Chapter 21 - Human Sexuality Flashcards

1
Q

described personality development and functioning as they are affected by sexuality

A

psychosexual

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2
Q

the force by which the sexual instinct is represented in the mind

A

libido

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3
Q
sexuality depends on 4 interrelated psychosexual factors - KNOW
sexual identity
gender identity
sexual orientation
sexual behavior
A

KNOW THESE

these factors affect growth, personality, and development and functioning

Physical sex < Sexuality < Pleasure-seeking behavior

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4
Q

the pattern of a person’s biological sex characteristics:

  • chromosomes
  • external genitalia
  • internal genitalia
  • hormonal composition
  • gonads
  • 2 sex characteristics

this pattern is a clear indicator of sex

A

sexual identity

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5
Q

I am a female or I am a male
results from an almost infinite series of cues derived from experiences with family members, teachers, friends and coworkers and from cultural phenomena

A

gender identity

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6
Q

a person says or does to disclose himself/herself as having the status of boy or man, girl or woman
established by society
not established at birth, its a progression
major factor in achieving the role - learning

A

gender role

persons gender roles can seem to be opposed to their gender identities

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7
Q

describes the object of a person’s sexual impulses: heterosexual, homosexual, bisexual

A

sexual orientation

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8
Q

Cortex: involved both in controlling sexual impulses and in processing sexual stimuli that may lead to sexual activity.
Limbic System: directly involved with elements of sexual functioning
Brainstem: exerts inhibitory and excitatory control over spinal sexual reflexes
Brain Neurotransmitters: Many neurotransmitters, including dopamine, epinephrine, norepinephrine, and serotonin, are produced in the brain and affect sexual function
DOPAMINE – INCREASES SEXUAL DESIRE
SEROTONIN – DECREASES SEXUAL DESIRE
Spinal Cord: sexual arousal and climax are ultimately organized at the spinal level

A

CNS Responses to sexual behavior

KNOW

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9
Q

4 phases of response cycle

A

desire
excitement
orgasm
resolution

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10
Q

reflects the psychiatric concern with motivations, drives, and personality
the phase is characterized by sexual fantasies and the desire to have sexual activity

A

desire

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11
Q

excitement and arousal phase, brought on by psychological stimulation or physiological stimulation or a combination of the 2, consists of a subjective sense of pleasure

A

excitement

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12
Q

consists of a peaking of sexual pleasure, with the release of sexual tension and the rhythmic contraction of the perineal muscles and the pelvic reproductive organs

A

orgasm

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13
Q

consists of the disgorgement of blood from the genitalia, which brings the body back to its resting stage

A

resolution

males have a refractory period
females doen’t have a refractory period

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14
Q

describes a persons overt behavior, sexual orientation, and sense of personal or social identity

A

homosexuality

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15
Q

a negative attitude toward, or fear of, homosexuality or homosexuals

A

homophobia

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16
Q

the belief that a heterosexual relationship is preferable to all others

A

heterosexism

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17
Q

PLISSIT to address sexual concerns

A
P= Permission
LI = Limited info
SS = Specific Suggestions
IT = Intensive Therapy
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18
Q

MC reason for divorce in the first 4 years of marriage

A

sexual dysfunction

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19
Q

a disturbance in sexual desire and in psychophysical changes that characterize the sexual response cycle; or pain with sexual intercourse
can be lifelong or acquired

A

sexual dysfunction

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20
Q

persistently deficient (or absent) sexual fantasies and desire for sexual activity

A

hypoactive sexual desire disorder

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21
Q

to an extreme degree, the patient dislikes and avoids nearly all genital contact with a sex partner

A

sexual aversion disorder

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22
Q

chronically or recurrently, the patient cannot lubricate enough to complete the sexual activity

A

female sexual arousal disorder

23
Q

chronically or repeatedly, the patient cannot get or keep an erection sufficient to complete the sexual activity

A

male erectile disorder

24
Q

sustained erection for greater than 4 hours

A

priapism

25
Q

after a normal phase of sexual excitement, the woman’s orgasm is persistently or repeatedly delayed or absent

A

female orgasmic disorder

26
Q

after a normal phase of sexual excitement, the man’ orgasm is persistently or repeatedly delayed or absent

A

male orgasmic disorder

27
Q

with minimal sexual stimulation, the patient often ejaculates earlier than he wants to

A

premature ejaculation

28
Q

persistent genital pain before or during intercourse; think organic first

A

dyspareunia

29
Q

an involuntary muscle constriction of the outer third of the vagina that interferes with penile insertion and intercourse

panic attack of the vagina

A

vaginismus

30
Q

80% of ED is caused by ___

A

physical causes

31
Q

beyond normal
recurrent and intense fantasies, behaviors, or sexual urges focusing on unusual objects, activities or situations
clinically significant distress or impairment in social, occupational or other important areas of functioning

A

paraphilias

32
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one’s genitals to an unsuspecting stranger
person has acted on these sexual urges or the sexual urges or fantasies causes marked distress or interpersonal difficulty

A

exhibitionism

33
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the use of nonliving objects

A

fetishism

34
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a non-consenting person

A

frotteurism

35
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the sexual activity with a prepubescent child or children

A

pedophilia

36
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real or not simulated) of being humiliated, beaten, bound, or otherwise made to suffer

A

masochism

37
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real/not simulated) in which the psychological or physical suffering of the victim is sexually exciting to the person

A

sexual sadism

38
Q

over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity

A

voyeurism

39
Q

over a period of at least 6 months, in a heterosexual man, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing

A

transvestic fetishism

40
Q

cybersex, sexting, obscene phone calls on an unsuspecting person, etc.
the action itself may cause one to have an orgasm
persons use interactive computer networking to send sexually explicit messages and videos

A

scatologia

41
Q

obsession with obtaining sexual gratification from cadavers

A

necrophilia

42
Q

animals trained to participate

A

zoophilia

43
Q

sexual activity concentrated on one part of the body to exclusion of others

A

partialism

44
Q

oral contact with penis

A

fellatio

45
Q

oral contact with a womans external genital

A

cunnilingus

46
Q

sexual pleasure assocaited with desire to defecate on partner

A

coprophilia

47
Q

use of enemas as a part of sexual stimulation, related to anal fixation

A

klismaphilia

48
Q

a form of urethral eroticism

a desire to urinate on partner or be urinated on

A

urophilia

49
Q

abnormal (adult) only when it is the only type activity preferred to the exclusion of sex with a partner

A

masturbation

50
Q

a desire to achieve an altered state of consciousness secondary to hypoxia while experiencing orgasm

A

hypoxyphilia

51
Q

this occurs during the resolution phase of sexual activity
they become depressed, tense, anxious, irritable and even man - instead of the normal relaxed feeling and sense of well being that normally follows intercourse

A

postcoital dysphoria

52
Q

married couple who have never had coitus and are typically uninformed and inhibited about sexuality.
guilt, shame, inadequacy - can keep from doctors office

A

unconsummated marriage

53
Q

these men desire many sex partners

A

don juanism

54
Q

womans excessive or pathologic desire for coitus (intense fear of losing love)
this disorder is a form of sex addiction

A

nymphomania