[BEHSCI] Sexual Disorders and Paraphilias [Schmidt]

Question 1

What is meant by the term “Abnormal” Sexuality?

Answer 1

Compulsive, Injurious to self or others

Question 2

What is the Sexual Response Cycle?

Answer 2

Desire

Excitment

Orgasm

Resolution

Question 3

What are some of the components of the Desire component of the Sexual Response Cycle?

Answer 3

Sexual Drive –> genital sensations

Motivation –> psychological, willingness to offer body

Wish Fulfillment –> hoping/expectations for sex

Question 4

What are some physical features of Arousal?

Answer 4

Erection, Vaginal Lubrication

Nipples Harden

Increase Respiration

Tachycardia

Increase in BP

Question 5

What are the two basic physiological processes that occur during the Excitement part of the Sexual Cycle?

Answer 5

Vasodilation/Constriction – engorgement of blood vessels of genitals

Myotonia –> muscle contractions in genitals and throughout body

Question 6

What is Orgasm?

Answer 6

Peak of Sexual Pleasure

release of Sexual Tension and rhythmic contraction of perinatal muscles and reproductive organs

Orgasm last from 3-25 seconds

Question 7

What is seen during Resolution?

Answer 7

A rapid return to resting state

General sense of well-being

(If orgasm didnt occur – resolution may take up to 2-6 hours)

Question 8

If a couple is having trouble with finding pleasure – what can you educate them on?

Answer 8

The Sexual Response Cycle

(Teaches them what is normal in themselves and their partner)

Question 9

What are the following dysfunctions in regarding the sexual cycle?

Male Hypoactive Sexual Desire Disorder

Female Sexual Interest/Arousal Disorder

Answer 9

Desire

Question 10

What are the following dysfunctions in regarding the sexual cycle?

Female Sexual Interest/Arousal Disorder

Erectile Disorder

Answer 10

Excitment/Arousal

Question 11

What are the following dysfunctions in regarding the sexual cycle?

Female Orgasmic Disorder

Delayed/Premature Ejaculation

Answer 11

Orgasm

Question 12

What are the following dysfunctions in regarding the sexual cycle?

Genito-Pelvic Pain / Penetration Disorder

Answer 12

Sexual Pain

Question 13

What is meant by Male Hypoactive Sexual Desire Disorder?

Answer 13

Persistently deficient (or absent) sexual fantasies and desire for sexual activity

(For at least 6 months)

Question 14

What are the guidelines for diagnosing Female Sexual Interest/Arousal Disorder?

Answer 14

Need 3 of the following for 6 months

Absent or reduced Interest in Sexual Activity

Absent or reduced sexual/erotic throughts

None or reduced intitation, unreceptive

Absent or reduced sexual pleasure

Absent or reduced sexual interest/arousal in response to internal/external sexual cues

Absent of reduced genital/non genital sensations

Question 15

How do you classify Erectile Disorder?

Answer 15

At least 1 of the following almost all occasions of sexual activity (6 months)

Cant get an erection

cant maintain an erection until completion

marked decrease erection rigidity

Question 16

What is meant by Female Orgasmic Disorder?

Answer 16

Persistent or recurrent delay in, abscence of orgasm or reduced intensity following normal sexual excitement phase for 6 months

Question 17

What is meant by Delayed Ejaculation?

Answer 17

Either of the following almost always for atleast 6 months

Marked delay in ejaculation

marked infrequency of abscence of ejaculation

Question 18

What is the time frame for Premature Ejaculation?

Answer 18

Within approximately 1 minute

(almost always for 6 months)

Question 19

How would you diagnose Genit-Pelvic Pain Penetration Disorder?

Answer 19

Persistent difficulties with 1 or more, for atleast 6 months:

Vaginal Penetration during intercourse

Marked Vulvovaginal or pelvic pain during intercourse

Marked fear or anxiety about pain

marked tensing or tightening of pelvic floor muscles

Question 20

What are some behavioral therapies for people with sexual dysfunction?

Answer 20

Sensate Focus – not having sex for a period of time, than re-introducing it

Start-Stop Method (for premature ejac)

Relaxation Techniques

Masturbation

Question 21

With Victimizing Paraphilias what personality disorder is commonly seen?

Answer 21

Anti-Social Personality Disorder

Question 22

What is Sexual Masochism Disorder?

Answer 22

Deriving sexual pleasure from suffering

Question 23

What is Asphyxiophillia or Hypoxyphillia?

Answer 23

Sexual Arousal by oxygen deprivation

It increases the intensity of orgasm

(seen in white males <30 years)

Question 24

What is Sexual Sadism Disorder?

Answer 24

Sexual arousal from the physical or psychological suffering of another person.

Question 25

What is Exhibitionism?

Answer 25

Exposure of Genitals to unsuspecting strangers

Question 26

What is Fetishistic Disorder?

Answer 26

“wearing womens panties”

Question 27

What is Frotteuristic Disorder?

Answer 27

Touching/Rubbing up against non-consenting people

Question 28

What is Transvestic Disorder?

Answer 28

Sexual arousing fantasies, urgers, behaviors about cross dressing

Question 29

What is Voyeuristic Disorder?

Answer 29

Watching an unsuspecting person who is naked, disrobing, or engaging in sexual activity

(must be +18)

Question 30

What is Pedophilic Disorder?

Answer 30

Sexual Fantasies about pre-pubescent children (<13 years old)

The person must be +16 years and at least 5 years older than the child

(Non-exclusive vs Exclusive)

Question 31

What are the current treatments for Pedophillic Disorders?

Answer 31

None have shown efficacy

GnRH tx did show promise, but is similar to physical castration