Chapter 16 - Lectures Flashcards
What are intrapsychic factors in the development of sexual problems?
Early childhood family interactions, parental silence about sex, sexual abuse or assault, poor conflict resolution, and if anger cannot be expressed safely and effectively.
What is the traditional dominant religion in Canada?
Christianity.
What type of Christianity did Quebec identify as?
Roman Catholic.
What type of Christianity did the majority of Canada identify as?
Protestant
Does Canada currently have uniform sexual values rooted in one religion?
No
How can families mess up kid’s sexuality?
Children taught that sex is dirty and forbidden, they’re told not to touch themselves, their parents don’t use anatomically correct words for their genitals, and they don’t teach their children anything beyond “where babies come from”.
What level of the Canadian government regulates sex education?
The provincial governments
What does sex education in Canada convey?
Reproductive biology and how to avoid STIs.
What is the main source of misleading information about sex?
Popular media.
What are organic factors in the develop of sexual problems?
Cardiovascular disease and its treatments, hormones, hypothyroidism, anemia, diabetes, giving birth, and neurological disorders, .
What might erectile dysfunction be a warning sign for?
Heart disease
Why might giving birth be a factor in the development of sexual problems?
Low iron levels, elevated prolactin levels from breast feeding, and interrupted sleep.
What symptom is caused by elevated prolactin levels?
Vaginal dryness.
How does diabetes affect sexuality?
It can reduce blood flow to the genitals and eventually deteriorate nerve function. It can cause erectile dysfunction in men and sensation problems in women.
What types of medications can cause sexual difficulties?
Medications for depression and other psychiatric disorders, cancer, cardiovascular disease, and pain.
What type of medication can help erectile dysfunction?
PDE-5 inhibitors (viagra)
What is erectile dysfunction caused by?
There are lots of causes, some include disease, stress or drugs.
What is the most common sexual difficulty in men?
Rapid ejaculation.
What is the DSM-5 diagnosis for rapid ejaculation?
If a man ejaculates within 60 seconds of penetration, 75% of the time.
What is one way a physician might treat rapid ejaculation?
Medication to reduce sensation.
What is the most underreported sexual dysfunction in men?
Delayed ejaculation
Is it harder for men with delayed ejaculation to ejaculate with a partner or by themselves?
With a partner through penetrative sex.
Idiosyncratic masterbation style is associated with what sexual difficulty?
Delayed ejaculation.
What sexual difficulty might Viagra increase?
Delayed ejaculation.
What is dyspareunia?
Pain during intercourse
What are the causes of dyspareunia?
STIs, non-cancerous and cancerous diseases of the prostate or testes, and Peyronie’s disease.
What is the treatment for dyspareunia?
Treat the underlying disease.
What are causes of female sexual arousal disorder?
Lack of attraction to partner, stress, fear of pregnancy or STIs, does not know or cannot ask for the stimulation she needs.
What is a symptom of female sexual disorder?
Lack of lubrication
How can you treat female sexual disorder?
Look at what is contributing to the lack of excitement and pleasure.
Anorgasmia
Persistent inability to achieve orgasm.
Primary Anorgasmia
Lifelong. Often related to a woman’s lack of knowledge about her own body and sexual response.
Is secondary anorgasmia more or less complex than primary anorgasmia?
More complex than primary anorgasmia in origin and in treatment.
What is the onset duration of secondary anorgasmia?
Recent onset.
What is a typical cause of secondary anorgasmia?
SSRIs or antipsychotic medication
Treatments for primary anorgasmia
Educational readings that teach about female anatomy and encourage self-exploration.
Dyspareunia
Genital or pelvic pain. Itching or burning in the vulva or vagina, or deep pain in the pelvis during sexual activity.
Causes of dyspareunia
Endometriosis, STIs, vaginal infections
What will physicians usually find upon examination of a woman with dyspareunia?
Nothing physical.
What is recommended in cases of dyspareunia?
That it be treated like a pain condition.
Vaginismus
Fear of penetration or pain from vaginal penetration. Causes involuntary spasms.
What is the DSM-5 diagnosis label for vaginismus?
Genito-pelvic pain/penetration disorders.
Genito-pelvic pain/penetration disorders
Vaginismus and dyspareunia
Traditional treatment for vaginismus?
Dilators to gradually open vagina in combination with relaxation therapy.
Hypoactive sexual desire disorder
Low desire or low libido
Sexual aversion disorder
Intense fear or negative response to sexual interaction
What population is sexual aversion disorder common in?
Individuals who have experienced sexual abuse or trauma.
What is the most common problem among couples in sex therapy?
Sexual desire discrepancy
Sexual desire discrepancy
When one partners desire for sex is greater than the other’s
Factors that contribute to sexual desire discrepancy
Low desire disorder, poor communication, and unresolved conflict in the relationship.
What type of therapy did Masters and Johnson develop?
Intensive, brief, behaviour-oriented sex therapy.
What are concepts that come up in Master and Johnson’s sex therapy?
Goal-oriented sexual behaviour, performance pressure, spectatoring, sensate focus exercises.
