SEX DISORDERS Flashcards
What are the DSM-5 categories of sexual dysfunction?
- Sexual Interest/Desire/Arousal Disorders – issues with wanting or becoming sexually excited
- Orgasmic Disorders – trouble reaching orgasm
- Sexual Pain Disorders – physical pain during sex
What is Hypoactive Sexual Desire Disorder (HSDD)?
Men:
* Persistent absence of sexual fantasies and desire for sex
* Often linked with other sexual dysfunctions (e.g., erectile issues)
Women: This falls under Female Sexual Interest/Arousal Disorder
* Must cause distress to be diagnosed
* Prevalence increases with age, stress, and relationship dissatisfaction
What are the full DSM-5 criteria for Female Sexual Interest/Arousal Disorder?
- For 6+ months, experience at least 3 of the following with significant distress:
- Little to no interest in sexual activity
- Few sexual/erotic thoughts or fantasies
- Lack of initiation and/or response to sexual initiation
- Reduced pleasure during sexual activity (75% of the time)
What defines Male Erectile Disorder?
On at least 75% of occasions, the individual experiences:
Inability to attain or maintain an erection
Erectile rigidity insufficient for penetration
Causes significant distress
What is Genitopelvic Pain/Penetration Disorder?
Occurs in women and men, involves 1+ of the following:
Inability to have vaginal penetration
Marked pain during intercourse
What are the 2 types of GPP disorders?
Dyspareunia: Pain during intercourse
Vaginismus: Involuntary muscle spasms preventing penetration
What is the difference between paraphilia and paraphilic disorder?
Paraphilia = unusual sexual interest
Paraphilic disorder = causes distress, impairment, or harm to others
What defines rape or sexual assault in clinical terms?
Nonconsensual sexual penetration via force, threat, or when the victim can’t give consent (e.g., due to intoxication or mental incapacity)
What is fetishistic disorder?
Sexual arousal from nonliving objects (e.g., underwear, leather), causing distress or impairment
What is transvestic disorder?
Sexual arousal from cross-dressing, primarily in heterosexual men; only a disorder if it causes distress or impairment
What is pedophilic disorder?
Sexual attraction to prepubescent children (usually under 13); often leads to legal issues or child protection interventions
