Chapter 16: Sexual Disorders Flashcards

1
Q

Sexual Desire Disorders:

- These can be broken up into what two categories?

A
  1. Lack of sexual desire

2. Sexual aversion disorder

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2
Q

Sexual Desire Disorders:
1. Lack of sexual desire?
L> whats it correlated with
L> factors?

A
  • correlated with a lack of sexual fantasies

- as with most of the disorders, both biological and psychological factors can play a role.

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3
Q

Sexual Desire Disorders:
2. Sexual aversion disorder ?
L> who are they mostly seen in? (2)

A
  • men with a history of erectile problems

- men/women with a history of sexual trauma

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4
Q

Sexual Arousal disorders are divided up into what two disorders, what are they?

A
  1. Male erectile disorder

2. Female Sexual Arousal Disorder

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5
Q

Sexual Arousal Disorders:

1. Male Erectile Disorder ? ( five points to know for causes )

A
  1. can be situational or generalized
  2. can be lifelong or acquired
  3. age related
  4. performance anxiety related
  5. other psychological factors
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6
Q

Sexual Arousal Disorders:

2. Female Sexual Arousal Disorder? ( two main points to know for causes)

A
  1. lifelong or situational

2. psychological causes more common than biological; e.g.. anger or resentment towards the partner!

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7
Q

What are the four orgasmic disorders?

A
  1. Male orgasmic disorder
  2. Female orgasmic disorder
  3. Premature ejaculation
  4. Rapid female orgasm
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8
Q

Orgasmic Disorders:
1. Male orgasmic disorder? (3 points to know)
L> situation it is usually limited to?
L> frequency ?
L> what combination of two things = a normal factor in the development of this ?

A
  1. in most cases, limited to coitus
  2. among the least frequently diagnosed disorders
  3. strict religious upbringing + guilt about sex is often a factor
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9
Q

Orgasmic Disorders:
2. Female orgasmic disorder (2)
L> more often occurs during ?
L> can result from what?

A
  1. more often during coitus
  2. can result from spectating
    L> not just seen in women!
    L> it’s when you are focusing more so on if you’re doing it right than enjoying the moment.
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10
Q

Orgasmic Disorders:
3. Premature ejaculation
L> this is the most common sexual problem in whom?
L> what does it mean to be premature?

A
  1. most common sexual problem in males
  2. what is premature?
  3. lack of voluntary control (kaplan)
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11
Q

Orgasmic Disorders:
4. Rapid female orgasm
L> how common is this?
L> Is this a DSM-IV category?

A
  1. very rare

2. not a DSM-IV category

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12
Q

What are the three categories for sexual pain disorders?

A
  1. Dyspareunia in females
  2. Dyspareunia in males
  3. Vaginismus
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13
Q

Sexual Pain Disorders:
1. Dyspareunia in females
( 3 likely causes…also which is the most common)

A
  1. most commonly from inadequate lubrication
  2. from vaginal infections or STD’s
  3. allergic rxns to spermicides
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14
Q

Sexual Pain Disorders:
2. Dyspareunia in males
L> common?
L> often associated with what?

A
  1. less common than in females

2. often associated with genital infections

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15
Q

Sexual Pain Disorders:
3. Vaginismus
L> characterized by what?
L> commonly caused by a psychological or physical fear? (describe the answer you choose…aka why)

A
  1. characterized by involuntary contractions of the pelvic muscles that surround the outer third of the vagina
  2. Caused by a psychological fear of penetration rather than by a physical injury or defect.
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16
Q

What are the two general categories for the origins of sexual dysfunctions?

A
  1. Organic

2. Psychosocial causes

17
Q

Origins of Sexual dysfunctions:
1. Organic
L> what are the five organic origins?

A
  1. fatigue
  2. infections
  3. vascular or nerve disorders
  4. disease
  5. alcohol and other drugs.
18
Q

Origins of Sexual dysfunctions:
2. Psychosocial causes
L> what are the eight psychosocial origins?

A
  1. cultural influences
  2. psychosexual trauma
  3. sexual orientation
  4. ineffective sexual techniques
  5. emotional factors
    a) depression
    b) emotional stress
  6. problems in the relationship
  7. irrational beliefs
  8. performance anxiety
19
Q

What are the four areas of therapies for sexual disorders?

A
  1. Behavioural Therapy
  2. Couples Therapy
  3. Specific treatments for specific problems
  4. Biomedical therapies
20
Q

Therapies for sexual disorders:
1.Behavioural Therapy - Masters & Johnson
- this therapy considers what sexual disorders as what?
L> whats the mind set that follows this consideration?

A
  • considers sexual disorders as learned behaviours rather than symptoms of psychiatric illness.
    L> if sexual disorders are the result of learning then they can be unlearned.
21
Q

Therapies for sexual disorders:
1.Behavioural Therapy - Masters & Johnson
- What is one of its basic aims?
L> how is this done?

A
  • to eliminate goal orientated sexual performance
    L> Eliminate spectatoring
    L> use sensate-focus exercises to train people to concentrate only on their sexual experience.
22
Q

Therapies for sexual disorders:

2.Couples therapy?

A
  • see text LOL.
23
Q

Therapies for sexual disorders:
3. Specific treatments for specific problems?
L> what are the four discussed in lecture?

A
  1. stop-start technique
  2. masturbation
  3. kegel exercises
  4. bibliotherapy
24
Q

Therapies for sexual disorders:

4. What are the four biomedical therapies discussed in lecture?

A
  1. drug treatments (e.g. sildenafil)
  2. intracavernosal injections of vasodilators
  3. suction devices
  4. surgery (implants)
25
Q

Critiques of Sex Therapy?

1. Masters and Johnaon critiques?(5)

A
  1. exaggerated “success” rates
  2. did not define success
  3. did not clearly identify their client population
  4. properly understand relapse rates
  5. were misleading about the duration of their therapy
26
Q

Critiques of Sex Therapy?

2. Sex therapies in general?? (2)`

A
  1. have not been compared to determine relative success rates
  2. have not been studied to determine what aspects of a specific therapy are beneficial
27
Q

Positive outcomes of sex therapy for:

  1. Primary Orgasmic Dysfunction
  2. Vaginismus
  3. Premature Ejaculation
  4. What three disorders have been proven difficult to treat?
A
  1. can be successfully treated with directed masturbation and sensate focus exercises
  2. can be treated with progressive vaginal dilators
  3. biomedical treatments are successful
  4. sexual desire disorders, dyspareunia, and delayed orgasm in males
28
Q

What are five ways for one to avoid sexual disorders?

A
  1. communicate with your partner
  2. Don’t be a spectator
  3. Don’t set up goals for sexual performance
  4. be choosy about the situations in which you have sex
  5. “Failures” will occur. but don’t let this get to you.