CP: Lecture 8 Sexual Disorders Flashcards
(88 cards)
1
Q
percentage “had sex” bij: genitals touching, genitals oral contact, penile-anal intercourse, penile-vaginal intercourse respectievelijk…
A
15, 40, 80, 100%
2
Q
% women never orgasm
A
18%
3
Q
% women half of the time
A
17%
4
Q
% women usually/always
A
65%
5
Q
sexual behaviour =
A
produces arousal and increases the chance of orgasm
6
Q
hoeveel % van de koppels heeft geen seks gehad in de afgelopen 4 weken
A
23%
7
Q
hoeveel van de seks ends up in conception
A
0,1%
8
Q
hoevaak mensen gemiddeld seks over 4 weken
A
3 keer
9
Q
4 factors for why humans have sex
A
- physical reasons (minder stress, desirability, experience)
- goal attainment (resources, social status, revenge)
- emotional (love, commitment, expression)
- insecurity (self esteem boost, duty/pressure, mate guarding).
10
Q
dutch approach to sexuality education
A
stepwise, dit is meer healthy dan in een keer all the way
11
Q
verschil males en females participation in masturbation op 16
A
mannen: 80% en vrouwen 50%
12
Q
equivalent to erectile response =
A
vulva lubrication
13
Q
mannen kennen hun lichaam beter door…
A
plassen
masturberen
genitalia are on outside
14
Q
genital response in males door…
A
vasocongestion
15
Q
openen word doc en leren -> genitalia vrouw
A
oke
16
Q
openen word doc en leren -> vrouw clitoris
A
oke
17
Q
openen word doc en leren -> over urethral sponge etc
A
oke
18
Q
factoren die gebeuren bij arousal vrouw
A
uterus verplaatst naar boven
vaginal lubrication
labia swell
clitoris enlargens
19
Q
factoren die gebeuren bij orgasm vrouw
A
contractions uterus
rectal sphincter contracts
rhythmic contractions in orgasmic platform
20
Q
leren -> anatomie man word doc
A
oke
21
Q
wat is de genital response
A
vasocongestion -> leidt tot de biological prerequisits
22
Q
biological prerequisits bij mannen
A
erection & rigidity
23
Q
wat gebeurt er bij arousal man
A
omhoog (unstimulated - partially stimulated - full erection)
partial elevation of testes
24
Q
wat gebeurt er bij orgasme man
A
urethral contractions -> force seminal fluid through the urethra
rectal sphincter contracts
internal sphincter of bladder closes
seminal vesicles contract
prostate gland contracts
25
biological prerequisites for a woman to enjoy pleasurable penetration
swelling and humidity/lubrication
26
waardoor komen de bio prerequisits
door vasocongestion
27
wat is de sexual cycle klein
desire - excitement - organsm - resolution
28
desire phase
sexual interest, with fantasies or thoughts
29
exitement phase
increased blood flow to the genitalia
30
orgasm phase
sexual pleasure peaks
31
resolution phase
relaxation and sense of well-being na orgasme
32
checken pic van verschillende cycles mannen en vrouwen
oke
33
kleine verschillen cycle mannen en vrouwen
bij mannen is desire langer en begint eerder, als de arousal nog low is.
bij vrouwen is deze desire fase korter bij vrouwen meer orgasme, soms ook resolution without orgasm
34
sex and eating
sex is not like eating
sexual desire can be compared to eating -> desire/craving
libido -> incentive motivation (rewards)
35
stimulus based system
fast, automatic, causation of behaviour can occur outside of control
36
goal based system
slow, intentional, goal directed, goals represented in the brain, involves full conscious control and insight
37
young welk systeem meer?
stimulus based
38
almost orgasm = welke systeem?
stimulus based
39
wat is belangrijk bij bv pedophilie
dat je systeem 2 aanpakt, dus goal based. want in systeem 1 is het meestal al te laat.
40
is sex an emotion?
eigenlijk wel, heeft:
physical arousal
subjective experience
behaviour
41
plaatje van sex = emotion bekijken system 1 en 2
oke
42
social exchange theory
rewards and costs.
people attempt to maximize their rewards while minimizing costs, that interaction with others is a series of exchanges, and that people who receive rewards feel obligated to reciprocate
43
equity matching hypothesis
argues that people are more likely to form and succeed in a committed relationship with someone who is equally socially desirable, typically in the form of physical attraction.
44
rubins charmed circle bekijken
oke
45
meeste sexual dysfunction in
middle east en zuidoost azie
46
6 soorten sexual problems
inhibition/excitation
acquired/lifelong
situational/generalized
47
male hypoactive sexual desire disorder
deficient/absent sexual fantasies and desires
48
erectile disorder
inability to get erection, maintain eraction or decrease in erectile rigidity in at least 75% of cases.
interferes with penetration or pleasure
49
welke male disorder komt het vaakste voor
erectile disorder
50
bij male hypoactive sexual desire disorder gaat het mis bij ... phase
desire
51
bij erectile disorder gaat het mis bij ... phase
excitement
52
female sexual interest/arousal disorder
deficits in sexual interest, biological arousal or subjective arousal.
at least 3 diminished:
interest in sex
erotic thought/fantasies
initiation of sexual activity and responsiveness to partners attempt
sexual excitement/pleasure during 75% of sexual encounters
sexual interest due to cues
genital or nongenital sensations
53
over welke phase gaat de female sexual interest/arousal disorder
desire and excitement
54
no distress is no diagnosis voorbeeld
For many women, enjoying a sense of emotional closeness to
their partner is more important than achieving an orgasm
55
early ejaculation disorder
tendency to ejaculate within 1 minute of penile insertion on at least 75% of sexual occasions
56
female orgasmic disorder
On at least 75% of sexual occasions:
* Marked delay, infrequency, or absence of orgasm, or
* Markedly reduced intensity of orgasmic sensation
(dus absence of minder intense orgasme)
57
Genitopelvic Pain/Penetration Disorder
difficulties with at least one:
o Inability to have vaginal penetration
o Vulvar, vaginal or pelvic pain
o Marked fear or anxiety about pain or penetration
o Marked tensing of the pelvic floor muscles
dus inability, pijn, anxiety about pain
58
prevalence pain female
50% female participants experience pain during coïtus, of whom 50% do not see it as a problem
59
subjective exitement may or may not reflect biological excitement for women.
overeenkomst bij mannen is 0,66, bij vrouwen 0,29
60
biopsychosocial perspective bekijken docs
oke
61
4 types of treatment for sexual dysfunctions
Psychoeducation
Couples therapy
Cognitive interventions
Sensate focus
62
treatment for female orgasmic disorder
directed masturbation
63
genito-pelvic pain/penetration disorder treatment
practice inserting smaller dildos, steeds groter
64
premature ejaculation treatment
medication
SSRIs
squeeze technique (alleen twee vingers net onder de penis, apply pressure. should inhibit ejaculation)
65
erectile disorder treatment
viagra
66
paraphilic disorders
Recurrent sexual attraction to unusual objects or sexual activities
67
paraphilic disorders should only be diagnosed when...
there is marked distress/impairment
behaviours are done with nonconsenting persons
68
fetishistic disorder
at least 6 months
recurrent and intense sexually arousing fantasies, urges or behaviours involving the use of nonliving/nongenital objects
causes distress
not limited to clothing, devices such as vibrator
69
pedophilic disorder
at least 6 months
recurrent andintense fantasies/urges/behaviour involving sexual contact with a prepubescent child (tot 12 ongeveer)
has acted on these urges or causes distress
person is at least 16, at least 5 years older than child
70
fetishistic disorder kort
inanimate object or nongenital body part
71
transvestic disorder
cross-dressing (van gender switchen qua kleding)
72
voyeuristic disorder
watching unsuspecting others undress or have sex
73
exhibitionistic disorder
exposing genitals to unwilling stranger
74
frotteuristic disorder
sexual touching of an unsuspecting person
75
sexual sadism disorder
inflicting pain
76
sexual masochism disorder
receiving pain
77
inanimate object/nongenital body part
fetishistic disorder
78
cross-dressing
transvestic disorder
79
watching unsuspecting others undress or have sex
voyeuristic disorder
80
exposing genitals to unwilling strangers
exhibitionistic disorder
81
sexual touching of an unsuspecting person
frotteuristic disorder
82
inflicting pain
sexual sadism disorder
83
receiving pain
sexual masochism disorder
84
nog een keer alle paraphilic disorders
fetishistic
transvestic
pedophilic
voyeuristic
exhibitionistic
frotteuristic
sexual sadism
sexual masochism
85
research paraphilic disorders is often focused on...
men charged with sexual offenses
86
enhance motivation for treatment
Focus on benefits for change and consequences of continued engagement in illegal sexual behaviors
87
biological treatments
hormonal agents to reduce androgens
88
cognitive behavioural therapy
aversion therapy
counter distorted thinking
combined with social skills, sexual impulse control strategies, empathy training, relapse prevention
