Sexual disorders

Question 1

Sexual dysfunction

Answer 1

Find it difficult to function adequately while having sex, e.g. may not become aroused or achieve orgasm. May occur in both heterosexual and homosexual relations.

Question 2

Paraphilic disorders

Answer 2

Sexual deviation, sexual arousal occurs primarily in the context of inappropriate objects or individuals. E.g. attraction towards anyone other than a fellow adult, e.g. children or animals.

Question 3

Heterosexual behaviour

Answer 3

Sex with opposite gender.

Question 4

Homosexual behaviour

Answer 4

Sex with the same gender.

Question 5

Hypoactive sexual desire disorder (male) Sexual interest arousal disorder (female)

Answer 5

Here individuals have little or no interest in any type of sexual activity. It is difficult to assess low sexual desire, and a great deal of clinical judgment is required.

Question 6

Erectile disorder

Answer 6

Males with problems in becoming physically aroused.

Question 7

Orgasm disorder

Answer 7

Inability to reach orgasm, despite adequate sexual desire and arousal.

Question 8

Sexual pain disorder/genito-pelvic pain/penetration disorder

Answer 8

(Female specific). Pain during attempted intercourse is so severe that sexual behaviour is disrupted. Severe anxiety or panic attacks may occur during attempted intercourse, this suggests a possible psycho-somatic explanation.

Question 9

How to assess sexual behaviour?

Answer 9

• Clinicians conduct interviews.
• Medical examination (usually urologist or gynaecologist).
• Psychophysiological assessment

Question 10

Causes of sexual disorders?

Answer 10

• Beta-blockers medication (can cause sexual dysfunction).
• Neurological diseases.
• Chronic illness.
• Psychological–> Trauma?.
• Cultural (E.g. learning early about sexuality in as a negative thing –> religious communities).
• Social factors.

Question 11

Treatment of sexual dysfunction

Answer 11

• Psychosocial treatments.

- Medical treatments.

Question 12

Types of paraphilic disorders

Answer 12

• Fetishistic disorder (e.g. sexually aroused by feet).
• Exhibitionistic disorders (exposing genitals to strangers).
• Transvestic disorder

Question 13

Sadism/masochism

Answer 13

Inflicting pain or humiliation (Sadism) or suffering pain or humiliation (masochism) and becoming sexually aroused is associated with violence and injury in these conditions.

Question 14

Sadistic rape

Answer 14

When the sexual act is not mutually agreed upon (rather forced upon). Many rapists meet criteria for antisocial personality disorder.

Question 15

Pedophilia

Answer 15

Sexual attraction to children (aged 13 or younger).

Question 16

Incest

Answer 16

Sexual acts amongst relatives (One party is often suffering from pedophilia).

Question 17

Gender dysphoria

Answer 17

Present when a person’s physical sex (anatomy) is not consistent with the person’s sense of who he or she really is or with his or her experienced gender.