Sexual Dysfunction, Gender Dysmorphia and Paraphylic

Question 1

List some sexual dysfunction disorders

Answer 1

1. Sexual Interest/desire disorders
2. Orgasmic Disorders
3. Gentio-Pelvic pain, penetrative disorders
4. Substance induced sexual dysfunction
5. Other specified sexual dysfunction
6. Unspecified sexual dysfunction

Question 2

Describe some of the general characteristics of sexual dysfunction disorders

Answer 2

• Inhibition of the appetitive or psychophysiologic changes that characterise the complete sexual response cycle
• Absence or impairment of some aspect of sexual function that leads to significant distress or functional impairment

Question 3

Name some physical causes of sexual dysfunction

Answer 3

• ageing
• drugs
• injuries
• neurological disorders
• inflammations
• hormone problems

Question 4

Psychoanalytic view of sexual disorders?

Answer 4

Unresolved, unconscious conflict

Question 5

Behavioural view of sexual disorders?

Answer 5

Sexual feeling are paired with anxiety which blocks normal sexual responsiveness

Question 6

Name Masters and Johnson’s (1970) key variables in sexual dysfunction

Answer 6

• fear of performance

- adoption of a spectator role

Question 7

Cognitive view of sexual disorders?

Answer 7

Thoughts produce anxiety - blocks parasympathetic responding that is the basis for sexual response

Question 8

List some dsm criteria of gender dsymorphia in children

Answer 8

Marked incongruence between experienced?expressed gender for 6months, with 6 of the following-

1. strong desire to be opposite sex
2. B - cross dressing, G - typical male attire
3. Preference for cross-gender roles in make believe
4. Preference for other genders stereotypical games, toys, activities
5. Preference for playmates of other gender
6. Rejection of own genders games, toys, activites
7. Dislike of own sexual anatomy
8. Desire for primary and secondary sexual characteristics of experienced gender

Question 9

Briefly discuss two models of aetiology of gender dsymorhpia

Answer 9

1. Modelling and operant conditioning
2. Hormones + chromosomal activity = mothers ingestion of prenatal sex hormones = higher than normal offspring cross gender interests

Question 10

Describe the general characteristics of paraphilic disorders

Answer 10

Recurrent and intense sexual urges/fantasies involving non-human objects, humiliation or non-consenting humans.
Must have acted on or cause distress

Question 11

Name a common factor related to all paraphylias.

Answer 11

Early experience which prevents the ability to form intimate adult relationships:

• childhood environs that foster repressive, guilty attitudes towards sexual behav
• childhood abuse

Question 12

LIst some treatments of paraphylia

Answer 12

1 Averson Therapy
2, Orgasmic reorientation
3. social skills training
4. sexual education
5. drug therapy
6. cog restruct
7. family therapy
8. multi faceted approach