Chapter 12 Flashcards

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1
Q

The sexual response cycle

A
  1. Desire phase
  2. Excitement phase
  3. Orgasm phase
  4. Resolution phase
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2
Q

Vaginal plethysmograph

A

Device to measure womens physiological arousal

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3
Q

DSM criteria for sexual disorders

A
  1. At least 6 months

2. Not due to severe relationship distress

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4
Q

DSM criteria for female sexual interest disorder

A

Absent, diminished or reduced frequency of at least three of the following:

  1. Interest in sexual activity
  2. Erotic thoughts or fantasies
  3. Initiation of sexual activity and responsiveness to partners initiation
  4. Sexual pleasure during 75% of sexual encounters
  5. Sexual arousal elicited by erotic cues
  6. Genital or nongenital sensations during 75% of erotic encounters
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5
Q

DSM criteria for Erectile Disorder

A

On at least 75% of occasions:

  1. Inability to attain erection or
  2. Inability to maintain erection or
  3. Marked decrease in erectile rigidity interferes with pleasure
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6
Q

DSM criteria for Male Hypoactive Sexual Desire disorder

A

Sexual fantasies and desires are deficient or absent

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7
Q

DSM criteria for Female Orgasmic Disorder

A

On at least 75% of occasions:

  1. Marked delay, infrequency or absence of orgasm or
  2. Marked reduced intensity of orgasm
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8
Q

DSM criteria for Premature Ejaculation

A

Tendency to ejaculate during sexual activity within 1 minute of penile insertion on at least 75% of occasions

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9
Q

DSM criteria for Delayed Ejaculation

A

Marked delay, infrequency or absence of orgasm on at least 75% of occasion

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10
Q

DSM criteria for Penetration Disorder

A

One of the following:

  1. Inability to have vaginal intercourse
  2. Marked vulvar, vaginal or pelvic pain during penetration
  3. Marked fear or anxiety about penetration or pain
  4. Marked tensing of the pelvic floor muscles during attempted penetration
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11
Q

Masters and Johnson model for Sexual Disorders Etiology

A
  1. Fears about performance

2. Spectator role: observing oneself instead of fully immersing in the experience

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12
Q

Biological factors in Sexual Dysfunction

A
  1. Diabetes
  2. MS
  3. Spinal chord injury
  4. Alcohol
  5. Smoking
  6. Medication
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13
Q

Psychological factors in Sexual Dysfunction

A
  1. Sexual abuse
  2. Absence of positive sexual experience
  3. Relationship problems
  4. Depression and anxiety
  5. Negative cognitions
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14
Q

Penile plethysmograph

A

Device to measure erectile excitation

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15
Q

Treatments for Sexual Disorders

A
  1. Psychoeducation
  2. Couples therapy, focus on communication
  3. Cognitive interventions
  4. Sensate focus, one person touches the other and other is focuses on just receiving pleasure and nothing else
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16
Q

Treatment for Female Orgasmic Disorder

A

Directed masturbation: masturbate, then have partner watch masturbate, finally have partner do to her what she does to herself

17
Q

Treatment for Penetration Disorder

A

Relaxation training, then inserting small dildo’s and progressively larger ones

18
Q

Treatment for Premature Ejaculation

A
  1. SSRI’s

2. Squeeze technique

19
Q

Treatment for Erectile Disorder

A
  1. PDE-5 inhibitor

2. Sex therapy

20
Q

Paraphilic Disorders

A
  1. Voyeuristic Disorder, watching unsuspecting others
  2. Exhibitionistic Disorder, exposing oneself to others (Louis CK)
  3. Frotteuristic Disorder, touching unsuspecting person
21
Q

DSM criteria for Fetishistic Disorder

A
  1. At least 6 months sexual fantasies about nonliving objects or nongenital body parts
  2. Causes significant distress or dysfunction
  3. Not limited to clothing or devices used for sexual stimulation
22
Q

DSM criteria for Pedophilic Disorder

A
  1. At least 6 months sexual fantasies about prepubescent child
  2. Person has acted on these urges or the urges cause marked distress
  3. Person is at least 16 and 5 years older than child
23
Q

Etiology of rape

A
  1. Antisocial or impulsive personality traits
  2. Hostility towards women
  3. Distorted beliefs about sexual coercion
  4. Sadistic traits or hypersexuality
24
Q

DSM criteria for Voyeuristic disorder

A
  1. At least 6 months sexual fantasies about watching unsuspecting others who are naked or having sex
  2. Person has acted on these urges or they cause distress
25
Q

DSM criteria for Exhibitionistic Disorder

A
  1. 6 months of sexual fantasies about exposing oneself to unsuspecting person
  2. Causes distress or person has acted on urges
26
Q

DSM criteria for Frotteuristic Disorder

A
  1. 6 months of sexual fantasies about touching or rubbing against nonconsenting person
  2. Acted on these urges or causes distress
27
Q

Etiology of Paraphilic Disorder

A
  1. Androgens maybe play a role
  2. Childhood sexual abuse
  3. Lack of impulse control
28
Q

Treatments for Paraphilic Disorders

A
  1. Strategies to enhance motivation
  2. CBT, Aversion therapy, Satiation
  3. Androgens reducers