AB- Sexual disorders

Question 1

Assessing sexual behavior

Answer 1

interviews - multiple dimensions assessed
medical examinations
psychophysiological - watching something arousing and measure their response, men = penile strain gauge, women =vaginal photoplethysmograph

Question 2

Sexual Dysfunctions

Answer 2

clients find it difficult to function properly while having sex
categories in DSM5- desire, arousal, orgasm, pain
can be lifelong, acquired, generalized, situational

Question 3

Male Hypoactive sexual desire disorder

Answer 3

little to no interest in sexual activity
decreased frequency - intercourse, masturbation, sexual fantasies
lasts 6 months or longer
rare- 1.8%

Question 4

Female sexual interest/arousal disorder

Answer 4

significant reduction or lack of sexual arousal
absent/reduced sexual fantasies
no/reduced initiation of sexual activity
absent/reduced sexual interest/arousal in response to something erotic
6+months
not desire discrepancy (one wants more one wants less)

Question 5

Erectile disorder

Answer 5

difficulty achieving and maintaining an erection
approx all or most occasions of sexual activity 75-100%
most common thing men go to doctor for

Question 6

Premature ejaculation

Answer 6

persistent of recurrent pattern of ejaculation during partnered sexual activity
within a minute
minimum 6 months in all or almost all occasions
mild: 30 sec to 1 min
moderate: 15 sec to 30 sec
severe: 15 sec or less

Question 7

Delayed ejaculation

Answer 7

marked infrequency of absence of ejaculation in all or almost all partnered sexual activity
6 months

Question 8

Female orgasmic disorder

Answer 8

infrequency of or inability to orgasm in all or almost all occasions
severity is based on distress
10% never have orgasms
6 months

Question 9

Genito-pelvis pain/penetration disorder

Answer 9

pain and/or difficulty with vaginal penetration

fear or anxiety of pain during penetration

Question 10

Causes

Answer 10

biological contributions- medical conditions, prescription meds
psychological and social
-negative traumatic experiences, poor interpersonal relationships, lack of communication, performance anxiety

Question 11

Treatments

Answer 11

Education

psychosocial intervention - eliminate performance anxiety, sensate focus,non-demand pleasuring