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Sexual disorders and sex therapy Flashcards

1
Q

Sexual disorder

A

A problem with the sexual response that causes mental distress
- lifelong
- acquired

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2
Q

Lifelong sexual disorder

A

Present since the person became sexual

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3
Q

Acquired sexual disorder

A

Dysfunction appeared after a period of normal functioning

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4
Q

Sexual desire (libido)

A

Refers to an interest in sexual activity, leading the individual to seek out sexual activity or be pleasurably receptive to it
- male hypoactive sexual desire disorder
- female sexual interest/arousal disorder

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5
Q

Hyposexual desire

A

Inhibited sexual desire or low sexual desire
- lack of interest, sharply reduced interest or lack of responsive desire for sex

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6
Q

Desire disorders

A

Low sexual desire and arousal disorder merged in DSM-5: interest or desire problems frequently co-occur with arousal problems
- female sexual interest/arousal disorder

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7
Q

Female sexual interest disorder

A

Lack of interest in sexual activity

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8
Q

Female sexual arousal disorder

A

Lack of response to sexual stimulation, including lack of lubrication
- invloves psychological and physiological elements
- defined partly by a subjective sense that someone does not feel aroused despite adequate stimulation

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9
Q

Arousal disorders

A

Erectile disorder
- lifelong
- acquired

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10
Q

Erectile disorder

A

The inability to have or maintain an erection
- one result is that the man can not engage in sexual intercourse
- psychological reactions may be severe
- lifelong
- acquired

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11
Q

Lifelong erectile disorder

A

The man has never been able to have an erection that is satisfactory for intercourse

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12
Q

Acquired erectile disorder

A

The man has had erections sufficient for intercourse at other times

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13
Q

Orgasminc disorders

A
  • Premature ejaculation
  • Delayed ejaculation
  • Female orgasmic disorder
  • Situational orgasmic disorder
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14
Q

Premature ejaculation

A

When a man has an orgasm and ejaculates too soon
- definitions of what is too soon vary widely
- early and rapid ejaculation have fewer negative connotations
- ISSM: time component + lack of control component + distress component

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15
Q

Delayed ejaculation

A

When unable to have an orgasm, or it is greatly delayed
- may occur even though he has a solid erection and had more than adequate stimulation

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16
Q

strakke frenelum

A

kans op inscheuren

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17
Q

gebroken penis

A

Scheuren van de zwellichamen

18
Q

Ziekte van (morbus) peyronie

A

Plak/ontsteking op het corpus cavernosum. Zorgt voor pijn op de penis en verkromming. Medicatie kan het tegengaan of anders een operatie

19
Q

Female orgasmic disorder
- Anorgasmia, orgasmic dysfunction or inhibited female orgasm

A

The inability to have an orgasm

20
Q

Situational orgasmic disorder

A

A woman has orgasms in some situations but not others

21
Q

Pain disorders

A
  • Genito-pelvic pain/penetration disorder
    –> Dyspareunia and vaginismus merged in DSM-5
22
Q

Dyspareunia

A

Pain experienced during intercourse
- cycle of pain, causing thoughts and axiety over pain. This causes less lubrication and more tension, which cause pain
- bij de vaginale ingang
- van de vagina
- bekkenstoornissen

23
Q

Vaginismus

A

Spastic contraction of the muscles surrounding the entrance to the vagina

24
Q

Physical causes of sexual disorders

A

Many disorders result from a complex interplay or organic and psychologiccal causes
- organic factors: physical factors, such as disease, injury and drugs

25
Examples of physical causes for sexual disorder
Erectile problems: diseases associated with the heart and circulatory system or diabetes Delayed orgasm: treatments, like prostate surgery Orgasmic disorder: extreme fatigue
26
Alcohol cause for sexual disorders
- Short term pharmacological effects and expectancy effects - Long term effects of chronic alcohol abuse
27
Drugs cause for sexual disorders
- risky behavior: marijuana and crystal methamphetamine - decreased sexual desire: marijuana, chronic use of cocaine - erectile disorders: chronic use of cocaine - orgasmic disorder: marijuana, chronic use of cocaine, morphine, heroin and methadone
28
Psychological causes for sexual disorders
Things that happen in the act of lovemaking that inhibit the sexual response - child abuse - punishment for sexual curiosity or activity Emotional factors (fear of failure, sadness, depression etc.)
29
Cognitive interference - sexual disorders
Negative thoughts that distract from focusing on the erotic experience - performance pressuring can create enough stress to interfere with sexual functioning - judging one's own sexual expertise as if watching from the outside (spectatoring)
30
PLISSIT model - intervention sexual disorders
Stepped care P - providing permission to talk about sex LI - limited information: take precautions or have solutions SS - specific suggestions: what options are there if tired or in pain IT - intensive therapy: complex cases, sexologist
31
Balance method - intervention sexual disorders
Sexual function is the sum of stimulating and inhibiting factors - factors consist of physical, emotional and practical factors - factors that can be changes or not - if there are many inhibiting factors, the higher the change that a person cannot faction adequately - if there are many stimulating factors, the chance to function well is higher
32
Therapies for sexual disorders
Behavior therapy - systematic desensitization - sensate focus exercise Cognitive behavior therapy
33
Behavior therapy in sexual disorders
A system based on learning theory, in which the focus is on the problem behavior and how it can be modified or changed - systematic desensitization to reduce anxiety - sensate focus exercises to eliminate a goal-oriented attitude toward sex - simple education
34
Cognitive behavior therapy in sexual disorders
Combined behavior therapy and restructuring of negative thought patterns - reduce the presence of interfering thoughts during sex
35
Mindfulness
The technique of focusing one's attention on experiences in the present moment in a calm, nonjudgemental way
36
Mindfulness therapy
A system of training people in mindfulness practices - one goal is to help people regulate their own negative emotions - has been incorporated by some researchers into online sex therapy
37
Specific treatments for sexual disorders
- stop-start techniques (premature ejaculation) - masturbation (primary orgasmic disorder in women) - Kegel exercise - progressive vaginal dilators - bibliotherapy (self-help books)
38
Kegel exercises
In which the woman exercises the muscles surrounding the vagina - are used in sex therapy to enhance arousal and facilitate orgasm
39
Viagra
Drug is used to treat erectile disorders
40
Intracavernosal injection (erectile disorders)
- injected directly into penis - dilates blood vessel to improve vasocongestion - mainly used if the man does not resond to viagra or successors
41
Suction devices (erectile disorders)
A tube is placed around the penis and light suction until a reasonably form erection is present
42
Surgical therapy
- Severe cases of erectile disorder - surgery destroys some parts of the penis - a natural erection will be impossible in the future - implantation of a penile prosthesis - in which inflatable tubes are inserted into the penis

Seksuologie (22 decks)

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