SST Chapter 8, 9 and CG Chapter 7

Question 1

T or F: Sexual desire is qualitatively and quantitatively the same for men and women.

Answer 1

False: pg. 107

Question 2

What is sexual desire?

Answer 2

an appetite, wish or drive moving the individual to seek sexual gratification and a psycho-physiologic state which is influenced by psychological health, relationship significance, culture, and other contextual factors.

Question 3

T or F: Sexual desire in early relationships is often characterized as occurring in response to context or relational cues

Answer 3

False pg. 107 Long-term relationships have desire to context and relational cues where early relationships are more spontaneous.

Question 4

What is sexual interest?

Answer 4

the willingness to engage in sexual activity

Question 5

What is vasocongestion?

Answer 5

swelling of bodily tissues caused by increased blood flow

Question 6

T or F: Vaginal lubrication is not studied as a marker of sexual arousal in women

Answer 6

False pg. 108

Question 7

T or F: Genital arousal is an appropriate indicator of subjective sexual arousal

Answer 7

False Genital arousal alone is not enough

Question 8

What is sexual concordance?

Answer 8

The relationship between subjective experience of sexual interest and genital sexual arousal

Question 9

What are the four main reasons why people have sex?

Answer 9

1) physical reasons (attraction)
2) attaining goals
3) emotional reasons
4) insecurity factors

Question 10

T or F: Sexual frequency is not an accurate measure of sexual interest

Answer 10

True pg. 109

Question 11

Jane and her partner come to therapy very distressed because of desire discrepancy. After a full sexual assessment, Jane has a reduction in interest of sexual activity and no sexual/erotic thoughts. This has persisted for more than 6 months. Can she be diagnosed with FSIAD?

Answer 11

No.

She only meets 2 of the criteria and she needs to meet three.

Question 12

Molly has no interest in sex with her partner, does not initiate sex with her partner, and experiences no sexual excitement/pleasure in all sexual encounters with her partner (6 months, and includes distress). Molly has fantasies about being with another man and masturbates. Does she meet the criteria for FSIAD?

Answer 12

Yes. She would have situational FSAID

Question 13

What are the four phases of the Master’s and Johsons model of sexual response?

Answer 13

excitement, plateau, orgasm, and resolution

Question 14

What did Kaplan and Lief add to the Masters and Johnson model?

Answer 14

They added desire which preceded the physiological responses.

Question 15

What are the three components of Levine’s model of desire ?

Answer 15

1) drive- biological dimension that leads to spontaneous desire
2) expectations- social dimension
3) motivation-psychological dimension

Question 16

Which theoretical model of sexual response states that emotional closeness, and intimacy or overtures from her partner are usually required to trigger sexual desire in women?

Answer 16

Basson

Question 17

What does the Goal Response Model of Sex say the motivation for sex are?

Answer 17

Hedonistic reasons- pleasure

eudomonic reasons- maintaining a relationship

Question 18

What systems/domains must be considered in the Intersystem Approach?

Answer 18

1. Individual physical/biological
2. Individual psychological factors
3. Couple relationship
4. Intergenerational influences
5. Contextual domains

Question 19

T or F: Fatigue, hormone imbalances during menstrual cycle, and breastfeeding can reduce interest in sex.

Answer 19

True.

Question 20

T or F: Women with FSAID experience more negative and inaccurate beliefs compared to women without sexual difficulties

Answer 20

True

Question 21

Masley, a cisgender female, has FSIAD and is coming to therapy with her husband because of conflict around sexual intimacy . What are the steps the book suggest to treat the couple?

Answer 21

1. Setting Realistic Expectations
2. Promote Intimacy
3. Lower response anxiety
4. Address Affect
5. Cognitive work
6. Communication and mindfulness work

Question 22

What variable is a common factor in achieving sexual satisfaction?

Answer 22

Self-disclosure

Question 23

How should clinicians handle fear of intimacy issues?

Answer 23

1. Identify the fear
2. Use Cognitive therapy to address negative thoughts
3. Disrupt the pattern of avoidance

Question 24

What are some biological factors that can adversely affect orgasm?

Answer 24

heart disease, multiple sclerosis, hypertension, asthma and thyroid problems pg. 131

Question 25

What is the myth of vaginal orgasm?

Answer 25

This myth incorporates a false distinction between the vaginal and the clitoral orgasm and women using clitoral stimulation to achieve orgasm are considered to be dysfunctional.

Question 26

How many women report never having an orgasm?

Answer 26

10 percent

Question 27

What are the treatment options for anorgasmia?

Answer 27

Psychoeducation, directed masturbation, coital alignment technique, use of vibrators, communication skills training for couples, couples therapy,

Question 28

what are the 3 strategies to treat FOD?

Answer 28

Communication exercises
Sensate Focus Exercises,
Guided Fantasy

Question 29

What tool can be utilized to help with assessment of intergenerational factors?

Answer 29

Sexual genogram

Question 30

T or F: Sexual interest just happens

Answer 30

False, sexual interest and satisfaction are created, fostered, practiced, and nurtured.

Question 31

What are the two drugs that are mentioned in treating FSIAD?

Answer 31

Flibanserin and Vyleesi (premenopausal)

Question 32

What is an orgasm?

Answer 32

the sudden involuntary release of sexual tension

Question 33

What are possible biological issues for Female Orgasmic Disorder?

Answer 33

neurological problems (spinal cord), multiple sclerosis, and other medical conditions