15. Sexuality and Gender Flashcards

1
Q

Define: Gender dysphoria (1)

A
  • the distress that may coincide with conflict between one’s experienced/expressed gender and one’s assigned gender
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2
Q

Describe typical presentation: Gender dysphoria (7)

A
  • strong and persistent cross-gender identification
  • desire to be rid of current primary/secondary sex characteristics and to gain the primary/secondary sex characteristics of their identified gender
  • repeated stated desire or insistence that one is of the opposite sex
  • preference for cross-dressing, cross-gender roles in make-believe play
  • strong desire to participate in the stereotypical games and pastimes of the opposite sex
  • strong preference for playmates of the opposite sex
  • significant distress or impairment in functioning and persistent discomfort with his or her sex or gender role
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3
Q

Describe tx: Gender dysphoria (3)

A
  • psychotherapy
  • hormonal therapy
  • gender affirming surgery (old term: sexual reassignment surgery)
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4
Q

Define: Paraphilic Disorders (7)

A
  • intense and persistent sexual arousal that is elicited by something other than genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners
  • paraphilic disorder: paraphilia that causes distress or functional impairment to the individual, or a paraphilia whose realization entails personal harm, or risk of harming others
  • subtypes
  • rarely self-referred; come to medical attention through interpersonal or legal conflict
  • person usually has more than one paraphilia; 5% of paraphilias attributed to women
  • typical presentation: begins in childhood or early adolescence; increasing complexity and stability with age
  • chronic, decreases with advancing age but may increase with stress
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5
Q

Name subtypes of paraphilic disorders (10)

A
  • voyeuristic
  • exhibitionistic
  • frotteuristic
  • sexual masochism
  • sexual sadism
  • pedophilic
  • fetishistic
  • transvestic
  • other specified paraphilic disorder
  • unspecified paraphilic disorder
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6
Q

Describe tx: Paraphilic disorders (3)

A
  • anti-androgen drugs
  • behaviour modification
  • psychotherapy
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