Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Human Sexuality > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

History of Approaches to Sexual Dysfunction

A

Starts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

1786

A

Sir John Hunter reports first treatment of erectile failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

1789: Sir John Hunter

A

Sends couples with unconsummated marriage, due to erectile dysfunction, to his secluded cabin, and FORBADE sexual contact.
- Unable to follow instructions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1789: Sir John hunters solution?

A
  • Remove the individual from anxiety (AKA. put in secluded cabin)
  • Couple returned saying that they were not able to follow the instructions.
  • Engineer a situation that anxiety can be lessened to the point where sexual function returns.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

1890-1900: Kraft-Edbing

A

“Psychopathia Sexualis”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Kraft-Edbing: “Psychopathia Sexualis”

A
  • Appallingly Victorian
  • Psychopathia Sexualis is what he considered as perversions.
  • His recommendation was to hot iron the clitoris of a masturbator.
    ( people is insane asylums would publicly engage in masturbation or same sex sexual activity)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

1930-1965: Fruendian Psychoanalysis, Psychodynamic approaches

A
  • Sexual problems are SYMPTOMS of unconscious conflict.
  • Do NOT treat symptoms- identify and provide insight into their underlying unconscious conflictual basis.
    ( bring it into conscious)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Freud and Rapid Ejaculation?

A

Possibly due to unconscious view of castration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1965-1990: Masters and Johnson

A
  • Pragmatic, brief, symptom focused, behavioural therapy.

- Sexual problems are learned behaviours that are amenable to learned solutions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Masters and Johnson: Obstetrician and Gynaecologist

A
  • Asked to study prostitutes

- Began recording for lab studies- what their bodies were doing and how to repair problematic sexual function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Masters and Johnsons Contribution:

A
  • Appropriate for era with little understanding of sexual dysfunction.
  • View that sexual function proceeds unless their anxiety, spectating, and ignorance.
  • Get people to approach anxiety situation without provoking anxiety and spectating, it should no longer hinder sexual function.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Masters and Johnson Treatment ideology?

A

Treatment: Symptom focused

  • Worked well
  • Not well involved in neurology and vascular basis in ageing men.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

1990-200: Sex versus Marital and Relationship Therapy- Disorders of sexual Desire : HELEN KAPLAN

A
  • Notice that most patients don’t have orgasmic erectile, and pain problems ( they lack DESIRE)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

1990-2019: Development of Pharmacotherapy

A

Sildenafil, tadalafil, vardenafil; flibanserin.

Drug therapy: thought that alpha blocker might be related to penile erection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The sexual Response Cycle : Male and Female

A

Masters and Johnsons: Conceptualize that men are understanding of their diagnosis of sexual dysfunction.
Modern day approach:
- People can have disorders of sexual desire.
- They might have problems with arousal.
- They may also have orgasmic problems.
- May experience coital pain
( All are looked at in both masters and Kaplans work)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hypoactive Sexual Desire Disorder(HSDD) (woman)

A

Persistent or recurrent deficiency ( or absence) of sexual fantasies and desires for or receptivity to sexual activity. (* Female sexual interest and arousal disorder)
“Hypo” means low - this person has low sexual desire. ( don’t initiate and not receptive)

17
Q

Sexual Dysfunction Vs. Sexual Concern:

A
  • The disturbance must cause marked distress or interpersonal difficulty.
  • Must not be better accounted for by effects of a psychiatric disorder, medical disorder, or substance, or marked relationship difficulty.
  • Must persist 6 months or more and must occur on all or almost all sexual encounters.
18
Q

Sexual Arousal Disorder (woman)

A

Absent or reduced sexual arousal, genital sensations, excitement or pleasure during sexual activity.

19
Q

Female Orgasmic Disorder

A

Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase.

20
Q

Dyspareunia (woman)

A

Recurrent or persistent genital pain associated with sexual intercourse ( Outlet, deep)

21
Q

Outlet Dyspareunia (woman)

A

Pain, not lubricated enough, yeast infection.

22
Q

Deep Dyspareunia (woman)

A

Pain, b/c more underlying tissues.

23
Q

Vaginismus

A

Recurrent or persistent involuntary contraction of the perineal muscles surrounding the outer third of the vagina when vaginal penetration with penis, finger, tampon, or speculum is attempted.

24
Q

Vulvodynia

A

Vulvar and vestibular “burning” or cutting type of pain; may be provoked or unprovoked.
*Genital-pelvic pain/penetration disorder.

25
Q

Prevalence of Sexual Dysfunction: Sexual Problems and Distress in United States Women

A
  • Desire disorder is MOST FREQUENT.
  • Arousal: Common
  • Orgasmic: Not common
    • All Peak in women during or near menopause and all decline after menopause.
  • Prevalence increases and distress decreases after menopause.
26
Q

London ON ob-Gyn Waiting Room Series (woman):

A

47%- sexual desire lower than like
22%- partners being lower than liked.
23% - couples distressed because of sex.
**There are no negation training regarding sexual desire and frequency of sexual intercourse.

27
Q

London ON waiting room serious (woman): Arousal and lubrication problems, lack of orgasm, painful intercourse:

A
  • Arousal or lubrication problems: 28%
  • Lack of orgasm: 35%
  • Painful intercourse:24%
28
Q

Sexual Dysfunction Problems:

A
  • Almost 80% had one or more of the dysfunction problems .

- Only 16% discussed it with a physician.

29
Q

Diagnosis of Male Sexual Dysfunctions: Hypoactive Sexual Desire Disorder (HSDD)

A
  • Persistent or recurrent deficiency (or absence) sexual fantasies and desire for sexual activity.
30
Q

Sexual Arousal Disorder (male)

A

Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection.

31
Q

Orgasmic Disorder

A
  • Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it.
  • Persistent or recurrent delay in, or absence of orgasm following a normal sexual excitement phase.
    (cum too fast or not at all)
32
Q

Dyspareunia

A

Recurrent or persistent genital pain associated with sexual intercourse (e.e., Pyronies Disease- curvature of the penis - fibrous/painful penile eraction)

33
Q

Prevalence of male sexual dysfunction? HSDD

A

18-19 : 14%
30-39: 13%
40-49: 15%
50-59: 17%

34
Q

Prevalence of Male Sexual Dysfunction: ED ( trouble achieving or maintaining an erection)

A

18-19: 7%
30-39: 9%
40-49: 11%
50-59: 18%

35
Q

Prevalence of Male Sexual Dysfunction: Rapid Ejaculation

A

18-19: 30%
30-39: 32%
40-49: 28%
50-59: 31%

36
Q

Prevalence of Male Sexual Dysfunction: Unable to orgasm

A

18-19: 7%
30-39: 7%
40-49: 9%
50-59: 9%

37
Q

Often interrelated diagnoses

A

Desire + arousal

  • eg., orgasm phase problem could be the case that their primer problem is coital pain or lack of arousal.
  • Often adaptions to partner’s sexual Dysfunction.
38
Q

Lifelong vs. Acquired

A
  • if its always been there, it would be very different in comparison

Human Sexuality (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions