chapter 10

Question 1

gender dysphoric disorder

Answer 1

• experience themselves/gender identity as mismatched with sex
• desire to rid self of primary and secondary sex characteristics and acquire those of other gender
• onset: from childhood to young adulthood, symptoms manifest in early childhood
• diagnosis: 6/8 symptoms for 6mo, significant distress
• comorbidity: higher rates of anxiety and depression
• suicide risks in adolescents and adults high

Question 2

gdd cuases and treatment

Answer 2

• evidence of genetic vulnerability
• assessment: comprehensive developmental, sexual and relationship history
• psychosocial treatment: support, coping based, realigning a persons psychological gender with natal sex
• medical treatment: hormone suppression theory: psychological assessment, diagnosis, staged transition and adaptation, surgical procedures and hormone therapy

Question 3

paraphilic disorder

Answer 3

• unusual sexual interests, attractions, arousal
• may cause distress/impairment to the individual or has caused harm to others
• 90% males
• high comorbidity

Question 4

fetishistic disorder

Answer 4

• sexual arousal from: non living objects, non-gential body parts manifested by fantasies, urges, behaviours,
• onset: puberty
• to warrant a diagnosis: must cause clinically significant distress or impairment for 6mo

Question 5

voyeuristic disorder

Answer 5

• recurrent, intense sexual arousal from observing an unsuspecting person naked, undressing, engaging in sexual activity manifested by fantasies, urges, behaviours
• element of risk necessary for arousal
• diagnosis: acted upon urges with a non-consenting person, expereinced distress or impairment related to urges
• must be at least 18
• 6mo

Question 6

exhibitionistic disorder

Answer 6

• sexual arousal from exposure of ones genitals to unsuspecting persons
• element of risk necessary for arousal
• diagnosis: must have acted upon urges with a non consenting person or experience distress or impairment
• must be at least 18
• 6mo

Question 7

pedophilic disorder

Answer 7

• must hae acted upon child focused sexual urged or must cuase clinically significant distress or impairment
• may or may not experience distress
• minimum 16y, at least 5y older than victim
• 6mo

Question 8

causes

Answer 8

• low levels of arousal to appropriate stimuli
• sexual problems
• social deficits
• early experiences: inappropriate arousal
• high sex drive
• low supression of urges
• reinforcement via orgasm

Question 9

assessment and treatment

Answer 9

• assesses extent of deviant patterns of sexual arousal, sexual history, social skills, ability to form relationships
• psychosocial treatment: behavioral, family, marital and group therapy, relapse prevention
• biological treatment: chemical castration is work done by reducing testosterone levels or secretion so sexual desires are elimitated