Disorders of Sex and Gender Flashcards
4 stages of normal sexual functioning
- Desire
- Excitement
- Orgasm
- Resolution
Sexual Dysfunctions
- drugs
- pain medications
- increased depression or anxiety
- anger
- fear of losing control of sexual urges
- divorce
- death in the family
- recent childbirth
Disorders of Excitement
- Erectile disorder
- hormones
- vasculature
- medications/drugs
- tests
Disorders of Orgasm
- early ejaculation
- delayed ejaculation
Female Orgasmic disorder
- persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity
- more common in single women than married or cohabitating
- treatment: self-exploration, self-stimulation, fantasies, etc
Genito-pelvic pain/penetration disorder
- recurrent or persistent involuntary spasm of the muscles of the outer third of the vagina that interferes with sexual intercourse
- treatment: tightening and relaxing vaginal muscles, gradual behavioral exposure treatment
Dyspareunia
-recurrent or persistent genital pain -associated with sexual intercourse in either male or female
Treatment
- effectual awareness
- self-instruction training
- increased desire
- hormone treatment
Paraphilias
-over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving certain inappropriate stimuli or situations
Transvestic fetishism
-recurrent need or desire to dress in clothes of the opposite sex in order to achieve sexual arousal
Exhibitionism
- recurrent urges to expose genitals to another person or has sexually arousing fantasies of doing so
- wants to promote shock
- rarely has contact with the person
- occurs in people with poor social skills
- treatment: aversion therapy, masturbatory satiation, orgasmic reorientation, social skills training
Voyeurism
- recurrent and intense urges to secretly observe unsuspecting people as they undress or to spy on a couple having intercourse
- begins before age 15 and persist
- reinforcement of chance of observation
Frotteurism
- repeated and intense sexual urges to touch and rub against a nonconsenting person or has sexually arousing fantasies about does so
- usually committed in a crowded place
- almost always male, reduces in frequencies after mid 20’s
Pedophilia
- sexual gratification by watching, touching, or engaging in sexual acts with prepubescent children, usually 13 years or younger
- develops during adolescence
- not unusual for the perpetrators to be married
Sexual Masochism
- intense sexual arousal by the act or thought of being humiliated, beaten, bound, or otherwise made to suffer
- must result in distress or impairment to get the diagnosis
Sexual Sadism
- sexual arousal by the thought or act of inflicting suffering on others
- usually male
- association of power and sexual arousal with infliction of pain
Gender Dysphoria
- strong and persistent cross-gender identification
- men outnumber women 2:1
- persistent discomfort with one’s sex or a sense of inappropriateness in the gender role of that sex
- 1 of ever 30,000 men in Europe have requested sex change surgery