Chapter 11 Flashcards
Stop-Start Procedure
Treatment for premature ejaculation involving pinching the tip of the penis when stimulation becomes intense
Sensate Focus
Treatment involving banning sex and having couples only caress nonsexual areas of the body
Masturbation Training
Treatment for people with orgasmic problems that involves practicing self-pleasure to learn about one’s body
Sexual Dysfunction
Mental disorder involving a disturbance during any stage of a normal erotic activity
Male Hypoactive Sexual Desire
Diagnosis in men involving lack of fantasies or desire to have intimate relations
Female Sexual Interest/Arousal Disorder
Diagnosis in women marked by lack of interest in, or stimulation during, erotic activity
Erectile Disorder
Diagnosis involving difficulty obtaining and maintaining an erection during sexual relations
Female Orgasmic Disorder
Diagnosis in women marked by delay or absence of climax during sexual activity
Delayed Ejaculation
Absence of orgasm in males during sexual activity with a partner
Premature (Early) Ejaculation
Sexual dysfunction in men marked by orgasm that occurs before the person wishes
Genito-Pelvic Pain/Penetration Disorder
Sexual dysfunction involving physical suffering or discomfort during, or in anticipation of, vaginal intercourse
Spectator Role
Process of caring more about the performance of sex than the pleasure obtained from it
Paraphilia
Intense and/or persistent sexual interest that may be odd but is not a mental disorder
Paraphilic Disorder
Diagnosis involving problems arising from sexual behavior or fantasies of highly unusual activities
Exhibitionistic Disorder
Diagnosis involving exposure of one’s genitals to others such as strangers
Fetishistic Disorder
Diagnosis in which the focus of sexual activity is an object or nongenital body part
Frotteuristic Disorder
Diagnosis involving rubbing or touching a nonconsenting person, often in a crowded place
Pedophilic Disorder
Diagnosis in which the predominant focus of sexual activity is with children
Sexual Masochism
Diagnosis involving a desire to be humiliated or made to suffer
Sexual Sadism
Diagnosis involving a desire to humiliate or make people suffer
Transvestic Disorder
Diagnosis in which the predominant focus of sexual activity is cross-dressing
Voyeuristic Disorder
Diagnosis involving secretly watching others undress or engage in sexual activity without being seen
Aversion Treatment
Therapy for paraphilias that involves associating paraphilic stimuli with a shock or other unpleasant stimuli
Covert Sensitization
Treatment that involves associating imagined paraphilic scenes with descriptions of negative consequences or unpleasant events
Orgasmic Reconditioning
Treatment that involves masturbation to a paraphilic stimulus and later to an appropriate sexual stimuli
Gender Dysphoria
Diagnosis marked by strong desire to be of the opposite sex
Sex Reassignment Surgery
Treatment for people that involves physical transformation to the opposite gender
Mya is not interested in sex at all. Her husband is distressed by this, and they seek therapy. Mya has a(n)
Sexual Dysfunction
Aleese has found in the past few months that she is not able to enjoy sex any longer because she simply does not feel aroused. She’d like to have sex, but she has very little vaginal lubrication, and she and her partner have been increasingly frustrated at their attempts to have sex. Aleese sounds like she has
Female Sexual Arousal Disorder
James goes to his doctor because he has been impotent for the last month. His doctor may diagnose him with
Male Erectile Disorder
Which sexual dysfunction is less likely to be diagnosed the older a male becomes?
Premature Ejaculation
Chelsea has trouble enjoying sexual activity with her boyfriend because she is constantly evaluating whether or not she is as good of a lover as the previous women he has slept with. She thinks about what she could do to enhance her performance as a lover, and as a result does not enjoy the sexual activity very much. What risk factor does Chelsea have for developing a sexual dysfunction?
Spectator Role
Craig is undergoing nocturnal penile testing. He would be diagnosed with male erectile disorder if he has erectile difficulties
While asleep, as well as awake.
Bree and Isaac have been referred to a therapist due to Bree’s low sexual desire. The therapist tells them they should not have sex at all for the next few weeks, and in fact should only touch each other in nonsexual areas, avoiding the genitals and breasts. Over time, the therapist works with them to focus on the pleasure of touch, communicate what parts of the body provide the most pleasure to them, work them back towards a sexual relationship including intercourse. What treatment strategy is their therapist using?
Sensate Focus
Cameron is sexually excited by physical content with women who have not consented to it. He doesn’t rape them, but if he is in a crowded room, he makes a point to brush up against them, noticing how his penis feels against their bodies in the crowd. As he gets older, his actions become more aggressive, as he may “palm” a woman’s genitals or grope her breasts and then quickly flee the scene. What paraphilia does Cameron have?
Frotteurism
Benjamin loves to watch other people having sex, without them realizing he is doing so. He spies on young couples who believe they are stealing a moment alone for a tryst, and becomes very sexually excited himself. Increasingly, he finds himself sneaking around the neighborhood trying to look in windows to get a glimpse of his neighbors engaged in intercourse. Benjamin has
Voyeurism
Which person is most likely to have a paraphilia?
Tomas, who is married.
Toby has been caught being a Peeping Tom—he was spying on his neighbors’ lovemaking when a police on patrol arrested him. Now Toby is in therapy to help him identify what situations place him at risk for another voyeuristic act, and develop strategies to avoid them. Toby is in a prevention program called
Relapse Prevention
Kale was caught trying to molest his younger cousin. The court orders for him to be tested for pedophilia. Kale is presented with a variety of images and the circumference of his penis is measured to determine what sort of stimuli Kale tends to respond to. What instrument is measuring the circumference of Kale’s penis?
Penile Plethysmograph
Ari is so focused on panty hose as the object of his sexual excitement that he begins shoplifting them. To help reduce this fetish, Ari enters therapy. His therapist has him masturbate while watching unusual scenes and as he gets close to orgasm, changes the images to more “normal” ones such as erotic pictures of beautiful women. AS the therapy continues, Ari watches the appropriate pictures farther and farther away from his orgasm. After he achieves orgasm, his therapist has him continue masturbating while watching images of panty hose. Which treatment is Ari receiving?
Orgasmic reconditioning with masturbatory satiation.
Which patient with gender identity disorder will respond best to behavior therapy?
Caryn, who is 5 years old.
