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Clinical & Neuropsychology 2 > CP: Chapter 12 Sexual Disorders > Flashcards

CP: Chapter 12 Sexual Disorders Flashcards

1
Q

cultural differences sex

A

some cultures view sexuality as an important part of wellbeing and pleasure, others view it as relevant only for procreation.

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2
Q

gender differences sex

A

women are more ashamed of flaws = interference with sexual satisfaction.
women: sexuality more closely tied to relationship status and social norms

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3
Q

sexual response cycle kaplan -> overview

A

desire phase -> excitement phase -> orgasm phase -> resolution phase

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4
Q

desire phase =

A

sexual interest associated with arousing fantasies or thoughts

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5
Q

excitement phase =

A

increased blood flow to genitalia

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6
Q

what happens to your body in the excitement phase

A

flow of blood into tissue to produce erection bij mannen
enlargement of breatst and changes in vagina (eg. lubrication) bij vrouwen

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7
Q

resolution phase =

A

relaxation and sense of wellbeing following an orgasm.
in men: refractory period, women can orgasm again.

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8
Q

how does kaplan not fit the data for women:

A
  1. desire and excitement phase may not be extinct for women
  2. kaplan definition of excitement may be too biological, biological and subjective excitement may be 2 separate things for women (even though they are the same for men)
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9
Q

hoe meten van biological excitement

A

vaginal plethysmograph (in vagina, measures blood flow) or penile plethysmograph (thin rubber tube that stretches as the penis enlargens)

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10
Q

hoe heet minder zin in seks bij vrouwen

A

sexual interest/arousal disorder in women

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11
Q

sexual interest/arousal disorder in women dsm

A

diminished, absent or reduced frequency of at least 3:
interest in sex
erotic thoughts/fantasies
initiation of sexual activity
sexual excitement/pleasure during 75% of the time
sexual interest by cues
genital or non genital sensations during 75% of encounters

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12
Q

hoe heet minder zin in seks bij mannen

A

male hypoactive sexual desire disorder

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13
Q

male hyposexual disorder =

A

sexual fantasies and desires are deficient or absent

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14
Q

erectile disorder =

A

on at least 75% of sexual occasions, one of these:
inability to attain erection
inability to maintain erection
marked decrease in erectile rigidity interferes with penetration oor pleasure

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15
Q

hoe heet het als een vrouw geen orgasme kan krijgen

A

female orgasmic disorder

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16
Q

female orgasmic disorder

A

on at least 75% of sexual occasions:

marked delay/infrequency or absence of orgasm
markeldy reduced sensitivity of orgasmic sensations

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17
Q

women are more likely to have orgasms as…

A

they age, and have closer relationships

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18
Q

womens problems with reaching an orgasm are distinct from problems with sexual arousal

A

oke

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19
Q

hoe heet het als mannen problemen hebben met orgasmen

A

delayed ejaculation disorder

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20
Q

delayed ejaculation disorder =

A

persistent difficulty in ejaculation (mainly during intercourse, not when masturbating)
-> delay, infrequency or absence of orgasm at at least 75% of sexual occasions

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21
Q

prevalentie delayed ejaculation disorder

A

less than 1% of men

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22
Q

early ejaculation disorder =

A

ejaculation that occurs too quickly, within 1 minute of penile insertion on at least 75% of the sexual occasions.

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23
Q

hoe helpen bij early ejaculation disorder

A

via psychoeducation: help set realistic expectations

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24
Q

sexual pain disorder =

A

genitopelvic pain/penetration disorder

persistent or recurrent difficulties with at least one:
vaginal penetration
vulvar, vaginal or pelvic pain during penetration
fear about pain or penetration
tensing of the pelvic floor muscles during penetration (vaginismus)

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25
Q

vaginismus =

A

involuntar ymuscle spasms of the outer third vagina so that intercourse is impossible

26
Q

wat is er bij genitopelvic pain/penetration disorder wel nog

A

wel nog sexual arousal en oral orgasms

27
Q

waarom geen mannen dsm 5 criteria bij sexual pain

A

omdat zij geen treatment zoeken

28
Q

succesful sexual functioning: physical factors

A

good health, excersise, good nutrition

29
Q

poor sexual functioning: physical factors

A

smoking
drinking
cardiovascular problems
low physiological arousal
neuro diseases
diabetes
ssri medication
antihypertensive medication
other drugs

30
Q

psychosocial factors: good sex

A

good emotional health
attraction towards partner
positive attitude towards partner
positive sex attitude

31
Q

poor sexual functioning psychological factors

A

depression or anxiety
focus on performance
too much routine
poor self esteem
uncomfortable environment
rigid attitude towards sex
negative thoughts about sex

32
Q

social and sexual history factors; good sex

A

positive experiences with sex
good relationship with partner
sexual knowledge and skill

33
Q

social and sexual history factors: poor sex

A

rape or abuse
relationship problems
long periods of abstinence
history of hurried sex

34
Q

wat kun je doen tegen anxiety bij sex

A

gradual and systematic reduction of anxiety-provoking aspects: psychoeducation can do a lot to reduce anxiety

35
Q

wat doen tegen attitude and thoughts

A

sensate focused exercises: use physical touch to get more intimate with partner
of communication training

36
Q

wat to do for female orgasmic disorder

A

directed masturbation: examining nude body, touching, finding areas of pleasure with partner watching etc.

37
Q

squeeze technique

A

for early ejaculation disorder, reduces arousal

38
Q

wat is het lastige aan depressie

A

depressie zelf kan leiden tot poor sex, maar antidepressants juist ook

39
Q

pde-5 inhibitors

A

relax smooth muscles, allowing blood to flow into penis, creating an erection during sexual stimulation

maar side effects = headache and indigestion

40
Q

7 paraphilic disorders

A

fetishistic disorder
pedophilic disorder and incest
voyeuristic disorder
exhibitionistic disorder
frotteuristic disorder
sexual sadism disorder
sexual masochism disorder

41
Q

fetishistic disorder=

A

at least 6 months: recurring and intense fantasies/urges/behaviour involving the use of nonliving objects or nongenital body parts

bv clothing in cross dressing, vibrator etc

42
Q

hoe lang moeten alle paraphilic disorders zijn

A

at least 6 months!

43
Q

pedophilic disorder

A

recurrent and intense arousing fantasies/urges/behaviour involving sexual contact with a prepubescent child.

either has acted on the urges or urges cause distress/interpersonal problems

person is at least 16, child is at least 5 years younger

44
Q

voyeuristic disorder

A

recurrent and intense sexually arousing fantasies/urges/behaviour involving the observation of unsuspecting others who are naked, disrobing or have sex.

has acted on these urges in nonconsenting manner, or cause distress

45
Q

exhibitionistic disorder

A

recurrent and intense sexually arousing fantasies/urges/behaviour about showing their genitals to unsuspecting strangers.

has acted on these urges to nonconsenting person or cause distress

46
Q

frotteuristic disorder

A

recurrent and intense sexually arousing fantasies/urges/behaviour involving touching a non consenting person

has acted on or causes distress

47
Q

sexual sadism disorder

A

recurrent and intense sexually arousing fantasies, urges or behaviour involving physical/psychological suffering of another person

has acted on urges or causes distress

48
Q

sexual masochism disorder

A

recurrent and intense sexually arousing fantasies/urges/behaviour involving the act of being humiliated, beaten, bound or made to suffer.

causes distress or impairment

49
Q

dus welke disorders horen bij ongewenst:
kijken - aanraken - showen

A

kijken = voyeuristic
aanraken = frotteuristic
showen = exhibitionistic

50
Q

verschil sexual sadism en sexual masochism disorder

A

sexual sadism = suffering of someone else
sexual masochism = suffering of self

51
Q

gender paraphilia

A

almost all are men

52
Q

androgens in paraphilia?

A

niet perse anders dan ‘gezonde’ mannen

53
Q

wat is wel een risicofactor voor paraphilia

A

childhood sexual abuse: 2/3 of paraphilic disorders zijn abused

54
Q

triggers for paraphilia

A

alcohol, negative moods, loss of impulse control

55
Q

risk factors for paraphilia

A

impulsiveness
bad emotion regulation
parenting
social skill deficits
hostility towards women
cognitive distortion

56
Q

3 types of cognitive behaviour therapy for paraphilic disorders

A

aversion therapy - shock on the hand, or drug that produces nausea when looking at the thing that is the fetish

covert sensitization - imagine the situation in which they are aroused, and then imagine feeling sick or ashamed

counter distorted thinking - gedachtes tegengaan met rationaliteit

57
Q

often these cbt methods are combined with…

A

social skills training, sexual impulse control strategies, empathy training, relapse prevention

58
Q

wat voor biological treatments for paraphilia

A

drugs that lower testosterone -> ook mindere sex drive.
maar veel side effects

of antidepressants, maar geen goed bewijs voor

59
Q

sexual desire disorders vrouw en man

A

female sexual interest/arousal disorder

male hypoactive sexual desire disorder

60
Q

sexual arousal disorder vrouw en man

A

female orgasmic disorder

delayed ejaculation disorder

early ejaculation disorder

61
Q

sexual pain disorder vrouw

A

genito-pelvic pain/penetration disorder

Clinical & Neuropsychology 2 (30 decks)

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