Sexual Disorder and Dysfunction - Variations of, and Difficulties with Erotic Behaviors

Question 1

Dysfunction

Answer 1

Inhibition in their sexual desire or problems with the functions of the human sexual response.
Desire, Arousal (excitement), Orgasm.

Question 2

Disorder

Answer 2

Variation or deviation that falls outside the range of generally accepted behavior.
Very culturally influenced.

Question 3

Explain the Lovemap situation.

Answer 3

Pattern of an individual’s erotic attachments and preferences.
Developmental = Evolves during childhood and adolescence and is largely intact by puberty.
Once intact, it is highly resistant to change.
Analogous to a person’s native language.
Subject to a high degree of variation between persons; clouds normally referents.

Question 4

Explain Gender Dysphoria.

Answer 4

Remains in DSM-5.
Disagreement about classification as disorder.
Gender as a non-binary construct.
What is disordered, body or identity?
Social stigma contributes to difficulties experienced.

Question 5

Formerly Gender Identity Disorder

Answer 5

Psychologically gender identity does not mesh with biological sex.

Question 6

What are the effects of Formerly Gender Identity Disorder?

Answer 6

Psychotherapy has no effect; some cases are treated hormonally and/or surgically.
Effects are so severe and permanent that cause seems likely…

Question 7

Paraphilias

Answer 7

A group of sexual behavior patterns in which unusual objects, rituals, or situations are recurrent and preferred for full sexual satisfaction and which result in marked distress or impairment.

Question 8

Fetishism

Answer 8

Sexual interest centered on some parts of the body or inanimate objects (clothing, e.g.)

Question 9

Transvestic Disorder

Answer 9

Sexual arousal and satisfaction achieved through cross-dressing.
Distinct from gender dysphoria.
Males, but not often diagnosed.

Question 10

Voyeurism

Answer 10

Achieving sexual pleasure through peeping.

Question 11

Exhibitionism

Answer 11

Exposure of genitals to others without their consent and under inappropriate circumstances (flashing).
Immature and anxious.
Rarely violent.

Question 12

Sadism

Answer 12

Sexual arousal and gratification through inflicting pain (psychological and physical).
Suffering or partner.

Question 13

Masochism

Answer 13

Sexual stimulation and gratification from the experience of pain and degradation from lover.

Question 14

Pedophilia

Answer 14

Sexual desire for a prepubertal or pubescent child.
Perpetrator is usually an acquaintance or caretaker (incest is a separate diagnosis).
Male/Male or Male/Female.
Does not reflect normal homosexual behavior.

Question 15

Frotteurism

Answer 15

Rubbing against a nonconsenting person.

Question 16

Which Paraphilias are more victimizing?

Answer 16

Voyeurism
Exhibitionism
Pedophilia
Sadism (If someone is not into that aspect)
Frotteurism

Question 17

Etiology of Paraphilias

Answer 17

Early learning and experience, but not in relation to simple events.
Poor impulse control and emotional regulation.
Cognitive and attribute distortions.

Question 18

What are the treatments for a Paraphilia?

Answer 18

Cognitive-behavioral to change distortions.
Hormonal to reduce sex drive.

Question 19

Is Sexual Dysfunction more psychological or physical?

Answer 19

Physical - Physical causes take a variety of forms.
Drug side effects –> Neurological injury
Hormone imbalance –> Infection
Nerve damage –> Inflammation
Vascular damage

Question 20

What are the psychological causes of sexual disorders/dysfunction?

Answer 20

Anxiety, Cognitive over-involvement.
Thinking too much, Spectator role, Interfering thoughts and emotions.