assault or rape.
Diagnosis and Treatment
Diagnosis of courtship disorder is based on the presence of one or more of the behaviors associated with the disordered phases of courtship. Treatment typically involves cognitive-behavioral therapy (CBT), which aims to help the individual recognize and change their problematic behaviors. In some cases, medication may also be used.
Criticism
The concept of courtship disorder has been criticized for its reliance on the assumption that human sexual behavior follows a predictable sequence, which some argue is not universally applicable. Furthermore, it has been suggested that the construct may pathologize normal variations in sexual behavior.
See Also
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Contributors: Prab R. Tumpati, MD