MFT Practice Exam - Sex Therapy 58 Q & A Flashcards
<p>Three categories of sexual dysfunction:</p>
<p></p>
<p>1. Sexual Dysfunction</p>
<p>2. Sexual Dissatisfaction</p>
<p>3. Sexual Deviation</p>
<p>Prevalence of Sexual Dysfunction (based on gender)</p>
<p>Women = 43%</p>
<p>Men = 31 %</p>
<p>Prevalence of sexual dysfunction in women</p>
<p>Hypoactive sexual desire disorder = 33.4%</p>
<p>Difficulty with orgasm = 24.1%</p>
<p>Pain during intercourse = 14.4%</p>
<p>Causes of low sex drive in women</p>
<p>Vary.</p>
<p>Fatigue/stress from daily responsibilities</p>
<p>Psychological</p>
<p>Certain health conditions or medications (ex. mood stabilizers)</p>
<p>Depression/anxiety</p>
<p>Birth control pills</p>
<p>Prevalence of sexual dysfunction in men:</p>
<p>Hypoactive sexual desire disorder = 15.8%</p>
<p>Erectile dysfunction = 34.8% (increases with age)</p>
<p>Premature ejaculation = 30%</p>
<p>4 Types of Sexual Dysfunction</p>
<p>1. Disorders of Desire</p>
<p>2. Arousal Dysfunction</p>
<p>3. Orgasm dysfunction</p>
<p>4. Pain</p>
<p></p>
<p>Disorders of Desire (male and female)</p>
<p>Hypoactive sexual desire disorder</p>
<p>Sexual aversion disorder</p>
<p>30% women, 15% men</p>
<p>Most common psychological causes of disorders of desire:</p>
<p>Depression</p>
<p>Anxiety</p>
<p>Stress</p>
<p>Substance abuse</p>
<p>Fatigue</p>
<p>Hypoactive sexual desire disorder</p>
<p>Persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts and/or desire for or receptivity to sexual activity that causes personal distress (not just partner distress).</p>
<p>Lifelong or acquired (lifelong = more difficult to diagnose/treat)</p>
<p>Generalized or situational</p>
<p>Single or multiple etiologies</p>
<p>Arousal Dysfunction (by gender)</p>
<p>Male erectile disorder</p>
<p>Female sexual arousal disorder</p>
<p>Sexual Arousal Disorder</p>
<p>The persistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress.</p>
<p>May be expressed as a lack of subjective excitement, genital response (lubrication/swelling), or other somatic responses.</p>
<p>Orgasm Dysfunction (by gender)</p>
<p>Male orgasmic disorder</p>
<p>Premature ejaculation</p>
<p>Female orgasmic disorder</p>
<p>Orgasmic Disorder</p>
<p>The persistent or recurrent difficulty, delay in, or absence of attaining orgasm/ejaculation following sufficient sexual stimulation and arousal, causing personal distress.</p>
<p>Pain</p>
<p>(Type of sexual dysfunction)</p>
<p>Dyspareunia</p>
<p>Vaginismus</p>
<p>Dyspareunia</p>
<p>Recurrent or persistent genital pain associated with sexual intercourse.</p>
<p>Vaginismus</p>
<p>Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration, causing personal distress.</p>
<p>All 4 types of sexual dysfunction may be:</p>
<p>Lifelong/acquired</p>
<p>generalized/situational</p>
<p>psychological/combined factors</p>
<p>Masters and Johnson (1970)</p>
<p>Crystallized cognitive/behavioral methods to treat sexualized problems.</p>
<p>Revolutionized treatment (like Viagra revolutionized pharmacology) - prior treatment for sexual disorders was long-term, multi-year psychotherapy or psychoanalysis with very low rates of success.</p>
<p>Birth of the field of sex therapy.</p>
<p>Treatment created by Masters and Johnson</p>
<p>Devised a rapid (2 week) psychotherapy in couple, rather than individual, context, working with male/female therapist team - >80% success rate.</p>
<p>Strictly talking therapy (did not observe sexual activity).</p>
<p>Provide appropriate sex information, alleviate anxiety about sexual performance, and facilitate verbal/emotional/physical communication.</p>
<p>Still widely used today.</p>
<p>Revolutionary.</p>
<p>Female Sexual Response Cycle (Basson)</p>
<p>Non-linear, intimacy-based model.</p>
<p>Female dysfunction (and desire) appears to have many causes and many dimensions, including biological, psychological, and interpersonal determinants that can aid or impede arousal.</p>
<p>Responsive rather than spontaneous (i.e. sexual stimuli). Begins with cognitive decision to engage in sexual activity (ex. listen to music, direct stimulation).</p>
<p>Goal of sexual activity = personal satisfaction, not necessarily orgasm, but can be physical or emotional</p>
<p>Esther Perel on female eroticism</p>
<p>Diffuse, not localized in the genitals but distributed throughout the body, mind, and senses.</p>
<p>Tactile and auditory; linked to smell, skin, and contact.</p>
<p>Arousal is often more subjective than physical.</p>
<p>Desire arises on a lattice of emotion.</p>
<p>Healthy Sex (Wendy Maltz)</p>
<p>Conscious, positive expression of our sexual energy in ways that enhance self-esteem, physical health, and emotional relationship.</p>
<p>Mutually beneficial and harms no one.</p>
<p>Requires five basic conditions be met: CERTS</p>