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
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
3
Q
Describe tx: Gender dysphoria (3)
A
- psychotherapy
- hormonal therapy
- gender affirming surgery (old term: sexual reassignment surgery)
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
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
6
Q
Describe tx: Paraphilic disorders (3)
A
- anti-androgen drugs
- behaviour modification
- psychotherapy