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Abnormal Psych > Sexual Dysfunction > Flashcards

Sexual Dysfunction Flashcards

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1
Q

Paraphilias

A
  • Recurrent, intense arousing fantasies, urges, behaviors that involve
  1. non human objects
  2. suffering, humiliation
  3. non consenting ppl
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2
Q

Dx of Paraphilia

A
  • must have acted on fantasy without distress
  • many are reluctant to disclose behavior
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3
Q

Types of Paraphilias

A
  1. fetishism
  2. transvestic fetishism
  3. voeurism
  4. exhibitionism
  5. sadism
  6. masochism
  7. pedophilia
  8. frotteurism
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4
Q

Fetishism

A
  • fantasies involving inanimate objects for sexual gratification
  • masturbate while touching object

ex: hair, ears, underpants, shoes, prefume all associated with opposite sex

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5
Q

Cause for Fetishism

A

Classical conditioning and social learning: items become eroticized via association with sex

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6
Q

Transvestic Fetishism

A
  • Fantasies cross-dressing as female
  • caused by masturbation while wearing womens clothing during adolescence
  • attracted by woman on the outside and the inside
  • mostly hetero men
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7
Q

Voyeurism

A
  • Peeping toms
  • Fantasies observing unknowing others undressing, having sex
  • men tuned on by nude women, privacy surrounding sexual activity increases curiosity, male feels inadequate
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8
Q

Exhibitionism

A
  • flasher
  • indecent exposure of genitals
  • shock is arousing
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9
Q

Sadism

A
  • fantasies inflicting psychological/physical pain
  • themes of dominance, control, humiliation, bondage
  • varying severity: transient sadist, severe sadist
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10
Q

Masochism

A
  • sexual gratification from pain and degradation
  • Causes: physical abuse in youth
  • Autoerotic asphyxia
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11
Q

Causal factors of Paraphilias (Men)

A
  • Males (most vul to paraphilias) are more dependent on visual imagery, physical stimulus.
  • more vulnerable to form sexual associations with nonsexual stimuli
  • occurs after puberty when sex drive is high
  • behavior is reinforced by orgasm release
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12
Q

Gender Identity Disorder

A
  1. strong cross gender identification (desire to be opposite sex)
  2. gender dysphoria (persistent discomfort about bio sex)
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13
Q

Tx of gender Identity Disorder

A
  • psychotherapy
  • improve peer and parent relationships
  • reduce cross-gender behavior
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14
Q

Transsexualism

A
  • adults with desire to change sex
  • adult version of GID
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15
Q

Homosexual Transsexual

A

men are feminine and are attracted to men

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16
Q

Autogeniphilia

A

attraction to thoughts, images, fantasies of self as a woman

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17
Q

Tx of Transsexualism

A
  • surgical sex reassignment:
  1. hormone tx
  2. live as opposite sex for 1 year
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18
Q

Sexual Abuse

A

Sexual contact that involves coercion

  • pedophilia
  • incest
  • rape
19
Q

Consequences of childhood sex abuse

A
  1. PTSD
  2. sexual inappropriateness
  3. poor self esteem
  4. sexual aversion
  5. promiscuity
  6. borderline personality disorder
  7. somatization disorder
  8. dissociative identity disorder
20
Q

Pedophilia

A
  • fantasies of sexual activity with children
  • fondling child’s genitals, penetration
  • mostly hetero males
  • think child benefits from behavior
21
Q

Causal Factors for Rapists

A
  1. abuse
  2. violent home environment
  3. inconsistent caregiver
  4. rape & other paraphilias
  5. deficits in social communication
22
Q

Pschotherapy Tx of sex offenders

A
  1. modify patterns of arousal
  2. modify cognitions and social skills
  3. change habits
  4. reduce sexual drive
  • aversion therapy: paraphilic stim paired with aversive event
  • cognitive restructuring
23
Q

Bio Tx of Sex Offenders

A
  • Hormone tx
  • castration
24
Q

Sexual Dysfunction

A

Impairment in desire or ability to achieve sexual gratification

25
Q

4 phases of sexual response

A
  1. Desire: fantasies about/for sexual activity
  2. excitement (arousal): sexual pleasure and physiological changes that come with pleasure. I.e. erection, lubrication
  3. Orgasm: release of sexual tension and peak
  4. Resolution: relaxation and well-being
26
Q

Hypoactive Sexual Desire Disorder

A
  • little or no sexual drive or interest\
  • psychologica factors
27
Q

Sexual Aversion Disorder

A

Extreme aversion and avoidance of genital sexual contact

28
Q

Causes for Sexual Desire Disorders

A
  1. depression/anxiety
  2. decline in testosterone
  3. SSRI
  4. low relationship satisfaction
29
Q

Tx of Sexual Desire Disorders

A
  • SSRI
  • communication training
  • cognitive restructuring
  • sexual fantasy training
  • sensate focus training
30
Q

Male Erectile Disorder

A
  • Sexual Arousal Disorder
  • inability to achieve or maintain erection for sex
  • originating from psychogenic and medical factors
  • anxiety aout performance
31
Q

Causes of Erectile Disorder

A
  1. negative thoughts
  2. cognitive distractions
  3. age
  4. meds
32
Q

Tx of Erectile disorder

A
  • Erection promoting meds
  • injections of muscle relaxers
  • vaccum pump
33
Q

Female Sexual Arousal Disorder

A
  • Absence arousal and unresponsiveness to stimulation
  • no swelling, lubrication of vagina
  • intercourse uncomfortable, orgasm impossible
34
Q

Tx of Female Sexual Arousal Disorder

A
  • psychotherapy and sex therapy
  • vaginal lubricants
35
Q

Premature Ejaculation

A
  • orgasmic disorder
  • recurrent onset of orgasm and ejaculation with minimal stimulation
  • before or shortly after penetration
  • loss of control
36
Q

Tx of Premature Ejaculation

A
  • Antidepressants
  • pause-and-squeeze
37
Q

Male Orgasmic Disorder

A
  • Inability to ejaculate during intercourse
38
Q

Female Orgasmic Disorder

A
  • women who are excitable but have delay or abscence of orgasm
39
Q

Tx of Female Orgasmic Disorder

A
  • education
  • masturbation exercises
40
Q

Vaginismus

A
  • involuntary muscle spasms on outer vagina perventing intercourse
  • comorbid with sexual arousal disorder
  • conditioned fears associated with traum experience
41
Q

Tx of Vaginismus

A
  • ban intercourse
  • train muscles
  • gradual self insertion
  • relaxation exercises
42
Q

Dispareunia

A
  • persistent, recurrent genital pain associated with intercourse
  • more common in women
  • caused by infection, inflammation, vaginal atrophy, vaginal tearing, insufficient arousal
43
Q

Tx of Dyspareunia

A
  • cognitive behavioral therapy
  • vaginal insertion exercises

Abnormal Psych (11 decks)

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