Exam 3 Flashcards
Sexual Dysfunction
Disorders involving either a disruption of the sexual response cycle or pain during sex
Sexual Response cycle
Desire >Excitement/Arousal >Orgasm >Resolution
Low Sexual desire disorders
Male hypoactive sexual desire disorder
Female sexual interest/arousal disorder
Female sexual interest/arousal disorder
Insufficient engorgement/lubrication
Treatment: couples therapy focused on communication, senate focus techniques
Erectile disorder
Inability to achieve/maintain erection
Treatment: medications, sensate focus techniques + paradoxical instruction
Female orgasmic disorder
Women with difficulty reaching orgasm
Treatment: education about female sexuality, self-stimulation instructions
Delayed ejaculation
Men with difficulty reaching orgasm
Causes/Treatments similiar to ED and female orgasmic disorder
Premature ejaculation
Man reaches orgasm before, on, or shortly after penetration
Treatment: special condoms, squeeze technique, start/stop technique
Genito-pelvic pain/penetration disorder
Female specific condition with at least one of the following
- difficulty with penetration during intercourse
- tensing or tightening of pelvic floor muscles during attempted penetration
- anxiety about pain associated with penetration
- marked pain during attempts at vaginal penetration
Treatment: physical therapy, learning to control vaginal muscles
Lifelong dysfunction
Existed without relief, since the person’s earliest sexual experiences
Acquired dysfunction
Develops after at least one period of normal functioning
Generalized dysfunction
Present in all sexual situations at the time of diagnosis
Situational dysfunction
Occurs only in certain situations or with certain partners
Paraphilias
recognized patterns of sexuality that deviate markedly from norms
- pattern or object becomes a central focus person’s arousal and gratification and either causes distress or impairment
Fetishistic disorder
Reliance on inanimate objects or on a body part for sexual gratification
Transvestic disorder
Sexual gratification through dressing in clothes of another gender
Exhibitionistic disorder
Sexual gratification through display of one’s genitals to an involuntary observer
Voyeuristic disorder
Sexual gratification through clandestine observation of other people’s sexual activities or sexual anatomy
Sexual sadism disorder
Sexual gratification through infliction of pain/humiliation on others
Sexual masochism disorder
Sexual gratification through pain and/or humiliation inflicted on one’s self
Frotteuristic disorder
Sexual gratification through touching and rubbing against a non-consenting person
Pedophilic disorder
Sexual gratification on the part of the adult through sexual contact with prepubescent children
- must have at least 5 year age gap
- perpetrator must be 16+
- child must be <13
Behavior treatment for paraphilias
Stimulus satiation
Orgasmic reconditioning
Covert sensitization
Medication
Stimulus sensation
Exposure to paraphilic stimuli immediately after orgasm (only when not aroused)
Orgasmic reconditioning
Switch to normative sexual fantasies or material right before orgasm
Covert sensitization
Imagine worst possible scenario during arousal