Chapter 12 - Sexual Disorders Flashcards

1
Q

defined by persistent disruptions in the ability to experience sexual arousal, desire, or orgasm, or by pain associated with intercourse

A

Sexual dysfunctions

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2
Q

persistent and troubling attractions to unusual sexual activities or objects.

A

Paraphilias

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3
Q

postulated that early masturbation damaged the sexual organs and exhausted a finite reservoir of sexual energy, resulting in diminished ability to function sexually in adulthood

A

Von Krafft-Ebing

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4
Q

4 stages in the Human Sexual Response Cycle

A

Desire

Excitement

Orgasm

Resolution

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5
Q

this stage refers to sexual interest or desire, often associated with sexually arousing fantasies or thoughts

A

Desire Phase

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6
Q

stage in which there is general muscle tension.

A

Orgasm phase

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7
Q

During this phase, men and women experience pleasure and increased blood flow to the genitalia

A

Excitement phase

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8
Q

refers to the relaxation and sense of well-being that usually follow an orgasm

A

resolution phase

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9
Q

Period wherein men can’t get it up after orgasm

A

refactory period

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10
Q

device that measures a woman’s physiological arousal

A

vaginal plethysmograph

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11
Q

3 Sexual Dysfunction Categories

A

sexual desire, arousal, and interest

orgasmic disorders

sexual pain disorders

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12
Q

Desire and Arousal Disorders in the DSM IV TR

A

Hypoactive sexual desire disorder and Female sexual arousal disorder

Erectile disorder

Sexual aversion disorder

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13
Q

Desire and Arousal disorders in the DSM 5

A

Hypoactive sexual desire disorder (men)

Female interest/arousal disorder (women)

Erectile disorder

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14
Q

Orgasmic disorders in DSM IV TR

A

Female orgasmic disorder

Male orgasmic disorder

Premature ejaculation

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15
Q

Orgasmic disorders in DSM 5

A

Female orgasmic disorder

Delayed ejaculation

Early ejaculation

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16
Q

Sexual Pain Disorders in the DSM IV TR

A

Dyspareunia

Vaginismus

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17
Q

Sexual Pain disorders DSM 5

A

Genito-pelvic pain/ penetration disorder

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18
Q

persistent deficits in sexual interest (sexual fantasies or urges), biological arousal, or subjective arousal

A

Sexual interest/arousal disorder in women

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19
Q

deficient or absent sexual fantasies and urges in men

A

hypoactive sexual desire disorder in men

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20
Q

refers to failure to attain or maintain an erection through completion of the sexual activity

A

erectile disorder

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21
Q

Sexual Interest/Arousal Disorder

DSM 5

A

Diminished, absent, or reduced frequency of at least three of the following for 6 months or more:

Interest in sexual activity

Sexual thoughts or fantasies

Initiation of sexual activity and responsiveness to partner’s attempts to initiate

Sexual excitement/pleasure during 75 percent of sexual encounters

Sexual interest/arousal elicited by any internal or external erotic cues

Genital or nongenital sensations during 75 percent of sexual encounters

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22
Q

the persistent absence of orgasm after sexual excitement in women

the absence of orgasms is persistent and troubling

A

Female orgasmic disorder

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23
Q

Criteria for female orgasmic disorder DSM 5

A

On at least 75 percent of sexual occasions for 6 months:

Marked delay, infrequency, or absence of orgasm, or

Markedly reduced intensity of orgasmic sensation

24
Q

Marked delay, infrequency, or absence of orgasm on at least 75 percent of sexual occasions for 6 months

A

delayed ejaculation disorder

25
Q

Tendency to ejaculate during partnered sexual activity within 1 minute of sexual activity on at least 75 percent of sexual occasions for 6 months

A

early ejaculation

26
Q

persistent or recurrent pain during intercourse

A

genito-pelvic pain/ penetration disorder

27
Q

persistent or recurrent pain during sexual intercourse

A

dyspareunia

28
Q

involuntary muscle spasms of the outer third of the vagina to a degree that makes intercourse impossible

A

vaginismus

29
Q

used a two-tier model of immediate and distal causes to conceptualize the etiology ofhuman sexual inadequacy

A

Masters and Johnson

30
Q

Immediate causes of sexual inadequacy

A

fears about performance

adopting a spectator role

31
Q

Genito-pelvic pain/ Penetration Disorder DSM 5

A

Persistent or recurrent difficulties for at least 6 months with at least one of the following:

Inability to have vaginal
intercourse/penetration

Marked vulvovaginal or
pelvic pain during vaginal penetration or intercourse attempts

Marked fear or anxiety about pain or penetration

Marked tensing of the pelvic floor muscles during attempted vaginal penetration

32
Q

Psychological factors in successful sexual functioning

A
33
Q

Psychological factors in poor sexual functioning

A

Depression or anxiety disorders

Focus on performance

Too much routine

Poor self-esteem

Uncomfortable environment for sex

Rigid, narrow attitude toward sex

Negative thoughts about sex

34
Q

Biological factors in successful sexual functioning

A

Good physical health

Regular appropriate exercise

Good nutrition

35
Q

Biological factors in poor sexual functioning

A

Smoking

Heavy drinking

Cardiovascular problems

Diabetes

Neurological diseases

Low physiological arousal

SSRI medications

Antihypertensive medication

Other drugs

36
Q

Social and sexual history factors in successful sexual functioning

A

Positive sexual experiences in past

Good relationship with partner

Sexual knowledge and skills

37
Q

Social and sexual history factors in successful sexual functioning

A

Rape or sexual abuse

Relationship problems, such as anger or poor communication

Long periods of abstinence

History of hurried sex

38
Q

Treatments for sexual dysfunctions

A

Anxiety reduction

directed masturbation

procedures to change attitudes or thoughts

skills and communication training

couples therapy

Medical and Physical treatment

Early ejaculation squeeze technique

39
Q

sensate-focused exercises

A

a way of helping the person be more aware of and comfortable with sexual feelings

40
Q

group of disorders defined by recurrent sexual attraction to unusual objects or sexual activities lasting at least 6 months

A

paraphilia

41
Q

attraction to an inanimate object or nongenital body part

A

Fetishism

Fetishistic disorder

42
Q

attracted to cross dressing

A

transvestic fetishism

tranvestic disorder

43
Q

attracted to children

A

pedophilia

pedohebephilic disorder

44
Q

attracted to watching unsuspecting others undress or have sex

A

voyeurism

voyeuristic disorder

45
Q

attraction to exposing one’s genitals to an unwilling stranger

A

exhibitionism

exhibitionistic disorder

46
Q

attraction to sexual touching of an unsuspecting person

A

frotteurism

frotteuristic disorder

47
Q

attraction to inflicting pain

A

sexual sadism (disorder)

48
Q

attraction to receiving pain

A

sexual masochism (disorder)

49
Q

defined by a reliance on an inanimate object or a nongenital part of the body for sexual arousal

A

fetishistic disorder

50
Q

when adults derive sexual gratification through sexual contact with prepubertal or pubescent children, or when they experience recurrent, intense, and distressing desires for sexual contact with prepubertal or pubescent children

A

pedohebephilic disorder

51
Q

sexual relations between close relatives for whom marriage is forbidden

A

incest

52
Q

DSM 5 Voyeuristic disorder

A

For at least 6 months, recurrent and intense sexually arousing fantasies, urges, or behaviors involving the observation of unsuspecting others who are naked, disrobing, or engaged in sexual activity

Person has acted on these urges with at least three unsuspecting persons on separate occasions, or the urges and fantasies cause marked distress or interpersonal problems

53
Q

involves sexual arousal by restricting breath- ing, which can be achieved using a noose, a plastic bag, or chest compression

A

asphyxiophilia

54
Q

regulate sexual desire, and sexual desire appears to be atypically high among people with paraphilias

A

androgens

55
Q

operant conditioning etiology for paraphilias

A

reaction to bad social skills

56
Q

treatments for paraphilia

A

struggles to enhance motivation

biological treatment

cognitive treatment

Megan’s law