Lecture 11

Question 1

voyeuristic courtship paraphilia disorder

Answer 1

observing unsuspecting person (naked, disrobing, or having sex)

often masturbate while observing or remembering

chance of being caught enhances experience

learned behavior and exercise of power

at least 18 years old

Question 2

exhibitionistic courtship paraphilia disorder

Answer 2

exposure of one’s genitals to unsuspecting person

sexual contact rarely initiated or desired

starts before age 18, mostly men

specify, in front of children or mature individuals

Question 3

frotteuristic courtship paraphilia disorder

Answer 3

touching or rubbing against a non-consenting person

Question 4

transvestic disorder

Answer 4

recurrent intense sexual arousal from cross-dressing (fantasies, urges, or behaviors) for over 6 months

causes significant distress or impairment

specify, w/ fetishism (aroused by fabrics, materials, or garments, not associated w/ gender dysphoria) or w/ autogynephilia (aroused by thoughts or images of self as female, associated w/ gender dysphoria)

more typical in heterosexual men, begins in adolescence

Question 5

gender dyphoria disorder

Answer 5

separate dx in children and adolescents/adults

marked difference between person’s expressed gender and the gender other would assign to him or her or they

over 6 months; significant distress or impairment in social, occupational, or other important areas

2:1, more common in men

NOT about sexual orientation

Question 6

what is needed to diagnose sex and gender DOs besides deviant or dangerous fantasies and behaviors?

Answer 6

dysfunction

Question 7

spectator role theory of sexual dysfunction

Answer 7

dissociating when sex is happening due to concerns about performance

most commonly associated with disorders of excitement and disorders of orgasm

Question 8

who researched and created the first approach to sex therapy?

Answer 8

William Masters and Virginia Johnson in 1970 (Human Sexual Inadequacy)

Question 9

common treatments for specific sexual dysfunction DOs

Answer 9

focus on specific sexual problems with common steps:

relationship factors (poor communication and discrepancy)

individual vulnerability factors (poor body image, sexual abuse)

cultural/religious factors (prohibitions, attitudes)

medical factors (in both self and partner)

Question 10

paraphilia

Answer 10

intense sexual urges, fantasies, or behaviors that involve:

anomalous activity preferences (courtship disorders, algolagnic - pain and suffering)

anomalous target preferences (other humans, nonhumans)

unusual persistent sexual interest that does not count as a mental disorder (most require distress for diagnosis)

Question 11

Goffman’s frame theory

Answer 11

those into S&M are playing out roles sexually

S&M isn’t considered a Do until the rules are broken

Question 12

what specification of pedophilic disorder is easier to treat/control?

Answer 12

non-exclusive, those attracted to children and adults

Question 13

Hirshfield’s partial attraction theory

Answer 13

attraction is the product of the interaction with many individual factors

it is normal to express healthy fetishism, but it becomes abnormal when one is aroused by only one thing

Question 14

most effective treatment for paraphilia

Answer 14

chemical castration

controversial because it stops arousal for everything using antiandrogens and has bad side effects

Question 15

steps in treating gender dysphoria with sexual reassignment surgery in the united states

Answer 15

psychological evaluation

hormone therapy

real life experience

gender confirming surgery

Question 16

why should people wait or not until 18 years of age until gender reassignment surgery?

Answer 16

wait:
many children w/ gender dysphoria grow out of it
children do not understand consequences of decision
children unable to deal w/ stress from surgery
if done before puberty, hard to turn back

do not wait:
young adolescents who underwent surgery had no post operate regrets + good social and psychological functioning
young adults who didn’t do surgery had greater social and psychological dysfunction
adults who did surgery later in life had more post operate regrets because it is easier to appear like the gender they want when done prepuberty (before secondary characteristics like adam’s apple appears)