Chapter 10 Flashcards
2 Types of disorders associated with sexual functioning
Sexual dysfunction
Paraphilic disorder.
Not specifically a sexual disorder, but rather a marked incongruence between one’s natal (biological) sex and the gender one experiences identifies with.
Gender dysphoria
A heterogenous group of disorders that are
typically characterized by a clinically
significant disturbance of a person’s ability
to respond sexually or experience sexual
pleasure.
SEXUAL DYSFUNCTIONS
Sexual problem that has been present from first sexual experiences
Lifelong
Sexual dysfunctions that develop after a period of relatively normal sexual function
Acquired
Sexual difficulties that are not limited to certain types of stimulation, situations, or partners
Generalized
Sexual difficulties that only occur with certain types of stimulation, situations, or partners.
Situational
A. Persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity. The judgment of deficiency is made by the clinician, taking into account factors that affect sexual functioning, such as age and general and sociocultural contexts of the individual’s life.
Male Hypoactive Sexual Desire Disorder
A. Lack of, or significantly reduced, sexual
interest/arousal, as manifested by at
least three of the following:
- Absent/reduced interest in sexual activity.
- Absent/reduced sexual/erotic thoughts or fantasies.
- No/reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.
- Absent/reduced sexual excitement/pleasure during sexual activity in almost all or all (approximately 75%–100%) sexual encounters (in identified situational
contexts or, if generalized, in all contexts). - Absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues (e.g., written, verbal, visual).
- Absent/reduced genital or non-genital sensations during sexual activity in almost all or all (approximately 75%–100%) sexual encounters (in identified situational
contexts or, if generalized, in all contexts).
Female Sexual Interest/Arousal Disorder
A. At least one of the three following symptoms must be experienced on almost all or all (approximately 75%–100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):
1. Marked difficulty in obtaining an erection during sexual activity.
2. Marked difficulty in maintaining an erection until the completion of sexual activity.
3. Marked decrease in erectile rigidity
Erectile Disorder
Widely used descriptive term (including in ICD-10) that refers to difficulty getting and
maintaining an erection.
Erectile Dysfunction
A. Either of the following symptoms must be
experienced on almost all or all occasions
(approximately 75%–100%) of partnered sexual activity (in identified situational contexts or, if generalized, in all contexts), and without the individual desiring delay:
- Marked delay in ejaculation.
- Marked infrequency or absence of ejaculation
Delayed Ejaculation
A. A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it.
Premature (Early) Ejaculation
A. Presence of either of the following symptoms and experienced on almost all or all (approximately 75%–100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):
- Marked delay in, marked infrequency of, or
absence of orgasm. - Markedly reduced intensity of orgasmic
sensations
Female Orgasmic Disorder
A. A. Persistent or recurrent difficulties with one (or more) of the following:
- Vaginal penetration during intercourse.
- Marked vulvovaginal or pelvic pain during
vaginal intercourse or penetration attempts. - Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration.
- Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration.
Genito Pelvic Pain/Penetration Disorder
A. A clinically significant disturbance in sexual function is predominant in the clinical picture.
Substance/Medication-Induced Sexual Dysfunction
Refers to the distress that may accompany
the incongruence between one’s
experienced or expressed gender and
one’s assigned gender.
Gender Dysphoria
Sexual interest greater than or equal to
nonparaphilic sexual interests.
Paraphilia
Paraphilia that is currently causing distress or impairment to the individual, or cause personal harm, or the risk of harm to others.
Paraphilic disorder
Achievement of sexual arousal by observing people who are naked, disrobing, or engaging in sexual activity.
Voyeurism
A. Over a period of at least 6 months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors.
Voyeuristic disorder
This specifier is primarily applicable to individuals living in institutional or other settings where opportunities to engage in voyeuristic behavior are restricted.
In full remission
A. Over a period of at least 6 months, recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors.
Exhibitionistic disorder
A. Over a period of at least 6 months, recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors.
Frotteuristic Disorder
