Chapter 10 Sexual Dysfunctions, Paraphilic Disorders, and Gender Dysphoria Flashcards
Sexual dysfunction
find it difficult to function adequately while having sex; for example, they may not become aroused or achieve orgasm.
paraphilic disorders
- sexual deviation; sexual arousal occurs primarily in the context of inappropriate objects or individuals
- Have little to do with sexual dysfunctions except for the fact that they both involvesexual behavior.
Philia
A strong attraction or liking
Para
Indicates the attraction is abnormal
Paraphilic arousal patterns
Tend to be focused rather narrowly, often precluding mutually consenting adult partners, even if desired.
Gender dysphoria
- incongruence & psychological distress & dissatisfaction w/ the gender 1 has been assigned at birth (boy or girl). The disorder is not sexual but rather a disturbance in the person’s sense of being a male or a female.
- The disorder is not sexual but rather a disturbance in the person’s sense of being a male or a female.
Heterosexual behavior
Sex with the opposite sex
Homosexual behavior
Sex with the same sex
Acquired
A disorder that begins after sexual activity has been relatively normal
Generalized
occurring every time the individual attempts sex
Situational
occurring with some partners or at certain times but not with other partners or at other times
Male hypoactive sexual desire disorder
Dysfunction in which a man feels distress from having little or no sexual interest.
Female sexual interest/arousal disorder
Recurrent inability in some women to attain or maintain adequate lubrication and sexual excitement swelling responses until completion of sexual activity
Hypoactive sexual desire disorder
Apparent lack of interest in sexual activity or fantasy that would not be expected considering the person’s age and life situation
Erectile disorder
Recurring inability in some men to attain or maintain adequate penile erection until completion of sexual activity.
The old and somewhat derogatory terms for male erectile disorder and female interest and arousal difficulties are __________ and _________, but these are imprecise labels that do not identify the specific phase of the sexual response in which the problems are localized.
impotence and frigidity
Delayed ejaculation
- Males who achieve orgasm only w/ great difficulty or not at all meet criteria for a condition
- Disorder in which a man achieves orgasm only with great difficulty
Female orgasmic disorder
Recurring delay or absence of orgasm in some women following a normal sexual excitement phase, relative to their prior experience and current stimulation. Also known as inhibited orgasm (female)
Retrograde ejaculation
in which ejaculatory fluids travel backward into the bladder rather than forward
Premature ejaculation
- ejaculation that occurs well before the man & his partner wish it to; defined as approximately 1 minute after penetration in DSM-5
- Recurring ejaculation before the person wishes it, with minimal sexual stimulation
Genito-pelvic pain/penetration disorder
- includes difficulties w/ penetration during intercourse due in many cases to painful contractions or spasms of the vagina
- Sexual dysfunction in which a woman experiences pain or difficulty with penetration during intercourse; may include vaginismus
Vaginismus
- in which the pelvic muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted
- Recurring involuntary muscle spasms in the outer third of the vagina that interfere with sexual intercourse
Penile strain gauge
measures penile erection
Vaginal photoplethysmograph
A light source at the tip of the instrument & 2 light-sensitive photoreceptors on the sides of the instrument measure the amount of light reflected back from the vaginal walls. B/c blood flows to the vaginal walls during arousal, the amount of light passing through them decreases w/ increasing arousal