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Sex Therapy > SST Chapter 5 & 6, CG Chapter 6 > Flashcards

SST Chapter 5 & 6, CG Chapter 6 Flashcards

1
Q

T or F: 10-15 percent of adult males report little or no sexual desire.

A

False: 15 to 25 percent of adult males report little or no desire for sex

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2
Q

T or F: HSDD is one of the most easy to treat as it generally is a result of one factor

A

False: It is generally a result of a confluence of factors.

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3
Q

What does HSDD stand for?

A

Hypoactive Sexual Desire Disorder

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4
Q

What is the first step in treating a man with HSDD?

A

Medical evaluation for possible medication/organic causes

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5
Q

What is the second step in treating a man with HSDD?

A

Treating occurring sexual disorders and psychological problems

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6
Q

Can HSDD be treated conjointly?

A

Yes. Sometimes the partner will be contributing to the shame of the male partner.

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7
Q

What is response anxiety?

A

The subjective preoccupation about not feeling enough or any desire in sexual contexts

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8
Q

How do you treat HSDD?

A
  1. Medical Evaluation
  2. Treat concurring disorders and individual psychology
  3. Psychoeducate on response anxiety
  4. Utilize cognitive work
  5. Identify and address intimacy fears
  6. Uncover possible secrets
  7. Communication training
  8. Other techniques: sensate focus, novel sexual experiences, increase rewards for sex (emotional intimacy), prescribed fantasies
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9
Q

What is the first step in treatment for a client with ED?

A

Medical evaluation

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10
Q

What is the basic principle in treating ED?

A

lowering performance anxiety

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11
Q

What are the treatment options for ED?

A
  1. Bibliotherapy and Education
  2. Removing Performance Anxiety (staying present and reducing pressure)
  3. Cognitive work
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12
Q

What are the included parts of sensate focus treatment for ED?

A

Pay attention to the sensations that accompany touch
Verbally or nonverbally communicate what is pleasurable and what is not
Focus on your own sensations
Be mindful of sensations in the moment and not the future.
Give assignments that are reciprocal, but do not perform them simultaneously

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13
Q

What are some other considerations after treating ED successfully?

A

Some men have PE and some women have gotten used to coital orgasms so there is potential for other sexual issues to be treated.

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14
Q

T or F: ED is the most common male sexual disorder

A

False: PE is the most common

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15
Q

What are some risk factors of PE?

A

Lower urinary tract symptoms, younger age, a lower number of sexual partners

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16
Q

What is needed to diagnose PE?

A

A persistent or reccurrent pattern of ejaculation occurring during partner sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes”
Persistent for 6 months
causes significant distress
Not caused by substance/medical/relationship/emotional issues

17
Q

What did Waldinger and Schweitzer propose about the diagnosis of PE?

A

They proposed 4 specifiers rather than the normal two (lifelong/acquired)

18
Q

What is Variable PE?

A

Early ejaculation is inconsistent and sporadic but normal given the variability of the ejaculatory process.

19
Q

What is subjective PE?

A

men who believe they have the problem but do not meet the diagnostic requirements. A man with subjective PE might have imagined early ejaculation but has a normal intravaginal ejaculatory latency time (IELT) and an ability to control ejaculation.

(Page 79).

20
Q

What does IELT stand for?

A

Intravaginal ejaculatory latency time

It is the time from the moment of vaginal penetration until the moment of intravaginal ejaculation.

(Page 79).

21
Q

What are the two components of orgasm?

A

Emission and ejaculation

Emission- ejaculatory inevitability (point of no return)

22
Q

What are the two research based causative factors for PE?

A

Organic (Physical)

and psychogenic

23
Q

What are the possible neuroglogical causes for PE?

A

Serotonin disregulation, Penile hypersensitivity

24
Q

T or F: high testosterone levels are characteristic of ED while low levels are characteristic of PE

A

False: high testosterone levels are characteristic of PE while low levels are characteristic of PE

25
Q

What are some urological causes of PE?

A

Chronic prostatis, varicocele, and monosymptomatic enuresis

Diseases of prostate and genito-urinary system problems are common correlates

26
Q

A clinician is working with a client with lifelong PE. The clinician believes the reason the client is struggling with PE is that they lack sexual experience and they do not have the interpersonal skills/dating skills necessary to control sexual arousal and ejaculation. What perspective is the therapist operating under?

A

Behavioral and social learning theory.

CBT

27
Q

What does the psychoanalytic theory say about PE?

A

PE is due to the unconscious conflict with women. Ex. wanting to give her semen, but also exact revenge.

What the Freak?!!!!

28
Q

What medicines are commonly used by physicians to treat PE?

A

SSRIs because delayed ejaculation is a side effect of these medications

Topical creams and sprays

PDE-5 inhibitors (treatment for ED).

Tramadol

Dapoxetine most effective

29
Q

What are the behavioral techniques for treating PE?

A

1) The New Sensate Focus
2) Stop-Start
3) Stop-slow
4) Squeeze
5) Quiet Vagina

30
Q

What is Master Conflict Theory?

A

It is a treatment for PE that combines psychoanalytic conflict theory (Freud), Bowenian family of origin and behavioral sex therapy (Kaplan).

It contends that exposing a couple’s internalized conflicts, determining the origins of these conflicts, and helping the couple differentiate from the deleterious influences of their families of origin, from which these conflicts have emanated, can result in their resolution.

(Page 89).

31
Q

What are some medical risk factors for ED?

A

Cardiovascular disease, diabetes, hypertension, liver, renal and respiratory illnesses, alzheimer’s, Parkinsons, spinal injuries

32
Q

What is required for a diagnosis of ED?

A

Must be present in almost all or in all occasions of sexual activity

1) Distinct difficulty in obtaining an erection during sexual activity
2) Noticeable difficulty in maintaining an erection until the completion of sexual activity
3) A marked decrease in erectile rigidity

6 months and must be distressing

33
Q

T or F: ED is an inevitable consequence of aging

A

False: It is not an inevitable consequence of aging

34
Q

ED with a sudden onset and short duration suggest a _______ etiology?

A

psychogenic

35
Q

T or F: Collecting family history is the foundation of Inter systemic assessment of ED

A

False: Sex history

36
Q

What are the psychological treatments for ED?

A

Reframing, cognitive work, supporting realistic expectations, reducing anxiety (performance and response), communication training, psychoeducation

37
Q

What are the possibilities for medications given to someone with ED?

A

PHE-5 inhibitors-Viagra, Levitra, Cialis, Stendra

38
Q

What physical interventions can be used to treat ED?

A

Vacuum Constriction Device- pump
Trouniquet
Intracavernosal Injection- injection into the penis
Intraurethral medication- pellet into urethra

Sex Therapy (5 decks)

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