Exam 2: Gender, Sex, Paraphilic Disorders Flashcards
Sexual Response Cycle
4 Phases:
1) Desire
2) Arousal- Change in genitalia
3) Orgasm
4) Resolution- Rest/refractory period, time men physically cannot get boner after
Women don’t cum but have contractions and activation in brain, etc. during orgasms
-Women can experience man orgasms before Resolution phase
Biological and Physiological Sex Differences
Men
-Desire–> more desire
-less willing to go w/o sex
-masturbate more
-more sacrifices/resources used for success
Women
-Higher sex drive (can go for longer)
-Multiple orgasms/delayed refractory period
-Men describe desire as physical, women define more broadly like intimacy
-Age impacts sex drive
Gender Dysphoria
Mismatch of bio sex and gender identity
-incongruence causes distress
-not all who are trans experience gender dysphoria–> significantly impairs functioning, distressing
-Gender ID dev. by age 3 and 4
Presentation in kids:
-May show disgust about genitalia
-Girls might say have/will grow penis or refuse to sit on the toilet
Trans behavior
Where may hide or dress to hide biological sex
(not necessarily trans)
Cultural Considerations for Gender Dysphoria
Other cultures have more than one sexual category
Culture may affect view on sex reassignment surgery
Etiology of Gender Dysphoria
Biological Theories
-Brain differences–> variation in grey matter volume
-Hormonal factors
missing CAH (androgen) can cause early or inappropriate male sexual development
Sexual Dysfunction
Absence or impairment of sexual response
-Life circumstances, age, culture, etc. important to consider when diagnosing
-Can be classified as:
lifelong vs. aquired
generalized vs. situational
psychological vs. combined factors
Male hypoactive sexual desire disorder
Persistent/recurrent fantasies of some aspect of sexual response
Female sexual arousal disorder
Significantly reduced or absent sexual interest or sexual arousal
Etiology of Sexual Dysfunction
Hormonal imbalance, physical disorders, androgen imbalance, alch and drugs, meds
Psy factors: negative emotional states, anxiety, stress, negative life events
Orgasmic Disorders
Delayed ejacualation disorder– despite adequite sexual stimulation
Female orgasmic disorder– difficulty experiencing orgams
Premature ejaculation disorder– ejaculation occurs within 1 min of sexual activity and before want to
-Primary- present since 1st time
-Secondary- result illness/meds
Paraphilia
Intense and persistent sexual interest other than interest in genital stimulation or making out with normal consenting human partners
Paraphilic Disorder
Paraphilias that cause distress or impairment to the person when satisfaction of paraphilia has caused harm to another person
-People often have more than one
-Often indistinguishable from others in areas nonsexual functioning
Etiology unknown
Fetishistic Disorder
Reccurent and intense sexual arousal that involves innanimate objects or high focus on nongenital body parts
Most common: panties, stockings, shoes
Transvestism Disorder
Recurrent/intense sexual arousal from cross-dressing, accompanied by significant distress/impairment
-Predominantly in married, heterosexual men
Pedophilic disorder
Recurrent/intense sexual arousing fantasies or behaviors involving activity directed toward a prepubescent child or children
-May never act on urges/fantasies
-Girls more often victims than boys
-Criminal if acted upon
Exhibitionistic Disorder
Recurrent/intense arousal involving exposing one’s genital to unsuspecting person
-Can also include masturbation in front of stranger
-More likely to be in committed relationships than other paraphilias
-High victim crime
Frotteuristic disorder
Recurrent/intense sexual arousal in form of urges, fantasies, or behaviors involving touching/rubbing against a nonconsenting person
-Almost exclusively among male adolescents or YA
-Many victims, rarely arrested
Voyeuristic disorder
Sexually arousing urges/fantasies/behaviors associated with seeing an unsuspecting person naked, undressing, or engaging in sexual activity
Sexual masochism disorder
recurrent/intense sexual arousal occurs as result of being humiliated, belittled, or made to suffer
-May not see as problem but harmful
-Traits- usually poor social skills
Sexual sadism disorder
Involves infliction of pain or humiliation on another person
-Personality traits: usually poor social skills and problems
