Exam 2: Gender, Sex, Paraphilic Disorders

Question 1

Sexual Response Cycle

Answer 1

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

Question 2

Biological and Physiological Sex Differences

Answer 2

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

Question 3

Gender Dysphoria

Answer 3

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

Question 4

Trans behavior

Answer 4

Where may hide or dress to hide biological sex
(not necessarily trans)

Question 5

Cultural Considerations for Gender Dysphoria

Answer 5

Other cultures have more than one sexual category

Culture may affect view on sex reassignment surgery

Question 6

Etiology of Gender Dysphoria

Answer 6

Biological Theories

-Brain differences–> variation in grey matter volume
-Hormonal factors
missing CAH (androgen) can cause early or inappropriate male sexual development

Question 7

Sexual Dysfunction

Answer 7

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

Question 8

Male hypoactive sexual desire disorder

Answer 8

Persistent/recurrent fantasies of some aspect of sexual response

Question 9

Female sexual arousal disorder

Answer 9

Significantly reduced or absent sexual interest or sexual arousal

Question 10

Etiology of Sexual Dysfunction

Answer 10

Hormonal imbalance, physical disorders, androgen imbalance, alch and drugs, meds

Psy factors: negative emotional states, anxiety, stress, negative life events

Question 11

Orgasmic Disorders

Answer 11

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

Question 12

Paraphilia

Answer 12

Intense and persistent sexual interest other than interest in genital stimulation or making out with normal consenting human partners

Question 13

Paraphilic Disorder

Answer 13

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

Question 14

Fetishistic Disorder

Answer 14

Reccurent and intense sexual arousal that involves innanimate objects or high focus on nongenital body parts

Most common: panties, stockings, shoes

Question 15

Transvestism Disorder

Answer 15

Recurrent/intense sexual arousal from cross-dressing, accompanied by significant distress/impairment

-Predominantly in married, heterosexual men

Question 16

Pedophilic disorder

Answer 16

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

Question 17

Exhibitionistic Disorder

Answer 17

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

Question 18

Frotteuristic disorder

Answer 18

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

Question 19

Voyeuristic disorder

Answer 19

Sexually arousing urges/fantasies/behaviors associated with seeing an unsuspecting person naked, undressing, or engaging in sexual activity

Question 20

Sexual masochism disorder

Answer 20

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

Question 21

Sexual sadism disorder

Answer 21

Involves infliction of pain or humiliation on another person

-Personality traits: usually poor social skills and problems