was a 22-year -old single man referred following his fourth arrest
for exhibitionism .He would usually expose himself from his car to
women up to their late 20s. The victim's response was to laugh ,to be started and
run away or to make harsh comments to him .Following his first
exposures ,he concluded that there was nothing to it ,and he did
not expose himself again until 4 months later. Since then, he
exposed himself 2 or 3 times per month. Exposures occurred in
waves, followed by periods of up to a year of no exhibitionism.
His four arrests had led to minimal consequences for him. During
the year prior to referral, he had a rich , enjoyable sexual
relationship with his girlfriend, with frequent intercourse and
without sexual dysfunction.
intelligent student, Frank logically appreciated the
inappropriateness of his exposing himself. Although he hoped for a
sexual encounter with one of his victims, it never occurred.
Although 15 percent of his masturbatory fantasies involved
recalling previous episodes of exposing his remaining fantasies
were of normal heterosexual intercourse. An increased intensity of
his urges to expose were provoked by seeing female peers walking
or driving by themselves. He would follow a woman in his car while
fantasizing her possible positive reaction should he expose
himself. These fantasies were soon accompanied by masturbation
while driving. His excitement and anxiety intensified
as the time of his attempted exposure
approached. Exposure was usually to a woman in her car
while driving his car, a technically difficult feat fraught with
was his careless disregard for protecting his identity. Frank made
minimal attempts to conceal his appearance, the characteristics of
his car, or even his license plate. After a series of exposures,
he would be over come by depression and intense guilt. He would
resolve not to expose himself again, but after 1 to 6 weeks, his
cycle of recurrent urges and exposures would return.