Behavioral Science - Sexual Disorders and Paraphilias Flashcards Preview

Maddy - NMSP Exam I - psych pharm > Behavioral Science - Sexual Disorders and Paraphilias > Flashcards

Flashcards in Behavioral Science - Sexual Disorders and Paraphilias Deck (31)
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1
Q

what are risk factors in human sexual behavior

A
  • substance abuse
  • limited access to care
  • poor health literacy
  • unassertive
  • poor communication skills
2
Q

what are the 4 phases of the sexual response cycle

A
  1. desire
  2. excitement
  3. orgasm
  4. resolution
3
Q

what are the components of the first phase of the sexual response cycle

A

Desire

  1. sexual drive
  2. motivation
  3. wish fulfillment
4
Q

what are the components of the second phase of sexual response cycle

A

Excitement

  • arousal
  • erection, vaginal lubrication
  • nipples harden
  • increased respiration, tachy
5
Q

what are the two basic physiological processes that occur during the excitement stage of the sexual response cycle

A
  1. vasodilation/constriction (engorgement of blood vessels of genitals as a result of dilation of blood vessels)
  2. mytonia (muscle contraction in genital and throughout body)
6
Q

what are the components of the third phase of sexual response cycle

A

orgasm

  • peak of sexual pleasure
  • release of sexual tension
  • rhythmic contraction of perinatal muscles and pelvic reproductive organs
7
Q

what are the components of the fourth phase of sexual response cycle

A

resolution

  • disgorgement of blood from genitals
  • body returns to resting state
  • if orgasm occurred: resolution is rapid
8
Q

compare resolution between males and females

A

males: refractory period can last 3-10 mins, 24 hours, or even several days
females: no refractory period, but usually need time for resolution

9
Q

describe male hypoactive sexual desire disorder

A

persistently or recurrently deficient/absent sexual fantasies and desire

usually at least 6 months

10
Q

describe female sexual interest/arousal disorder

A

lack of/significantly reduced sexual interest/arousal in at least 3 of the following for 6 months:

  1. absent/reduced interest
  2. reduced sexual/erotic thoughts
  3. none/reduced initiation of sex, unreceptive to partner’s attempts
  4. absent/reduced pleasure
  5. absent/reduced interest in response to sexual cues
  6. absent/reduced genital or non-genital sensations
11
Q

describe erectile disorder

A

at least one of the following must be experienced on almost all or all occasions of sexual activity for 6 months:

  1. difficulty obtaining erection
  2. difficulty maintaining erection until completion
  3. marked decrease in erectile rigidity
12
Q

erectile disorder risk factors

A
  • HTN
  • DM
  • smoking
  • CAD
  • PVD
  • peyronie’s
  • priapism tx
  • lack of sexual knowledge
13
Q

describe female orgasmic disorder

A

persistent or recurrent delay in, or absence of, orgasm or reduced intensity following a normal sexual excitement phase for 6 months

14
Q

describe delayed ejaculation

A

either all of the following must be experienced on almost all or all occasions for 6 months

  • marked delay in ejaculation
  • marked infrequency or absence of ejaculation
15
Q

describe premature ejaculation

A

persistent or recurrent ejaculation w/ partnered sexual activity within 1 minutes following penetration and before the pt prefers it, for 6 months, for almost all/all occasions

16
Q

describe genito-pelvic pain penetration disorder

A

persistent or recurrent difficulties with 1 or more of the following for 6 months:

  1. vaginal penetration
  2. vulvovaginal or pelvic pain during intervourse
  3. marked fear/anxiety about the pain of penetration
  4. tensing or tightening of pelvic floor muscles during attempted penetration
17
Q

what are some behavioral therapies for sexual disorders

A
  • sensate focus (no intercourse allowed for a time period, then systematically re-introduce sexual stimulation)
  • squeeze technique; start-stop method
  • relaxation techniques
  • masturbation
18
Q

define paraphilia

A

intense and persistent sexual interest in something other than genital stimulation or prepatory fondling for at least 6 months

19
Q

what disorder has a high comorbidity rate with victimizing paraphilias

A

antisocial personality disorder

20
Q

describe sexual masochism disorder

A

deriving sexual pleasure from suffering

21
Q

what is hypoxyphilia

A

sexual arousal by oxygen deprivation

22
Q

what is sexual sadism disorder

A

sexual arousal from the physical or psychological suffering of another person

23
Q

what is exhibitionism

A

exposure of genitals to unsuspecting strangers in public

24
Q

what is fetishistic disorder

A

sexual arousal from non-living objects or specific focus on non-genital body parts

25
Q

what is frotteuristic disorder

A

touching or rubbing against a non-consenting person

26
Q

what is transvestic disorder

A

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

27
Q

what is voyeuristic disorder

A

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

28
Q

risk factors for pedophilic disorder

A
  • male victims
  • stranger victims
  • prior sex offenses
  • lack of a cohabitation history with adult partners
29
Q

what is coprophilia

A

paraphilic disorder with feces

30
Q

what is klismaphilia

A

paraphilic disorder with enemas

31
Q

what are some behavioral therapies to treat paraphilias

A
  1. aversion therapy
  2. desensitization
  3. social skill training
  4. orgasmic reconditioning