Sexual dysfunction and paraphilic disorders Flashcards
what are the 4 phases of the sexual response cycle?
- desire
- excitement
- orgasm
- resolution
what are the FEMALE sexual dysfunctions?
- lack of interest
- lubrication problems
- anorgasmia
- pain
what are the MALE sexual dysfunctions?
- premature / early ejaculation
- erectile problems
- lack of interest
- anorgasmia
what are the DSM 5 sexual dysfunction categories?
- delayed ejaculation
- ED
- female orgasmic disorder
- female sexual interest / arousal disorder
- genitopelvic pain / penetration disorder
- male hypoactive sexual desire disorder
- premature ejacuation
- substance / medication induced
what are the 3 criteria for diagnosis of sexual dysfunction?
A - specific to disorder
B - disturbance causes marked distress or interpersonal difficulty
C - not due to another diagnosis, or directly caused from a substance / medication / drug
how long must a sexual dysfunction persist for diagnosis?
6 months
ED must occur during what % of sexual activity?
75% or more
what ensures better outcomes for sexual dysfunction?
- treat as a couple
- exercises are regularly practiced
- flexible attitude
- younger couple
- if relationship issues stem from the sexual problem
sexual dysfunction treatment outcomes are dependent upon ________________________ **
provider’s ability to discuss sex and comfortably, compassionately and sensitively obtain a sexual history
definition: paraphilia
- a pattern of recurring sexually arousing mental imagery or behavior that involves unusual and especially socially unacceptable sexual practices (as sadism or pedophilia)
- deviations from normal sexual behaviors but are necessary for some persons to experience arousal or orgasm
- “anomalous” sexual activity preferences
what are the DSM definitions for paraphilia vs paraphilic disorder?
- paraphilia: the preferential sexual interest
- paraphilic disorder: the disorder that results from the “anomalous” interest
what are the features of paraphilic disorders? **
- differentiate from an experimental act, which is not compulsive, not recurrent, a novelty
- usually begins in adolescence, before age 18
- mostly male
- mostly heterosexual
- co-occurring conditions common: personality disorders, substance abuse disorders, mood and anxiety disorders, schizophrenia, brain disease
what is the most common paraphilic disorder?
pedophilia
what is the diagnosis for paraphilic disorders?
- the presence of a pathognomonic fantasy and an intense urge to act out the fantasy or its behavior elaboration
- recurrent, intense, sexually arousing fantasies, sexual urges, or behaviors involving _________
- may be distressing to the patient
what is frotteurism?
involving touching and rubbing against a non-consenting person
