BILL GATINGWAY (REVISED VERSION -TURNED IN)

Bill Gatingway

Psychiatric Disorder
Paraphilias
Exhibiting Disorders
Frotteurism
&
Voyeurism

Analysis by
Felicia McCaw, Student Ph.D.
Saginaw Valley University Student Zone
Free to Live and Release Trouble Agency
Fall 2012

Ms. Felicia McCaw
Saginaw Valley State University
Social Work and Sexual Violence
Instructor – Dr. Edward C. Jones
SW 314
Fall 2012
Bio-Psychosocial History

Identifying Information

Bill is a 27 year old single black male of unknown religious background. He has never been married and resides in Ottaburg, Michigan and is a student at Vasact Community College fulltime.

Presenting Problem

Bill has contacted my agency for the uncontrolled compulsion he is suffering. He has expressed his anxiety and nature of being distraught about his inability to control his obsession to voyeur and acts of Frotteurism. Further he has given written consent to undergo therapeutic sessions to control his acts of Frotteurism and Voyeurism.
Bill has expressed that he feels compelled to watch women undress by either peeping in their window, using a mirror on his show, hiding in dressing rooms and doing acts of unwanted physical contact on strangers (women) that consist of groping and pressing himself against them in grocery lines, at the movies in lines for entry, in the elevator or in any close confined space.

Family Background

Bill stated that his parents are still alive and of mixed descent. His father is of mix culture of Black and Mexican and his mother is of mix culture of Black and Norwegian. Both are college educated and one works for the City of Ottaburg as an Assessor and his mother works at Ivancorp as a manager of the City Works Department. Both are 56 years of age and had him when they finished college and were married before his birth. Both parents have a good relationship with their son because he is an only child. Because Bill comes from a cultural heritage of three races he has mingled with all three races and has established his comfort with

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Family Background (continued)

his heritage and acceptance of who and where he comes from. He established that he believes in God but does not attend church but his parents does and are of the Baptist faith.
Bill related that both his parents raised him in a strict authoritarian fashion and made him accountable for any misdeeds. His family’s income put them in the upper middle class and allowed them to socialize regularly with co-workers and neighbors.

Developmental History
Frotteurism

Bill recounted that he was a normal child with normal tendencies and that nothing out of the ordinary from birth to infancy had occurred but indicated he started watching the neighbor next door sunbathing in the nude when he was nine years old. He further stated that he found some adult magazines that his father had “stashed in the garage” and felt compelled to look at them every day when he was 10 years old and throughout adulthood. He stated that he started masturbating at the age of 11 after watching his father in the garage one day and began to emulate his behavior. Bill stated no one has ever relayed that anyone in the family of having suffered any disorder of any kind whether mentally or physically. He recounted that he had his tonsils removed after inflammation and drainage that required immediate removal but no other physical ailments.
Bill stated he had no trouble adjusting to school from elementary to high school but since the age of 11 years he began to watch girls avidly. He further stated that he used excuses to get

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close and touch them and participated in recreational play and social activities that allowed close proximity. He stated that he never served in the military or achieved or did anything outstanding.
Bill stated he acts without knowledge and presses himself against strangers (females) in closed areas. Further that this behavior resulted in full arousal by rubbing his pelvic area and penis on the victimized person. Also, he related that he would also fondle areas of the female and this problem has caused unwanted fantasies which cause distress and impairs his ability to mix in socially. Also, related was that this behavior had been ongoing over a six month period.

He further asserted that his first sexual interaction with a female was at the age of 14 years and she was three years older than him. The relationship lasted 1½ years and his next relationship begun when he was 16 years old and continued for three years. During both relationships he was unfaithful and had sex continually with other females and by the time he was 20 years old, he stated he began to really act compulsively as a voyeur and started to touch any female in any fashion he wanted and that is why he is here now to get help.

Voyeurism

Bill suffers from an additional paraphilia known as Voyeurism. He states that he suffers from uncontrolled compulsions to watch, stare, listen and observe in all capacities of voyeurism. He relayed that he gets overwhelming pleasure and sexual gratification from looking at the nakedness of females and is an avid collector of pornography (adult magazines) and has to be in private because he experiences orgasmic triologies. Further because he is involved in all forms of voyeurisms he finds it hard to function properly in society due to his lapsing into fantasies of extreme that appear to be real which cause him to approach his subject of interest with

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familiarity and refer to his fantasies and try to interlock her with interaction and invoke a memory in her.
He further started he begun watching females at the age of 11 years of age and was compelled, intrigued and fascinated at the differences in his body and theirs. Because of this behavior he stated he was unable to function properly in society due to his pleasure in watching and his not getting caught allowed him to continue his behavior.

Assessment of Current Situation

Bill’s reflective state of mind and behavior reflects a clear indication of mental suffering and uncertainty of how to proceed to help himself. As per my analysis of him, he has clear indications of identity problems and lack of appropriate roles to follow, and a somewhat detrimental state of general adjustment in living, social attitudes are restrictive, constrictive and fraught with psychological problems. The psychological problems relate to his being a voyeur and his suffering from frotteurism. He is unemployed now but enrolled as a full-time student, single and involved with a female five years younger than him and who is unaware of his inner struggle with his sexual disorders. His interpersonal relationships are fair but distant and his values are fair with a goal to change his life and eradicate his sexual disorder. Further relayed by him is the wish to establish a life as his parents and emulate them.

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Research

Frotteurism

In the DSM-IV-TR (American Psychiatric Association, 1994), Frotteurism involves the touching and rubbing against a non-consenting person and is usually done in crowded places. Usually the paraphilia begins during adolescence and occurs between the age of 15 – 25 years of age. This paraphilia was first discussed in the scientific literature of Kraft-Ebing’s Sexualis (1886/1998) which reflected a study of four cases of frotters with a description that it is a masturbatorial act of a person experiencing uncertainty about his virility in the presence of women with the origins of the word itself from French origins.

People who have been established as frotteurs or suffering from frotteurism either come forward on their own or have been ordered by a court order to a mental health for psychiatric evaluation and assistance.

Voyeurism

In the DSM-IV-TR (American Psychiatric Association, 1994), Voyeurism involves the act of observing unsuspecting individuals in the process of undressing or engaging in sexual activity. This exhibited behavior may involve the act of looking, e.g., a peeping tom, for the pleasure of achieving sexual excitement which would involve no sexual activity. Voyeurism is one of the most common law breaking sexual behaviors according to clinical studies. Although research is limited this is because this paraphilia does not have as many negative connotation as the other paraphilias. Further, as per research high-frequency voyagers have tendencies of depression then low-frequency voyeurs.

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Intervention

Bill Gatingway is a person who suffers from two sexual disorders of paraphilia nature frotteurism and voyeurism. Because both disorders cause psychological and mental disturbances that causes compulsions to act on impulse the purpose is to treat and circumvent negative behavior.

Because Bill suffers from two psychological disorders, Solution Approach Therapy will be utilized to reverse acts of frotteurism and voyeurism. This therapy will be used as a framework and collaborative model that defers to a client’s needs, problems and goals to change.

This therapy will emphasize the client’s weakness and detail the deficits and eradicate road blocks that the client might have. Further because this therapy allows flexibility this will allow changes in techniques to be interchangeably used (Guterman, Martin, Rodes, 2011).

Another approach that will be utilized is Behavior Therapy and it is derived from principles, procedures, and findings of experimental psychology. The usage of this therapy is to change an undesired behavior to a positive behavior and to also halt destructive behavior (Wilson, Agras, 1992). As part of the treatment this will consist of strengthening social skills, providing problem-solving pointers to help change a behavior from negative to positive as a continual
strategy to confront the disorders .

The goal and purpose is to develop discipline and focus to enable self-control and change and get client on the road to normalcy and acceptance of who they are, were and who they can become. By admitting there is a problem and facing it head on this will allow the acceptance that it can be done and achievement is not far away.

REFERENCES
Guterman, J. T., Martin, C.V. & Rudes, J. (2011). A Solution-focused Approach to Frotteurism.
Journal of Systemic Therapies, 30(1), 59-72.
Diagnostic and Statistical Manual of Mental Disorders. (1994). DSM-IV. Published by the
American Psychiatric Association. Washington, D.C.: U.S.
Langstrom, N. (2009). The DSM Diagnostic Criteria for Exhibitionism, Voyeurism and
Frotteurism. Sexual Behavior, 39, 317-324.
Hinderliter, Andrew C. (2010). Disregarding Science, Clinical Utility and the DSM’s Definition
Of Mental Disorder: The Case of Exhibitionism, Voyeurism, and Frotteurism. Sexual
Behavior, 39, 1235-1237.
King, B., Von Kraftt-Ebing. (1999) Psychopathia Sexualis – A Clinical Forensic Study.
Burbank, California: Bloat Publishing
Seligman, L., Hardenburg, S.A. (2000). Assessment and Treatment of Parphilias. Journal of
Counseling and Development, 78.1., 107-113.
Rinehart, N. J., McCabe, M.P. (1998). An Empirical Investigation of Hypersexuality, Sexual
and Marital Therapy. Sexual and Marital Therapy. 13.4, 369