Final Flashcards

1
Q

3 Categories of Sexual Dysfunction

A
  • Dysfunction
  • Dissatisfaction
  • Deviation
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2
Q

4 Types of Sexual Dysfunction

A
  • Disorders of Desire
  • Arousal Dysfunction
  • Orgasm Dysfunction
  • Pain
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3
Q

Hypoactive sexual desire disorder

A

The persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts and/or desire for or receptivity to sexual activity that causes personal distress

  • Can be lifelong or acquired, generalized or situational, and have single or multiple etiologies
  • Must cause PERSONAL stress for dx; partner distress does not warrant dx
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4
Q

Sexual arousal disorder

[Male erectile disorder, female sexual arousal disorder]

A

The persistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress
- It may be expressed as a lack of subjective excitement, genital response (lubrication/swelling), or other somatic responses

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5
Q

Orgasmic disorder

[male orgasmic disorder, premature ejaculation, female orgasmic disorder]

A

The persistent or recurrent difficulty, delay in, or absence of attaining orgasm/ejaculation following sufficient sexual stimulation and arousal, causing personal distress

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6
Q

Pain disorders

[Dyspareunia, Vaginismus]

A

Dyspareunia: Recurrent or persistent genital pain associated with sexual intercourse.

Vaginismus: Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration, again causing personal distress

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7
Q

5 Basic Conditions for Healthy Sex

A
C- Consent
E - Equality
R - Respect
T - Trust
S - Safety
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8
Q

Pros of Therapist Comfort

A
  • Allows client to “normalize” when therapist conveys she is comfortable dealing with sexual issues
  • Allows client to reveal fantasies, concerns
  • Allows for greater creativity in the treatment room
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9
Q

Assessment

A
  • Screen clients (may be first screening by a professional)
  • Incorporate in ongoing practice in matter of fact manner
  • Specific requests for sex therapy –> comprehensive sexual assessment
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10
Q

Screening Questions

A
  • Are you sexually active?
  • Men, women, or both?
  • Are you satisfied with the quality and quantity of sexual activity in your life?
  • Is this an area you would like more information on/ to fully explore?
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11
Q

Ways to incorporate in ongoing practice

A
  • Quality/Quantity of sex, and level of satisfaction
  • Meaning of sex
  • Contraindicated in presence of severe marital distress - marital therapy to pave the way for future tx of sexual problem
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12
Q

Comprehensive Assessment

A

Medical
Psychosocial
Psychophysiological

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13
Q

Treatment for

Premature/Delayed Ejaculation

A
  • Relaxation response
  • SSRIs
  • Mindfulness - Fantasy
  • Relationship issues
  • Squeeze technique
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14
Q

Treatment for

Erectile Dysfunction

A
  • Focus on non-erotic stimuli
  • Encourage positive reinforcement
  • Decrease demands
  • Encourage open, positive communication with partner
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15
Q

Treatment for

Dyspareunia/Vaginismus

A
  • Physical examination critical
  • Vaginal dilators
  • Relaxation training
  • Greater success with partner involvement
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16
Q

Treatment for

Orgasmic disorder

A
  • Relaxation - sensate focus
  • Mindfulness of sensual pleasure
  • Appropriate use of erotica/fantasy
  • Masturbation
  • Increase positive self-image
  • Pelvic floor exercises
17
Q

Treatment for
Disorders of Desire
(Men & Women)

A
  • Education
  • Sensate focus - sensual awareness
  • Appropriate exposure to erotica, sexual aids
  • Explore relationship to sex/erotic mind
  • Hormonal (testosterone)?
18
Q

Medically speaking, sexual issues fall into 3 general categories:

A
  • Nerve supply
  • Blood flow
  • Hormones
19
Q

Questions to ask regarding meaning of sex

A
  • What does sex mean to you?
  • How is/was sex treated in your family?
  • What are the important events that shaped your sexuality?
  • What would you like to experience most with your partner sexually, and
  • What are you most afraid of?
20
Q

The Erotic Equation

A

Attraction + Obstacles = Excitement

*Eroticism resides where there is UNPREDICTABILITY, SPONTANEITY, and RISK.

21
Q

Emotional Connectedness Can Dampen Desire

A

When closeness becomes an obligation

Threat to separateness = basis of all attractions

22
Q

Encouraging Change

A
  • Clarify goals and motivations
  • Nurture self-worth
  • Embrace uncertainty
  • Acknowledge and mourn your losses
  • Practice mindfulness using your senses
  • Risk the unfamiliar
  • Integrate your discoveries
23
Q

Most important issues that influence women’s sexual well-being

A
  • Self-image
  • Relationships
  • Psychological health
  • Social connectedness
  • Cultural expectations