Chapter 10 - Sexual Dysfunctions, Paraphilic Disorders, and Gender Dysphoria

Question 1

Heterosexual behavior

Answer 1

Sex with the opposite sex

Question 2

Homosexual behavior

Answer 2

Sex with the same sex

Question 3

Sexual Dysfunction

Answer 3

Different stages of sexual response cycle:
1. desire
2. arousal
3. orgasm

All associated with specific sexual dysfunctions

Question 4

Lifelong

Answer 4

Chronic condition that is present during a person’s entire sexual life

Question 5

Acquired

Answer 5

Refers to a disorder that begins after sexual activity has been relatively normal

Question 6

Generalized

Answer 6

Occurring every time the individual attempts sex

Question 7

Situational

Answer 7

Occurring with some partners or at certain times but not with other partners or at other times

Question 8

Male hypoactive sexual desire disorder

Answer 8

Little or no interest in sex that causes significant distress

Question 9

Female sexual interest/arousal disorder

Answer 9

Low sexual interest accompanied by diminished ability to become excited or aroused by erotic cues or sexual activity.

Question 10

Erectile dysfunction

Answer 10

Males with frequent sexual urges and fantasies and a strong desire to have sex but have problems getting sexually aroused.

Derogatory terms “impotence” or “frigidity”

Question 11

Delayed ejaculation

Answer 11

Males who achieve orgasm only with great difficulty

Question 12

Female orgasmic disorder

Answer 12

Females who achieve orgasm only with great difficulty

Question 13

Retrograde ejaculation

Answer 13

Ejaculatory fluids travel backward into the bladder rather than forward (most commonly caused by the effects of certain drugs or a coexisting medical condition)

Question 14

Premature Ejaculation

Answer 14

Ejaculation that occurs well before the man and his partner wish to it

Question 15

Genito-pelvic pain/penetration disorder

Answer 15

Sexual desire is present, and arousal and orgasm are easily attained, but the pain during attempted intercourse is so severe that sexual behavior is disrupted.

Question 16

Vaginismus

Answer 16

Pelvis muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted

Question 17

Assessing Sexual Behavior

Answer 17

1. Interviews
2. Thorough medical evaluation
3. Psychophysiological Assesment

Question 18

Biological Contributors

Answer 18

a.) Neurological diseases and other conditions conditions that affect the nervous system (such as diabetes and kidney disease)
b.) Vascular disease
c.) Chronic Illnesses
d.) drug treatments for high blood pressure (antihypertensive medications) Beta-blockers
e.) drug treatments for anxiety and depression (SSRIs)
f.) Alcohol may suppress sexual arousal

Question 19

Psychological Contributors

Answer 19

Performance anxiety in three components:
1. Arousal
2. Cognitive Processes
3. Negative Affect

Question 20

Social and Cultural Contributions

Answer 20

Both men and women may experience specific negative or traumatic events after a period of relatively well-adjusted sexuality.

Most common is a marked deterioration in close interpersonal relationships

Question 21

Treatment of Sexual Dysfunction

Answer 21

Education: Ignorance of the most basic aspects of the sexual response cycle and intercourse often leads to long-lasting dysfunctions.

Question 22

Paraphilic disorders

Answer 22

Disorders of sexual arousal if that cause distress or impairment to the individual or cause personal harm, or risks of harm to others.

Question 23

Frotteuristic disorder

Answer 23

individuals who uses pattern tubing against people until he is stimulated to the point of ejaculation in crowded places (like the public bus or subway)

Question 24

Fetishistic disorder

Answer 24

Person who is sexually attracted to nonliving objects
Associated with two classes of objects or activities:

1. an inanimate object
2. source of specific tactile stimulation, such as rubber, particulary clothing made out of rubber or shiny black plastic

Question 25

Voyeuristic disorder

Answer 25

Practice of observing, to become aroused, an unsuspecting individual undressing or naked

Question 26

Exhibitionistic disorder

Answer 26

Achieving sexual arousal and gratification by exposing genitals to unsuspecting strangers

Question 27

Transvestic disorder

Answer 27

Sexual arousal strongly associated with the act of (or fantasies of) dressing in clothes of the opposite sex or cross-dressing

Question 28

Specifier for transvestism

Answer 28

Autogynephilia - Pattern of sexual arousal associated not with clothing itself but rather with thoughts or images of oneself as a female

Question 29

Sexual sadism or sexual masochism

Answer 29

Associated with inflicting pain or humiliation (sadism) or suffering pain or humiliation (masochism)

Rape

Question 30

Pedophilia

Answer 30

Sexual attraction to children (or young adolescents generally aged 13 years or younger)

Question 31

Incest

Answer 31

It the children are the person’s relatives

Question 32

Covent Sensitization

Answer 32

Treatment in which patients associate sexually arousing images in their imagination with some reasons why the behavior is harmful or dangerous

Question 33

Orgasmic Reconditioning

Answer 33

Patients are instructed to masturbate to their usual fantasies but to substitute more desirable ones just before ejaculation

Learn to recognize the early signs of temptations and to institute a variety of self-control procedures before their urges become too strong

Question 34

Drug Treatments for paraphilic

Answer 34

Chemical castration drugs:
a.) cyproterone acetate eliminates sexual desire and fantasy by reducing testosterone levels dramatically
b.) medroxyprogesterone is hormonal agent that reduces testosterone

Question 35

Gender Dysphoria

Answer 35

Present if a person’s physical sex (male or female anatomy aka “natal” sex) is not consistent with the person’s sense of who he or she really is or with his or her experienced gender

Question 36

Gender nonconformity

Answer 36

Boys who behave in femine ways and girls who behave in masculine ways

Question 37

Sex reassignment surgery

Answer 37

The final nonreversible step to alter anatomy physically to be consistent with gender identity