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PSYC3102 Psychopathology > Sexual Disorders > Flashcards

Sexual Disorders Flashcards

1
Q

What are the 4 phases in sexual response cycle?

A
  1. Appetitive
  2. Excitement
  3. Orgasm
  4. Resolution
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2
Q

Describe the appetitive cycle in the sexual response cycle

A

Desire - external and internal cues

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3
Q

Describe the excitement cycle in the sexual response cycle

A

Arousal - physical and psychological signs of arousal

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4
Q

Describe the orgasm cycle in the sexual response cycle

A

Ejaculation of seminal fluids and contractions of inner third of vagina

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5
Q

Describe the resolution cycle in the sexual response cycle

A

Decrease in arousal followed by refractory “resting” period

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6
Q

List Sexual Dysfunction Disorders?

A
  • Sexual interest/desire disorders
  • Sexual pain disorders
  • Orgasmic disorders
  • Substance induced sexual dysfunction
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7
Q

How long should a Sexual Dysfunction Disorder be present?

A

6 months an must lead to marked distress by the individual

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8
Q

List the 3 Sexual Interest/Desire Disorders

A
  1. Male hyperactive sexual desire disorder
  2. Female sexual interest/arousal disorder
  3. Male Erectile Disorder
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9
Q

What is Male hyperactive sexual desire disorder?

A

Persistent or absent desire for sex

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10
Q

What is Female sexual/arousal disorder?

A

Reduced or absent sexual interest/arousal

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11
Q

What is Male erectile disorder?

A

Impotence - failure to gain or maintain erection

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12
Q

What are the 4 Orgasmic Disorders?

A
  1. Female Orgasmic Disorder
  2. Male Orgasmic Disorder
  3. Delayed Ejaculation
  4. Premature Ejaculation
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13
Q

What is Female Orgasmic Disorder?

A

Absence of orgasm

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14
Q

What is Male Orgasmic Disorder?

A

Problems with ejaculation during sex

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15
Q

What is Delayed Ejaculation Disorder?

A

Delay or inability to ejaculate

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16
Q

What is Premature Ejaculation Disorder?

A

Inability to inhibit ejaculation (most common disorder in men)

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17
Q

What is the Sexual Pain Disorder?

A

Genito - Pelvic Pain/Penetration Disorder

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18
Q

What is Genito - Pelvic Pain/Penetration Disorder?

A
  • Dyspareunia: Pain during or after sexual intercourse

- Vaginismus: Involuntary spasms of outer third of vagina such that intercourse is not possible

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19
Q

What is the Physical aetiology of Sexual Disfunction Disorders?

A

Aging, alcohol, medications, injuries, medical condition (hypertension, diabetes, kidney failure), nuerological disorders, inflammations, hormonal problems (Reduced testosterone in 30/40s, hypothyroidism/hypogonadism, Reduced estrogen in menopause)

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20
Q

What is the Psychoanalytic aetiology of Sexual Disfunction Disorders?

A

Unresolved unconscious conflict

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21
Q

What is the Behavioural aetiology of Sexual Disfunction Disorders?

A

Sexual feelings paired with anxiety that blocks sexual responses

22
Q

What is Masters and Johnson aetiology of Sexual Disfunction Disorders?

A
  • Fear of performance anxiety
  • Adoption of a spectator ie not in the moment due to religion, sexual trauma, physicological causes and social cultural factors
23
Q

What is the Cognitive aetiology of Sexual Disfunction Disorders?

A

Thoughts produce anxiety

24
Q

What are other aetiology of Sexual Disfunction Disorders?

A
  • Lack of knowledge
  • Unaware of likes and dislikes of partner
  • Poor communication
  • Fear of contracting STD
25
Q

What is the format for Sexual Dysfunction Treatment?

A
  • Mutual responsibility/Couples therapy
26
Q

How is Sexual Dysfunction assessed?

A
  • Sexual history
  • medical examinations
  • exclusion of other mental disorders
27
Q

What are treatments for Sexual Dysfunction?

A
  • sex education
  • Directed mastubation
  • Skills and communication training
  • Change in attitudes and cognitions
  • Anxiety reduction techniques (sensation focus and non demand pleasuring)
  • Shifts in routine
  • Marital therapy
  • Medical and physical procedures
28
Q

What is Gender Dysphoria Disorder?

A

Gender Identity Disorder: mismatch in understanding of gender identity and biological sex match

29
Q

What are DSM-V criteria for Gender Dysphoria Disorder?

A

In children:
A. Mismatch in expressed gender for at least 6 months and 6 of:
1. Strong desire to be other gender
2. Desire to cross dress
3. Preference for cross gender roles in fantasy play
4. Preference for toys, games, activities sterotypically for the other gender
5. Preference for playmates of the other gender
6. Rejection of their genders toys
7. Dislike of sexual anatomy
8. Desire for primary/secondary sex characteristic for experienced gender
B. Significant clinical distress and impairment

30
Q

What is the Modelling and operant conditioning aetiology for Gender Dysphoria Disorder?

A

Reinforced cross dressing

31
Q

What is the Biological aetiology for Gender Dysphoria Disorder?

A

Hormaonal and chromosomal abnormality: Pseudohermaphroditism (Genetically male but no penis, but increase in hormones as a teenager produces penis and adaption to male gender easy indicating preprogrammed to be male)

32
Q

What is the treatment for Gender Dysphoria Disorder?

A

Sex reassignment surgery:

  1. Must live in gender for 2 years
  2. Hormone treatment
  3. Surgery
33
Q

What are Paraphilic Disorders?

A

Any intense and persistent sexual interest other than genital stimulation with a phenogenically normal, physically mature, consenting human partner that causes distress or social impairment for the person or causes harm to or threatens other people

34
Q

How long must Paraphilic symptoms be present?

A

6 months

35
Q

What age is onset of Paraphilic Disorders?

A

7 to 38 (average 16)

36
Q

What 4 things must be present for Paraphilic diagnosis?

A
  • Must lead to cinical distress or impairment
  • Are compulsory
  • Produce sexual dysfunction
  • Requires participation of non consenting person
37
Q

What is Voyeristic Disorder?

A

Observing and unsuspecting person that is naked or in the process of disrobing or engaging in sex. No arousal without spying

38
Q

What is Exhibitionist Disorder?

A

Indecent exposure with the intent to shock the observer

39
Q

What Frotteuristic Disorder?

A

Sexual aroused by touching or rubbing genitals against a non-consenting person

40
Q

What is sexual Sodism Disorder?

A

Arousing fantasies, urges or behaviour that involve that psychological or physical suffering of a victim. Fantasies involve asserting dominance (control and power)

41
Q

What is Sexual Masochism Disorder?

A

Arousing fantasies, urges, impulses involving being humiliated, beaten, bound or made to suffer. More common in male 20:1

42
Q

What is Pedophilic Disorder?

A

Persistently engaging in sexual activities with children.

43
Q

What is Fetishistic Disorder?

A

Association of sexual arousal with nonliving objects eg underwear, shoes, rubber, leather

44
Q

What is Transvestic Disorder?

A

Cross dressing for sexual arousal

45
Q

What is the Biological aeitology for Paraphilic Disorders?

A
  • Hormones: High levels of sex hormones
  • Brain damage: Possible temporal lobe damage
  • Kluver-Bucy syndrome: Monkeys with temporal lobe damage behave oddly but not present in temporal lobe epilepsy
46
Q

What is the Behavioural aeitology for Paraphilic Disorders?

A
  • Classical conditioning - orgasm to stimuli
  • Modelling
  • Reinforcement
47
Q

What are courtship disorders?

A

Difficulty identifying partner

48
Q

What are intimacy deficits?

A

Failure to achieve intimacy with adults

49
Q

What are Lovemaps?

A

Mental pictures representing a persons ideal sexual relationship learned in childhood and adolescence

50
Q

Could sexual, physical and emotional abuse as a child impact paraphilic Disorders?

A

Yes - limits ability to form intimate adult relationships

51
Q

What are treatments for Paraphilic Disorders?

A

Aversion Therapy
Drug Treatment
CBT - Education, social skills, relapse prevention procedures

52
Q

What drugs are used in Paraphilic Disorders?

A
  • Cypoterone, acetate, triptorelin to reduce testosterone

- Anti depressants and anti anxiety medications

PSYC3102 Psychopathology (12 decks)

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