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PSYC 333: human sexuality > chapter 16 > Flashcards

chapter 16 Flashcards

1
Q

four categories of causes of sexual problems

A
  • intrapsychic
  • interpersonal/relational
  • cultural/psychosocial
  • organic
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2
Q

intrapsychic factors in development of sexual problems

A
  • childhood experiences with sexuality
  • parents relationship to each other and to the child
  • anxieties as one grows up
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3
Q

interpersonal/relational factors in dev of sexual problems

A
  • inadequate communication
  • conflict resolution
  • cheating, jealousy, distrust
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4
Q

cultrual/psychosocial factors in dev of sexual probs

A
  • religious teachings
  • family based teachings
  • school based sex ed
  • sources of misinfo (media)
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5
Q

organic factors in dev of sexual probs

A
  • hormones (hypothyroidism, anemia)
  • ## neuro disorders and central nervous system injuries (spinal cord, MS, diabetes)
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6
Q

psychogenic

A

stemming from psychological causes

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7
Q

drug related causes of sexual probs

A
  • most psychiatric drugs (SSRIs, SNRIs)
  • drugs used to treat cardiovascular diseases, arthritis, cancer, high cholesterol
  • alcohol/rec drugs
  • hormonal contraceptives (depo provera)
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8
Q

iatrogenic

A

originating from medical/surgical/pharma causes

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9
Q

prevailing discourse on ED remains:
a) dualistic (mind vs body)
b) holistic (mind-body interaction)

A

a)

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10
Q

quality of sexual/erotic contact as a factor in the dev of sexual probs

A
  • feeling aroused
  • ## adequacy of sexual stim
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11
Q

HSDD (sexual disorder)

A
  • hypoactive sexual desire disorder
  • since been removed from DSM5
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12
Q

DSM 5 sexual dysfunctions for women

A
  • sexual interest/arousal disorder
  • orgasmic disorder
  • genito-pelvic pain/penetration disorder
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13
Q

DSM 5 sexual dysfunctions for men

A
  • erectile disorder
  • hypoactive sexual desire disorder
  • premature (early) ejaculation
  • delayed ejaculation
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14
Q

ED

A
  • erectile disorder
  • difficulty maintaining erection
  • causes: anything that interferes with blood flow (meds), communication probs, interpersonal conflict, history of sexual abuse
  • options: erectogenic drugs (viagra), sex therapy
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15
Q

phosphodiesterase type 5 inhibitors

A
  • PDE-5 inhibitors
  • erectogenic drug that works by helping dilate arteries of penis
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16
Q

premature (early) ejaculation (causes, treatment, definition)

A
  • most common sexual dysfunction affecting men
  • determined by IELT
  • diagnosis: if one ejaculates within 60 second of penetration 75% of the time for a period of 6 months+ and it causes distress/impairment
  • causes: many (rushed ejac when mastrbating, performance anxiety, etc)
  • treatment: self (distractions/numbing creams/etc), therapy (prescribed off label meds to to reduce sexual pleasure)
17
Q

IELT (hint: premature ejaculation)

A
  • intra-vaginal ejaculatory latency time
  • during from moment of vaginal penetration until ejaculation into the vagina
18
Q

delayed ejaculation

A
  • most under reported male sexual difficulty
  • aka anorgasmia (inability to have an orgasm)
  • can be primary or secondary (late onset)
  • causes: use of psychotropic drugs (antidepressants) and antipsychotics, organic
  • treatment: pay attention to arousal, withdrawal from meds, try new stim
19
Q

orgasmic disorder in women

A
  • aka anorgasmia (persistant inability to orgasm)
  • causes: lack of knowledge/understanding of body, pharmacological side effects (anti depressants, anti psychotics)
  • treatment: psychoeducational counselling, bibliotherapy
20
Q

bibliotherapy

A

use of readings and written assignments in psycho therapy

21
Q

dyspareunia

A
  • pain during intercourse/sex
  • causes: diseases (STIs, cancer, peyronie’s disease)
  • treatment: treat underlying diseases, conducted by urologists
22
Q

genito pelvic pain/penetration disorder (causes, treatment and assessment for both types)

A
  • two main elements: pain/fear of pain, significant muscular component
  • causes for pain: endometriosis, ovulation, STIs, yeast infection, improperly healed incisions, cancer
  • causes for muscular component: mindset abt sex, education, abuse/assault
  • for diagnosis, its important for the doctor to determine where the pain is and stimulate it to determine the cause
  • treatment: treating underlying causes of the pain, dilators, pelvic muscle exercises
23
Q

old term for the anticipation of pain during sex

A

vaginismus

24
Q

spectatoring (masters and johnson)

A

monitoring one’s own sexual performance rather than simply enjoying giving/receiving pleasure

25
Q

masters and johnson sex therapy main idea

A
  • eliminate obstacles to sexual functioning so ‘normal’ sexual response could be restored
26
Q

masters and johnson major therapy innovation (hint: sfe)

A
  • sensate focus exercises
  • sex therapy exercises that involve couple focusing on sensation of touching and being touched by each other
  • first no genital/erotic zone touching, then head to toe incl. genitalia, then non demand genital pleasuring (no intercourse)

PSYC 333: human sexuality (15 decks)

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