Chapter 10 (BAL)

Question 1

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.

Answer 1

Sexual Dysfunction

Question 2

Specifier where the disturbance has been
present since the individual became sexually
active.

Answer 2

Lifelong/Primary

Question 3

Specifier where the disturbance began after a period of relatively normal sexual function.

Answer 3

Acquired

Question 4

Specifier which is not limited to certain types of stimulation, situations, or partners

Answer 4

Generalized

Question 5

Specifier which only occurs with certain types of stimulation, situations, or partners.

Answer 5

Situational

Question 6

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

Answer 6

Male Hypoactive Sexual Desire Disorder (MHSDD)

Question 7

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):

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.

Answer 7

Erectile Disorder (ED)

Question 8

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

1. Marked delay in ejaculation.
2. Marked infrequency or absence of
   ejaculation.

Answer 8

Delayed Ejaculation (DE)

Question 9

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.

Answer 9

Premature (Early) Ejaculation

Question 10

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:

1. Absent/reduced interest in sexual activity.
2. Absent/reduced sexual/erotic thoughts or
   fantasies.
3. Absent/reduced initiation of sexual activity,
   and typically unreceptive to a partner’s
   attempts to initiate.
4. 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).
5. Absent/reduced sexual interest/arousal in
   response to any internal or external sexual/erotic cues (e.g., written, verbal,
   visual).
6. 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).

Answer 10

Female Sexual Interest/Arousal Disorder

Question 11

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):

1. Marked delay in, marked infrequency of, or
   absence of orgasm.
2. Markedly reduced intensity of orgasmic
   sensations.

Answer 11

Female Orgasmic Disorder

Question 12

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.

Answer 12

Genito-Pelvic Pain/Penetration Disorder

Question 13

A clinically significant disturbance in sexual function is predominant in the clinical
picture.

Answer 13

Substance/Medication-Induced Sexual Dysfunction

Question 14

Treatments for Sexual Dysfunctions

Answer 14

Psychological Therapy:
Counseling and Psychotherapy:
Medications:
Hormone Therapy:
Device-Assisted Therapies:
Lifestyle Changes:
Couples Therapy:

Question 15

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.

Answer 15

Paraphilia

Question 16

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.

Answer 16

Paraphilic disorder

Question 17

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.

Answer 17

Voyeuristic Disorders

Question 18

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.

Answer 18

Voyeurism

Question 19

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.

Answer 19

Exhibitionistic Disorders

Question 20

Experience recurrent, intense sexual
arousal from the act of exposing their genitals to an unsuspecting person.

Answer 20

Exhibitionism

Question 21

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.

Answer 21

Transvestic Disorder

Question 22

Specifier of Transvestic Disorder if sexually aroused by fabrics, materials, or garments

Answer 22

With fetishism

Question 23

Specifier of Transvestic Disorder if sexually aroused by thoughts or images of self as a woman.

Answer 23

With autogynephilia

Question 24

Individuals with transvestism experience recurrent and intense sexual arousal from
cross-dressing.

Answer 24

Transvestism

Question 25

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.

Answer 25

Sexual Sadism

Question 26

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.

Answer 26

Sexual Masochism Disorder

Question 27

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).

Answer 27

Pedophilic Disorder

Question 28

Individuals with pedophilia experience recurrent, intense, sexually arousing fantasies or sexual urges involving sexual activity with a prepubescent child or children.

Answer 28

Pedophilia

Question 29

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.

Answer 29

Frotteuristic Disorder

Question 30

Individuals with frotteurism experience recurrent intense sexual arousal from the act of touching or rubbing against a nonconsenting person.

Answer 30

Frotteurism

Question 31

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.

Answer 31

Fetishistic Disorder

Question 32

PSYCHOLOGICAL TREATMENTS FOR PHARAPILIC DISORDERS

Answer 32

Covert Sensitization Orgasmic Reconditioning Relapse prevention

Question 33

A psychological distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender.

Answer 33

Gender Dysphoria

Question 34

Describes a person whose gender identity aligns in a traditional sense with the sex assigned to them at birth.

Answer 34

Cisgender

Question 35

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.

Answer 35

Gender Diverse

Question 36

Is one term people use to describe genders that don't fall into one of these two categories, male or female.

Answer 36

Nonbinary

Question 37

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.

Answer 37

Transgender

Question 38

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.

Answer 38

Posstransition

Question 39

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): 1. 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). 2. 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. 3. A strong preference for cross-gender roles in make-believe play or fantasy play. 4. A strong preference for the toys, games, or activities stereotypically used or engaged in by the other gender. 5. A strong preference for playmates of the other gender. 6. 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. 7. A strong dislike of one’s sexual anatomy. 8. A strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender.

Answer 39

Gender Dysphoria in Children

Question 40

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: 1. 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). 2. 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). 3. A strong desire for the primary and/or secondary sex characteristics of the other gender. 4. A strong desire to be of the other gender (or some alternative gender different from one’s assigned gender). 5. A strong desire to be treated as the other gender (or some alternative gender different from one’s assigned gender). 6. 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).

Answer 40

Gender Dysphoria in Adolescent & Adult

Question 41

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.

Answer 41

Unspecified Gender Dysphoria

Question 42

Treatment for Gender Dysphoria

Answer 42

Psychotherapy Sexual Reassignment Surgery Pharmacologic Therapy