When Frank asked to see a therapist, his most pressing exhibitionism. anxiety or his difficulties with intim relationships. It shisproblem with dysfunctions. was is also a sexual problem, but of a different kind from the sexual not involve Exhibitionism is a paraphilia, an unusual sexual preference (one that does sexual appropriate activity with oncself or a consenting adult partner). Frank derived drive pleasure from exposing his genitals to unsuspecting strangers. Although he would for miles away from his hometown to do this, and he usually chose the of or, much this activity, he was very fearful of being recognized by friend or each worse, of being arrested. He was also disturbed by this behavior in other ways, After be rid of himselfhe would and near-suicidal. He to with of this compulsion to expose himselfandtobe able to sexual relationship his someone. focus on three issues: his exhibitionism, that Frank and the therapist agreed to anxiety. It was avoidance and fear ofclose relationships, and his general social concerns in an indirect one central issue was that he handled his fears, resentments, and workmates, he fashion. Instead of asserting himself with friends and responding deliberately acted as if he did not wish to be taken seriously. Instead of vandalism forthrightly to criticism or disappointments, he performed surreptitious acts of sexual Instead of confronting his problems with intimacy directly by seeking a suitable sexual