CH.9

Question 1

heterosexual behavior

Answer 1

sexual activity with members of the opposite gender

Question 2

homosexual behavior

Answer 2

sexual activity with members of the same gender

Question 3

sexual dysfunction

Answer 3

sexual disorder in which the client finds it difficult to function adequately while having sex

Question 4

male hypoactive sexual desire disorder

Answer 4

dysfunction in which a man feels distress from having little or no sexual interest

Question 5

female sexual interest/arousal disorder

Answer 5

recurrent inability in some women to attain or maintain adequate lubrication and sexual excitement swelling responses until completion of sexual activity

Question 6

erectile disorder

Answer 6

recurring inability in some men to attain or maintain adequate penile erection until completion of sexual activity

Question 7

delayed ejaculation

Answer 7

disorder in which a man achieves orgasm only with great difficulty

Question 8

female orgasmic disorder

Answer 8

recurring delay or absence of orgasm in some women following a normal sexual excitement phase, relative to their prior experience and current stimulation. also known as inhibited orgasm (female)

Question 9

premature ejaculation

Answer 9

recurring ejaculation before the person wishes it, with minimal sexual stimulation

Question 10

genito-pelvic pain/penetration disorder

Answer 10

sexual dysfunction in which a woman experiences pain or difficulty with penetration during intercourse; may include vaginismus
*includes one or more of: pain during intercourse/ fear or anxiety about pain during sex/ tension of pelvic floor muscles in anticipation of sex

Question 11

vaginismus

Answer 11

recurring involuntary muscle spasms in the outer third of the vagina that interfere with sexual intercourse

Question 12

paraphilic disorders

Answer 12

sexual disorders and deviations in which sexual arousal occurs almost exclusively in the context of inappropriate objects or individuals

• manifest in fantasies, urges, arousal or behaviors
• not always disordered

Question 13

frotteuristic disorder

Answer 13

paraphilic disorder in which the person gains sexual gratification by rubbing against unwilling victims in crowds from which they cannot escape

Question 14

fetishistic disorder

Answer 14

long-term, recurring, intense sexually arousing urges, fantasies, or behavior that involve the use of nonliving, unusual objects and that cause distress or impairment in life functioning

Question 15

voyeuristic disorder

Answer 15

paraphilic disorder in which sexual arousal is derived from observing unsuspecting individuals undressing or naked

Question 16

exhibitionistic disorder

Answer 16

sexual gratification attained by exposing genitals to unsuspecting strangers

Question 17

transvestic disorder

Answer 17

paraphilia in which individuals, usually males, are sexually aroused or receive gratification by wearing clothing of the opposite sex

Question 18

sexual sadism

Answer 18

paraphilia in which sexual arousal is associated with inflicting pain or humiliation

Question 19

sexual masochism

Answer 19

paraphilia in which sexual arousal is associated with experiencing pain or humiliation

Question 20

pedophilia

Answer 20

paraphilia involving strong sexual attraction toward children
causes: difficulty forming “normal” relationships
high sex drive
early experiences

Question 21

incest

Answer 21

deviant sexual attraction (pedophilia) directed toward a family member; often the attraction of a father toward a daughter who is maturing physically

Question 22

covert sensitization

Answer 22

cognitive-behavioral intervention to reduce unwanted behaviors by having clients imagine the extremely aversive consequences of the behaviors and establish negative rather than positive associations with them

Question 23

orgasmic reconditioning

Answer 23

learning procedure to help clients strengthen appropriate patterns of sexual arousal by pairing appropriate stimuli with the pleasurable sensations of masturbation

Question 24

gender dysphoria

Answer 24

psychological dissatisfaction with biological gender, a disturbance in the sense of identity as a male or female.
the primary goal is not sexual arousal but rather to live the life of the opposite gender
treatment: sex reassignment surgery

Question 25

gender nonconformity

Answer 25

a phenomenon in which pre-pubescent children do not identify with their biological sex, but instead identify strongly with the gender of the opposite sex and display varying degrees of behavior more characteristic of the opposite sex

Question 26

sex reassignment surgery

Answer 26

surgical procedures to alter a person’s physical anatomy to conform to that person’s psychological gender identity

Question 27

Statistics about sexual activity have suggested that:

Answer 27

the majority of people engage in heterosexual, vaginal intercourse in the context of a relationship with one partner

Question 28

Research evidence on the origins of homosexuality has suggested a possible role for all of the following EXCEPT:

Answer 28

emotionally distant fathers

Question 29

The most common form of treatment for gender dysphoria is:

Answer 29

sexual reassignment surgery

Question 30

In which phase of the sexual response cycle can men experience difficulty attaining or maintaining erections?

Answer 30

arousal

Question 31

Simone and her partner have sexual intercourse about once a month. Simone says she wants to have sex but can’t seem to achieve adequate lubrication to make sex enjoyable. Simone’s symptoms are most consistent with:

Answer 31

sexual arousal disorder

Question 32

Which component is essential to the diagnosis of female orgasmic disorder?

Answer 32

orgasm never or almost never occurs

Question 33

The overarching goal of Masters and Johnson’s psychosocial treatment for sexual dysfunction was:

Answer 33

reducing or eliminating psychologically-based performance anxiety

Question 34

A disorder in which an inappropriate, inanimate object is the source of sexual arousal is known as a:

Answer 34

paraphilia

Question 35

Which of the following statements is an accurate characterization of pedophilia?

Answer 35

It is often rationalized by the perpetrator as an acceptable way to teach children about sexuality.

Question 36

Shane is being treated for a paraphilia by imagining harmful consequences occurring in response to his unwanted behavior and arousal. Shane is receiving what kind of treatment?

Answer 36

covert sensitization

Question 37

causes of sexual dysfunction

Answer 37

experience of anxiety and neg thoughts about sexual encounters
actively avoid awareness of sexual cues
social and cultural contributions (neg or traumatic sexual experiences/ lack of communication)

Question 38

erotophobia

Answer 38

learned neg attitudes about sexuality

Question 39

treatment of sexual dysfunction

Answer 39

education
sensate focus and nondemand pleasuring 
squeeze technique
masturbatory training
use of dilators
exposure to erotic material
Medical: viagra, injections, testosterone, prosthesis or implants, vascular surgery, vacuum device therapy

Question 40

pedophilic disorder treatments

Answer 40

meds: chemical castration
cyproterone acetate (reduces testosterone, sexual urges , and fantasy)
medroxyprogesterone acetate (depo-provers, reduces testosterone)
relapse common after discontinuation

Question 41

What are the characteristics of sexual dysfunctions?

Answer 41

Involve desire, arousal, and/or orgasm
Pain associated with sex can lead to additional dysfunction
Must now be present for 6+ months in order to make diagnosis
Must lead to impairment or distress in order to be considered a disorder

Question 42

How is sexual behavior assessed?

Answer 42

Comprehensive interview
Detailed history of sexual behavior, lifestyle, and associated factors
Medical examination
Must rule out potential medical causes of sexual dysfunction