Sexual medicine Flashcards
What are the 4 main couple therapy approaches?
- Cognitive behavioural
- Psychodynamic
- Systemic
- Integrative
What does cognitive behavioural couples therapy focus on?
Dysfunctional patterns of belief and behaviour in the here-and-now.
What does psychodynamic couple therapy focus on?
Relationship between current probs and earlier patterns of response and behaviour from earlier life. Takes into account unconscious processes
What does systemic couple therapy focus on?
Process and context rather than content to bring about change which is not necessarily based on understanding and intent
What is integrative couple therapy?
Uses understanding and interventions from more than one approach.
Give 4 possible barriers to treatment for sexual dysfunction.
- Lack of partner involvement
- What medical support is available
- Inadequate follow up
- Both patient and partner education is needed
- Lack of acceptance of psychological treatment
- Time pressures
- Anxiety levels
- Cultural and religious considerations
2 options of where to refer someone with sex/relationship problems in Sheffield?
Porterbrook clinic, Relate, College of Sexual and Relationship therapists, Sex Addicts Anon., British Assoc for sexual and relationship therapy.
Define sex.
Sex is assigned at birth according to your genetic makeup. Someone is deemed M/F according to their external genitalia
Define gender identity.
The intrinsic sense of being M/F/alternative
Define gender role/expression.
A person’s personality, appearance and behaviour that are associated with gender in a cultural and historic context
What are the primary sexual characteristics in:
a) a girl
b) a boy?
a) vagina, vulva and ovaries
b) penis, scrotum and testes
Secondary sex characteristics in:
a) a girl
b) a boy?
a) Enlargement of genitalia, development of breasts, pubic and armpit hair, menarche
b) enlargement of genitalia, lowering of voice, redistribution of muscle and fat, pubic/facial/body/armpit hair.
What chromosomal abnormality is present in Klinefelter syndrome?
47XXY
Give 3 possible features of Klinefelter syndrome.
- Small/firm testes
- Learning difficulties
- Reduced libido
- Gynaecomastia
- Sparse facial hair
- Infertility
How does congenital adrenal hyperplasia affect sex characteristics?
Excess of androgens (testosterone) which causes precocious puberty in boys or virilisation in girls.