You will receive a case study (see below) regarding a sexual dysfunction, dysphoria, or paraphilia that you need to evaluate and recommend interventions. for said “client. A minimum of two academic journal articles must be referenced for your recommendations.
Case #6 Burke
Burke is a successful physician with a big secret. It started when he was a teenager. His sister had hung her bra over the shower rod. He was curiousâ€”how did girls wear them? What did it feel like? He found himself getting excited at the thought of the lacy bra against his skin. One day he took the bra and matching panties out of the fresh laundry. His sister never noticed. Whenever he wore them, he felt sexually aroused. At the time, Burke was shy and awkward around girls. His family and community expected him to be dating and eventually get married, but he rationalized that he did not have time for girls. He had to study hard if he wanted to become a doctor. All through high school, college, and medical school, he satisfied his urges by wearing womenâ€™s underwear underneath his shirt and pants. He had no dating relationships, other than going to coffee a few times.
Now that Burke met his goal of becoming a doctor, he wanted to date, get married, and settle down. There was an attractive nurse at his hospital who seemed to be interested in him. He felt distressed because he did not feel the same sexual excitement when thinking about her, as he did when thinking about wearing the lacy underwear. He also wondered if this woman would understand his sexual needs or judge him for it. He wondered if she would assume he wanted to be or live as a woman, which he did not. Also, the longer that time passed without dating, Burke felt anxious thinking about opening up or being intimate with women. He had no idea what to say or do if he were ever alone with a woman. At 30 years old, he thought he might be the only person in the state who had not had sex yet. The longer he went without having sex, the more he believed he may never be able to have sex. Twice he answered an ad for a prostitute, but then changed his mind at the last minute. He was afraid he could be arrested and it would affect his career if he got caught.
Burke was healthy and had no known medical conditions. This was his first time seeking counseling. He did not told his family about his sexual proclivity nor that he sought a counselor. He saw his parents and sister regularly, as they lived nearby. He always went to Sunday dinner at his parentsâ€™ house and they always asked if he was dating anyone. He was tired of answering that question with â€œno.â€