sexual dysfunctions Flashcards
what is sexuality
intimacy, how we relate to each other, what attracts us to each other, values and cultural aspects
Kaplans triphasic model of sexual response used in DSM-4
parallel for M and F
desire phase
excitement phase
orgasm
how did Basson et al reconceptualise female sexuality
a circular, not linear, model
to include intimacy
Previous models: desire was conceptualised as needing to come before arousal
not true for women
whats necessary for a diagnosis
must cause distress
over 6 months duration
almost all or all encounters
3 specifiers
nature of onset (lifelong or acquired), context and severity
difference of DSM 4 and 5?
- Categorised on stages of sexual response in DSM 4
- Now we have gender specific dysfunctions in DSM-5
- Female sexual interest/ arousal disorder now combined in DSM-5 due to high comorbidity, symptomology of 1 disorder
Genito-pelvic pain/ penetration disorder combined in DSM-5, was vaginismus in DSM 4
two types of erectile dysfunction?
psychogenic and organic
what might lead to not qualifying for female orgasmic disorder
lack of stimulation in the right way
what is different about genito pelvic pain/ penetration disorder
it involves a cycle of pain/ learning
whats the difference between M and F for their dysfunctions
M: focus is on functionality
F: focus on functionality AND intimacy
libido treatment for F?
Addyi 2015
define sexual health
state of physical, emotional, mental and social well-being relating to sexuality. It’s not merely the absence of disease, dysfunction or infirmity.
define sexual dysfunction
‘the various ways in which an individual is unable to participate in a sexual relationship… he/she would wish’.
do more M or W have at least one sexual dysfunction
more women
male hypoactive sexual desire disorder
A lack of interest in sex and little sexual activity and fantasizing•
Physical response may be normal
