Chapter 10 (BAL) Flashcards
Heterogeneous group of disorders that are
typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure.
Sexual Dysfunction
Specifier where the disturbance has been
present since the individual became sexually
active.
Lifelong/Primary
Specifier where the disturbance began after a period of relatively normal sexual function.
Acquired
Specifier which is not limited to certain types of stimulation, situations, or partners
Generalized
Specifier which only occurs with certain types of stimulation, situations, or partners.
Situational
Man habitually lacks erotic thoughts and the
desire for sexual activity. (Little to no desire of
Sex or erotic thoughts)
Persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity
Male Hypoactive Sexual Desire Disorder (MHSDD)
Otherwise known as impotence. Trouble
achieving or maintaining erection.
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):
- Marked difficulty in obtaining an erection
during sexual activity. - Marked difficulty in maintaining an erection
until the completion of sexual activity. - Marked decrease in erectile rigidity.
Erectile Disorder (ED)
Absence of climax. Ejaculate later than desired
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 (DE)
Ejaculate before he wants to. Too early than
what the person desired.
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
Low desire/interest in sexual activity or erotic
thoughts
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. - Absent/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 nongenital
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
Troubled by orgasms that are nearly always too slow, too weak, too rare
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
Pain during sexual intercourse or other sexual
activity that involves penetration and involuntary contraction of muscles around the opening of the vagina.
A. Persistent or recurrent difficulties with one (or
more) of the following:
1. Vaginal penetration during intercourse.
2. Marked vulvovaginal or pelvic pain during
vaginal intercourse or penetration attempts.
3. Marked fear or anxiety about vulvovaginal
or pelvic pain in anticipation of, during, or as
a result of vaginal penetration.
4. Marked tensing or tightening of the pelvic
floor muscles during attempted vaginal
penetration.
Genito-Pelvic Pain/Penetration Disorder
A clinically significant disturbance in sexual function is predominant in the clinical
picture.
Substance/Medication-Induced Sexual Dysfunction
Treatments for Sexual Dysfunctions
Psychological Therapy:
Counseling and Psychotherapy:
Medications:
Hormone Therapy:
Device-Assisted Therapies:
Lifestyle Changes:
Couples Therapy:
Denotes any intense and persistent sexual interest other than sexual interest in
genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners.
Paraphilia
Paraphilia that is currently causing distress or impairment to the individual or a
paraphilia whose satisfaction has entailed personal or risk of harm, to others.
Paraphilic disorder
The practice of observing, to become aroused, an unsuspecting individual
undressing or naked.
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 Disorders
Individuals with voyeurism experience
recurrent, intense sexual arousal from the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity.
Voyeurism
Achieving sexual arousal and gratification by exposing genitals to unsuspecting strangers.
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 Disorders
Experience recurrent, intense sexual
arousal from the act of exposing their genitals to an unsuspecting person.
Exhibitionism
Sexual arousal is strongly associated with the act of (or fantasies of) dressing in clothes of the opposite sex, or cross-dressing.
A. Over a period of at least 6 months, recurrent and intense sexual arousal from cross-dressing, as manifested by fantasies, urges, or behaviors.
Transvestic Disorder
Specifier of Transvestic Disorder if sexually aroused by fabrics, materials, or garments
With fetishism
Specifier of Transvestic Disorder if sexually aroused by thoughts or images of self as a woman.
With autogynephilia
Individuals with transvestism experience recurrent and intense sexual arousal from
cross-dressing.
Transvestism
Sexual pleasure from humiliation, fear, or another form of mental harm to a person.
A. Over a period of at least 6 months, recurrent and intense sexual arousal from the physical or psychological suffering of another person, as manifested by fantasies, urges, or behaviors.
Sexual Sadism
Openly acknowledging intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or
behaviors.
A. Being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviors.
Sexual Masochism Disorder
Sexual attraction to prepubertal children (generally age 13 years or younger).
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger).
Pedophilic Disorder
Individuals with pedophilia experience
recurrent, intense, sexually arousing fantasies or sexual urges involving sexual activity with a
prepubescent child or children.
Pedophilia
Intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors.
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
Individuals with frotteurism experience
recurrent intense sexual arousal from the act of touching or rubbing against a nonconsenting person.
Frotteurism
A person is sexually attracted to
non living objects.
A. Over a period of at least 6 months, recurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on nongenital body part(s), as manifested by fantasies, urges, or behaviors.
Fetishistic Disorder
PSYCHOLOGICAL TREATMENTS FOR PHARAPILIC DISORDERS
Covert Sensitization
Orgasmic Reconditioning
Relapse prevention
A psychological distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender.
Gender Dysphoria
Describes a person whose gender identity aligns in a traditional sense with the sex assigned to them at birth.
Cisgender
An umbrella term describing individuals with gender identities and/or expressions and includes people who identify as multiple genders or with no gender at all.
Gender Diverse
Is one term people use to describe genders that don’t fall into one of these two
categories, male or female.
Nonbinary
An umbrella term for persons whose
gender identity, gender expression or behavior does not conform to that typically associated with the sex to which they were assigned at birth.
Transgender
The individual has transitioned to
full-time living in the experienced gender (with or without legalization of gender change) and has undergone (or is preparing to have) at least one gender-affirming medical procedure or treatment.
Posstransition
A. A marked incongruence between one’s
experienced/expressed gender and assigned
gender, of at least 6 months’ duration, as manifested by at least six of the following (one of which must be Criterion A1):
- A strong desire to be of the other gender
or an insistence that one is the other gender
(or some alternative gender different from
one’s assigned gender). - In boys (assigned gender), a strong
preference for cross-dressing or simulating
female attire; or in girls (assigned gender), a
strong preference for wearing only typical
masculine clothing and a strong resistance to
the wearing of typical feminine clothing. - A strong preference for cross-gender roles
in make-believe play or fantasy play. - A strong preference for the toys, games,
or activities stereotypically used or engaged
in by the other gender. - A strong preference for playmates of the
other gender. - In boys (assigned gender), a strong
rejection of typically masculine toys, games,
and activities and a strong avoidance of
rough-and-tumble play; or in girls (assigned
Chapter 10 Sexual Dysfunction, Paraphilic Disorders, and Gender Dysphoria
gender), a strong rejection of typically
feminine toys, games, and activities. - A strong dislike of one’s sexual anatomy.
- A strong desire for the primary and/or
secondary sex characteristics that match
one’s experienced gender.
Gender Dysphoria in Children
A. A marked incongruence between one’s
experienced/expressed gender and assigned
gender, of at least 6 months’ duration, as manifested by at least two of the following:
- A marked incongruence between one’s
experienced/expressed gender and primary
and/or secondary sex characteristics (or in
young adolescents, the anticipated
secondary sex characteristics). - A strong desire to be rid of one’s primary
and/or secondary sex characteristics
because of a marked incongruence with
one’s experienced/expressed gender (or in
young adolescents, a desire to prevent the
development of the anticipated secondary
sex characteristics). - A strong desire for the primary and/or
secondary sex characteristics of the other
gender. - A strong desire to be of the other gender
(or some alternative gender different from
one’s assigned gender). - A strong desire to be treated as the other
gender (or some alternative gender different
from one’s assigned gender). - A strong conviction that one has the typical
feelings and reactions of the other gender (or
some alternative gender different from one’s
assigned gender).
Gender Dysphoria in Adolescent & Adult
This category applies to presentations in which symptoms characteristic of gender dysphoria that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for gender dysphoria.
Unspecified Gender Dysphoria
Treatment for Gender Dysphoria
Psychotherapy
Sexual Reassignment Surgery
Pharmacologic Therapy
