There are different theories related to exhibitionistic behaviors, many stemming from the psychoanalytic camp. They suggest that childhood trauma (e.g., sexual abuse) or significant childhood experiences can manifest itself in exhibitionistic behavior.
This disorder is characterized by either intense sexually arousing fantasies, urges, or behaviors in which the individual observes an unsuspecting stranger who is naked, disrobing, or engaging in sexual activity. To be considered diagnosable, the fantasies, urges, or behaviors must cause significant distress in the individual or be disruptive to his or her everyday functioning.
Treatment typically involves psychotherapy aimed at uncovering and working through the underlying cause of the behavior.
Prognosis is good although often there are other issues which may surface once the behaviors are extinguished. If this is the case, these issues must be worked through as well.