Sexual Dysfunctions, Gender Dysphoria and Paraphilic Disorders Flashcards
Disorders of sexual arousal that occurs in the context of inappropriate objects or individuals and cause distress or impairment to the individual, or cause personal harm, or the risk of harm to others.
Paraphilic Disorders
The difficulty to function adequately while having sex (e.g. not become aroused or reach orgasm). This is differentiated from sexual deviation.
Sexual Dysfunction
It is the new term for sexual deviations or abberations.
Paraphilic Disorders
Sexual arousal occurs primarily in the context of inappropriate objects or individuals.
Paraphilic Disorders
Incongruence, psychological distress, and dissatisfaction with the gender one has been assigned at birth (has been separated from sexual disorders).
Gender Dysphoria
This category of disorders have little do with sexual dysfunctions except for the fact they both involve sexual behavior.
Paraphilic Disorders
What is indicated by para?
(the attraction is) abnormal
What is meant by philia?
Strong attraction or liking.
A person is sexually aroused to nonliving objects.
Fetishistic Disorder
This kind of arousal is triggered by either an inanimate object, source of specific tactile stimulation, or a part of the body (sometimes called partialism).
Fetishistic Disorder
This kind of arousal is triggered by either an inanimate object, source of specific tactile stimulation, or a part of the body (sometimes called partialism).
Fetishistic Disorder
The practice of observing, to become aroused, an unsuspecting individual undressing or naked.
Voyeuristic Disorder
Achieving sexual disorder and gratification by exposing genitals to unsuspecting strangers.
Exhibitionistic Disorder
The thrilling element of risk is an important part of this disorder.
Exhibitionistic Disorder
Sexual arousal is strongly associated with the act of or fantasies of dressing in clothes of the opposite sex, or cross-dressing.
Transvestic Disorder
In transvestic disorder, if sexual arousal is primarily focused on the clothing itself, what specification does it require?
With fetishism
In transvestic disorder, if a pattern of sexual arousal is associated with thoughts or images of oneself as a female, what specification does it require?
With autogynephilia
A sexual practice that is associated with inflicting pain.
Sexual Sadism
A sexual practice that is associated with suffering pain or humiliation.
Sexual Masochism
A sexual practice that is characterized by inflicting and suffering pain.
Sexual sadomasochism
This is not classified as a paraphilic disorder because most of its instances are better characterized as an assault by a male (or rarely, a female) whose patterns of sexual arousal are not paraphilic.
Rape
Most of them meet criteria for antisocial personality disorder rather than paraphilic disorders and may engage in a variety of antisocial and aggressive acts in a sexual intercourse.
Rapists
Sexual attraction to children.
Pedophilia
Being charged with child pornography is one of the best indications in this disorder.
Pedophilic Disorder
Attraction to children that are the person’s relatives.
Incest
Victims of this sexual offense tend to be girls beginning to mature physically rather than young children.
Incest
They often rationalize their behavior as “loving” the child or teaching the child useful lessons about sexuality.
Child molesters
True or false: Both genetic and environmental influences are found to play a part in the development of sexual orientation, with the latter largely accounts for it.
False. Studies suggest that genetic influence largely plays a part in the development of sexual orientation
What are the 3 stages in the sexual response cycle, each of which is associated with specific sexual dysfunctions?
Desire, arousal, and orgasm
This is also associated with sexual functioning in women, which results to an additional dysfunction.
Pain
These disorders that occurs in men and women are characterized by little to no interest in sex.
Male Hypoactive Sexual Desire Disorder and Female Sexual Interest/Arousal Disorder
What is the key feature that differentiates sexual arousal disorder (e.g. erectile disorder) from sexual desire disorders?
Strong desire to have sex
This distinction in female orgasmic disorder is necessary to determine that the women reach orgasm.
Never or almost never
This is a phenomenon in which ejaculatory fluids travel backward into the bladder rather than forward, which is almost always caused by the effects of certain drugs or a coexisting medical condition.
Retrograde ejaculation
A kind of male orgasmic disorder in which it is characterized by inability to control the timing of ejaculation, which occurs well before the man and his partner wish it to.
Premature ejaculation
This is the most common male sexual dysfunction.
Premature ejaculation
What is the more important psychological determinant of premature ejaculation?
Perceived lack of control over orgasm
True or false: A duration of less than approximately 1 minute is required to meet the criteria for premature ejaculation in DSM 5.
True, in the context of DSM 5. However, it must be noted that there is difficulty in defining “premature” since an adequate length of time before ejaculation varies from individuals to individuals.
In this female specific disorder, sexual desire may be present, arousal and orgasm may be easily attained, but the pain during attempted intercourse is so severe that sexual behavior is disrupted.
Genito-Pelvic Pain/Penetration Disorder
In this female specific disorder, sexual desire may be present, arousal and orgasm may be easily attained, but the pain during attempted intercourse is so severe that sexual behavior is disrupted. Women report sensations of “ripping, burning, or tearing” during attempted intercourse.
Genito-Pelvic Pain/Penetration Disorder
This refers to the most usual presentation of Genito-Pelvic Pain/Penetration Disorder, in which the pelvic muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted.
Vaginismus
What are the three major aspects in assessing sexual behavior?
Interviews, thorough medical evaluation, and psychophysiological assessment
An assessment that directly measures the physiological aspects of arousal pioneered by Ray Rosen and Gayle Beck.
Psychophysiological assessment
True or false: Individual sexual dysfunctions always occur in isolation.
False. Patients usually suffer from a variety of problems
Viagra is used to treat this kind of sexual disorder in men.
Erectile Disorder
What treatments are used to treat sexual disorders in general?
A combination of psychosocial and medical treatments
What are the 3 classes of objects or activities associated with fetishistic arousal?
Inanimate object, source of specific tactile stimulation, partialism (part of the body)
What is a typical setting for frotteuristic activity?
Crowded subway car
The thrilling element of risk is an important part of what paraphilic disorder?
Exhibitionistic
What is it called if sexual arousal with thoughts or images of oneself as a female in transvestic disorder?
Autogynephilia
What is it called if sexual arousal is primarily focused on the clothing itself in transvestic disorder?
With fetishism
True or false: Many rapists meet the criteria for paraphilic disorders.
False. It is antisocial personality disorder
It is one of the best diagnostic indications of pedophilic disorder.
Being charged with child pornography
True or false: paraphilic disorders are seldom seen in women.
True
True or false: paraphilic disorders are seldom seen in women.
True
What is it called if the natal sex is female but the experienced gender is strongly male?
Transman
A term used to describe if the individual has made the transition to full time living in their experienced gender and they are preparing for, or have undergone sex reassignment surgery.
Posttransition
This refers to people who are born with ambiguous genitalia associated with documented hormonal or other physical abnormalities. In other words, they may be born with physical characteristics of both sexes.
Disorders of Sexual Development (DSD) Formerly known as intersexuality or hermaphroditism
A term used to describe boys who behave in feminine ways and girls who behave in masculine ways.
Gender nonconformity
What are the qualifications for sex reassignment surgery?
Individuals must live in the desired gender for 1 to years; must be stable psychologically, financially, and socially
True or false: the primary goal of gender dysphoria is sexual gratification.
False. It is the desire to live openly in a manner consistent with that of other gender. Sexual gratification is the primary purpose of transvestic fetishism disorder