SexualDysfunction: Flashcards
sexual dysfunction:
Difficulty experienced by an individual or couple during the stages of normal sexual activity, including physical pleasure, desire, arousal, or orgasm. Assessing performance anxiety, guilt, stress, and worry are important components to managing sexual dysfunction.
Causes - Emotional Factors
● Depression
● Sexual fears/guilt
● Past sexual trauma
● Interpersonal problems
● Anxiety
Physical Factors
● Drugs
● Alcohol
● Nicotine
● Narcotics
● Stimulants
● Psychotherapeutic Drugs
● Premenstrual syndrome
● Pregnancy
● Postpartum
● Menopause
● Hormonal deficiencies
● Low testosterone
Interpersonal Factors
● Partner performance and technique
● Relationship quality and conflict
Socio-Cultural Influences
● Inadequate sexual education
● Conflict with religious, personal, or family values
● Societal taboos
Assessment:
The most common form is the sex history interview where each partner is
interviewed separately. This phase allows for treatment goals to be identified by both the
therapist and couple. This includes obtaining information about:
● Sexual history, including any sexual abuse
● Current sexual behaviors and practices
● Attitude towards sex
● Psychodynamic factors
● Systemic factors
● Psychiatric status
● Biological problems