Sexuality and Gender- Sexual Disorders and Paraphilias (Schmidt)

Question 1

What are high risk sexual factors?

Answer 1

1) Substance abuse
2) Limited access to care
3) Poor health literacy about STI
4) Young age

Question 2

What are high risk sexual behaviors?

Answer 2

1) Unprotected sex
2) Multiple sexual partners
3) High-risk partner
4) Sex trade work
5) Self or partner use of IV drugs

Question 3

What are undesired outcomes of sex?

Answer 3

1) STI
2) Unwanted pregnancy
3) Relationship complications
4) Poverty

Question 4

What are the 4 phases of sexual response cycle?

Answer 4

1) Desire
2) Excitement
3) Orgasm
4) Resolution

Question 5

What are the components of phase 1: desire?

Answer 5

1) Sexual drive
2) Motivation
3) Wish fulfillment

Question 6

What occurs during phase 2: excitement?

Answer 6

1) Erection; vaginal lubrication
2) Nipples harden
3) Increase in respiration, tachycardia, rise in BP

Question 7

What are the two basic physiological processes that occur during the excitement stage?

Answer 7

1) Vasodilation / constriction

2) Myotonia

Question 8

What occurs during phase 4: Resolution?

Answer 8

1) Disgorgement of blood from the genitalia

2) Body returns to resting state

Question 9

When is resolution rapid and accompanied by a general sense of well-being?

Answer 9

If orgasm occured

Question 10

If orgasm did not occur, how long may resolution take?

Answer 10

Up to 2-6

Question 11

What is Male Hypoactive Sexual Desire Disorder?

The judgment of deficiency is made by the clinician, taking into account factors that affect sexual functions such as?

Answer 11

1) Deficient (or absent) sexual fantasies and desire

2) Age and the context of the persons life for 6 months

Question 12

Female Sexual Interest / Arousal Disorder defined by lack of or significantly reduced sexual interest/arousal with at least 3 symptoms, for how long?

What are the symptoms (need at least 3)?

Answer 12

6 months

1) Reduced interest in sex
2) Reduced sexual thoughts
3) Reduced initiation
4) Reduced sexual pleasure
5) Reduced interest in response to sexual cue
6) Reduced genital sensations

Question 13

Erectile Disorder (ED) is defined by at least one of the three symptoms and must be experienced on almost all sexual activity for how long?

What are the symptoms (need 1 out of 3)?

Answer 13

6 months

1) Difficulty obtaining an erection
2) Difficulty maintaining an erection until completion
3) Marked decrease in erectile rigidity

Question 14

What is Female orgasmic disorder defined by?

Answer 14

Delay in, or absence of, orgasm for 6 months

Question 15

What is Delayed Ejaculation defined by?

Answer 15

Either delay in ejaculation or absence of ejaculation for 6 months

Question 16

What is premature ejaculation defined by?

Answer 16

Ejaculation within about a minute following penetration for almost all sexual activity in 6 months

Question 17

Genito-Pelvic Pain Penetration Disorder is defined by persistent or recurrent difficulties with 1 or more of following, for 6 months:

Answer 17

1) Vaginal penetration during intercourse
2) Vulvovaginal or pelvic pain during penetration
3) Fear or anxiety about pain prior, during, or as a result of penetration
4) Tensing or tightening of the pelvic floor muscles

Question 18

Sexual Masochism Disorder derives sexual pleasure from?

Answer 18

Suffering (humiliation, beaten, bound)

Question 19

Hypoxyphilia ( also known as “autoerotic asphyxiation”) involves?

Answer 19

Sexual arousal by oxygen deprivation

Question 20

Cerebral hypoxia makes a person dizzy and light-headed and may cause?

Answer 20

Increase intensity of orgasm

Question 21

Sexual Sadism Disorder is defined by?

Answer 21

Sexual arousal from the physical or psychological suffering of another person

Question 22

What is exhibitionisms?

Answer 22

Exposure of genitals to unsuspecting strangers in public

Question 23

What is Fetishistic disorder defined by?

Answer 23

Sexual arousal from non-living objects or specific focus on non-genital body parts (Women’s shoes or feet)

Question 24

What is Frotteuristic Disorder defined by?

Answer 24

Touching or rubbing against a non-consenting person

Question 25

What is Transvestic Disorder defined by?

Answer 25

Sexually arousing fantasies, urges, or behaviors about cross-dressing

Question 26

What is Voyeuristic Disorder defined by?

Answer 26

Sexual arousal by watching an unsuspecting person who is naked or engaging in sexual activity

Question 27

What is Pedophilic Disorder defined by?

Answer 27

Sexual fantasies, urges, or activity with prepubescent child