Sexual Dysfunctions Flashcards
What are sexual dysfunctions
Characterized by clinically significant impairment in one’s ability to respond sexually or to experience sexual pleasure
Stages of sexual response
the excitement stage
the plateau stage
orgasm
resolution
What is paraphilia and why is a paraphilic interest not sufficient enough to have paraphilic disorder
Intense and persistent atypical sexual interests
Cannot be diagnosed as a disorder unless the individual experiences distress or impairment because of it, or it harms others
Not a cause for clinical intervention
Compare and contrast lifelong vs acquired sexual dysfunction and generalized vs situational sexual dysfunction
Lifelong sexual dysfunction
- The person has always experienced the problem
Acquired sexual dysfunction
- Fairly recent onset
Generalized sexual dysfunctions
- Apparent with all partners and even during solitary sexual activity and nonsexual activities
Situational sexual dysfunctions
- Only apparent in one situation
Most frequent dysfunctions for men and women
Most frequent for women
- Involve desire and arousal issues
Most frequent for men
- Premature ejaculation and erectile disorder
What are the sexual desire and arousal disorders
-hypoactive sexual desire disorder
men
-sexual interest/arousal disorder
women
Erectile disorder
distressing and over 6 months
What are the orgasmic disorders
Female orgasmic disorder
-75-100%
-6 months and distressing
Delayed ejaculation
-usually possible in solitary masturbation
-min 6 months
-75-100%
-doesnt desire delay
Premature/Early ejaculation
-within a minute
-6 months/distressing
-all or nearly all
sexual response is an emotional state triggered by
internal/external cues
-physiology
-emotions
-cognition
Toates Incentive motivational model
Desire
Arousal
Implicit/Explicit Cognitive affective processing
Genito-Pelvic Pain/Penetration Disorder
Dyspareunia
○ Painful sexual intercourse
Vaginismus
○ Difficulty with vaginal penetrative sexual activity due to anxiety of fear of pain
Diagnosis of genito-pelvic pain/penetrative disorder involves:
Persistent or recurrent difficulties with one of more of the following
○ Vaginal penetration during intercourse
○ Marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts
§ Core to dyspareunia
○ Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration
○ Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration
§ Core to vaginismus
Symptoms present for 6 months
Cause distress
what symptom is core to dyspareunia
Marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts
what symptom is core to vaginismus
Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration
people have sex for nonsexual reasons and sex is
dyadic
Hypersexuality
sex addiction (criticized definition)
7+ orgasms a week
complex to describe and apply to women
