Sexual Disorders and Paraphilias

Question 1

What are the key aspects of “abnormal” sexuality?

Answer 1

• sexual desire or activity with a non-human (can be an object, animal, etc)
• Stimulation of something that’s not a sexual organ
• Can be complusive, injurious to self or others

Question 2

What are the 4 phases of the Sexual Response Cycle?

Answer 2

1. Desire
2. Excitement
3. Orgasm
4. Resolution

Question 3

Define Male Hypoactive Sexual Desire Disorder

Answer 3

• Persistently deficient (or absent) sexual fantasies and desire for sexual activity
• 6 months duration minimum

Question 4

What is an important question to ask regarding female arousal disorder?

Answer 4

Make sure to ask the individual if they are able to have sexual/erotic thought, if they can act on these thoughts alone (masturbation), or if the thoughts are about someone other than their current partner

-Often times, a couple will come in, and the Significant other will be the one that brings up the lack of arousal. Does not necessarily mean there is an arousal disorder

Question 5

Define Erectile Disorder (ED)

Answer 5

At least one of the three symptoms during all sexual activity for 6 months:

1. Difficulty obtaining an erection
2. Difficulty maintaining an erection until completion of sexual activity
3. Marked decrease in erectile rigidity

Question 6

Define Female Orgasmic Disorder, and what to make sure to look for

Answer 6

Persistent or recurrent delay in, or absence of, orgasm….for 6 months

-Ensure that there has been adequate stimulation

Question 7

What is the “Vicious Cycle of Sexual Dysfunction” ?

Answer 7

1. Performance Pressure
2. Fear of Failure
3. Anxiety that Interferes with Some Phase of Sexual REsponse
4. Sexual Dysfunction Actually Experienced

Question 8

Define “Sensate Focus”

Answer 8

A behavioral therapy entailing no intercourse allowed for a time period, then systematically re-introducing sexual stimulation

-good therapy for anything that issue that involves anxiety

Question 9

What is Paraphilia?

Answer 9

Any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners, for at least 6 months

An overall term describing several individual disorders

Question 10

Victimizing Paraphilias have a high comorbidity with which disorder?

Answer 10

Antisocial Personality Disorder