Medical Case Study Miguel

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The case of Miguel presents various challenges that should be addressed immediately and assessed accurately in ways that are culturally valid, effective, and in accordance with diagnosis criteria listed in the fifth edition of the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5, 2013). Delamater & Hasday (2007) stated that various disciplines contribute to an understanding of human sexuality including biology, evolutionary psychology, psychology, anthropology, women’s studies, communications, family studies, and sociology. However, while the field of humanities addresses the range of behaviors like thoughts and feelings associated with human sexuality, it is the sciences that seek to create and assess principal explanatory …show more content…

Miguel’s long history with of alcohol use began when he was 13 years old and at the age of 23 he was arrested for driving while under the influence. Even after his arrest, Miguel continued to drink and believes his drinking is not a problem. Currently, Miguel drinks an average of (2 to 3) rum and coke drinks per day (3 to 4) times a week. Miguel also reported intermittent use of marijuana throughout his lifetime that also began around the age of 13. Miguel used marijuana heavily throughout his 20's and 30's but currently reports smoking one to two joints per month. Additionally, Miguel has smoked a half a pack of cigarettes a day for the past ten years and has no desire of ever quitting. Miguel’s affliction with watching pornographic materials began in his childhood and reports that his first experience with porn occurred when his father gave him a Playboy magazine to look at and told him that he could learn about sex if he looked at these pictures and read the articles. Miguel learned about masturbation by reading an article and since that time his pornography use increases and decreases but has always been present. Miguel was able to look at pictures from magazines for several years but when the Internet 'boomed' porn became more and more of an issue. Over the past 10 years, Miguel has spent 2-3 hours per day on the internet looking at pornography websites; however, his sexual behavior extends beyond the act of viewing pornographic material that includes online chatting, internet hook-ups, sex for pay, going to strip clubs frequently, and sex with strangers. Miguel’s wife is unaware of the extent of her husband’s excessive sexual behavior for which Miguel stated that he does not know why 'those urges'

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