Sexual dysfunctions Flashcards
Attempts to measure a woman’s arousal
Vaginal Plethysmograph
Sexual Response cycle
- Desire Phase
- Excitement Phase
- Orgasm Phase
- Resolution Phase
3 Categories of Sexual Dysfunctions
- Sexual Arousal
- Sexual Desire
- Sexual Interest
Deficient or absent sexual fantasies and urges
Hypoactive sexual disorder
Failure to attain or maintain an erection through completion of sexual activity
Erectile disorder
Persistent deficits in sexual interest, biological arousal, subjective arousal
Sexual interest / arousal disorder in women
Persistent absence of orgasm after sexual excitement
Female orgasmic disorder
Persistent difficulty in ejaculating
Delayed ejaculation
Persistent or recurrent pain during intercourse
Genito-pelvic pain disorder
2 immediate causes of sexual disorders
- fears about performance
- adoption of spectator role
Psychosocial factors
Rape, childhood sexual abuse, and other degrading encounters
Sexual abuse during childhood is associated with _______________
Diminished arousal and desire
_____ and _____ increase the risk of sexual dysfunctions
Depression and anxiety
Too much _____ and _____ impede sexual functioning
Stress and exhaustion
Instrument used to measure arousal in men
Penile plethysmograph
Treatments of Sexual Dysfunctions
- Anxiety reduction
- directed masturbation
- procedures to change attitudes and thoughts
- skills and communications training
- couples therapy
- medication and physical treatment
Gradual and systemic exposure to anxiety provoking aspects of the sexual situation
Anxiety reduction
To enhance women’s comfort with and enjoyment of their sexuality; helpful in treatment of orgasmic disorder
Directed masturbation
Clients are encouraged to focus on the pleasant sensations that accompany even incipient sexual desire disorder
Procedures to change attitudes and thoughts
Skill and communication training
- To improve sexual skill and communication by showing videos demonstrating sexual techniques
- encourages couples to communicate their likes and dislikes
- Group of disorders defined by recurrent sexual attraction to unusual objects or unusual sexual activities lasting at least 6 months
- types are differentiated according to the source of the arousal
PARAPHILIAS
- reliance on an inanimate object or a nongenital part of the body for sexual arousal
- recurrent and intense sexual urges towards these objects
- presence of the object is strongly preferred or even necessary for arousal
FETISHISTIC DISORDER
- when adults derive sexual gratification through sexual contact with prepubertal or pubescent children
- when they experience recurrent, intense, and distressing desires for sexual contact with children
- offender must be at least 18 years old or at least 5 years older than the child
PEDOHEBEPHILIC DISORDER
Sexual relations with close relatives for whom marriage is forbidden
INCEST
- intense and recurrent desire to obtain sexual gratification by WATCHING UNSUSPECTING OTHERS in a state of undress or having sexual relations
- begins in adolescence
- often have paraphilias but not elevated rates of other mental disorders
VOYEURISTIC DISORDER
- recurrent, intense desire to obtain sexual gratification by exposing one’s genitals to an unwilling stranger
- begins in adolescence
- seldom an attempt to have actual contact with the stranger
- triggered by anxiety and restlessness, as well as sexual arousal
EXHIBITIONISTIC DISORDER
- involves sexually oriented touching of an unsuspecting person
- often occurs in crowded places
- occurs with other kinds of paraphilias
FROTTEURISTIC DISORDER
Defined by an intense and recurrent desire to obtain or increase sexual gratification by INFLICTING PAIN or psychological suffering in another
SEXUAL SADISM DISORDER
Defined by an intense and recurrent desire to obtain or increase sexual gratification through being subjected to PAIN OR HUMILIATION
SEXUAL MASOCHISM DISORDER
- majority are men
- androgens might play a role
- sexual desire is higher for people with paraphilias
NEUROBIOLOGICAL FACTORS
- association of inappropriate stimuli to sexual arousal
- paraphilias are considered an outcome of inadequate social skills
PSYCHOLOGICAL FACTORS
Treatment
- strategies to enhance motivation
- CBT
