Chapter 10: Sexual Dysfunction and Paraphilic Disorders Flashcards
T/F: longitudinal studies have shown association between the number of sex partners and later anxiety or depression
FALSE. Higher numbers of sex partners do not correlate with anxiety later on in life.
T/F: higher numbers of sex partners is correlated with substnace use
TRUE. people using substances tend to have higher numbers of sex partners
gender difference between genital responses to sexual stimuli in men and women
women especially heterosexual women, experience arousal to both male and female sexual stimuli, whereas heterosexual men only get turned on by sexual stimuli involving women.
two sex specific disorders
1) premature (early) ejaculation only in males
2) genito-pelvic pain/penetration disorder.
in terms of duration, sexual dysfunctions can be ___ or ___. define
life long: chronic condition that is present during a person’s entire sexual life
or acquired: a disorder that begins after sexual activity has been realtively normal.
In terms of environments/contexts, sexual dysfunction can be ___ or ____. define
generalized: occurring every time the individual attempts sex
situational: occurring only with some partners or at certain times.
human sexual response cycle
1) desire
2) arousal
3) plateau
4) orgasm
5) resolution
general sexual desire disorders are characterized in little or no interest in sex, and can cause significant distress in individuals or couples. What sexual desire disorders are seen in men and in women?
male hypoactive sexual desire disorder
female sexual interest/arousal disorder.
to meet the criteria for sexual desire disorders, how long should the symptoms of decrased interest in sexual activity be seen?
for at least 6 months
T/F men with arousal disorders have a decreased in terest in sex and do not have as many sexual fantasies
false. men with arousal disorders still think about sex and have a desire to have sex, but they cannot get physically aroused or erect.
main characteristic of female arousal disorders
the inability to achieve adequate lubrication.
which cohort of men are most affected by arousal difficulties
older men.
the terms impotent is a clinically correct term to describe arousal difficulties in men and women
false. it is broad and not descriptive regarding the problem with sexual arousal.
male orgasmic disorder
inability or delayed orgasm in men.
3 broad classes or orgasm disorders
1) male orgasmic disorder
2) premature ejaculation
3) female orgasmic disorder. ( a marked delay in, marked infrequency of, or absence of orgamsm. A markedly reduced intensity of orgasmic sensations)
unmarried women were ___ times more likely than married women to experience an orgasm disorder
1.5 times.
retrograde ejaculation
where ejaculatory fluids travel backward into the bladder rather than forward.
premature ejaculation
ejaculation that occurs well before the man and his partner want it to. Defined as ejaculation one minute after penetration in the DSM 5.
psychological aspect/determinant/complaint about premature ejaculation
the feeling that they cannot control when they are orgasming
consistent premature ejaculation seems to occur in men who are :
sexually inexperienced and have a lower education.
this sexual dysfunction occurs only in women, in which they have adequate sexual desire, and arousal and orgasm is easily attained, but the pain during attempted intercourse is so severe that sexual behaviour is disrupted
genito-pelvic pain/ penetration disorder.
vaginismus
the pelvic muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted.
3 major aspects to assessing sexual behaviour
1) interviews
2) thorough medical evaluation
3) psychophysiological assessment
during interviews, clinicians aim to:
1) use patient’s vernacular
2) put the patient at ease.
