Abstract
This article is a case study
based on a sexually problematic client with a paraphilia of attraction to
older women. I will explore the phenomenon socioculturally, and clinically. My personal knowledge about
sexuality and ageism will be narrated. I will include ethical guidelines for counselors when treating such
sexual problems, and how to distinguish a sexual addiction (paraphilia) from a simple case of attraction to
older or younger people.
Recently a handsome, virile, seductive
young man (young enough to be my son) made an appointment to see me. He began the interview by disclosing
that he had a sexual issue, but didn’t know if it was “abnormal” or not. As he told
his story, he sat with his shoulders squared and chest out, as if he wanted me
to take notice of his masculinity. His body language and eye contact made me nervous
and I began to think, “He is not here to seek treatment-he is here to meet me.”
He told me he had been attracted to older women since childhood, and would go
to just about any length to have sexual experiences with them. He admitted with
some pride that he has had a string of affairs with older married women, and
found “girls” his age to be frivolous, promiscuous, and undesirable. Rosenfeld (1971)
describes narcissistic individuals as people who idealize their bad
selves. He notes that caring relationships are devalued, attacked, and
destroyed with pleasure. Joseph (1989a, 1989b) sums up this type of perverse
pleasure: “It is very hard for our patients to find it possible to abandon such
terrible delights for the uncertain pleasures of real relationships” (p. 138). The
client additionally disclosed he compulsively viewed and sought sex over the
internet.
Given that, “Young men
show an interest in both older
and younger women”
(Kenrick et al., 1995), I did not automatically determine he was suffering from
a Paraphilia, as sexual standards are contextual. We discussed and agreed that in
many societies young men and older women aren’t considered taboo. Bhugra,
Popelyuk, and McMullen (2010) found, “Cultures
define and describe what is normal and what is deviant. These definitions of
normality vary across cultures and are influenced by a number of factors, such
as religion.” Hensley and Tewksbury (2003) concluded, “Even in more
liberal cultural climates, a range of factors is relevant to social perceptions
of what constitutes sexual deviancy. These include the degree of consent, the
location of the sexual behavior, the age of those involved, the nature of the
sexual act, whether any distress or harm occurs, the frequency of the type of
sexual practice in society and the degree of distaste felt by others about the
particular sexual behavior.” This sociological context was relevant considering he was a second-generation immigrant, and I was unfamiliar with his
cultural norms: “Counselors communicate information in ways that are both
developmentally and culturally appropriate” (ACA, A2c., 2012).
I asked the client if he had aspirations
for marriage and children. He said he did. I asked if he was hoping to find an
older woman to start a family with? He looked stricken and replied, “No, they've already had their
families. I’d want a younger woman for a wife.” I asked how important to him
the desire to be married was, and he admitted it was very important.
I pointed out that his behavior was prohibiting him from getting what he said
he wanted: a marital partner. It was also depriving him of friendships with
people his own age, which is why he felt isolated. I also brought to his attention that since he had been having affairs with married women, these liaisons could lead
to “legal complications, and interfere with social relationships” (DSM, p. 568). When he considered this
logic, he asked what he should do.
I informed him this condition is described
in the Diagnostic and Statistical Manual (DSM-1V-TR) (DSM) as a Paraphilia Not
Otherwise Specified, its formal name: Anililagnia-an attraction of a younger man
to older women.
I explained his behavior would be considered a paraphilia because it is sexual arousal only towards a certain age group. I explained further that Paraphilias are most often intense sexually arousing fantasies usually involving nonhuman objects. However, the DSM defines it further: “The preferred stimulus, even within a particular Paraphilia, may be highly specific. Individuals who do not have a consenting partner with whom their fantasies can be acted out may act out their fantasies with unwilling victims. There is often impairment in the capacity for reciprocal, affectionate sexual activity. Fantasies and behaviors associated with Paraphilias may begin in childhood” (DSM-1V-TR, p. 567-568). I explained Paraphilic habits are supported by the internet: “Heavy users (8%) reported significant problems typically associated with compulsive disorders. Problems were highly correlated with time spent on-line for sex” (Cooper et al., 1999). Although he continued to be subtly flirtatious with me throughout our appointment, beneath the “act” I saw a genuinely worried young man.
I explained his behavior would be considered a paraphilia because it is sexual arousal only towards a certain age group. I explained further that Paraphilias are most often intense sexually arousing fantasies usually involving nonhuman objects. However, the DSM defines it further: “The preferred stimulus, even within a particular Paraphilia, may be highly specific. Individuals who do not have a consenting partner with whom their fantasies can be acted out may act out their fantasies with unwilling victims. There is often impairment in the capacity for reciprocal, affectionate sexual activity. Fantasies and behaviors associated with Paraphilias may begin in childhood” (DSM-1V-TR, p. 567-568). I explained Paraphilic habits are supported by the internet: “Heavy users (8%) reported significant problems typically associated with compulsive disorders. Problems were highly correlated with time spent on-line for sex” (Cooper et al., 1999). Although he continued to be subtly flirtatious with me throughout our appointment, beneath the “act” I saw a genuinely worried young man.
I was raised with conservative Christian
sexual values, which included abstinence from sex, and
neither my single parent nor my youth group ever discussed sexual issues. It
was as if discussion of them would be un-Christian. Age difference in dating was also a topic I
never heard discussed. As an adult, I saw stories in the media about
“cougars” (older women dating younger men), and my personal bias about it was
that perhaps there was a developmental psychological problem with these people.
Maybe the younger was searching for a parental figure, while the “cougar” was
re-living her youth. I surmised there might be something psychologically a-miss. However, as I aged, I observed couples (both heterosexual and
homosexual) who were disparate in years, but who seemed to have healthy, happy
relationships. Once, a woman 20 years my junior asked to date me, and I turned
her down flat, reminding her I had children her age! She called me an “ageist,”
and told me I was missing a good thing.
When there is a
large age difference between two sexual partners, a clinician should not judge
the pair as dysfunctional based solely on this factor. To do so would be
ageist. However, when a person has compulsive sexual thoughts and behaviors towards
much older or much younger persons which jeopardize their safety (or target, and thereby victimize
others), and which interferes with their ability to relate to people of their own age group,
a paraphilia is present. Also, the DSM points out that a hallmark of paraphilic
behavior is seeking out of nonconsenting individuals with the hope or intent of
engaging in sexual activity. It was my distinct impression that this young man
sought me out because I was an older woman, and he was hoping he would get a
little more from me than advice!
In the future, should I assess a client who
has sexually compulsive behavior directed only outside of their age group, I
will not assume it is abnormal simply because of the age difference; this would
be ageist. Instead, I will further determine if there are other factors of
paraphilia present such as: a chronic history of the behavior, seeking out
nonconsenting individuals, avoidance of socialization with peers, and sexually
compulsive behaviors which could lead to complications with the
law or harm to self or others.
The challenge of diagnostics in psychotherapy is to become adept at distinguishing normal from abnormal. In
human sexuality, it seems a fine line between what may seem sexually
permissible, and what is truly dysfunctional. Therefore, it is imperative to “bracket” our
personal biases, so as to gain an unbiased understanding of the client’s
cultural beliefs and life experiences. Conversely, we should not ignore when
clients cannot distinguish consenting from non-consenting sexual partners,
especially if the target of such advances is the therapist. In my view, this
behavior is sexual objectivism, and must be brought out into the light so the
client can be directed to seek clinical intervention.
References:
American
Counseling Association Governing Counsel. (2005). ACA Code of Ethics. Retrieved
from: http://www.counseling.org/resources/codeofethics/TP/home/ct2.aspx
Cooper,
A., Scherer, C.R., Boies, S.C., Gordon, B.L. (1999). Sexuality on the internet:
From sexual exploration to pathological expression. Professional Psychology:
Research and Practice. Vol. 30 (2), pp. 154-164. US: American Psychological
Association.
Kenrick, D. T.,
Keefe, R.C., Bryan, A., Barr, A., Brown, S. (1995).
Age preferences and mate choice among homosexuals
and heterosexuals: A case for modular psychological mechanisms. Journal of Personality
and Social Psychology,
Vol 69(6), pp. 1166-1172. Publisher: US: American Psychological Association.
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C., Tewksbury, R. (2003). Sexual Deviance: A Reader. Lynne Rienner Publishing.
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