Sexual disorders Flashcards
Describe the phases of sexual response, disorders which occur during the sexual response cycle, how these differ between males and females, the DSM diagnoses that correlate with these and which are more common for males vs. females Describe the general approach to assessing sexual health • Be able to identify in a vignette Gender Identity Disorder • Be able to differentiate in a vignette between the various paraphilias antiepress
sexual response cycle
desire
excitement
orgasm
resolution
most common age for sexual dysfunction by gender
older men and young women
long term effect of unwanted sexual contact on women
more arousal disorders
most common sexual dysfunction in males
premature ejaculation
most common sexual dysfunction in females
lack of interest
drug for premature ejaculation
SSRI
Involuntary contraction of vaginal muscles that interferes with intercourse
vaginismus
genital pain
dysparenuria
meds associated with sexual dysfunction
antidepressents, antihistamines, antihypertensives, antipsychotics, antidepressents, cimetadine, prostate CA meds
DSM criteria of gender identity disorder in adults
A strong and persistent cross-gender identification and
Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex
Not concurrent with a physical intersexual condition
DSM criteria of gender identity disorder in kids
Repeatedly stated desire to be, or insistence that he or she is, the other sex
In boys, preference for cross-dressing or simulating female attire; in girls, insistence on wearing only stereotypically masculine clothing
Strong and persistent preferences for cross sex roles in make believe play for persistent fantasies of being the other sex
Intense desire to participate in the stereotypical games and pastimes up the other sex
Strong preference for playmates of the other sex
A stated desire to be the other sex
Frequent passing as the other sex
Desire to live or be treated as the other sex
Strong and Persistent Cross-Gender Identification
Preoccupation with getting rid of primary and secondary sex characteristics
request for hormones, surgery
basic definition of transsexual (ICD-10 term)
Belief that he or she was born the wrong sex
Persistent Discomfort with His/Her Sex or Gender Role of His/Her Sex
comorbidites with rapist and child molesters
antisocial personality disorder
general age of onset with paraphillias
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