Human Sexuality Exam 2 Flashcards

1
Q

Factors in ability to communicate

A
  • biological factors
  • sociocultural factors
  • psychological factors
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2
Q

Biological factors of communication

A

Physiological reactions, impact of alcohol and drug use, physical touching, hearing loss

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3
Q

Sociocultural factors of communication

A

Influence of media, gender, culture, religion, examples set by family and peers

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4
Q

Psychological factors of communication

A

Emotions, role of double standard in thinking, ego

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5
Q

Communication: a transactional process

A
  • Involves conveying symbols, words, gestures, movements
  • Goal of establishing human contact, exchanging information, and reinforcing or changing attitudes and behaviors
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6
Q

The nature of communication; 3 contexts

A
  1. Cultural context
  2. social context
  3. psychological context
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7
Q

Cultural context

A

the language, values, beliefs, and customs in which communication takes place

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8
Q

Social context

A

the roles we play in society

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9
Q

Psychological context

A

how people communicate based on their personalities

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10
Q

Basic communication model (feedbackloop)

A
  1. Sender has idea
  2. Sender encodes message
  3. Channel carries message
  4. Receiver decodes message
  5. Feedback
    Repeat
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11
Q

the process of communicating sexually

A
  • Basic five-step model of communication
  • Nonverbal communication
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12
Q

Nonverbal communication

A

unwritten and unspoken

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13
Q

Verbal communication: Levels of communication

A
  1. Cliche conversation (lowest level)
  2. Giving information & reporting facts
  3. expressing ideas
  4. sharing feelings
  5. Self-disclosure
    - intimate relationships
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14
Q

Characteristics of a good listener

A
  • face the speaker
  • maintain eye contact
  • minimize external distractions
  • respond appropriately
  • focus soley on what the speaker is saying
  • minimize internal distractions
  • keep an open mind
  • engage yourself
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15
Q

Listening

A

seeking information

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16
Q

Good listening skills

A
  • facing the speaker/making eye contact
  • giving signs that you are listening
  • paying close attention
  • asking clarification questions
  • giving feedback/offering suggestions
  • understanding other perspectives
  • disregarding personal biases
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17
Q

Types of communication

A
  • verbal
  • nonverbal
  • context of the message
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18
Q

verbal communication

A

speaking skills/listening skills

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19
Q

Nonverbal communication

A
  • signs/symbols
  • body language
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20
Q

Context of the message

A

physical context/emotional context

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21
Q

A vast majority of message meaning is sent

A

nonverbally

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22
Q

Many forms of nonverbal communication exist, including:

A

eye contact, facial expressions, tone of voice, posture & sounds that convey understanding

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23
Q

Nonverbal expression of feelings and thoughts are easy to what?

A

misinterpret

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24
Q

Most of our “feeling” communication is what?

A

nonverbal

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25
Q

3 important factors of nonverbal communication

A
  1. Proximity: nearness in physical space
  2. Eye contact: a symbol of interest
  3. Touching: signals intimacy, closeness
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26
Q

Nonverbal communication should what?

A

clarify, not confuse

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27
Q

Communication barriers

A
  • inconsistent verbal & nonverbal messages
  • defensiveness
  • feedback is not given
  • not actively listening
  • being distracted
  • speaking a different language
  • different interpretations/perceptions
  • not being clear or honest with your feelings
  • being passive-aggressive
  • personal biases affect message or response
  • wishful listening
  • resistance to change
  • making assumptions about the other person
  • organizing own thoughts rather than listening
  • not enough time
  • mind altering drugs
  • electronic communication
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28
Q

Frame of reference =

A

personal biases affect message or response

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29
Q

Ways to avoid miscommunication

A
  • not being distracted
  • check biases
  • avoid stereotypes
  • take time to effectively communicate (most common problem)
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30
Q

Male & female communication issues

A
  • vocabulary differences
  • gender roles
  • expressing feelings
  • learned or real differences?
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31
Q

Barriers to effective sexual communication

A
  • bypassing
  • frame of reference
  • lack of language skills
  • lack of listening skills
  • sex myths
  • sexual fear
  • negative beliefs about sexuality
  • lack of sexuality information
  • mind-altering drugs
  • gender issues
  • attitudes about sexuality
  • sexual vocabulary
  • privacy
  • boundaries
  • gender communication issues
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32
Q

Attitudes about sexuality

A
  • some people are prevented from communicating openly about attitudes learned at home
  • culture created where women are viewed in a negative way if they initiate or enjoy sex
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33
Q

Sexual language

A
  • Many people are uncomfortable with sexual language
  • Sexual language used can promote communication and relationships, or it can inhibit them
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34
Q

Parent-teen communication

A
  • some prevented from communicating openly
  • parents often don’t have conversations about sexuality with kids
  • good parent-teen communication helps young people establish values and make healthy decisions
  • leads to improved contraceptive use, improved communication about sexuality, delays initiation of sexual intercourse, & lowers sexual risk behaviors
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35
Q

Only about _ of adolescents have had conversation about sexuality with their parents

A

15%

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36
Q

_ of parents say they do not know how to discuss sexuality with their children

A

90%

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37
Q

_ of adults and _ of teens think it would be easier for young people to delay sexual activity & avoid unwanted pregnancy

A

91% & 87%

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38
Q

Sexual communication

A
  • connects sexuality & intimacy
  • sexual communication is tied to sexual satisfaction, which is tied to relationship satisfaction
  • unique
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39
Q

In established relationships, initiating sexual activity

A

heterosexuals: men more often
same-sex: more emotionally expressive partner

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40
Q

Developing sexual communication skills

A
  • Identify obstacles to discussing sex
  • Keys to good communication (more tips later in this presentation)
  • Self-disclosure
  • Trust
  • Feedback
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41
Q

Online sexual activities

A
  • global
  • cybersex
  • online sex websites/chatrooms
  • meet new partners
  • safety
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42
Q

Dial-a-porn

A
  • Commercial telephone sex lines that enable the caller to anonymously “talk dirty” with someone
  • Phone worker is paid to respond to the caller’s fantasies
  • Creates a sense of “pseudo-intimacy” with the voice
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43
Q

Cell phone sex

A
  • easy access
  • privacy
  • mobility
  • billion-dollar industry
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44
Q

Cybersex

A

Real time event involving persons engaging in sexual talk for the purpose of sexual gratification.

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45
Q

Triple-A engine

A
  • access
  • affordability
  • anonymity
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46
Q

Online sexual activities effect on culture

A
  • Crosses distance
  • Promotes intimacy without physical contact
  • Creates a new level of expression
  • Positive for expression of under-represented groups
  • Negative if it becomes compulsive or addictive
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47
Q

Benefits associated with sexting

A
  • Closeness to receiver
  • Fun/entertaining
  • Physical validation
  • Discuss boundaries
  • Discuss likes/dislikes
  • Increase arousal
  • More likely to engage in risk-reduction behaviors
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48
Q

Risks associated with sexting

A
  • Cyberbullying
  • Sextbullying (subset of cyberbullying)
  • Sextortion
  • College admissions/job placement
  • Emotional distress/humiliation
  • Depression
  • Suicide
  • Legal risks (esp. for underage sexting)
  • Vulnerable to child predators/sex traffickers
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49
Q

Legal risk of underage sexting

A
  • Child pornography
  • Distributing or possessing a sexually explicit photo
  • Communicating with a minor with the intent of a lewd act
  • Internet sex crimes
  • Sending harmful matter with the intent of seduction
  • Federal Law:
    – No federal laws directly address teen sexting
    – Many lawyers and parents feel that most sexting cases are best addressed by education and parental involvement
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50
Q

Legal consequences of underage sexting in Arkansas

A

In general, under Arkansas law it is a felony to:
- Knowingly produce, direct or promote any material that contains a child (under the age of 17) engaged in a sexual act.
— If convicted, an individual could face up to 30 years in prison.
- Knowingly posses or view any material of a child (under the age of 17) engaged in a sexual act.
— If convicted, an individual could face up to 10 years in prison.
- Uses or coerces a child (under the age of 17) into creating or participate in material that contains a minor engaged in a sexually explicit activity.
— If convicted, an individual could face up to 30 years in prison.

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51
Q

In AR, underage sexting (>18 years)

A
  • Possession
    — Any kind of nudity
    — Any kind of sex act
  • Distribution
  • Purposely creates
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52
Q

Active learning

A
  • Develop their own “safety tips” and “guidelines” to prevent underage sexting and cyberbullying and promote online safety
  • student-produced PSA regarding underage sexting: posters, videos
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53
Q

Decision-making skills

A
  • evaluate consequences of sexting
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54
Q

Refusal skills

A
  1. Clear “NO” statement
  2. fogging statement
  3. alternative action
  4. delaying statement
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55
Q

Refusing while maintaining the relationship

A

refusal skills

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56
Q

How to argue

A

know your triggers

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57
Q

stand up for your rights without violating the rights of others

A

assertiveness

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58
Q

standing up for your rights at the expense of someone else’s rights

A

aggressiveness

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59
Q

Giving up your basic rights so that other people can achieve theirs

A

Nonassertiveness/passive

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60
Q

Learning assertiveness - DESC

A
  • Describe the other person’s behavior or situation as objectively as possible (e.g. “When…”)
  • Express your feelings about the other person using “I” statement (e.g. “I feel…”)
  • Specify changes you would like to see made (e.g. “I would like you to…”)
  • Choose the consequences you are prepared to accept (e.g. “If you…” or “If you don’t…” or “I will…”)
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61
Q

Assertiveness skills

A

State your position
- what you think and how you feel
- use I-statements
Offer a reason
- give your perspective
acknowledge other’s feelings
- don’t threaten or harm others

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62
Q

Tips to help people become more assertive

A
  • Assess your style
  • Use “I” statements
  • Rehearse what you want to say
  • Use body language
  • Keep emotions in check
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63
Q

Resolving conflict; conflict resolution process

A
  1. active listening
  2. identify your position
  3. propose and explore alternatives
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64
Q

Giving and receiving criticism

A
  • Find a private, relaxing place to discuss thoughts and feelings
  • Devote sufficient time to discussion
  • Limit distractions
  • Plan relaxed time for discussion – avoid just before or after sexual encounter
  • Recommendations for giving and receiving criticism
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65
Q

Techniques for improving sexual communication

A
  • realize that one does not know everything
  • ask good questions
  • be open-minded and nonjudgmental
  • maintain care and trust
  • planning
  • flooding
  • learning assertiveness
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66
Q

Just like any other topic, partners should set aside time to talk about sexuality

A

planning

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67
Q

Repeating, over and over again, sexual words that are uncomfortable

A

flooding

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68
Q

Learning assertiveness

A

DESC model of assertiveness

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69
Q

Additional techniques for improving communication

A
  • conflict resolution
  • giving and receive criticism
  • know your triggers
  • evaluate your communication & identify ways that you miscommunicate
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70
Q

Steps toward change: techniques used by counselors to help us to communicate more effectively

A
  • Practice active listening
  • Elicit feedback
  • Express feelings
  • Use “I” statements
  • Prohibit interruptions and blaming
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71
Q

Elements of healthy relationships

A
  • Good communication
  • Intimacy
  • Friendship
  • Trust
  • Dependability
  • Faith
72
Q

Keys to good relationships

A
  • acknowledgment that people communicate differently
  • communicating how you feel
  • improving your communication skills
73
Q

Healthy relationships require what?

A

skills & continued effort

74
Q

What is a key element in sexual arousal?

A

the brain

75
Q

The brain and sexual response

A
  • typical means of reacting to sexual stimulants
  • variation exist in sexual response
76
Q

How the body controls sexual response

A

sexual hormones
- endocrine system
- hormones are released
- testosterone

77
Q

Activating the response: Internal stimuli

A

Central arousal system

78
Q
  • emotional and pleasure centers of the brain
  • when the mind ascribes sexual meaning, genital physiological arousal can be automatic
A

Central arousal system

79
Q

Activating the response: External stimuli

A

Peripheral arousal system

80
Q
  • cues from skin, touch, genital stimulation, NS (heart racing, muscle tension, perspiration, mind racing), and senses
A

Peripheral arousal system

81
Q

“sexual peak” in men

A

18-30 (high testosterone)

82
Q

“Sexual peak” in women

A

35-40s (biological response to reproduce before fertility declines, as well as more comfortable with themselves, their bodies, their partner, etc.)

83
Q

Masters & Johnson (1966)

A
  • Detailed the sexual response cycles of more than 10,000 episodes of sexual behaviors from 382 male and 312 female research subjects
  • Combined clinical observation with direct measurement of genital arousal using electronic devices
84
Q

Four phases of Masters and Johnson’s model

A
  1. excitement
  2. plateau
  3. orgasm/climax
  4. resolution
85
Q

sexual stimuli result in specific changes in bodies such as muscle tension, blood flow to genitals, sex flush (women only), etc.

A

Excitement phase

86
Q

excitement becomes enhanced, heart rate quickens, blood pressure rises, muscle tension increases, sex flush (men and women)

A

Plateau phase

87
Q

emission and expulsion; contractions

A

orgasm phase

88
Q

refractory

A

resolution phase

89
Q

Master’s and Johnson’s Sexual response cycle

A

Male: more predictable; easier to achieve; 9 min refractory phase
Female: harder to achieve; multi-orgasmic; 14 sec refractory phase

90
Q

Shakespeare’s Macbeth on alcohol and sexual response

A

“Provokes the desire, but takes away the performance!”

91
Q

Gender differences for arousal

A

Women: Romance/Trust; 15-20 minutes
Men: Physical/stimulation; 1+ minutes

92
Q

Factors that influence sexual response cycle: biological factors

A

Sexual arousal and response are physiological reactions, impacts of individual’s sex

93
Q

Factors that influence sexual response cycle: sociocultural factors

A

impact of religious beliefs on feelings about sexuality; traditional gender norms

94
Q

Factors that influence sexual response cycle: psychological factors

A

Feelings towards partner, level of experience, learned attitudes

95
Q
  • Consists of a two-stage process — emission and expulsion
  • Emission involves contractions of the vas deferens, the seminal vesicles, the prostrate, and the internal urethral sphincters.
  • Expulsion consists of relaxing the external urethral sphincter, contractions of the urethra and muscles at the base of the penis and the anus, and the expelling of the ejaculate.
  • usually reached within 2 minutes of penile insertion/stimulation
A

Orgasm-male

96
Q
  • Preceded by the increase in size of the uterus and vagina, lubrication of the vaginal walls, engorgement of blood in the outer third of the vagina, and retraction of the clitoris
  • 3-15 contractions
A

Orgasm-female

97
Q

Types of orgasms in females

A
  • Vulval orgasm (not as sexually satiating), repeated
  • Uterine orgasm (more sexually satiating)
  • Blended orgasm
98
Q

Effects of aging on sexual response: females

A
  • Thinning of vaginal lining
  • Reduced lubrication
  • Cramping with orgasm
  • Longer time for arousal to occur
  • Longer time to reach orgasm
  • Fewer muscular contractions with orgasm
99
Q

Effects of aging on sexual response: males

A
  • Takes longer to achieve full erection
  • Reduction in the amount of semen
  • Longer time to reach orgasm
  • Reduced strength of orgasmic contractions
  • Lengthening of refractory period
100
Q

Sexual scripts

A
  • cultural
  • intrapersonal
  • interpersonal
101
Q

the generally socially accepted pattern that sexual behaviors are expected to take
- moral/immoral; normal/abnormal

A

Cultural sexual script

102
Q

the meaning we give to our internal & physiological states associated with sexual arousal
- erection/vaginal lubrication

A

intrapersonal sexual script

103
Q

the shared signals that enable two people to engage in sexual behavior
- exchange of looks, tone of voice

A

Interpersonal sexual script

104
Q

Five senses in human sexuality

A
  • touch
  • sight
  • smell
  • hearing
  • taste
105
Q

touch

A
  • sexual touching is central to sexual stimulation
  • gentle touching and caressing of the skin
106
Q

Sight

A
  • the power of visual images in prevalent in society
  • books, magazines, films, and television in sexual stimulation
107
Q

Smell

A
  • popularity of perfumes and colognes
  • pheromones
108
Q

Hearing

A

words and sounds

109
Q

taste

A

kissing

110
Q

positive emotional response to sexuality

A

erotophilia

111
Q

negative emotional response to sexuality

A

erotophobia

112
Q

What can dissolve much of the anxiety that underlies erotophobia?

A

positive sexual experiences

113
Q

Attractiveness

A

facial symmetry

114
Q

Across all cultures, besides facial symmetry, what two things do all genders find consistently attractive?

A

1) health
2) youthfulness

115
Q

Various cultures emphasize what?

A
  • the eyes
  • height & weight
  • size & shape of genitals
116
Q

What are some health benefits of sexual behaviors?

A
  • boosts self-esteem
  • improves intimacy
  • reduces pain
  • relieves stress
  • boosts immunity
  • burns calories
  • improves cardiovascular health
  • reduces risk for prostate cancer
  • strengthens pelvic floor muscles
  • helps you sleep better
117
Q

Average time spent (in minutes) during sex in Arkansas?

A

2:08

118
Q

Top 5 states with highest time spend during sexual intercourse

A
  1. New Mexico (7:01)
  2. West Virginia (5:38)
  3. Idaho (5:11)
  4. South Carolina (4:48)
  5. Missouri (4:22)
119
Q

Bottom 5 states with lowest time spent during sexual intercourse

A
  1. Georgia (2:07)
  2. Montana (2:03)
  3. Vermont (1:48)
  4. SD (1:30)
  5. Alaska (1:21)
120
Q

Is there a difference between sex and sexual behaviors?

A

Sex is limited to: oral, anal & vaginal
Sexual behaviors is more broad

121
Q

Sexual behaviors

A
  • touch
  • kissing
  • oral-genital sex
122
Q
  • Physical contact that usually precedes sexual intercourse
  • Touching, kissing, biting, and genital fondling
  • Pleasuring each other
  • Prepares participants (psychologically and physically) for sexual intercourse
  • Average of 15 minutes in foreplay
  • Communication with your partner
A

Foreplay

123
Q

Female Arousal

A

women are especially responsive to touch
- General touch first
- Then genital touch
- Foreplay is important
- Most females need around 15-20 minutes to become fully aroused

124
Q

Male arousal

A
  • Size- average, un-erect penis about 3 inches; erect about 5-6 inches
  • Penis length doesn’t relate to a pleasure
    – vaginal walls only have feeling of first 4 inches
    – prostate gland 2 inches inside male’s rectum
125
Q

Genital touch is one of many forms of touching

A
  • heavy petting (manual stimulation)
  • interfemoral intercourse
  • tribadism
  • mutual masturbation
126
Q

usually our earliest interpersonal sexual experience

A

kissing

127
Q

Sexual activities that do not involve a partner; self-stimulation

A

masturbation

128
Q

Grafenberg or G-spot

A

2 inches on anterior side of vagina

129
Q

A-spot

A

further down from the G-spot

130
Q

the erotic stimulation of a woman’s vulva and/or clitoris by her partner’s mouth and tongue

A

Cunnilingus

131
Q

The oral stimulation of a man’s penis by his partner’s sucking and licking

A

Fellatio

132
Q

four most common positions in sexual intercourse

A
  1. missionary
  2. girl-on-top
  3. rear entry
  4. side-by-side
133
Q

oral-anal contact

A

analingus

134
Q

Intestinal infections and STIs can be spread through what?

A

analingus

135
Q

Anal stimulation

A
  • analingus
  • anal manual activities
  • anal intercourse
136
Q

Sexual minority behaviors

A
  • lesbian sexual activities
  • gay sexual activities
137
Q

Drunk sex is

A

not good sex

138
Q

After-sex hygiene

A
  • wash sex toys with warm water & mild soap, let dry
  • was genitals with warm water and mild soap; don’t douche
  • drink water
  • wear loose-fitting clothing
  • wash hands
  • always pee after sex
139
Q

How to please your partner. Most important for Males? Females?

A

Males: stimulation
Females: trust/romance

140
Q

When is sexual behavior abnormal?

A
  • an abnormal sexual behavior is rare or not practiced by many people
  • sexual behavior that violates the norms of society
  • criteria include discomfort, inefficiency, and bizarreness
141
Q
  • behaviors that are not statistically typical of American sexual behaviors
  • “atypical sexual behavior” sometimes used
A

Sexual variations

142
Q
  • means “Love” (philia) “beyond the usual” (para) “unconventional sexual behaviors that are obsessive and compulsive”
  • about 50 types
  • prevalence generally higher in males than females
A

Paraphilia

143
Q

a mental disorder characterized by recurrent, intense sexually arousing fantasies, sexual urges, or sexual behaviors lasting at least 6 months and involving
1. nonhuman objects
2. suffering or humiliation of oneself or one’s partner, or
3. children or other nonconsenting people

A

paraphilia

144
Q

Sexual variation vs paraphilic behavior

A

more of a difference of degree
- difference between finding something sexually arousing and needing that thing to become sexually aroused

145
Q
  • regarded as harmless because they are victimless
  • e.g. Fetishism
A

Noncoercive paraphilias

146
Q

sexual attraction to objects that become sexual symbols

A

Fetishism

147
Q

characterized by sexual fantasies, urges, or behaviors involving use of nonliving objects
- to produce or enhance sexual arousal
- with or in the absence of a partner
- over a period of at least six months
- causing significant distress

A

Fetishes

148
Q

5 most common fetishes (website)

A
  • feet
  • shoes
  • leather
  • hair
  • body piercings
149
Q

Involve victimization
- zoophilia
- voyeruism
- exhibitionism
- telephone scatologia
- frotteurism
- necrophilia
- pedophilia
- sexual sadism
- sexual masochism

A

Coercive paraphilias

150
Q

the person derives sexual pleasure from exposing his genitals to others in situations where this is clearly inappropriate
- they do not desire sexual contact with the victim

A

Exhibitionism

151
Q

a person who becomes sexually aroused from secretly viewing nudes
- peeping tom

A

Voyeur

152
Q

having sexual relations with another person while a third person watches. Combines elements of exhibitionism and voyeurism

A

Troilism

153
Q

a sexual variation in which the person becomes sexually arouse by observing others’ sexual acts and genitals

A

Scoptophilia

154
Q

a person who derives sexual satisfaction from inflicting pain on another person

A

Sadist

155
Q

a person who derives sexual satisfaction from experiencing pain.

A

Masochist

156
Q

combines sadistic and masochistic sexual behavior
- eroticizing pain
- tend to alternate between roles

A

Sadomasochism

157
Q

woman who specializes in disciplining a person, and her submissive partner is called a slave

A

Dominatrix

158
Q

Common forms of D/S

A
  • bondage & discipline
  • humiliation
159
Q
  • not the same as child sexual abuse
  • psychiatric disorder requiring treatment
  • child victim 13 or younger
  • perpetrator age 16 or older (at least 5 years older than the child)
A

Pedophilia

160
Q

The desire to induce in oneself a state of oxygen deficiency in order to create sexual arousal or to enhance excitement and orgasm

A

Asphyxiophilia

161
Q

is identified as sexual fantasies, urges, or behaviors involving touching or rubbing one’s genitals against the body of a nonconsenting person

A

Frotteurism (frottage)

162
Q

sexual gratification from viewing or sexual contact with a dead person

A

Necrophilia

163
Q

sexual contact with an animal

A

Zoophilia (bestiality)

164
Q

Sexual excitement achieved by setting fires

A

Pyromania

165
Q

sexual pleasure is associated with feces

A

Coprophilia

166
Q

sexual pleasure is associated with urine

A

Urophilia

167
Q

sexual arousal through interest in amputations

A

Amputism

168
Q

Becoming sexually aroused by using small animals or insects to crawl and nibble on the body

A

Fornicophilia

169
Q

Receiving sexual pleasure by sticking objects into the urethra

A

SExual urethralism

170
Q

sexual intercourse between family members and close relatives

A

Incest

171
Q

giving or receiving (more common) of sexual arousal from introducing liquids into the rectum and colon via the anus

A

Klismaphilia

172
Q
  • uses of the internet to access sexually oriented materials, chat rooms, and bulletin boards
  • characterized by anonymity, accessibility, and affordability
  • can become compulsive, addictive, paraphilic
A

Cybersex use and abuse

173
Q

characterized by recurrent and intense sexual fantasies, sexual urges, or sexual behaviors

A

Sexual addiction or hypersexual disorder

174
Q

Treatment of sexual variations: Medical treatments

A
  • Hormonal treatment
  • psychopharmacological treatment
175
Q

Treatments of sexual variations: cognitive behavioral therapies

A
  • psychotherapy
  • group therapy
  • behavior therapy
  • social skills training
  • modification of distorted thinking
  • relapse prevention
176
Q

Saying “No” three-step approach

A
  1. express appreciation for the invitation
  2. say “No” and be clear
  3. Offer an alternative
177
Q

Avoid sending mixed messages (communication barriers)

A
  1. Bypassing: Attaching different meanings to words
    - Ex. “sexual relations”, “hooking up”
  2. Frame of reference: influences communication style
    - Ex. “ladies” don’t discuss sex
  3. Lack of language skills: ability to speak directly
  4. Lack of listening skills: ability to read verbal and non-verbal communication
  5. Mind-altering drugs: inhibitions and ability to communicate fade, so does your control of the situation
    - Ex. “liquid courage”