Chapter 12 - Sexual Disorders Flashcards
defined by persistent disruptions in the ability to experience sexual arousal, desire, or orgasm, or by pain associated with intercourse
Sexual dysfunctions
persistent and troubling attractions to unusual sexual activities or objects.
Paraphilias
postulated that early masturbation damaged the sexual organs and exhausted a finite reservoir of sexual energy, resulting in diminished ability to function sexually in adulthood
Von Krafft-Ebing
4 stages in the Human Sexual Response Cycle
Desire
Excitement
Orgasm
Resolution
this stage refers to sexual interest or desire, often associated with sexually arousing fantasies or thoughts
Desire Phase
stage in which there is general muscle tension.
Orgasm phase
During this phase, men and women experience pleasure and increased blood flow to the genitalia
Excitement phase
refers to the relaxation and sense of well-being that usually follow an orgasm
resolution phase
Period wherein men can’t get it up after orgasm
refactory period
device that measures a woman’s physiological arousal
vaginal plethysmograph
3 Sexual Dysfunction Categories
sexual desire, arousal, and interest
orgasmic disorders
sexual pain disorders
Desire and Arousal Disorders in the DSM IV TR
Hypoactive sexual desire disorder and Female sexual arousal disorder
Erectile disorder
Sexual aversion disorder
Desire and Arousal disorders in the DSM 5
Hypoactive sexual desire disorder (men)
Female interest/arousal disorder (women)
Erectile disorder
Orgasmic disorders in DSM IV TR
Female orgasmic disorder
Male orgasmic disorder
Premature ejaculation
Orgasmic disorders in DSM 5
Female orgasmic disorder
Delayed ejaculation
Early ejaculation
Sexual Pain Disorders in the DSM IV TR
Dyspareunia
Vaginismus
Sexual Pain disorders DSM 5
Genito-pelvic pain/ penetration disorder
persistent deficits in sexual interest (sexual fantasies or urges), biological arousal, or subjective arousal
Sexual interest/arousal disorder in women
deficient or absent sexual fantasies and urges in men
hypoactive sexual desire disorder in men
refers to failure to attain or maintain an erection through completion of the sexual activity
erectile disorder
Sexual Interest/Arousal Disorder
DSM 5
Diminished, absent, or reduced frequency of at least three of the following for 6 months or more:
Interest in sexual activity
Sexual thoughts or fantasies
Initiation of sexual activity and responsiveness to partner’s attempts to initiate
Sexual excitement/pleasure during 75 percent of sexual encounters
Sexual interest/arousal elicited by any internal or external erotic cues
Genital or nongenital sensations during 75 percent of sexual encounters
the persistent absence of orgasm after sexual excitement in women
the absence of orgasms is persistent and troubling
Female orgasmic disorder
Criteria for female orgasmic disorder DSM 5
On at least 75 percent of sexual occasions for 6 months:
Marked delay, infrequency, or absence of orgasm, or
Markedly reduced intensity of orgasmic sensation
Marked delay, infrequency, or absence of orgasm on at least 75 percent of sexual occasions for 6 months
delayed ejaculation disorder
Tendency to ejaculate during partnered sexual activity within 1 minute of sexual activity on at least 75 percent of sexual occasions for 6 months
early ejaculation
persistent or recurrent pain during intercourse
genito-pelvic pain/ penetration disorder
persistent or recurrent pain during sexual intercourse
dyspareunia
involuntary muscle spasms of the outer third of the vagina to a degree that makes intercourse impossible
vaginismus
used a two-tier model of immediate and distal causes to conceptualize the etiology ofhuman sexual inadequacy
Masters and Johnson
Immediate causes of sexual inadequacy
fears about performance
adopting a spectator role
Genito-pelvic pain/ Penetration Disorder DSM 5
Persistent or recurrent difficulties for at least 6 months with at least one of the following:
Inability to have vaginal
intercourse/penetration
Marked vulvovaginal or
pelvic pain during vaginal penetration or intercourse attempts
Marked fear or anxiety about pain or penetration
Marked tensing of the pelvic floor muscles during attempted vaginal penetration
Psychological factors in successful sexual functioning
Psychological factors in poor sexual functioning
Depression or anxiety disorders
Focus on performance
Too much routine
Poor self-esteem
Uncomfortable environment for sex
Rigid, narrow attitude toward sex
Negative thoughts about sex
Biological factors in successful sexual functioning
Good physical health
Regular appropriate exercise
Good nutrition
Biological factors in poor sexual functioning
Smoking
Heavy drinking
Cardiovascular problems
Diabetes
Neurological diseases
Low physiological arousal
SSRI medications
Antihypertensive medication
Other drugs
Social and sexual history factors in successful sexual functioning
Positive sexual experiences in past
Good relationship with partner
Sexual knowledge and skills
Social and sexual history factors in successful sexual functioning
Rape or sexual abuse
Relationship problems, such as anger or poor communication
Long periods of abstinence
History of hurried sex
Treatments for sexual dysfunctions
Anxiety reduction
directed masturbation
procedures to change attitudes or thoughts
skills and communication training
couples therapy
Medical and Physical treatment
Early ejaculation squeeze technique
sensate-focused exercises
a way of helping the person be more aware of and comfortable with sexual feelings
group of disorders defined by recurrent sexual attraction to unusual objects or sexual activities lasting at least 6 months
paraphilia
attraction to an inanimate object or nongenital body part
Fetishism
Fetishistic disorder
attracted to cross dressing
transvestic fetishism
tranvestic disorder
attracted to children
pedophilia
pedohebephilic disorder
attracted to watching unsuspecting others undress or have sex
voyeurism
voyeuristic disorder
attraction to exposing one’s genitals to an unwilling stranger
exhibitionism
exhibitionistic disorder
attraction to sexual touching of an unsuspecting person
frotteurism
frotteuristic disorder
attraction to inflicting pain
sexual sadism (disorder)
attraction to receiving pain
sexual masochism (disorder)
defined by a reliance on an inanimate object or a nongenital part of the body for sexual arousal
fetishistic disorder
when adults derive sexual gratification through sexual contact with prepubertal or pubescent children, or when they experience recurrent, intense, and distressing desires for sexual contact with prepubertal or pubescent children
pedohebephilic disorder
sexual relations between close relatives for whom marriage is forbidden
incest
DSM 5 Voyeuristic disorder
For at least 6 months, recurrent and intense sexually arousing fantasies, urges, or behaviors involving the observation of unsuspecting others who are naked, disrobing, or engaged in sexual activity
Person has acted on these urges with at least three unsuspecting persons on separate occasions, or the urges and fantasies cause marked distress or interpersonal problems
involves sexual arousal by restricting breath- ing, which can be achieved using a noose, a plastic bag, or chest compression
asphyxiophilia
regulate sexual desire, and sexual desire appears to be atypically high among people with paraphilias
androgens
operant conditioning etiology for paraphilias
reaction to bad social skills
treatments for paraphilia
struggles to enhance motivation
biological treatment
cognitive treatment
Megan’s law
