Behavioral Science - Sexual Disorders and Paraphilias

Question 1

what are risk factors in human sexual behavior

Answer 1

• substance abuse
• limited access to care
• poor health literacy
• unassertive
• poor communication skills

Question 2

what are the 4 phases of the sexual response cycle

Answer 2

1. desire
2. excitement
3. orgasm
4. resolution

Question 3

what are the components of the first phase of the sexual response cycle

Answer 3

Desire

1. sexual drive
2. motivation
3. wish fulfillment

Question 4

what are the components of the second phase of sexual response cycle

Answer 4

Excitement

• arousal
• erection, vaginal lubrication
• nipples harden
• increased respiration, tachy

Question 5

what are the two basic physiological processes that occur during the excitement stage of the sexual response cycle

Answer 5

1. vasodilation/constriction (engorgement of blood vessels of genitals as a result of dilation of blood vessels)
2. mytonia (muscle contraction in genital and throughout body)

Question 6

what are the components of the third phase of sexual response cycle

Answer 6

orgasm

• peak of sexual pleasure
• release of sexual tension
• rhythmic contraction of perinatal muscles and pelvic reproductive organs

Question 7

what are the components of the fourth phase of sexual response cycle

Answer 7

resolution

• disgorgement of blood from genitals
• body returns to resting state
• if orgasm occurred: resolution is rapid

Question 8

compare resolution between males and females

Answer 8

males: refractory period can last 3-10 mins, 24 hours, or even several days
females: no refractory period, but usually need time for resolution

Question 9

describe male hypoactive sexual desire disorder

Answer 9

persistently or recurrently deficient/absent sexual fantasies and desire

usually at least 6 months

Question 10

describe female sexual interest/arousal disorder

Answer 10

lack of/significantly reduced sexual interest/arousal in at least 3 of the following for 6 months:

1. absent/reduced interest
2. reduced sexual/erotic thoughts
3. none/reduced initiation of sex, unreceptive to partner’s attempts
4. absent/reduced pleasure
5. absent/reduced interest in response to sexual cues
6. absent/reduced genital or non-genital sensations

Question 11

describe erectile disorder

Answer 11

at least one of the following must be experienced on almost all or all occasions of sexual activity for 6 months:

1. difficulty obtaining erection
2. difficulty maintaining erection until completion
3. marked decrease in erectile rigidity

Question 12

erectile disorder risk factors

Answer 12

• HTN
• DM
• smoking
• CAD
• PVD
• peyronie’s
• priapism tx
• lack of sexual knowledge

Question 13

describe female orgasmic disorder

Answer 13

persistent or recurrent delay in, or absence of, orgasm or reduced intensity following a normal sexual excitement phase for 6 months

Question 14

describe delayed ejaculation

Answer 14

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

Question 15

describe premature ejaculation

Answer 15

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

Question 16

describe genito-pelvic pain penetration disorder

Answer 16

persistent or recurrent difficulties with 1 or more of the following for 6 months:

1. vaginal penetration
2. vulvovaginal or pelvic pain during intervourse
3. marked fear/anxiety about the pain of penetration
4. tensing or tightening of pelvic floor muscles during attempted penetration

Question 17

what are some behavioral therapies for sexual disorders

Answer 17

• sensate focus (no intercourse allowed for a time period, then systematically re-introduce sexual stimulation)
• squeeze technique; start-stop method
• relaxation techniques
• masturbation

Question 18

define paraphilia

Answer 18

intense and persistent sexual interest in something other than genital stimulation or prepatory fondling for at least 6 months

Question 19

what disorder has a high comorbidity rate with victimizing paraphilias

Answer 19

antisocial personality disorder

Question 20

describe sexual masochism disorder

Answer 20

deriving sexual pleasure from suffering

Question 21

what is hypoxyphilia

Answer 21

sexual arousal by oxygen deprivation

Question 22

what is sexual sadism disorder

Answer 22

sexual arousal from the physical or psychological suffering of another person

Question 23

what is exhibitionism

Answer 23

exposure of genitals to unsuspecting strangers in public

Question 24

what is fetishistic disorder

Answer 24

sexual arousal from non-living objects or specific focus on non-genital body parts

Question 25

what is frotteuristic disorder

Answer 25

touching or rubbing against a non-consenting person

Question 26

what is transvestic disorder

Answer 26

sexually arousing fantasies, urges, or behaviors about cross-dressing

Question 27

what is voyeuristic disorder

Answer 27

sexual arousal by watching an unsuspecting person who is naked, disrobing, or engaging in sexual activity

Question 28

risk factors for pedophilic disorder

Answer 28

• male victims
• stranger victims
• prior sex offenses
• lack of a cohabitation history with adult partners

Question 29

what is coprophilia

Answer 29

paraphilic disorder with feces

Question 30

what is klismaphilia

Answer 30

paraphilic disorder with enemas

Question 31

what are some behavioral therapies to treat paraphilias

Answer 31

1. aversion therapy
2. desensitization
3. social skill training
4. orgasmic reconditioning