SEX! Flashcards

1
Q

what are the three main areas of classification

A

Sexual Dysfunctions

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2
Q

Sex, Culture, & Research

A

Sex and zeitgeist

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3
Q

Sex, Culture, & Research

A
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4
Q

Gender Identity Disorder

A

Also known as Transexualism or Transgenderism

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5
Q

Gender Identity Disorder

A

� Prevalence
� Difficult to estimate
� 1 in 30,000 adult males seek treatment
� 1 in 100,000 adult females seek treatment
� Person feels trapped in the body of the wrong sex � Take on the persona of, and live as other gender
� Assume the identity of the desired sex � Goal is not sexual
� Transvestites dress as women but are sexually excited by this

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6
Q

Gender Identity Disorder

A

� Often times have desire to get rid of primary sex characteristics
� Get rid of penis, facial hair, breasts, etc.
� In last 25 years medical procedures have been
developed to get change or eliminate these characteristics

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7
Q

Gender Identity Disorder

A

� Causes are unclear
� Gender identity develops between 18
months and 3 years of age
� Appears to be part of the human condition for thousands of years

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8
Q

Gender Identity Disorder

A

Patterns of sexual attractions in GID Males aroused by males

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9
Q

Gender Identity Disorder

A

GID is not very common Despite media coverage

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10
Q

GID and Treatment Issues

A

Psychotherapy for identity change fails miserably

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11
Q

GID and Treatment Issues

A

Sex reassignment surgery

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12
Q

Culture and Controversy

A

Not all cultures view transgenderism as problem

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13
Q

Paraphilias: An Overview

A

Nature of Paraphilias

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14
Q

Paraphilia

A
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15
Q

Paraphilias

A
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16
Q

Pedophilia

A

Diagnostically

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17
Q

Pedophilia

A

Pedophilia and pedophiles

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18
Q

Pedophilia

A

Both pedophilia and incest involve male and/or female children or very young adolescents

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19
Q

Profiles

A

Most rationalize the behavior and engage in other moral compensatory behavior

20
Q

Profiles

A

Perpetrators select children who are

21
Q

Pedophilia: Etiology

A

Causes of Pedophilia

22
Q

Pedophilia: Medical Treatment

A

Medications

23
Q

Pedophilia treatment

A

Psychosocial Interventions Most are behavioral

24
Q

Pedophilia treatment

A

Efficacy of Psychosocial Interventions

25
Pedophilia: Recidivism
Department of Justice study (2003) Largest follow-up ever conducted of convicted sex offenders following discharge from prison Provides most comprehensive assessment of behavior after release Study of 272,111 men and women released from state prisons in 15 states 9,691 sex offenders 4,295 men arrested for child molestation
26
Pedophilia: Recidivism
Department of Justice study Recidivism rates within 3 years  As comparison data 78.8% = Motor vehicle thieves 77.4% = Possessing or selling stolen property 70.2% = Robbers 74.6% = Larcenists 74.0% = Burglars 70.2% = Possessing, using, or selling illegal weapons 2.5% = Rapists arrested for another rape 1.2% = Homicide arrested for another homicide 
27
Pedophilia: Recidivism
Department of Justice study 5.3% rearrested for another sex crime within 3 years following release 40% perpetrated new offense within year or less 85% arrested for another sex crime that occurred in same state that released person Compared to non-sex offenders released from State prisons, released sex offenders are 4 times more likely to be rearrested for a sex crime
28
Fetishism
Diagnostically Over period of at least 6 months Recurrent, intense sexually arousing fantasies, urges, or behaviors involving use of nonliving objects e.g., Female undergarments Fantasies, sexual urges, or behaviors cause Clinically significant distress or Impairment in social, occupational, role functioning Fetish objects not limited to Articles of female clothing used in cross-dressing (transvestic Fetishism) OR Devices designed for the purpose of tactile genital stimulation (e.g., vibrator)
29
Fetishism
``` Numerous targets of fetishistic arousal, fantasy, urges, and desires Examples Shoes Hosiery and bodywear Lingerie and evening wear NOT if female clothing used exclusively in cross-dressing Leather and latex Partialism Accessories Medical and disability Fluid and excretory ```
30
Transvestic Fetishism
Transvestic Fetishism Specific disorder Estimated prevalence: 1-5% for men This is NOT the same thing as Homosexuality Transgenderism Sexual arousal with the act of cross-dressing  Dressing in clothing suggesting the opposite gender Males may show highly masculinized compensatory behaviors Many are married and the behavior is known to spouse Many have extreme guilt about this
31
Fetishism
``` More common in males Not unheard of in females but rare Problems often occur when intimacy with a person is replaced by attraction to object May seek treatment for Guilt Anxiety Depression Relationship problems ```
32
Fetishism: Etiology
Psychoanalytic theory Identify traumatic unconscious experience that caused the fetishism Bring unconscious to consciousness Enable patient to engage trauma rationally and emotionally Castration anxiety (not oedipal here) Replace sex-with-female with sex-with-object so that female may not castrate them
33
Fetishism: Etiology
Learning theory (behaviorism) Classical conditioning | Pairing of arousal and/or orgasm (masturbation) in the presence of objects
34
Fetishism: Etiology
Learning theory (behaviorism) Operant conditioning Coupled with classical conditioning Orgasm is a positive reinforcer Lack of arousal may be aversive Negative reinforcement of seeking object Typically will take repeated pairings in classical conditioning and operant component to develop fetish
35
Voyeurism
Diagnostically Over period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity Person has acted on urges, or sexual urges or fantasies cause marked distress or interpersonal difficulty Prevalence rates difficult to determine Most are male Behavioral issues Risk associated with “peeping” is necessary for sexual arousal Going to adult club is not as arousing for voyeur
36
Exhibitionism
Diagnostically Period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving exposure of one's genitals to unsuspecting stranger The person has acted on urges, or sexual urges or fantasies cause marked distress or interpersonal difficulty
37
Exhibitionism
Prevalence Stereotype is “dirty old man in a raincoat,” Most arrested for exhibitionism are Caucasian Males Late teens or early twenties 50% are married Rarely found in men over 50 years of age Behavioral issues Element of thrill and risk is necessary for sexual arousal 
38
what is Frotteurism
� Diagnostically � Over period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against non-consenting person � Person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty
39
Frotteurism
Prevalence Rates are difficult to estimate Prevalence shifts depending on area Some countries report higher prevalence rates Most acts performed by those between 15 - 25 years old Behavioral issues Wait for crowded situation Elevator, subway Do it subtlety, so victim doesn't know what's happening
40
criteria for Sexual Sadism
� Diagnostically � Over period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not simulated) in which the psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person � Person has acted on these urges with nonconsenting person, or the sexual urges or fantasies cause marked distress or interpersonal difficulty 
41
Sexual Sadism
Inflicting pain or humiliation to attain sexual gratification In DSM: to be diagnosed either Bothered by fantasies Acted on them With non-consenting partner Illegal With consenting partner Raises issues
42
what is Sexual Sadism
� Relation between sadism and rape � Sadism does NOT equal rape � Do not show paraphilic patterns of arousal � Show arousal to violent material that is both sexual and non-sexual
43
criteria for Sexual masochism
� Diagnostically � Over period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer � Fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other areas of functioning
44
what is Sexual Masochism
� Suffer pain or humiliation to attain sexual gratification � May have relationship with sexual sadists � NB: Having fantasies does not make you have this disorder � Must engage in behavior � Where is the issue of consent here? � Is this a disorder in the same way?
45
are rapist sexual sadist?
not exclusively