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Clinical & Neuropsychology 2 > CP: Lecture 8 Sexual Disorders > Flashcards

CP: Lecture 8 Sexual Disorders Flashcards

1
Q

percentage “had sex” bij: genitals touching, genitals oral contact, penile-anal intercourse, penile-vaginal intercourse respectievelijk…

A

15, 40, 80, 100%

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2
Q

% women never orgasm

A

18%

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3
Q

% women half of the time

A

17%

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4
Q

% women usually/always

A

65%

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5
Q

sexual behaviour =

A

produces arousal and increases the chance of orgasm

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6
Q

hoeveel % van de koppels heeft geen seks gehad in de afgelopen 4 weken

A

23%

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7
Q

hoeveel van de seks ends up in conception

A

0,1%

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8
Q

hoevaak mensen gemiddeld seks over 4 weken

A

3 keer

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9
Q

4 factors for why humans have sex

A
  1. physical reasons (minder stress, desirability, experience)
  2. goal attainment (resources, social status, revenge)
  3. emotional (love, commitment, expression)
  4. insecurity (self esteem boost, duty/pressure, mate guarding).
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10
Q

dutch approach to sexuality education

A

stepwise, dit is meer healthy dan in een keer all the way

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11
Q

verschil males en females participation in masturbation op 16

A

mannen: 80% en vrouwen 50%

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12
Q

equivalent to erectile response =

A

vulva lubrication

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13
Q

mannen kennen hun lichaam beter door…

A

plassen
masturberen
genitalia are on outside

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14
Q

genital response in males door…

A

vasocongestion

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15
Q

openen word doc en leren -> genitalia vrouw

A

oke

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16
Q

openen word doc en leren -> vrouw clitoris

A

oke

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17
Q

openen word doc en leren -> over urethral sponge etc

A

oke

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18
Q

factoren die gebeuren bij arousal vrouw

A

uterus verplaatst naar boven
vaginal lubrication
labia swell
clitoris enlargens

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19
Q

factoren die gebeuren bij orgasm vrouw

A

contractions uterus
rectal sphincter contracts
rhythmic contractions in orgasmic platform

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20
Q

leren -> anatomie man word doc

A

oke

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21
Q

wat is de genital response

A

vasocongestion -> leidt tot de biological prerequisits

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22
Q

biological prerequisits bij mannen

A

erection & rigidity

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23
Q

wat gebeurt er bij arousal man

A

omhoog (unstimulated - partially stimulated - full erection)
partial elevation of testes

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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

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25
Q

biological prerequisites for a woman to enjoy pleasurable penetration

A

swelling and humidity/lubrication

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26
Q

waardoor komen de bio prerequisits

A

door vasocongestion

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27
Q

wat is de sexual cycle klein

A

desire - excitement - organsm - resolution

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28
Q

desire phase

A

sexual interest, with fantasies or thoughts

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29
Q

exitement phase

A

increased blood flow to the genitalia

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30
Q

orgasm phase

A

sexual pleasure peaks

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31
Q

resolution phase

A

relaxation and sense of well-being na orgasme

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32
Q

checken pic van verschillende cycles mannen en vrouwen

A

oke

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33
Q

kleine verschillen cycle mannen en vrouwen

A

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

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34
Q

sex and eating

A

sex is not like eating
sexual desire can be compared to eating -> desire/craving
libido -> incentive motivation (rewards)

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35
Q

stimulus based system

A

fast, automatic, causation of behaviour can occur outside of control

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36
Q

goal based system

A

slow, intentional, goal directed, goals represented in the brain, involves full conscious control and insight

37
Q

young welk systeem meer?

A

stimulus based

38
Q

almost orgasm = welke systeem?

A

stimulus based

39
Q

wat is belangrijk bij bv pedophilie

A

dat je systeem 2 aanpakt, dus goal based. want in systeem 1 is het meestal al te laat.

40
Q

is sex an emotion?

A

eigenlijk wel, heeft:
physical arousal
subjective experience
behaviour

41
Q

plaatje van sex = emotion bekijken system 1 en 2

A

oke

42
Q

social exchange theory

A

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
Q

equity matching hypothesis

A

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
Q

rubins charmed circle bekijken

A

oke

45
Q

meeste sexual dysfunction in

A

middle east en zuidoost azie

46
Q

6 soorten sexual problems

A

inhibition/excitation
acquired/lifelong
situational/generalized

47
Q

male hypoactive sexual desire disorder

A

deficient/absent sexual fantasies and desires

48
Q

erectile disorder

A

inability to get erection, maintain eraction or decrease in erectile rigidity in at least 75% of cases.

interferes with penetration or pleasure

49
Q

welke male disorder komt het vaakste voor

A

erectile disorder

50
Q

bij male hypoactive sexual desire disorder gaat het mis bij … phase

A

desire

51
Q

bij erectile disorder gaat het mis bij … phase

A

excitement

52
Q

female sexual interest/arousal disorder

A

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
Q

over welke phase gaat de female sexual interest/arousal disorder

A

desire and excitement

54
Q

no distress is no diagnosis voorbeeld

A

For many women, enjoying a sense of emotional closeness to
their partner is more important than achieving an orgasm

55
Q

early ejaculation disorder

A

tendency to ejaculate within 1 minute of penile insertion on at least 75% of sexual occasions

56
Q

female orgasmic disorder

A

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
Q

Genitopelvic Pain/Penetration Disorder

A

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
Q

prevalence pain female

A

50% female participants experience pain during coïtus, of whom 50% do not see it as a problem

59
Q

subjective exitement may or may not reflect biological excitement for women.

A

overeenkomst bij mannen is 0,66, bij vrouwen 0,29

60
Q

biopsychosocial perspective bekijken docs

A

oke

61
Q

4 types of treatment for sexual dysfunctions

A

Psychoeducation
Couples therapy
Cognitive interventions
Sensate focus

62
Q

treatment for female orgasmic disorder

A

directed masturbation

63
Q

genito-pelvic pain/penetration disorder treatment

A

practice inserting smaller dildos, steeds groter

64
Q

premature ejaculation treatment

A

medication
SSRIs
squeeze technique (alleen twee vingers net onder de penis, apply pressure. should inhibit ejaculation)

65
Q

erectile disorder treatment

A

viagra

66
Q

paraphilic disorders

A

Recurrent sexual attraction to unusual objects or sexual activities

67
Q

paraphilic disorders should only be diagnosed when…

A

there is marked distress/impairment
behaviours are done with nonconsenting persons

68
Q

fetishistic disorder

A

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
Q

pedophilic disorder

A

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
Q

fetishistic disorder kort

A

inanimate object or nongenital body part

71
Q

transvestic disorder

A

cross-dressing (van gender switchen qua kleding)

72
Q

voyeuristic disorder

A

watching unsuspecting others undress or have sex

73
Q

exhibitionistic disorder

A

exposing genitals to unwilling stranger

74
Q

frotteuristic disorder

A

sexual touching of an unsuspecting person

75
Q

sexual sadism disorder

A

inflicting pain

76
Q

sexual masochism disorder

A

receiving pain

77
Q

inanimate object/nongenital body part

A

fetishistic disorder

78
Q

cross-dressing

A

transvestic disorder

79
Q

watching unsuspecting others undress or have sex

A

voyeuristic disorder

80
Q

exposing genitals to unwilling strangers

A

exhibitionistic disorder

81
Q

sexual touching of an unsuspecting person

A

frotteuristic disorder

82
Q

inflicting pain

A

sexual sadism disorder

83
Q

receiving pain

A

sexual masochism disorder

84
Q

nog een keer alle paraphilic disorders

A

fetishistic
transvestic
pedophilic
voyeuristic
exhibitionistic
frotteuristic
sexual sadism
sexual masochism

85
Q

research paraphilic disorders is often focused on…

A

men charged with sexual offenses

86
Q

enhance motivation for treatment

A

Focus on benefits for change and consequences of continued engagement in illegal sexual behaviors

87
Q

biological treatments

A

hormonal agents to reduce androgens

88
Q

cognitive behavioural therapy

A

aversion therapy
counter distorted thinking
combined with social skills, sexual impulse control strategies, empathy training, relapse prevention

Clinical & Neuropsychology 2 (30 decks)

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