SEXUAL DYSFUNCTIONS Flashcards
what disorders are categorized as sexual dysfunctions?
- Delayed Ejaculation
- Erectile Disorder
- Female Orgasmic Disorder
- Female Sexual Interest/Arousal Disorder
- Genito-Pelvic Pain/Penetration Disorder
- Male Hypoactive Sexual Desire Disorder
- Premature (Early) Ejaculation
these disorders are characterized by a disturbance in a person’s ability to respond sexually or to experience sexual pleasure
sexual dysfunctions
what are the specifiers for most of the sexual dysfunctions?
Lifelong: disturbance has been present since the individual became sexually active
Acquired: disturbance began after a period of relatively normal sexual function
and/or
Generalized: Not limited to certain types of situations, or partners
Situational: Only occurs with certain types of situations, or partners
How was Sexual Dysfunction reflected in the DSM III?
Psychosexual Disorders
Sexual Dysfunctions
Gender Identity Disorders (replaced by Gender Dysphoria)
Paraphilias
How was Sexual Dysfunction reflected in the DSM II?
Psychophysiologic genito-urinary disorder
Disturbances of menstruation and micturition
Dyspareneuia
Impotence
this term refers to genital pain during or after sexual intercourse
Dyspareunia
what sexual dysfunction doesn’t have a subtype or specifier?
GENITO-PELVIC PAIN/PENETRATION DISORDER
this disorder is characterized by a marked delay in or inability to achieve ejaculation or marked infrequency of ejaculation on all or almost all occasions of partnered sexual activity, despite the presence of adequate sexual stimulation and the desire to ejaculate
Delayed Ejaculation
this term refers to peeing
micturition
what are the 5 Stages in Sexual Relations?
- Desire Phase
- Arousal stage
- Plateau Phase
- Orgasm Phase
- Resolution Phase
this stage in sexual relations is characterized by the sexual urges that occur in response to sexual cues or fantasies
desire phase
this stage in sexual relations is characterized by a subjective sense of sexual pleasure and physiological signs of sexual arousal: in males, penile tumescence (increased flow of blood into the penis); in females, vasocongestion (blood pools in the pelvic area) leading to vaginal lubrication and breast tumescence (erect nipples)
arousal stage
this stage in sexual relations is characterized by a brief period that occurs before orgasm
plateau phase
this stage in sexual relations is characterized by feelings of the inevitability of ejaculation, followed by ejaculation, in men; and contradictions of the walls of lower third of the vagina, in females
orgasm phase
this stage in sexual relations is characterized by a decrease in arousal occurs after orgasm (particularly in men)
resolution phase
what sexual dysfunctions are present in the desire phase?
Male: Male hypoactive sexual desire disorder (little or no desire to have sex)
Female: Female sexual interest/arousal disorder (little or no desire to have sex)
what disorders are present in the arousal stage?
Male: Erectile disorder (difficulty obtaining or maintaining erections
Female: Female sexual interest/arousal disorder (little or no desire to have sex)
what sexual dysfunctions are present in the orgasm stage?
Male: Delayed ejaculation; premature (early) ejaculation
Female: Female orgasmic disorder
what disorders are present in the pain phase?
Genito-pelvic/penetration disorder (pain, anxiety, and tension associated with sexual activity; vaginismus, i.e. muscle spasms in the vagina that interfere with penetration
what are the three major aspects to assessment of sexual behavior?
- Interviews
- A thorough medical evaluation
- A psychophysiological assessment
this aspect of assessing sexual behavior is usually supported by numerous questionnaires
interviews
this aspect of assessing sexual behavior is used to rule out the variety of medical conditions that can contribute to sexual problems
a thorough medical evaluation
this aspect of assessing sexual behavior is used to directly measure the physiological aspects of sexual arousal
a psychophysiological assessment
this disorder is characterized by a marked delay, marked infrequency of, or absence of orgasm
Marked reduced intensity of orgasmic sensations
Female Orgasmic Disorder
what does it mean if a sexual dysfunction has been lifelong?
the disturbance has been present since the individual became sexually active
what does it mean if the sexual dysfunction has been acquired?
the disturbance began after a period of relatively normal sexual function
what does it mean if the sexual dysfunction is generalized?
the dysfunction is not limited to certain types of stimulation, situations, or partner
what does it mean if the sexual dysfunction is situational?
the dysfunction only occurs with certain types of stimulation, situations, or partners.
what are the severity specifiers for Premature (Early) Ejaculation
Mild: Ejaculation occuring within approximately 30 seconds to 1 minute of vaginal penetration
Moderate: Ejaculation occurring within approximately 15-30 seconds of vaginal penetration
Severe: Ejaculation occurring prior to sexual activity, at the start of sexual activity, or within approximately 15 seconds of vaginal penetration
what are the severity specifiers for most sexual dysfunctions?
Mild: Evidence of mild distress over the symptoms in Criterion A.
Moderate: Evidence of moderate distress over the symptoms in Criterion A.
Severe: Evidence of severe or extreme distress over the symptoms in Criterion
A
this disorder is characterized by a marked difficulty in obtaining an erection during sexual activity, maintaining erection until the completion of sexual activity
Marked decrease in erectile rigidity
Erectile Disorder
what is the duration for sexual dysfunctions?
minimum duration of 6 months
this disorder is characterized by a marked delay, marked infrequency of, or absence of orgasm
Marked reduced intensity of orgasmic sensations
Female Orgasmic Disorder
this disorder is characterized by a persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it.
Premature (Early) Ejaculation
this disorder is characterized by the difficulty of having intercourse, genito-pelvic pain, fear of pain or vaginal penetration, and tension of the pelvic floor muscles
Genito-Pelvic Pain/Penetration Disorder
this disorder is characterized by the persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity.
MALE HYPOACTIVE SEXUAL DESIRE DISORDER
what are the deliberations of professionals about sexual dysfunctions in the DSM V?
they want to include hypersexual disorder
what composes hypersexual disorder?
Sexual behavior that is excessive or poorly controlled
Sex addiction
Compulsive sexual behavior
