Implications for Counselors

Most frotteuristic behaviors occur in crowded, public places. The circumstances in which these behaviors occur make it very difficult to identify the individual engaging in these behaviors with a non consenting individual (Beech, Miner & Thornton, 2016).
What this means for counselors is that it is highly likely that the clients we will see with this sexual preference are self disclosing, and experiencing distress because of their urges, meaning they meet the criteria for diagnoses.

Typically, offenders do not simply display frotteuristic habits. Rather, DSM 5 notes that frotteurism is highly comorbid with other paraphillic disorders, particularly voyeuristic disorder and exhibitionistic disorder. Conduct disorder, antisocial personality disorder, and depressive mood disorder are also highly comorbid with frotteurism. 

Due to the feelings of guilt and shame that often accompany this diagnosis, group therapy with other individuals with paraphillic diagnoses could be beneficial to these clients as it allows the opportunity for nonjudgemental acceptance, and relationship building throughout the therapeutic process.

Rules are foundational building blocks to any treatment program surrounding this diagnoses. They set expectations for what is required by the therapist and the client. These rules can be most effective and rapport building when created by the therapist and the client collaboratively. Such collaboration lends itself to rapport-building, and gives the client the opportunity to grow in self-efficacy by taking responsibility for their own treatment program.


References
Beech, A. R., Miner, M. H., & Thornton, D. (2016). Paraphilias in the DSM-5. Annual Review of Clinical Psychology, 12, 383. Retrieved from http://lp.hscl.ufl.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,uid&db=edb&AN=123926472&site=eds-live

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