Chapter 10: Sexual Disorders and Paraphilic Disorders

Question 1

Gender Dysphoria

Answer 1

characterised by biological sex not matching one’s gender identity and causing distress

Question 2

Sexual Dysfunction Disorders (4)

Answer 2

Sex Desire Disorders
Sex Arousal Disorders
Orgasm Disorders
Sexual Pain Disorders

Question 3

Sexual Desire Disorders (2)

Answer 3

• Male Hypoactive Sexual Desire Disorder
• Female Sexual Interest/Arousal Disorder

Question 4

Sexual Desire Disorders

Answer 4

characterised by a lack of sexual desire, which results in a lack of masturbation and little/no sexual fantasies, causing distress

Question 5

Sexual Arousal Disorder (1, really)

Answer 5

• Erectile Dysfunction

Question 6

Orgasm Disorders (3)

Answer 6

• Delayed Ejaculation Disorder
• Female Orgasmic Disorder
• Premature Ejaculation Disorder

Question 7

Delayed Ejaculation Disorder

Answer 7

characterised by inability to ejaculate despite extensive effort

Question 8

Female Orgasmic Disorder

Answer 8

characterised by inability to orgasm despite extensive effort

Question 9

Premature Ejaculation Disorder

Answer 9

characterised by ejaculation during ~1 minute of penetration

Question 10

Sexual Pain Disorders (2)

Answer 10

Vulvodynia
Genito-Pelvic Pain/Penetration Disorder

Question 11

Vulvodynia

Answer 11

characterised by chronic pain from the vulva (burning, stinging)

Question 12

Genito-Pelvic Pain/Penetration Disorder

Answer 12

characterised by difficulty with pain during intercourse/difficulty penetrating

Question 13

Treatments for Sexual Dysfunction Disorders

Answer 13

• increased communication
• drugs
• sensate focus
• CBT
• Self-pleasuring
• Education

Question 14

Paraphilic Disorders (10)

Answer 14

Fetishistic Disorder
Voyeuristic/Exhibitionistic Disorders
Transvestic Disorder
Sexual Sadism/Masochism Disorders
Frotteuristic Disorder
Sadistic Rape
Pedophilic Disorder and Incest

Question 15

Fetishistic Disorder

Answer 15

characterised by sexual attraction to a typically nonsexual object or part of the body that is not typically sexual

Question 16

Voyeuristic Disorder

Answer 16

characterised by arousal/gratification by viewing someone in a sexual context without their consent

Question 17

Exhibitionistic Disorder

Answer 17

characterised by arousal/gratification from exposing oneself to others, without their consent

Question 18

Transvestic Disorder

Answer 18

characterised by arousal/gratification from wearing or owning items of people of the opposite gender

Question 19

Sexual Sadism Disorder

Answer 19

characterised by the sexual arousal/gratification from harming another

Question 20

Sexual Masochism Disorder

Answer 20

characterised by sexual arousal/gratification from having pain inflicted on oneself

Question 21

Frotteuristic Disorder

Answer 21

characterised by arousal from rubbing against someone that is unsuspecting/nonconsenting

Question 22

Sadistic Rape

Answer 22

characterised by arousal/gratification by the violence during sexual assault

Question 23

Pedophilic Disorder

Answer 23

characterised by an attraction to prepubescent children

Question 24

Incest Disorder

Answer 24

characterised by attraction to family members

Question 25

Etiology of Paraphilic Disorders

Answer 25

• genetics? are inhibitory serotonergic receptors not doing their job?
• difficulty forming “normal relationships” broadly in life
• early experiences might lead to sexual association by chance
• reinforcement through orgasm
• high sex drive
• high comorbidity with other disorders

Question 26

Treatment for Paraphilic Disorders

Answer 26

• covert sensitisation
• orgasmic reconditioning
• coping and relapse prevention