Module 9: Sexuality Disorders and Gender Dysphoria Flashcards

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1
Q

Havelock Elis’ conclusions about sexuality (3)

A

(1) both sexes enjoy intercourse (2) all sexual orientations are normal variations of sexual attraction (3) sexual orientation is present at birth

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2
Q

who pioneered sexual research in US?

A

Alfred Kinsey (Sexual Behavior in the Human Male/ Human Female)

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3
Q

difference b/w sex drive and other physiological drives

A

sex drive is associated w/ social- and pair-bonding relationships therefore goes beyond bodily needs

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4
Q

(T/F) males think about sex more than females

A

TRUE

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5
Q

(T/F) males think about other, non-sex drives more than females

A

TRUE

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6
Q

MALE: changes in brain functioning during orgasm

A

stimulation of ventral segmental area (same region associated w drug responses)

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7
Q

FEMALE: changes in brain functioning during orgasm

A

shut-down of brain regions controlling thoughts and emotions

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8
Q

phases of human sexual response (4)

A

excitement > plateau > orgasm > resolution

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9
Q

perspectives on sexual dysfunction (3)

A

relationship, medical, and biological perspective

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10
Q

MALE: most common sexual “dysfunctions” (2)

A

(1) premature ejaculation (2) performance anxiety

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11
Q

FEMALE: most common sexual “dysfunction” (2)

A

(1) lack of interest in sex (2) finding sex not pleasurable

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12
Q

lifestyle factors that cause erectile dysfunction (7)

A

smoking, lack of exercise, obesity, alcohol abuse, diabetes, hypertension, atherosclerosis

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13
Q

medical/biological factors that lead to sexual dysfunction (4)

A

(1) diabetes (2) vascular disease (3) alcohol (4) tobacco

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14
Q

psychological factors that lead to sexual dysfunction (5)

A

(1) physical and sexual abuse in childhood (2) performance anxiety (3) depression (4) cultural prohibitions of sexual activity (5) lack of partner communication

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15
Q

DSM-5’s most common sexual disorders MALES (3)

A

(1) erectile disorder (2) delayed ejaculation (3) hypoactive sexual disorder

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16
Q

DSM-5’s most common sexual disorders FEMALES (3)

A

(1) orgasmic disorder (2) sexual/arousal disorder (3) genito-pelvic pain/penetration disorder

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17
Q

spontaneous erections are most common for … (3)

A

children, teenagers, and young adults

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18
Q

erections in middle aged men typically need …

A

manual manipulation

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19
Q

Master’s and Johnson’s Sensate Focus treatment: Tx for sexual anxiety (3)

A

(1) pleasurable touching (2) genital touching (3) sexual contact

20
Q

Master’s and Johnson’s sexual anxiety: pleasurable touching

A

couple engaging in caressing, kissing, and other bodily contact; avoidance of genital contact

21
Q

Master’s and Johnson’s sexual anxiety: genital touching

A

couple engaging in genital touching; stimulation w/ no attempt to achieve orgasm

22
Q

Master’s and Johnson’s sexual anxiety: sexual contact

A

once couple learns to communicate what they want in sexual contact, they may move on to sexual intercourse

23
Q

Tx’s for premature ejaculation (3)

A

(1) couple repeatedly practice foreplay, but stop stimulation prior to ejaculation (2) partner stimulates partner up to ejaculation, reduces arousal, and delays ejaculation (3) sensitivity reducing creams

24
Q

Tx for genito-pelvic pain/penetration disorder

A

pt inserts fingers/vaginal dilator and practices relaxation until vaginal constriction relaxes

25
Q

sexual dysfunction: medications and purpose

A

Cialis, Levitra, Viagra - dilate genital arteries, increases blood flow to penis and surrounding areas

26
Q

paraphilia literally means

A

“para” = alongside normal or usual; “philia” = love&raquo_space; beyond typical love

27
Q

voyeuristic disorder

A

sexual excitement to watching non-consenting people nude or engaging in sexual or elimination activities

28
Q

exhibitionistic disorder

A

sexual excitement to displaying genitals or engaging in sexual activity in front of non-consenting person

29
Q

frotteuristic disorder

A

sexual arousal gained by touching or rubbing against non-consenting partner

30
Q

fetishistic disorder

A

sexual fixation on an object or body part that is not normally considered sexual in nature

31
Q

T/F there is no treatment for pedophilic disorder

A

FALSE

32
Q

pedophilic disorder

A

sexual feelings directed towards children

33
Q

approach to treating pedophilic disorder

A

pedophilics may not change sexually desired targets, but therapy can train them to not act on urges w/ actual children

34
Q

masochistic activity disorder

A

compulsion to experience serious physical injury, humiliation, or suffering

35
Q

sexual masochism disorder

A

sexual arousal in response to moderate or extreme pain, suffering, or humiliation

36
Q

transvestic disorder

A

sexual excitement associated w/ cross-dressing

37
Q

transsexuality

A

member feels like a member of the opposite sex thus chooses to dress like that sex

38
Q

psychological Tx for paraphiliac disorders

A

CBT - changes how people interpret thoughts and emotions toward others; helps avoid situations that lead to paraphiliac actions

39
Q

pharmacological Tx for paraphiliac disorders (2)

A

(1) hormone blocking therapy “chemical castration” (2) SSRIs (reduce sex drive)

40
Q

gender dysphoria

A

suffer distress due to their sex

41
Q

transgender

A

anatomy of one sex but identity of other

42
Q

transsexual

A

seek medical interventions to change their sex

43
Q

why wasn’t gender dysphoria dropped from DSM like homosexuality?

A

not all children w/ gender dysphoria are unhappy w/ gender once they reach adulthood; therapy is available to help children cope w/ feelings

44
Q

people who have sought gender transition surgery are generally …

A

positive (80%); strong regret/ambivalence (20%)

45
Q

dysfunction

A

failure to function as expected