Test 4 Flashcards
Sexual dysfunctions
What is it
Why
Sexual response not how its supposed to be
Distress=sexual frustration-> anxiety, guilt, shame, depression
Female structure (8)
The vulva
Clitoris
Glans
Shaft
Blood rushes here when aroused:
Clitroal hood (prepuce)
Cavernous bodies
Vestibular bulbs
Bartholins gland
Penis structure
Foreskin (prepuce)
Cavernous bodies (corpora cavernous)
Spongy body (corpus spongiosum)
Urethra-> urine or semen comes out of it
Human sexual response cycle (5 stages)
Desire phase (psychological phase, fantasies, memories)
Arousal stage (blood rushing into areas)
Plateau phase (short time before orgasm)
Orgasm phase (contractions W, ejaculation M)
Resolution phrase (M not able to erect)
Desire disorders
AD/FSI
Male hyperactive sexual desire disorder
Female sexual interest arousal disorder
Lack of interest in sex
Sexual aversion disorder
Total disgust in sex
(Victim of sexual trauma)
Arousal disorder
FSI/AD:
Repeated inability to maintain proper lubrification
Make erectile disorder (ED):
Repeated inability to pepe hard
Orgasmic disorder
Rapid/premature ejaculation
Delayed ejaculation/male orgasmic disorder
Female orgasmic disorder
Sexual pain disorders
Pain during sex:
penetration disorder (GPPPD)
Vaginismus:
vagina tightening
Classified in 4 categories (time)
Lifelong
Acquired
Specific
Generalized
Causes of sexual dysfunction
Psychological factors
Performance anxiety
Hostility towards partner/relationship issues/life stressors
Depression
Negative attitude towards sex (socioculture)
History of sexual abuse/assault
Lack of sexual experience
Causes of sexual dysfunction
Biological factors
Low hormone levels (testosterone)
Cardiovascular issues
Meds/drugs
Low/high sensitivity to sexual stimulation
Post masturbation habits
Post menopause changes
Infections/diseases/injury
Sex therapy
Short term (10-15ses)
Focus on sexual issues
Dealing with couple problems
Sex education
Attitude change
Eliminate performance anxiety
Increase sexual/communication skills
Sex therapy
Specific techniques
Sensation focus exercises
Teasing technique (penile injection, vacuum devices, penile implant)
Paraphilias
Non-living objects
Humiliation of self/partner
Children
Non consenting people
Paraphilias
DSM5
Urges for at least 6 months
Distress
Self/others harm
Fetishism
Tx
Use of non living object
Commons: Ws underwear, shoes, boots
Behaviourists- classical conditioning
Tx
Aversion therapy
Covert sensitization
Masturbatory satiation (until bored)
Orgasmic reconditioning
Tranvestic fetishism (crossdress)
Dress in clothes of opposite gender to achieve sexual arousal
Typical case: married hetero male
Begins in childhood/adolescence
Not trans
Exhibitionism/flashing
Tx
Aroused by exposing genitals in public
Sexual contact not usually wanted
Begins before age 18
Tx: aversion therapy
Covert sensitization
Masturbating satiation
Orgasmic reconditioning
Pedophilia
Tx
Sexual activity with kids
Develops in adolescence
May have history of sexual abuse
Cycle of abuse (victim becomes abuser)
Most imprisoned/forced into Tx
Problem: motivation to change
Behavioural tx: aversion therapy, covert therapy, masturbating satiation, orgasmic reconditioning
Drugs: lowers desire (doesn’t change attraction)
Cognitive-behavioral tx: relapse-prevention training
Sadism
Causes
Tx
Making partner suffer
Fantasies may first appear in childhood/adolescence
Causes:
Classical conditioning/modelling
Feelings of sexual inadequacy
Brain/hormonal abnormalities
Tx: aversion therapy