Chapter 10 (Barlow) Flashcards
2 kinds of sexual behavior
Sexual dysfunction
Paraphilic disorders
Individuals with this problem find it difficult to function adequately while having sex
Sexual dysfunction
Relatively new term for sexual deviation, sexual arousal occurs primarily in the context of inappropriate objects or individuals.
Paraphilic disorders
Refers to a strong attraction or liking
Philia
Indicates the attraction is abnormal.
Para
There is incongruence and psychological distress and dissatisfaction with the
gender one has been assigned at birth
Gender dysphoria
Core beliefs about sexuality
Sexual self-schemas
Sexual urges occur in response to sexual cues or fantasies.
Desire phase
A subjective sense of sexual pleasure and physiological signs of sexual arousal
Arousal stage
Brief period occurs before orgasm.
Plateau phase
In males, feelings of the inevitability of ejaculation, followed by ejaculation; in females, contractions of the walls of the lower third of the vagina.
Orgasm phase
Decrease in arousal occurs after orgasm
(particularly in men).
Resolution phase
Refers to a chronic condition that is present during a person’s entire sexual life
Lifelong
Refers to a disorder that begins after sexual activity has been relatively normal.
Acquired
Occurring every time the individual attempts sex
Generalized
Occurring with some partners or at certain times but not with other partners or at
other times
Situational
Characterized by little or no interest of males in sex that is causing significant distress in the
individual or couple.
Male hypoactive sexual desire disorder
Deficits in interest or the ability to become aroused in women is combined in a disorder
Female sexual interest/arousal disorder
Males who have little or no interest in any type of sexual activity.
Hypoactive sexual desire disorder
Females who have little or no interest in any type of sexual activity.
Female sexual interest/arousal disorder
A specific disorder of arousal; males have frequent sexual urges and fantasies and a strong desire to have sex.
Erectile disorder
The old and somewhat derogatory terms for male erectile disorder and female interest and arousal difficulties
Impotence
Frigidity
Males who achieve orgasm only with great
difficulty or not at all meet criteria for a condition
Delayed ejaculation
Females who achieve orgasm only with great
difficulty or not at all meet criteria for a condition
Female orgasmic disorder
Ejaculatory fluids travel backward into the bladder rather than forward.
Retrograde ejaculation
Ejaculation that occurs well before the man and his partner wish it to, defined as approximately 1 minute after penetration
Premature ejaculation
A sexual dysfunction specific to women refers to difficulties with penetration during attempted intercourse or significant pain
during intercourse.
Genito-pelvic pain/penetration disorder
Most usual presentation of genito-pelvic pain/
penetration disorder; pelvic muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted
Vaginismus
3 major aspects to the assessment of sexual behavior
Interviews
Thorough medical evaluation
Psychophysiological assessment
According to which we all operate by following “scripts” that reflect social and cultural expectations and guide our
behavior
Script theory
Works by creating a vacuum in a cylinder placed over the penis.
Vacuum device therapy
Person is sexually attracted to nonliving objects
Fetishistic disorder
A third source of attraction is a part of the body, such as the foot, buttocks, or hair.
Partialism
Practice of observing, to become aroused,
an unsuspecting individual undressing or naked.
Voyeuristic disorder
Achieving sexual arousal and gratification by exposing genitals to unsuspecting strangers
Exhibitionistic disorder
Sexual arousal is strongly associated with
the act of (or fantasies of) dressing in clothes of the opposite sex, or cross-dressing
Transvestic disorder
Inflicting pain or humiliation and becoming sexually aroused
Sexual sadism disorder
Suffering pain or humiliation and becoming sexually aroused
Sexual masochism disorder
Involves self-strangulation to reduce the flow of oxygen to the brain and enhance the sensation of orgasm.
Hypoxiphilia
Sexual attraction to children (or young adolescents generally aged 13 years or younger)
Pedophilia
If the children are the person’s relatives, the pedophilia takes the form of?
Incest
Patients associate sexually arousing images in their imagination with some reasons why the behavior is harmful or dangerous.
Covert sensitization
Patients are instructed to masturbate to their usual fantasies but to substitute more desirable ones just before ejaculation.
Orgasmic reconditioning
Present if a person’s physical sex (male
or female anatomy, also called “natal” sex) is not consistent with the person’s sense of who he or she really is or with his or her experienced gender.
Gender dysphoria
Individuals who are born with ambiguous genitalia associated with documented hormonal or other physical abnormalities.
Disorders of sex development (DSD)
Disorders of sex development (DSD) is formerly known as?
Intersexuality or hermaphroditism
Gender dysphoria begins with a strong and specific sexual attraction to a fantasy of oneself (auto) as a female (gyne).
Autogynephilia
Set of behaviors and attitudes where boys who behave in feminine ways and girls who behave in masculine ways; what makes them that way and following what happens to them
Gender nonconformity
Sexual attraction to both their own and the opposite sex.
Bisexuality