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10. NMSP Exam 1 > Sexual Disorders and Paraphilias (Schmidt) > Flashcards

Sexual Disorders and Paraphilias (Schmidt) Flashcards

1
Q

high-risk factors for sexual health (5)

A
  • substance use
  • limited access to care
  • poor health literacy
  • unassertive
  • poor communication skills
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2
Q

high-risk sexual behaviors (5)

A
  • unprotected
  • multiple sex partners
  • high-risk partners
  • sex trade work
  • self or partner use of IV drugs
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3
Q

4 phases of sexual response

A

1) desire
2) excitement
3) orgasm
4) resolution

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4
Q

components of desire (3)

A

1) sexual drive
2) motivation
3) wish fulfillment

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5
Q

components of excitement (2)

A
  • arousal (erection/vaginal lubrication/nipples harden)
    1) vasodilation/constriction
    2) myotonia
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6
Q

describe orgasm

A
  • peak of sexual pleasure

- release of sexual tension and rhythmic contraction of the perinatal muscles

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7
Q

describe resolution

A
  • disgorgement of blood from the genitalia

- body returns to its resting state

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8
Q

Classification: female impaired desire

A

female sexual interest/arousal disorder

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9
Q

classification: male impaired desire

A

male hypoactive sexual desire disorder

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10
Q

classification: female impaired excitement

A

female sexual interest/arousal disorder

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11
Q

classification: male impaired excitement

A

erectile disorder

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12
Q

classification: female impaired orgasm

A

female orgasmic disorder

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13
Q

classification: male impaired orgasm

A

delayed ejaculation/premature ejaculation

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14
Q

classification: female sexual pain

A

Genito-pelvic pain/penetration disorder

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15
Q

male hypoactive sexual desire disorder

A
  • persistently deficient (or absent) sexual fantasies and desire, for 6 months
  • take into account age and the context of the person’s life
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16
Q

female sexual interest/arousal disorder criteria

A

lack of sexual interest/arousal with AT LEAST 3 of the following, for 6 months:

  • reduced interest in sexual activity
  • reduced sexual thoughts/fantasies
  • reduced initiation of sexual initiation, unreceptive to partner’s attempts to initiate
  • absent of reduced sexual pleasure
  • absent or reduced sexual interest/arousal inreponse
  • absent or reduced genital sensations
17
Q

criteria for erectile disorder

A

at least one of the three following symptoms must be experienced on almost all or all occasions of sexual activity, for 6 months (75-100% sexual encounters)

1) difficulty obtaining an erection
2) difficult maintaining an erection until completion of sexual activity
3) marked decrease in erectile rigidity

18
Q

criteria female organism disorder

A

persistent or recurrent delay in, or absence of, orgasm or reduced intensity (75%-100%) following a normal sexual excitement phase, for 6 months

19
Q

criteria delayed ejaculation

A

either of the following symptoms must be experienced on almost all or all occasions, for 6 months

  • marked delay in ejaculation
  • marked infrequency or absence of ejaculation
20
Q

criteria premature ejaculation

A

persistent or recurrent ejaculation with partnered sexual activity within approximately 1 minute following penetration and before the patient prefers it, for 6 MONTHS, for almost all or all occasions of sexual activity

21
Q

criteria Genito-pelvic pain penetration disorder

A

persistent or recurrent difficulties with 1 or more of the following, for 6 months:

  • vaginal penetration during intercourse
  • marked vulvovaginal or pelvic pain during penetration on intercourse
  • marked fear or anxiety about pain as a result of vaginal penetration
  • marked tensing or tightening of the pelvic floor muscles
22
Q

general approach to treatment sexual disorders (5)

A

1) evaluate/Tx underlying medical conditions
2) consider medication side effects
3) education
4) behavior therapy
5) refer for counseling

23
Q

describe sensate focus

A

behavioral therapy: no intercourse allowed for a period of time, then systematically re-introduce sexual stimulation

24
Q

paraphilia definition

A

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

25
Q

sexual masochism disorder definition

A

derives sexual pleasure from suffering (humiliation, beaten, bound) - real acts, not simulation

26
Q

Asphyxiophilia or hypoxyphilia definition

A
  • sexual arousal by oxygen deprivation obtained by means of chest compression, noose, ligature, plastic bag, mask, or chemical
  • cerebral hypoxia makes a person dizzy and lightheaded and may increase the intensity of orgasm
27
Q

Who is usually afflicted with asphyxiophilia or hypoxyphilia

A

middle-class, caucasian males <30 y/o with no h/o mental illness

28
Q

sexual sadism disorder definition

A

sexual arousal from the physical or psychological suffering of another person
**partner may or may not have consented

29
Q

exhibitionism definition

A
  • exposure of genitals to unsuspecting strangers in public
  • intent = evoke shock or fear
  • victim usually nonconsenting
  • males
30
Q

fetishistic disorder definition

A

sexual arousal from non-living objects or specific focus on non-genital body parts (women’s shoes, panties, feet)

31
Q

frotteuristic disorder definition

A

touching or rubbing (genitals) against a non-consenting person
- male usually 15-25 years old

32
Q

transvestic disorder

A

sexually arousing fantasies, urges, or behaviors about cross dressing (not related to gender identity)

33
Q

voyeuristic disorder

A

sexual arousal by watching an unsuspecting person who is naked, disrobing, or engaging in sexual activity
- must be 18+ y/o

34
Q

pedophilic disorder definition

A

sexual fantasies, urges, or activity with prepubescent child (usually <13 y/o)… must be aged 16+ and at least 5 years older than the child

35
Q

Treatment for paraphilias

A

behavior therapy, but low success rate

10. NMSP Exam 1 (20 decks)

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