Gender Dysphoria, Sexual Dysfunctions & Paraphilic Disorders Flashcards
What is Gender Dysphoria
What do you need to experience?
Duration?
*Remember that it is characterized by very strong and persistence opinions about how they want to live
Incongruence between gender identity and one’s experienced gender
Clinically significant distress or marked functional impairment
at least 6 months
What is a transgender identity thought to result from?
If you are androgenized, are you M or F
Default is?
What are some structures that suggest atypical size?
Altered androgen exposure during critical period of development in-utero
M
F
INAH-3, Bed Nucleus of Stria Terminalis
What does treatment and management of Chronic GD involve?
There are 3.
Transgender living, hormone treatment, sex reassignment surgery,
Phalloplasty: creation of penis
Vaginoplasty: creation of vagina
What are Sexual Dysfunctions?
How long must the problem persist for?
Problems relating to normal sexual response cycle such as desire, arousal, and orgasm
At least 6 months
What are the 7 types of sexual dysfunctions?
What are the two other names for Genito-Pelvic Pain/Penetration disorder?
- Female sexual interest/arousal disorder
- female orgasm disorder
- Genito-pelvic pain/penetration disorder
3a. Dyspareunia: pain during intercourse-male or female
3b. Vaginismus: vaginal contraction upon attempted coitus causing penetration difficulties/pain - Male Hypoactive Sexual Desire Disorder: low libido
- Erectile Disorder: maintaining or attaining an erection
- Premature Ejaculation: ejaculate within 1 min of penetration
- Delayed Ejaculation: delay in or absence of ejaculation
Specifiers for Sexual Dysfunction:
Causes?
A medical condition may co-exist but insufficiently explain the symptom
Generalized or situational
Life-long or Acquired
Psychological factors are primary-anxiety, guilt, body image
What are the three categories of assessment of sexual dysfunction
- Sexual history
- Check if it is related to medication
- Be familiar with tests to differentiate a psychiatric vs organic basis for sexual problems
What is the Snap Gauge test
Determines whether orgasms occur organically or not-if organic, it should snap open during REM
What do you do increase libido and responsiveness?
Dual Sex Therapy:
Sensate focus exercises-prescribed non-sex activities progressing to coitus
What do you do to slow ejaculation in premature ejaculation?
- Squeeze technique: positive punishment
- Start and Stop: negative punishment
- SSRI’s
What is PLISSIT?
Treatment strategy for sexual dysfunction
P: Permission
LI: limited Information-basic information/education
SS: Specific Suggestions
IT: Intensive therapy
What are Paraphilic Disorders? How long does it last?
If it is not these things, it is considered a paraphilic disorder
It is a paraphilic disorder if:
An intense, persistent, DEVIANT sexual desire that lasts longer than 6 months
An adult who offers consent
no consent, not an adult, or causes severe distress from having desire
What is Exhibitionism
Sexual arousal from exposing genitals to a stranger
What is Voeurism
What is the age they have to be?
Arousal from observing someone either naked or getting undressed
They have to be 18
Fetishism
Arousal from nonliving objects
