Ch 13. Disorders of Sex

Question 1

what is sexual dysfunction

Answer 1

problems with sexual responses

Question 2

what is paraphilic disorders

Answer 2

sexual urges to objects or situations that are not socially appropriate

Question 3

what is another word for hypersexual

Answer 3

hotblooded

Question 4

What percent of men and women have sexual dysfunction

Answer 4

30% men, 45% women

Question 5

what are the four parts of the sexual cycle?

Answer 5

desire, excitement, orgasm, resolution

Question 6

what is acquired sexual dysfunction

Answer 6

normal sexual function preceded dysfunction

Question 7

what is generalized sexual dysfunction

Answer 7

present during all sexual situations

Question 8

what is situational type of sexual dysfunction

Answer 8

tied to particular situations

Question 9

what is desire phase?

Answer 9

interest or urge to have sex

Question 10

what two disorders affect the desire phase?

Answer 10

male hypoactive sexual desire disorder and female sexual interest/arousal disorder

Question 11

what is male hypoactive sexual desire disorder and what percent of men

Answer 11

reduced interest in sex and engage in little sexual activity, physical responses may be normal. 18% of men

Question 12

what is female sexual interest/arousal disorder?

Answer 12

lack normal interest in sex, 38% of women.

Question 13

high level of hormone ______ , low level of ______, and high or low level of _____ may cause low sex drive

Answer 13

prolactin, testosterone, estrogen

Question 14

low sexual desire may be linked to excessive activity of the neurotransmitters _____ and _____

Answer 14

serotonin and dopamine

Question 15

apomorphine increases _______ which decreases sexual desire

Answer 15

dopamine

Question 16

long-term illnesses can _____ sex drive

Answer 16

lower

Question 17

what psychological issues may reduce sexual desire? 6

Answer 17

anxiety, depression, anger, attitudes, fears, memories

Question 18

what sociocultural pressures may lead to low sexual desire? 4

Answer 18

divorce, death, job stress, infertility

Question 19

people who are in an unhappy relationship, lost affection for partner, feel powerless and dominated by parter can ____ _____ in sex

Answer 19

lose interest

Question 20

attraction to partner diminishes with __

Answer 20

age

Question 21

sexual molestation or assault is especially likely to produce disorders of ____ ____

Answer 21

sexual desire

Question 22

what is the excitement phase?

Answer 22

changes in pelvic region, physical arousal, erection, lubrication

Question 23

what percent of men experience erectile disorder?

Answer 23

25%

Question 24

what group of men have the highest percentage of erectile dysfunction

Answer 24

75% of men in 70s and 80s

Question 25

What fraction of the male population experience erectile difficulty during intercourse at least some of the time

Answer 25

1/2

Question 26

what 3 main biological causes of erectile dysfunction

Answer 26

vascular problems, damage to nervous system, medications and substance abuse

Question 27

what is nocturnal penile tumescence?

Answer 27

NPT- erections during sleep, assessing whether physical factors are responsible

Question 28

what is a snap gauge used for?

Answer 28

assesses erections during sleep

Question 29

what percent of men with severe depression experience some degree of erectile dysfunction?

Answer 29

90%

Question 30

what is performance anxiety?

Answer 30

fearful about failing to have an erection, focuses on goal of erection

Question 31

what is spectator role?

Answer 31

male becomes a judge and spectator of his ability to get an erection rather than being an aroused participant

Question 32

what are sociocultural causes of erectile dysfunction?

Answer 32

lost jobs, financial stress, marital stress, too little physical stimulation

Question 33

what are three disorders that are linked to the orgasm phase

Answer 33

early ejaculation, delayed ejaculation, female orgasmic disorder

Question 34

what percent of men ejaculate early at some time, what is it related to

Answer 34

30%, anxiety

Question 35

what neurotransmitter is theorized to have an impact on premature ejaculation?

Answer 35

over or under reactive serotonin receptors

Question 36

what is delayed ejaculation?

Answer 36

persistently unable to ejaculate or is very delayed

Question 37

what percent of men worldwide have this disorder

Answer 37

10%

Question 38

what substances can have an affect ejaculation?

Answer 38

substances that slow down the sympathetic nervous system, alcohol, meds

Question 39

what is female orgasmic disorder?

Answer 39

persistently fail to reach o, low intensity o, delayed o

Question 40

what percent of women have this problem

Answer 40

25%

Question 41

what percent of women have never had an orgasm?

Answer 41

10%

Question 42

what percent of women rarely have orgasms?

Answer 42

9%

Question 43

what what four main biological causes to female orgasmic disorder?

Answer 43

diabetes can damage nervous system, MS and neurological diseases, drugs and meds, menopause

Question 44

what is vaginismus? what percent of women have

Answer 44

vagina involuntarily contract, prevent entry of penis, 1%

Question 45

what disorder is vaginismus related to?

Answer 45

genito-pelvic pain/penetration disorder

Question 46

vaginismus is usually a learned ___ response

Answer 46

fear

Question 47

what is dyspareunia, what percent?

Answer 47

"painful mating", severe pain during intercourse, 14%, physical cause.

Question 48

what is episiotomy?

Answer 48

cut made to enlarge vaginal entrance and ease delivery of baby

Question 49

what percent of women have severe vaginal or pelvic pain during intercourse for up to a year after giving birth?

Answer 49

16%

Question 50

what 2 psychodynamic therapies are used to treat sexual dysfunction?

Answer 50

(early 20th century) free association and therapist interpretations, typically are unsuccessful

Question 51

what two behavioral therapies used for sexual dysfunction?

Answer 51

relaxation training and systematic desensitization, 1950s 1960s

Question 52

what 3 therapies make up sex therapy?

Answer 52

cognitive-behavioral, couple, and family systems therapy

Question 53

what is the goal of sex therapy?

Answer 53

to help clients function better sexually, achieve higher sexual satisfaction and psychological well being

Question 54

how long does modern sex therapy typically last?

Answer 54

short-term, 15-20 sessions, centers on specific sexual problems

Question 55

principle: assessing and conceptualizing the problem. What two things are looked at?

Answer 55

medical exam and sex history

Question 56

what do therapists teach during "elimination of performance anxiety and the spectator role"? 2

Answer 56

sensate focus, non-demand pleasuring, petting exercises

Question 57

what two techniques are used to treat disorders of desire?

Answer 57

affectual awareness and self-instruction training. disorders of desire are difficult to treat

Question 58

what is affectual awareness?

Answer 58

patient visualizes sexual scenes in order to discover any feelings of anxiety, vulnerability, and negative emotions concerning sex

Question 59

what is self-instruction training?

Answer 59

help change negative reactions to sex, coping statements during sex

Question 60

what is the tease technique and what is it used for?

Answer 60

during sensate-focus exercises, used to help erectile dysfunction

Question 61

what is sildenafil and what does it do?

Answer 61

viagra, increases blood flow to penis

Question 62

what are tadalafil and vardenafil?

Answer 62

cialis and levitra, similar to viagra

Question 63

what percent of erections are restored using viagra

Answer 63

75%

Question 64

what is "second line" referencing?

Answer 64

other medical procedures for erectile dysfunction such as suppositories, injections, vacuum erection device

Question 65

what field of treatment works best for early ejaculation?

Answer 65

behavioral procdures

Question 66

what behavioral procedures are used to treat early ejac?

Answer 66

stop-start; pause, procedure. 2-3 months. arouse, subside, arouse subside

Question 67

what are the ducts deferens?

Answer 67

carrying away vessel which collects semen

Question 68

what meds are sometimes prescribed to treat premature ejac?

Answer 68

ssris, reduce sexual orgasm

Question 69

what technique is used for delayed ejac?

Answer 69

masturbate to orgasm in front of partner

Question 70

what technique is used for female orgasmic disorder?

Answer 70

directed masturbation training, how to masturbate effectively

Question 71

what is paraphilias?

Answer 71

sexual urges that involve objects or situations outside of the norm

Question 72

what is sexting a step towards?

Answer 72

infidelity

Question 73

what constitutes a paraphilic disorder?

Answer 73

causes the person significant distress, places them or others at risk

Question 74

that is antiandrogens? what are they also known as?

Answer 74

drugs that lower production of testosterone that reduces sex drive, reduce paraphilic pattern; "chemical castration"

Question 75

what is fetishistic disorder?

Answer 75

aroused at non-living or non-genital items, exclusion of all other stimuli

Question 76

what do psychodynamic theorists view fetishes as?

Answer 76

defense mechanisms

Question 77

what do behaviorists propose fetishes are developed from? 2 therapies

Answer 77

classical conditioning, use of aversion therapy or covert sensitization

Question 78

what is masturbatory satiation and what is it used for?

Answer 78

masturbates to appropriate item, used to treat item

Question 79

what is orgasmic reorientation

Answer 79

he must direct all attention to conventional stimulus

Question 80

what is exhibitionistic disorder? what percent

Answer 80

expose genitals for shock or surprise, 4.3%

Question 81

what is voyeuristic disorder?

Answer 81

observe unsuspecting people who are naked or sexing. has opportunity to create feelings of humiliation which is part of excitement

Question 82

what is frotteuristic disorder?

Answer 82

touching a non-consenting person, in a crowded place

Question 83

what is a classic-type pedo?

Answer 83

prepubescent children

Question 84

what is a hebephilic type pedo?

Answer 84

early pubescent children

Question 85

what is pedohebephilic type pedo?

Answer 85

both pre and early pubescent children

Question 86

what brain differences are seen in pedos?

Answer 86

irregular activity in amygdala and frontal areas of brain

Question 87

what is sexual masochism disorder?

Answer 87

when they are tortured, must be distressed or impaired by fantasies to be disorder

Question 88

what is hypoxyphilia?

Answer 88

want to be smothered or strangled

Question 89

what is autoerotic asphyxiation? what is developed this?

Answer 89

strangle self during masturbation; classical conditioning

Question 90

what is sexual sadism and describe who usually is this type

Answer 90

usually male, enjoy suffering of another, rapists and murderers, achieves sense of control or power.

Question 91

what is androphilic type?

Answer 91

mtf, attracted to males

Question 92

what is autogynephilic type?

Answer 92

mtf, attracted to females

Question 93

what three general aspects contribute to sexual dysfunction?

Answer 93

biological, sociocultural, psychological

Question 94

what when and who created human sexual inadequacy?

Answer 94

Masters and Johnson, 1070, sex therapy program

Question 95

how many trans people are there worldwide

Answer 95

25 million

Question 96

how any more trans women are there to trans men

Answer 96

2:1