Sexual and Paraphilic Disorders Flashcards
phase 1 of sexuality: desire
testerone creates sexual desire in men/women
phase 2 of sexuality: excitement
sexual tension increases
phase 3 of sexuality: orgasm
attained at high levels of sexual tension with mental activity/erotic stimulation
phase 4 of sexuality: resolution
sexual tension subsides
sexual dysfunction
disturbance in desire, excitement, orgasm phase or pain during sexual penetration
female sexual interest/arousal disorder
emotional distress from reduced/absent interest in sexual fantasies, activity, pleasure, arousal that lasts at least 6 mon
asexuality
no desire for sexual relations and no sexual attractions
male hypoactive sexual desire disorders
reduced or absent sexual fantasies or desire for activity that lasts at least 6 mon
erectile disorder
difficulty obtaining/maintaining erection good enough for sex that occurs 75% of the time for at least 6 mon
premature ejaculation
male recurrently achieves orgasm or ejaculation before they want to that lasts at least 6 mon
female orgasmic disorder
recurrent/persistent inhibition of orgasm after norm excitement phase that occurs most of the time for at least 6 mon
delayed ejaculation
male achieves ejaculation w difficulty that lasts for at least 6 mon
verbal cues of sexuality concerns
inappropriate jokes, expressed concerns
genito-pelvic pain/penetration disorder
discomfort/pain interfering w penetration during sex (gyno exam) that causes increase anxiety/muscle tension
nonverbal cues of sexuality concerns
blushing, discomfort, anxiety
treatment for sexual dysfunctions
testosterone, medications, behavioral therapy
gender
XX or XY
gender identity
sense of maleness or femaleness
gender dysphoria
feelings of unease about maleness or femaleness
comorbidity of gender dysphoria
anxiety, disruptive/impulse control probs, depressive disorders
risk factors of gender dysphoria
decrease testosterone in males, increase testosterone in females, same sex role models
treatments for gender dysphoria
hormones to delay puberty, sex reassignment surgery, coping skills, individual/fam therapy
exhibitionistic disorder
intentional display of genitals in public
fetishistic disorder
sexual focus on objects intimately associated w body
frotteuristic disorder
rubbing or touching a non consenting persion
pedophilic disorder
sexual interest in kids under 13 that starts as fantasies but can turn physical
sexual sadism disorder
satisfaction from physical or psychological suffering of non consenting victim
sexual masochism disorder
satisfaction from being beaten, bound and made to suffer
transvestic disorder
satisfaction by dressing in clothes of opposite gender but not wanting reassignment
voyeuristic disorder
seeking sexual arousal by secretly viewing others in intimate situations
treatment for paraphilic disorders
antiandrogens, antidepressants, CBT