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Abnormal Psych 355 > Chapter 13 Sexual Disorders > Flashcards

Chapter 13 Sexual Disorders Flashcards

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1
Q

How does sexual disorder vary across cultures

A
  • norms of sexual behavior are most influenced by culture, history, and society on how we define what is sexually deviant
    -generally, women are more suppressed in sexual expression than men
    -the old belief that masturbation could lead to sexual dysfunctions, homosexuality, and madness/insanity
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2
Q

Who is Alfred Kinsey

A

first large-scale sexual behaviors sexual across the country, uncovered homosexuality is more common than assumed, women don’t frequently orgasm during intercourse

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3
Q

Who is William Masters and Virginia Johnson

A

lab of sexual info, found normal sexual response cycle for men and women, women can have more than one orgasm

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4
Q

What is the sexual response cycle?

A

Appetitive phase—> arousal phase—–> orgasm phase—–> resolution phase

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5
Q

What is the appetitive phase

A

fantasy, thoughts, cognition

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6
Q

What is the arousal phase

A

stimulation

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7
Q

What is the orgasm phase

A

release

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8
Q

What is the resolution phase

A

recovery, no sexual dysfunction in the phase

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9
Q

How does aging affect sexual dysfunctions

A

sexual activity declines with age, women report less sexual activity, 50% have at least one sex problem, greater risk for illness that affext sex, partner gap, majority report high satisfaction, little decline in sexual desire

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10
Q

What is a sexual dysfunction

A

disturbances in normal sexual function, normal sexual response cycle,
-must be recurrent/persistent,
-distress or disrupted functioning,
-negative on sexual relationships
-can be lifelong or situational

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11
Q

What is vasocongestion

A

engorgement of blood vessels in the penis/labia

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12
Q

What is myotonia

A

muscular tension

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13
Q

What are sexual interest arousal disorders

A

arousal phase dysfunction, fantasies don’t exist or don’t lead to arousal

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14
Q

What are some examples of sexual interest arousal disorder

A

Hypoactive sexual desire, sexual aversion disorder, female sexual arousal disorder, erectile disorder, (hypersexual disorder(sexual addiction) not in DSM)

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15
Q

What is hypoactive sexual desire disorder

A

significant lack of interest in sexual activity, one of the most common problems in couples sex therapy, could be reflection of relationship dysfunction

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16
Q

What is sexual aversion disorder

A

lack of interest but also fear of sex; rape/trauma could be cause

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17
Q

What is female sexual arousal disorder

A

unable to get aroused/stimulated, even if the desire exists

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18
Q

What is erectile disorder

A

absence/blockage of sexual arousal —> complete or partial lack of erection or the undesirable loss of erection once its attained(impotence)

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19
Q

What are some examples of orgasmic disorders

A

females orgasmic disorder, delayed ejaculation, early ejaculation, gential pelvic pain/penetration disorder

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20
Q

What is female orgasmic disorder

A

delay or absence of orgasm in female even though desire/stimulation/arousal are adequate
early psychiatry: didn’t believe in clitoral orgasm, only in vaginal, based on cultural prohibitions regarding female self stimulation
treatment: Masturbation

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21
Q

What is delayed ejaculation

A

usually reported by men during intercourse, cause may be substance/alcohol abuse

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22
Q

What is early ejaculation

A

attaining early ejaculation before during or shortly after penetration during intercourse
treatment; start stop, squeeze

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23
Q

What is genital pelvic pain/penetration disorder

A

women who are victims of sexual traumas may develop these symptoms or have strong religious conflicts about sexuality, many have unidentified physiological factors
dyspaurenia
vaginismus
Treatment: gradual dilation of vaginal muscles

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24
Q

What is dyspaurenia

A

more in women, pain during intercourse

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25
Q

What is vaginsmus

A

muscles contract to prevent penetration

26
Q

What is DSM on homosexuality

A

homosexuality(DSM1), sexual orientation disturbance replaced homosexuality(DSM2), ego dystonic homosexuality referring to someone who is homo but resents it(DSM 3), all terms dropped in 1986

27
Q

What is the controversy on conversion

A

homosexuality is not a disease to be cured

28
Q

What is Gender dysphoria(was gender identity)

A

conflict an adult’s anatomical sex + sex identification as male/female; not same as a sexual orientation; strong sense of gender incongruence from young age
-2years f conflict, more in biological males, presumed to have origins in early childhood life
-rare diagnosis

29
Q

What are paraphilic disorders

A

deviation in what one is attracted to; atttraction to unusual sources of sexual gratification, person has acted on or is severely distressed by recurrent urges/fantasies involving non human objects, nonconsenting others, suffering/humilation
-mutiple, 6 month duration for diagnosis, must be distressed
-common in males
DSM 5 proposed changes: distinction between paraphilias(no stress or harm to others)+paraphillic disorders

30
Q

What are some examples of paraphilic disorders

A

nonhuman objects, nonconsenting others, pain/humilation

31
Q

What is non human objects disorder

A

fetishistic disorder(excessive ex. foot fetish), Transvestic disorder: sexual cross dressing; almost all heterosexual men, not drag queens

32
Q

What is a nonconsenting person disorder

A

exhibitionistic disorder, voyeuristic, frotteuristic, pedophebephillic

33
Q

What is exhibitionistic disorder

A

exposing one’s genitals; repeated exposure to unwilling observers, almost always men, remorse on exhibitionist is common

34
Q

What id voyeuristic disorder

A

peeping

35
Q

What is frotteuristic disorder

A

sexual pleasure though rubbing gentials or touching a nonconsenting person, often in a crowded situation; could be an alternative source of gratification for a man who lacks the source

36
Q

What is a pedophebephellic disorder

A

relapse rate is high, children rarely report victimization, but can show up in bed wetting

37
Q

What is Pain humiliation

A

sweden doesn’t have this anymore in DSM
sexual sadism and sexual masochism

38
Q

What is sexual sadism

A

physical/emotional cruelty

39
Q

What is sexual masochism disorder

A

sexual arousal from receiving pain/humiliation; gratifying theme is complete helplessness; pain must occupy a central role in sexual arousal; dominant/submissive role play common, while considered deviant it is not psychotic

40
Q

What is atypical paraphilias

A

corprophilia, urophilia, kilsmaphilia, necrophilia(dead people sex), zoophilia(animals), telephone scatologia(making obscene phone calls/text), gerontonsexuality

41
Q

What is sexual aggression(rape)

A

not in DSM, significant societal issue, often planned, sexual gratification from nonconsenting partner
statutory rape, date rapem rape trauma syndrome

42
Q

What is statutory rape

A

sexual intercourse with a child younger than age of consent

43
Q

What is date rape

A

raping on a date, majority of rapes

44
Q

What are some rapist traits

A

create situations in which sexual encounters may occur, interpret friendliness as provocation/protest as insincerity, manipulate with alcohol/other drugs, neglect/severe abuse, sex earlier/more sexual partners than non rapists

45
Q

What is rape trauma syndrome

A

consistent with PTSD symptoms
acute phase: disorganization
long term phase: reorganization

46
Q

What is some rapist typology

A

power rapist, anger rapist, sadistic rapist

47
Q

What is the sexual dysfunction etiology for bio

A

levels of testosterone/estrogen; side effects from medication, alcohol, physical illness

48
Q

What are the psychological etiology

A

historical factors, current issue/concerns; unconsciouse conflict, performance anxiety/spectator role,

49
Q

What is the spectator role

A

person removes psychologically removes themselves from sex and instead is evaluating experince

50
Q

What is the etiology for social

A

strict religious enviroment, traumatic sexual experiences, relationship issues

51
Q

What is the sociocultural

A

gender, age, culture scripts, educational level, gender role expectations, sexual orientation

52
Q

What is the treatments for bio

A

hormone replacement, implants, injections, mechanical devices, oral medications(viagra, levitra, cialis)

53
Q

What is the psych treatments

A

-educations(open/candid discussion of sexuality and dispel any misconceptions); anxiety reduction techniques to counter performance anxiety/spectator role
-structured exercises(sensate focus: couples take turns touching each other and communicate what feels goof/bad)
-communication training to talk about sexual wishes clearly
adjunctive psych treatments to address unresolved relationship issues

54
Q

What is gender dysphoria etiology

A

multiple variables
-bio: neurohormonal factors
-psychodynamic: unable to solve Oedipus complex
-behavioral: childhood experiences based on operant conditioning and social learning

55
Q

What is the gender dysphoria treatments

A

Psycho treatments, hormone treatments, sex reassignment surgery

56
Q

What is Paraphilia etiology

A

Bio: unclear
Psycho: unconscious childhood conflicts
Social: early conditioning experiences

57
Q

What is paraphilia treatment

A

extinquish inappropriate sexual behaviors—> reinforce sexually appropriate behaviors—> social skill training

58
Q

What is the rapist etiology

A

sociocultural: media portrayals of violent sex impact societal values concerning violence and women
-rape is high in environments that encourage violence

59
Q

What is rape treatments

A

no effective treatments
high relapse
imprisonment is not treatment, only punishment
surgical castration
chemical treatments

60
Q

Incest

A

sexual relations between people too closely related to marry legally
-taboo
-most reported: father/daughter
-most frequent: brother/sister
-rare: mother/son

Abnormal Psych 355 (8 decks)

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