Sexual and Gender Identilty Dyshphoria Flashcards
Paraphilia’s- definition
Recurrent intense sexual urges, fantasies or behaviors that involve objects, activities or situations and causes clinically significant or impartment in functioning. it involves acts that are outside what society considers normal, necessary for the individual to experience sexual excitement.
characteristics of paraphilia
present at least months, recurrent, intense, sexually arousing fantasies, sexually urges or behaviors, usually involve non human and non-consenting partners, frequent in males
Sexual Aversion Disorder
persistent or recurrent extreme discomfort with or avoidance of most or all genital contact with a partner.
Sexual aversion disorder manifestations
phobic reaction to real or anticipated sexual activity , common in women, nausea, diarrhea, profuse perspiration, and palpitations, and palpitations
Interventions for sexual aversion disorder
build a trusting relationship with the patient so they can start to understand source of aversion, develop understanding of significance of the relationship.
Frotterism Definition
Rub or touch non-consenting person, men usually
Fetishism definition
Focus on objects ; ex shoes bras stockings intimately associated with a human body, associated with someone close to them in their childhood, usually a female, may replace a partner
Gender identity disorder- definition
strong and persistent cross gender indemnification- show characteristics of and interest in activities of the opposite gender( from biological appearance) and relate better to opposite gender
collaborative management in gender identity disorder
hormone therapy for 1-2 years after surgery, supportive before and after surgery, cognitive behavioral therapy- to teach and think like and behave like opposite sex
Paraphilia general goal of nursing care
view as client with a disorder of behavior, deviation instead of judging the person, acknowledge acceptance of own sexuality, self restrain from impulsive or compulsive behaviors( limit setting), prevention of socially unacceptable behaviors, address major complain presenting problem often depression and sexual identity issues including personal judgment of self worth, optimize level of functioning social skills, prevention of self harm, ask client view of the impact the sexual disorder has on their current symptoms
Paraphilia nursing interventions
journal feelings, identify triggers, mileu management - helps reduce client tendency to isolate, CBT- desensitization or averse conditioning ( noxious odors or frightening scenes during sexual fantasies , develop new sexual response pattern, reinforcement or aversion technique, teach it is an illness to family and client, convey acceptance and refer to specialists,
Pharmacologic interventions for paraphilia
anti- androgens ; devo vera,
anti-testosterone ( best for those with high sex drive)
SSRI’s Fluvoxamine, TCA Clomipramine( anafranil)
Male organismic disorder
persistent or recurrent delay in achieving orgasm after normal excitement. inability to ejaculate within the vagina with full arousal and penile erection
Premature ejaculation
inability to delay ejaculation less than 5 minutes of coital entry
female sexual arousal disorder
persistent or recurrent inability to maintain lubrication until completion of sexual activity
Interventions include to treat factors contributing, CBT, and referral to woman’s HCP
What does PLISSIT stand for in sex therapy?
Permission, limited therapy, specific suggestions and intensive therapy.
At what age does sense of maleness or females usually established ?
at age 3
Transsexualism
stronger degree or level of gender dysphoria, individual wishes to change his or her anatomical sexual characters tics to those of the opposite sex
Pedophilia
sexual act with pre-pubescent child(
Voyeurism
“pepping tom” seek sexual arousal by viewing others in intimate situations, usually secretly, often addicted to porn also.
Exhibitionism
illegal intentional display of genital in public space. hopes victim will be sexually aroused also, rarely contact victim
transverse fetishism
sexual satisfaction by dressing opposite gender related to someone the individual is in close associated with. do not desire sexual gender change
Sexual sadism
sexual satisfaction from physical or psychological suffering including humiliating the victim
Sexual masochism
consenting partners for sadist, sexual satisfaction from being humiliated beaten, bound or made to suffer
