124b - Sexual Disorders

Question 1

What are the treament outcomes for sex offenders?

Answer 1

Variable - best with comprehensive treatment

• Increased recidivism (repeat offense) with time
• Comprehensive treatment:
  
  • 15% recidivism
• Requires long-term maintenance and surveillance

Question 2

What is a paraphilic disorder?

Answer 2

Paraphilic disorder:

• Recurrent, intense, sexually arousing atypical sexual interests
• Causes clincally significant distress or impairment in function
  
  • Includes sexual offenses

(paraphrased DSM-5)

Question 3

What percent of women experience female orgasmic disorder?

Answer 3

24%

Question 4

Describe the principles of sex therapy

Answer 4

The sexual relationship is the patinet

• Focus: revise the sexual script
  
  • Learn new skills
  • Communication and feedback are crucial - works best both members of the couple are involved

Question 5

What is a paraphilia?

Answer 5

Atypical sexual interest w/consenting adult human partners

(Paraphilic disorder = when the atypical sexual interest is problematic or illegal)

Question 6

Phsyical therapy would be most helpful to treat which type of sexual dysfunction?

Answer 6

Genti-pelvic pain/penetration disorder

Question 7

Which medications may be helpful in the treatment of paraphilias and/or hypersexuality?

Answer 7

• SSRIs
• Anti-androgen hormones

Question 8

What are the general interventions for sexual dysfunction?

Answer 8

• Behavioral techniques
• Cognitive strategies
• Couples therapy (sex therapy)
• Individual psychotherapy
• Integration with medical teams