Behavioral Science - Sexual Disorders and Paraphilias Flashcards
what are risk factors in human sexual behavior
- substance abuse
- limited access to care
- poor health literacy
- unassertive
- poor communication skills
what are the 4 phases of the sexual response cycle
- desire
- excitement
- orgasm
- resolution
what are the components of the first phase of the sexual response cycle
Desire
- sexual drive
- motivation
- wish fulfillment
what are the components of the second phase of sexual response cycle
Excitement
- arousal
- erection, vaginal lubrication
- nipples harden
- increased respiration, tachy
what are the two basic physiological processes that occur during the excitement stage of the sexual response cycle
- vasodilation/constriction (engorgement of blood vessels of genitals as a result of dilation of blood vessels)
- mytonia (muscle contraction in genital and throughout body)
what are the components of the third phase of sexual response cycle
orgasm
- peak of sexual pleasure
- release of sexual tension
- rhythmic contraction of perinatal muscles and pelvic reproductive organs
what are the components of the fourth phase of sexual response cycle
resolution
- disgorgement of blood from genitals
- body returns to resting state
- if orgasm occurred: resolution is rapid
compare resolution between males and females
males: refractory period can last 3-10 mins, 24 hours, or even several days
females: no refractory period, but usually need time for resolution
describe male hypoactive sexual desire disorder
persistently or recurrently deficient/absent sexual fantasies and desire
usually at least 6 months
describe female sexual interest/arousal disorder
lack of/significantly reduced sexual interest/arousal in at least 3 of the following for 6 months:
- absent/reduced interest
- reduced sexual/erotic thoughts
- none/reduced initiation of sex, unreceptive to partner’s attempts
- absent/reduced pleasure
- absent/reduced interest in response to sexual cues
- absent/reduced genital or non-genital sensations
describe erectile disorder
at least one of the following must be experienced on almost all or all occasions of sexual activity for 6 months:
- difficulty obtaining erection
- difficulty maintaining erection until completion
- marked decrease in erectile rigidity
erectile disorder risk factors
- HTN
- DM
- smoking
- CAD
- PVD
- peyronie’s
- priapism tx
- lack of sexual knowledge
describe female orgasmic disorder
persistent or recurrent delay in, or absence of, orgasm or reduced intensity following a normal sexual excitement phase for 6 months
describe delayed ejaculation
either all of the following must be experienced on almost all or all occasions for 6 months
- marked delay in ejaculation
- marked infrequency or absence of ejaculation
describe premature ejaculation
persistent or recurrent ejaculation w/ partnered sexual activity within 1 minutes following penetration and before the pt prefers it, for 6 months, for almost all/all occasions
describe genito-pelvic pain penetration disorder
persistent or recurrent difficulties with 1 or more of the following for 6 months:
- vaginal penetration
- vulvovaginal or pelvic pain during intervourse
- marked fear/anxiety about the pain of penetration
- tensing or tightening of pelvic floor muscles during attempted penetration
what are some behavioral therapies for sexual disorders
- sensate focus (no intercourse allowed for a time period, then systematically re-introduce sexual stimulation)
- squeeze technique; start-stop method
- relaxation techniques
- masturbation
define paraphilia
intense and persistent sexual interest in something other than genital stimulation or prepatory fondling for at least 6 months
what disorder has a high comorbidity rate with victimizing paraphilias
antisocial personality disorder
describe sexual masochism disorder
deriving sexual pleasure from suffering
what is hypoxyphilia
sexual arousal by oxygen deprivation
what is sexual sadism disorder
sexual arousal from the physical or psychological suffering of another person
what is exhibitionism
exposure of genitals to unsuspecting strangers in public
what is fetishistic disorder
sexual arousal from non-living objects or specific focus on non-genital body parts
what is frotteuristic disorder
touching or rubbing against a non-consenting person
what is transvestic disorder
sexually arousing fantasies, urges, or behaviors about cross-dressing
what is voyeuristic disorder
sexual arousal by watching an unsuspecting person who is naked, disrobing, or engaging in sexual activity
risk factors for pedophilic disorder
- male victims
- stranger victims
- prior sex offenses
- lack of a cohabitation history with adult partners
what is coprophilia
paraphilic disorder with feces
what is klismaphilia
paraphilic disorder with enemas
what are some behavioral therapies to treat paraphilias
- aversion therapy
- desensitization
- social skill training
- orgasmic reconditioning
