Gender and Sexual Disorders Flashcards

1
Q

Diagnostic Issues

A

Frequency not most important

Distress and dissatisfaction

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2
Q

Sexual Response cycle

A

Excitement
Plateau
Orgasm
Resolution

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3
Q

Excitement

A

Increased bloodflow to genitals
Muscular tension
Physical Arousal
Increased heart rate and breathing

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4
Q

Plateau

A

Additional swelling of genitals

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5
Q

Orgasm

A

Rhythmic muscle contractions

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6
Q

Resolution

A

Return to prearoused state

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7
Q

Alternative Model of Sexual Stages (DEO)

A

Desire
Excitement
Orgasm

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8
Q

Desire

A

Pyschological arousal

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9
Q

2 stages of male orgasm

A

Stage 1: Seminal fluid gathers at urethral bulb

Stage 2: Ejaculation, contraction leads to expulsion

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10
Q

What is the DSM-5 diagnosis of Sexual dsyfunction based off of?

A

The sexual stage (DEO) affected by the disorder

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11
Q

4 subtypes of Sexual Dysfunction

A

Lifelong
Aquired
Generalized
Specific

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12
Q

Linglong subtype

A

Person has always experienced problem

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13
Q

Aquired subtype

A

Recent onset

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14
Q

Generalized subtype

A

Apparent with all partners and solidary activity

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15
Q

Specific subtype

A

Apparent in only one situation

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16
Q

Male hypoactive sexuyal desire disorder

A

Low sexual interest

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17
Q

Female sexual interest/arousal disorder

A

Low sexual interest/ arousal

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18
Q

Erectile Disorder

A

Difficulties obtaining or mantaining an erection

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19
Q

Female Orgasmic Disorder

A

Delayed, infrequent, absent or less intense orgasms

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20
Q

Delayed Ejaculation

A

Delayed,infrequent or absent ejaculation

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21
Q

Premature ejaculation

A

Recurrent ejaculation within 1 minute following vaginal penetration

22
Q

Genito-Pelvic pain/penertration disorder

A

Reccurrent
Vaginal pain during sex

Vulvovaginal or pelvic pain during sex/penetration

Fear or anxiety about penetration

Tensing or tightening of pelvic floor muscles during penetration

23
Q

Hypersexuality

A

Loss of control over

Sexual urges
Fantasies
Behaviours

24
Q

Is hypersexuality a diagnosible condition in the DSM-5

A

No it is not currently diagnosible

25
Q

How is hypersexuality assessed

A

Total sexual outlet (TSO)

7+ orgasms/week for > 6 months

26
Q

What physical factors impact arousal disorders

A

Age
Medical conditions
Meds
Loss of androgens

27
Q

What psychological factors impact arousal disorders

A
Performance Anxiety 
Psyc conditions 
Relationship problems 
Trauma
Substance Abuse 
Attitudes about sex
28
Q

What physical factors impact orgasmic disorders

A

Meds
Physical Trauma
Narcotics Withdrawal
Low Threshold for physical stimulation

29
Q

What psychological factors impact orgasmic disorders

A

Performance Anxiety

Sexual knowledge

Inability to let go

Relationship Problems

Conditioning

30
Q

Cause for Sexual Pain Disorder

A

Sexual attitudes

Lack of sexual education

Unpleasant/ traumatic sexual experiences

Cognitive styles

Conditioning: Distress. avoidance of pain

31
Q

Sex Therapy

A

Couples therapy

Effective communication and body exploration

Sensate focus: Desensitization of sexual fears

Behavioural techniques: Start-stop techniques

32
Q

What disorders does Sex Therapy help the most

A

Premature ejaculation

Sexual pain disorders

33
Q

Physical Treatment

A

Meds
Physiotherapy
Erection Devices
Surgery: penile implant

34
Q

Sexual Arousal Disorders

A

Female Sexual Interest/ Arousal Disorder

Male Hypoactive Sexual Desire Disorder

Male Erectile Disorder

35
Q

Orgasmic Disorders

A

Delayed Ejaculation

Female Orgasmic Disorder

Premature (early) orgasm disorder

36
Q

3 aspects of gender

A

Sexual Orientation
Gender Identity
Gender Role

37
Q

Sexual orientation

A

Romantic or Sexual Attraction

38
Q

Gender Identity

A

Sense of self as male or female

Gender Pronouns

39
Q

Gender Role

A

Characteristics considered masculine and feminine

40
Q

How is sex determined

A

Biologically

Socially

41
Q

Biological sex

A
Gonads: testes vs ovaries 
Chromosomes: XX (Female )/XY (Male)
Prenatal hormones 
Inner organs: Fallopian tubes 
External genitalia
42
Q

Transsexual

A

People who feel they have been assigned the wrong gender

43
Q

Hemaphrodisim

A

Partially male and partially female organs

44
Q

Gender Dysphoria

A

Mismatch between assigned sex and experienced sex

At least 6+ months + distress

DSM-5 seperates Adults/Adolecents from children

45
Q

Criteria for gender dysphoria in Adults

A

2+ symptoms for 6+ months + distress

Mismatch experience
Desire to get rid of sexual chracteristics
Strong desire for other gender’s chracteristcs
Desire to be a different gender
Desire to be treated as different gender
Belief your reactions and behaviours are typical of the other gender

46
Q

Criteria for gender Dysphoria in Children

A

6+ symptoms

Strong desire to be other gender or insistence that one is the other gender (necessary for diagnosis)

Strong preference for other gender’s clothing

Strong preference for other gender’s roles in fantasy play

Strong preference for other gender’s toys

Strong preference for playmates of the other gender

Strong rejection of assigned gender’s activities

Strong dislike of own sexual anatomy

Strong desire for sexual characteristics of other gender

47
Q

How many criterions needed for an Adult diagnosis of Gender Dysphoria

A

2+

48
Q

How many crietrion needed for a child diagnosis of GD

A

6+

49
Q

Causes for GD

A

Biological

Psychosocial

50
Q

Biological causes of GD

A

Prenatal hormones

High heritability

51
Q

Psychosocial causes for GD

A

Encouragement of gender-inappropriate behaviour
Failure to separate from parent
Lack of same sex role model