Does anyone have clinical expertise, or a terrific book recommendation, about exhibitionism?
I'm seeing a high-functioning, married man of 35 who fantasizes constantly about women noticing his penis, and thinking it's large and attractive. He's actually had penile enlargement surgery (badly botched) and further surgery to clean up the mess.
His wife is very attractive and very interested in sex, but his interest in her is limited--partly because she is labile, hostile, and now critical about being sexually deprived.
He was busted once about 5 years ago for a minor episode. He isn't really the open-the-trenchcoat-and shock-everyone type; he mostly wants to get women's attention in more subtle ways; for example, he imagines having a female doctor examine him, or a female shoe salesperson wait on him, and he maneuvers himself so they see his penis.
As a patient he is cooperative, friendly, and somewhat psychologically oriented. He comes every week. He reports no identifiable trauma or event that lead to developing this interest.
Now he wants to participate in a nude pingpong tournament. He's an excellent player and looks forward to the competition, but freely admits much of the draw is the chance to have his penis seen by others. A small part is the chance to see nude women.
Any suggestions on working with this guy?
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