Chapter 13 - Sexual and Gender Identity Disorders

Question 1

What are some issues faced in diagnosing sexual and gender identity disorders?

Answer 1

• Determining dis-satisfaction with present functioning can be different
• Abberant acts don’t = diagnosis but no diagnosis doesn’t mean no treatment
• societal mindset

Question 2

What is the Sexual Response Cycle?

Answer 2

1. Excitement phase
2. Plateau
3. Orgasm
4. Resolution

Question 3

What are Sexual Dysfunctions?

Answer 3

Persistent or recurrent problems with sexual interest, arousal or response. Diagnoses requires 6 mths w/ symptoms (75-100% of the time)

Question 4

What the categories of Sexual Dysfunctions?

Answer 4

lifetime vs. acquired

situational vs. generalized

Question 5

What percentage of people are affected by Sexual Dysfunction in their lives?

Answer 5

40-45% of adult women

20-30% of adult men

Question 6

What is Hypoactive Sexual Desire Disorder?

Answer 6

• little or no sex drive
• marked distress
• ‘person just doesn’t feel like it’
• desire may occur in some situations but not others

Question 7

What is Sexual Aversion Disorder?

Answer 7

• Extreme aversion/avoidance of all genital sex (deleted in DSM 5)

Question 8

What is Erectile Disorder?

Answer 8

A sexual dysfunction in males characterized by difficulty in achieving/maintaining erection during sexual activity

Question 9

What is Female Orgasmic Disorder?

Answer 9

SD involving marked delay in reaching orgasm or infrequency/absence of orgasm

Question 10

What is Male Orgasmic Disorder (delayed ejaculation: DSM 5)?

Answer 10

marked delay in reaching ejaculation or infrequency/absence of ejaculation

Question 11

What is premature ejaculation?

Answer 11

Characterized by a recurrent pattern of ejaculation occurring within about one minute of vaginal penetration and before man desires it. Affects 75% of men during at least one point in their lifetime.

Question 12

Genito-pelvi pain/penetration disorder

Answer 12

applies to women who experience sexual pain and/or difficulty engaging in penetration

Question 13

Vaginisimus

Answer 13

muscles surrounding the vagina involuntarily contract whenever vaginal penetration is attempted (incl. tampons, fingers, penis, etc)
Can’t be explained by medical condition so is psychologically connected

Question 14

Dyspareunia

Answer 14

Genital pain associated with intercourse (not caused by lack of lubrication or vaginisiumus)

Question 15

What is hypersexuality also known as?

Answer 15

sex addiction