Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

HECOL 211 > Sexual Dysfunctions > Flashcards

Sexual Dysfunctions Flashcards

1
Q

Definition of Sexual Dysfunctions

A

disorders that make normal arousal and sexual response difficult or impossible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dysfunctions should be differentiated from…

A

paraphilia in which arousal and response are dependent on unusual objects or behaviours, but physiological response is intact.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Types of Sexual Dysfunctions

A
  1. Sexual Desire Disorders
  2. Sexual Arousal Disorders
  3. Orgasmic Disorders
  4. Sexual Pain Disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Causes of Sexual Dysfunctions

A
  1. Organic
  2. Psychogenic
  3. Cultural/Interpersonal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Organic

A

physical trauma, illness, developmental differences, drug use, hormone changes.
+ Any possible organic cause should be investigated before other causes are explored.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Psychogenic

A

associated with low self esteem and confidence, conflict of personal values, history of abuse, anxiety and lack of sexual information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cultural/Interpersonal

A

problems arising from predominantly sexual repressive societal values and the feelings and desires of the individual or couple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Situational Dysfunctions

A

occur in given circumstances only, e.g.. with a specific partner or in a specific place.
+ They may be primary (present all of life) or secondary (occurring now or sometimes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Early treatment methods focused on…

A

Freud’s psychoanalytic model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

who introduced the behavioural approach?

A

Masters and Johnson

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Kaplan used a combination model that she called?

A

psychosexual therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Most practitioners today use an…

A

eclectic approach that allows them to individualize their therapy and counselling to meet the needs of their clients.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sex Counselling…

A

Changing Attitudes
Providing Information
Giving Permission
Reducing Anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Sexual Desire Disorders

A
  • Low or Inhibited Sexual Desire

- Compulsive Sexual Behaviour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Low or Inhibited Sexual Desire

A
  • Lack of interest, does initiate, does not respond, but normal physiological function.
  • Most common complaint, difficult to resolve.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Low or Inhibited Sexual Desire

– Causes

A
  • hormonal deficiencies, illnessess
  • depression & anxiety
  • relationship dissatisfaction
  • history of assault or abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Low or Inhibited Sexual Desire

– Treatment

A
  • relationship counselling and sex education
  • therapy for psychological illnesses and abuse
  • behavioural exercises e.g. sensate focus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Compulsive Sexual Behaviour

A

constant sexual desire with pursuit of gratification, but an inability to have satisfying sexual interpersonal relationships.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Compulsive Sexual Behaviour

– Causes

A
  • organic, e.g. disease or injury to the brain

- strong need for love but inability to relate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Compulsive Sexual Behaviour

– Treatment

A
  • lifestyle counselling or therapy

- medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Sexual Aversion

A
  • extreme negative reaction to sexual activity

- repulsed by genital (more often women)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Sexual Aversion – Causes

A
  • shame, fear & anxiety

- history of abuse or assault

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Sexual Aversion – Treatment

A
  • medications

- psychological counselling

24
Q

Frequency of Sexual Activity & Choice of Behaviours

A

partners’ difference in timing, sex drive, and lifestyle demands, emotional needs and activity preferences.

25
Q

Frequency of Sexual Activity & Choice of Behaviours

– Treatment

A
  • identify and treat underlying causes

- relationship counselling

26
Q

Dyspareunia

A
  • painful intercourse (most often women)

- see notes on male/female issues

27
Q

Substance/Medication — Induced Sexual Dysfunction

A

symptoms develop during or soon after intoxication or withdrawal or after exposure to substance/medication

28
Q

Female Sexual Dysfunctions

– Interest & Arousal Disorders

A

inadequate excitement and vaginal lubrication

29
Q

Female Sexual Dysfunctions

    • Interest & Arousal Disorders
    • Causes
A

-diabetes
- reduced estrogen levels
- neurological disorders e.g. SCI
- anxiety
- stress
- narcotics, alcohol, medications
- negative experiences such as
abuse
- most often psychological causes related to specific situations

30
Q

Female Sexual Dysfunctions

    • Interest & Arousal Disorders
    • Treatment
A
  • medical intervention for physical causes
  • sexual counselling to reduce
  • performance anxiety
    relationship counselling
31
Q

Female Sexual Dysfunctions

– Orgasmic Disorders

A

(anorgasmic or pre-orgasmic)

- difficulty or inability to achieve orgasm

32
Q

Female Sexual Dysfunctions

    • Orgasmic Disorders
    • Causes
A
  • guilt or anxiety
  • insufficient clitoral stimulation
  • often situational, e.g. Orgasmic in masturbation but not intercourse
33
Q

Female Sexual Dysfunctions

    • Orgasmic Disorders
    • Treatment
A
  • counselling and education to counteract negative attitude toward sex
  • self exploration and massage
  • couple education on female sexual response
  • education and counselling on alternative sexual activities and use of devices such as vibrators
34
Q

Female Sexual Dysfunctions

– Dyspareunia

A

pain intercourse or penetration of the vagina

35
Q

Female Sexual Dysfunctions

    • Dyspareunia
    • Causes
A
  • most often inadequate vaginal lubrication
  • vaginal infection of STD’s
  • P.I.D., endometriosis, other diseases
36
Q

Female Sexual Dysfunctions

    • Dyspareunia
    • Treatment
A
  • medical intervention for physical causes
  • use of artificial lubricants
  • counselling for psychological causes
    e. g. Low Self Esteem, anxiety
  • education on sexual techniques
    e. g. Increased Foreplay
37
Q

Female Sexual Dysfunctions

– Vulvodynia

A
  • is a condition characterized by vulvar pain, such as chronic burning, sensation, irruption, and soreness.
  • Although it can lead to painful intercourse not seen as a true sexual dysfunction
38
Q

Female Sexual Dysfunctions

– Vaginismus

A

involuntary contractions of the pelvic muscles surrounding the outer third of the vaginal barrel

39
Q

Female Sexual Dysfunctions

    • Vaginismus
    • Causes
A

fear of vaginal penetration often related to history of assault or abuse

40
Q

Female Sexual Dysfunctions

    • Vaginismus
    • Treatment
A
  • use of graduated plastic vaginal dilators
  • couples sexual activities with women in control
  • intercourse with women on top
  • counselling regarding prior abuse
41
Q

Male Sexual Dysfunctions

A

Sexual dysfunction can be related to: desire, arousal, penetration, erection maintenance, orgasm & ejaculation

42
Q

Male Sexual Dysfunctions

– Erectile Dysfunction (impotence) (ED)

A

inability to achieve or maintain an erection of sufficient firmness to have intercourse

43
Q

Male Sexual Dysfunctions

    • Erectile Dysfunction
    • Causes
A
  • diabetes (1/2 of all)
  • stress and fatigue
  • low testosterone
  • vascular problems
  • general illness
  • anxiety about performance
  • use of abuse of narcotics, alcohol, and medications
44
Q

Male Sexual Dysfunctions

    • Erectile Dysfunction
    • Treatment
A
  • 50% psychological — therapy aimed at decreasing anxiety so sexual response can occur normally. Treatment could include sensate focus etc.
  • medical intervention for physical causes
  • Vacuum Pump
  • Penile Injections
  • Penile Prostheses — Malleable
  • Penile Prosthesis — Inflatable
45
Q

Male Sexual Dysfunctions

    • Erectile Dysfunction
    • Treatment
    • Penile Injections
A
  • gold standard of therapies for ED

- mixture(s) of: papaverine, PGE1, phentolamine, foreskolin

46
Q

Male Sexual Dysfunctions

    • Erectile Dysfunction
    • Treatment
    • Penile Prosthesis (Inflatable)
A

3 piece: most natural appearing erection & excelling flaccidity for optimal concealment
2 piece: easier implantation & larger scrotal pump
Complications: infection, erosion, deformities, mechanical malfunction

47
Q

Male Sexual Dysfunctions

– Premature Ejaculation (Rapid Ejaculation) (RE)

A

is an inability to delay ejaculation as long as he wishes

48
Q

Male Sexual Dysfunctions

    • Premature Ejaculation (Rapid Ejaculation) (RE)
    • Causes
A

Most have psychological causes:

  • Masturbating in secret, learned for immediate gratification
  • 1st sexual experience in less than ideal situations etc…
  • anxiety
49
Q

Male Sexual Dysfunctions

    • Premature Ejaculation (Rapid Ejaculation) (RE)
    • Treatment
A
  • Goal of therapy is to train the man to focus his sensations. This focusing teaches him to anticipate orgasm and to gain control over the timing of his ejaculation.
  • Two Primary methods:
    1. stop & go technique
    2. squeeze techniques
50
Q

Male Sexual Dysfunctions

– Ejaculatory Incompetence

A

inability to ejaculate after penetration despite firm erection and sufficient arousal

51
Q

Male Sexual Dysfunctions

    • Ejaculatory Incompetence
    • Causes
A

Primarily psychological, anxiety related with penetration and ejaculation

52
Q

Male Sexual Dysfunctions

    • Ejaculatory Incompetence
    • Treatment
A

Focus on the psychological causes for the inhibition along with the use of sensate focus exercise, also can use behaviour approach

53
Q

Male Sexual Dysfunctions

– Dyspareunia - Genito-Pelvic Pain / Penetration Disorders

A

recurrent or persistent genital pain occurring either before, during or after intercourse (not very common)

54
Q

Male Sexual Dysfunctions

    • Dyspareunia - Genito-Pelvic Pain / Penetration Disorders
    • Causes
A
  • Usually associated with an organic condition, such as herpes, prostatitis, or Peyronie’s Disease (curvature of penis caused by sclerotic plaques on the penis)
  • Peyronie’s Disease: acquired disorder of the tunica albuginea
    Fibrous plaque, pain & penile curvature
    – Treatment: Orally can take Vitamin E & Cochicine, Ultrasound, Surgery
55
Q

Male Sexual Dysfunctions

    • Dyspareunia - Genito-Pelvic Pain / Penetration Disorders
    • Treatment
A

Medical intervention to address underlying organic causes

HECOL 211 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions