Child Development/Sexual Psychology II Flashcards
What are the 4 domains of pediatric development?
Motor: Fine and Gross motor
Communication: Speech… Receptive and expressive languate
Problem Solving: Cognition
Social-emotional: temperament, behavioral responses to environment
What is the development of writing?
Develops between 2 to 6 years of age
As writing develops, hand moves closer to tip of pencil
At first, children hold pencil away from tipa nd movements come from shoulder
Later, elbow produces more movement
Finally, fingers and thumb gain control (dynamic tripod)
Mature writing patter observed by 7 years
What are protective factors of childhood development?
- Strong connection with loving family
- Opportunities to interact with other children
- Grow in independence in an environment with appropriate structure
- Resiliency in older children
What are risk factors to childhood development?
- Family poverty
- Parental mental illness
- Child neglect and abuse
- Prematurity
- Poor nutrition
- Complex medical conditions
What are the stages of the sexual response cycle?
- Desire (appetitive)
- Excitement (arousal)
- Orgasmic
- Resolution
What are factors affecting the desire stage?
Biological, psychological, and social factors including:
Libido
- *Suggestive Content**
- Partner availabe
- Suggestive matterials present
Sexual fantasizing
What are sexual dysfunctions?
Disturbances in any aspect of the sexual response cycle
Divided into:
- Sexual dysfunction due to GMC
- Substance-induced sexual dysfunction
- Desire disorders
- Sexual arousal disorders
- Orgasmic disorders
- Sexual pain disorders
What are the possible desire disorders?
- Hypoactive sexual desire disorder
- Sexual aversion disorder
What is hypoactive sexual desire disorder?
- Global: all forms of sexual expression
- Situational: limited to a partner, activity or context
- Wide range of sexual desire is normal
What is the treatment of hypoactive sexual desire disorder?
- Testosterone if baseline level is low
- Cognitive-behavioral approaches
Involve homework
Sensate focus - Interpersonal or dynamic therapy for couples with primary relationship problems
What is sexual aversion disorder? Treatment?
Decreased frequency of sexual activity due to active aversion to genital sexual contact with the sexual partner
- Anxiety, fear, or disgust experienced when the opportunity for sex arises
- Aversion may be to specific activity or generalized revulsion (previous victimization?)
Treatment:
In vivo desensitization assignments similar to those for phobic disorders
What are the possible sexual arousal disorders?
Female sexual arousal disorder
Male erectile disorder
What is female sexual arousal disorder?
Presistent or recurrent inability to attain or maintain an adequate lubrication-swelling response during teh sexual excitement phase
- -> 1/3 of married women experience it
- -> may be due to physical factors
What is Male erectile disorder?
Erectile Dysfunction
Persistent or recurrent inability to attain or maintain an erection adequate for completion of the desired sexual activity
–> most common male sexual disorder
What are the risk factors for Male Erectile Disorder?
Aging (50% are 40-70yrs old)
Primary care patients
Adult male diabetes
Vascular disease, smoking, hypercholesterolemia
