Chapter 12 Flashcards
The sexual response cycle
- Desire phase
- Excitement phase
- Orgasm phase
- Resolution phase
Vaginal plethysmograph
Device to measure womens physiological arousal
DSM criteria for sexual disorders
- At least 6 months
2. Not due to severe relationship distress
DSM criteria for female sexual interest disorder
Absent, diminished or reduced frequency of at least three of the following:
- Interest in sexual activity
- Erotic thoughts or fantasies
- Initiation of sexual activity and responsiveness to partners initiation
- Sexual pleasure during 75% of sexual encounters
- Sexual arousal elicited by erotic cues
- Genital or nongenital sensations during 75% of erotic encounters
DSM criteria for Erectile Disorder
On at least 75% of occasions:
- Inability to attain erection or
- Inability to maintain erection or
- Marked decrease in erectile rigidity interferes with pleasure
DSM criteria for Male Hypoactive Sexual Desire disorder
Sexual fantasies and desires are deficient or absent
DSM criteria for Female Orgasmic Disorder
On at least 75% of occasions:
- Marked delay, infrequency or absence of orgasm or
- Marked reduced intensity of orgasm
DSM criteria for Premature Ejaculation
Tendency to ejaculate during sexual activity within 1 minute of penile insertion on at least 75% of occasions
DSM criteria for Delayed Ejaculation
Marked delay, infrequency or absence of orgasm on at least 75% of occasion
DSM criteria for Penetration Disorder
One of the following:
- Inability to have vaginal intercourse
- Marked vulvar, vaginal or pelvic pain during penetration
- Marked fear or anxiety about penetration or pain
- Marked tensing of the pelvic floor muscles during attempted penetration
Masters and Johnson model for Sexual Disorders Etiology
- Fears about performance
2. Spectator role: observing oneself instead of fully immersing in the experience
Biological factors in Sexual Dysfunction
- Diabetes
- MS
- Spinal chord injury
- Alcohol
- Smoking
- Medication
Psychological factors in Sexual Dysfunction
- Sexual abuse
- Absence of positive sexual experience
- Relationship problems
- Depression and anxiety
- Negative cognitions
Penile plethysmograph
Device to measure erectile excitation
Treatments for Sexual Disorders
- Psychoeducation
- Couples therapy, focus on communication
- Cognitive interventions
- Sensate focus, one person touches the other and other is focuses on just receiving pleasure and nothing else
Treatment for Female Orgasmic Disorder
Directed masturbation: masturbate, then have partner watch masturbate, finally have partner do to her what she does to herself
Treatment for Penetration Disorder
Relaxation training, then inserting small dildo’s and progressively larger ones
Treatment for Premature Ejaculation
- SSRI’s
2. Squeeze technique
Treatment for Erectile Disorder
- PDE-5 inhibitor
2. Sex therapy
Paraphilic Disorders
- Voyeuristic Disorder, watching unsuspecting others
- Exhibitionistic Disorder, exposing oneself to others (Louis CK)
- Frotteuristic Disorder, touching unsuspecting person
DSM criteria for Fetishistic Disorder
- At least 6 months sexual fantasies about nonliving objects or nongenital body parts
- Causes significant distress or dysfunction
- Not limited to clothing or devices used for sexual stimulation
DSM criteria for Pedophilic Disorder
- At least 6 months sexual fantasies about prepubescent child
- Person has acted on these urges or the urges cause marked distress
- Person is at least 16 and 5 years older than child
Etiology of rape
- Antisocial or impulsive personality traits
- Hostility towards women
- Distorted beliefs about sexual coercion
- Sadistic traits or hypersexuality
DSM criteria for Voyeuristic disorder
- At least 6 months sexual fantasies about watching unsuspecting others who are naked or having sex
- Person has acted on these urges or they cause distress
