Chapter 9- Sexuality, Sexual Dysfunction & Paraphilia

Question 1

Sexual and Gender Identity Disorders: What is “normal” vs. “abnormal” sexual behavior?

Answer 1

Sexual and Gender Identity Disorders: What is “normal” vs. “abnormal” sexual behavior?

Question 2

What are sexual dysfunctions

Answer 2

Sexual dysfunctions:
Involve desire, arousal, and/or orgasm
Pain associated with sex can lead to additional dysfunction
- Must now be present for 6+ months in order to make diagnosis
- Must lead to impairment or distress in order to be considered a disorder

Question 3

Classification of sexual dysfunctions

Answer 3

Lifelong vs. acquired
Generalized vs. situational
Psychological factors alone
Psychological factors combined with medical condition

Question 4

Male Hypoactive Sexual Desire Disorder

Answer 4

Little or no interest in any type of sexual activity
Masturbation, sexual fantasies, and intercourse are rare
Accounts for half of all complaints at sexuality clinics
Affects 5% of men

Question 5

Female Sexual Interest/Arousal Disorder

Answer 5

Lack of or significantly reduced sexual interest/arousal
Typically manifesting in:
reduced sexual interest
reduced sexual activity
fewer sexual thoughts
reduced arousal to sexual cues
reduced pleasure or sensations during almost all sexual encounters

Question 6

Female Orgasmic Disorder

Answer 6

Marked delay, absence or decreased intensity of orgasm in almost all sexual encounters
Not explained by relationship distress or other significant stressors
1 in 4 women has significant difficulty achieving orgasm

Question 7

Genito-Pelvic Pain/Penetration Disorder

Answer 7

In females, difficulty with vaginal penetration during intercourse, associated with one or more of the following:
Pain during intercourse or penetration attempts
Fear/anxiety about pain during sexual activity
Tensing of pelvic floor muscles in anticipation of sexual activity

Question 8

Premature ejaculation

Answer 8

Ejaculation occurring within ~ 1 minute of penetration and before it is desired
Most prevalent sexual dysfunction in adult males
Affects 21% of all adult males
Most common in younger, inexperienced males
Problem tends to decline with age