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