chapter 10

Question 1

sex

Answer 1

Biological labeling of secondary sex characteristics
Typically male, female, or intersex

Question 2

Gender

Answer 2

Psychosocial constructed binary label assigned to people at birth, typically consistent with the sex present at birth (not including intersex)

Question 3

Gender identity

Answer 3

Psychological sense of ourselves via relationship (or lack thereof) to gender

Question 4

Transgender

Answer 4

being/experience of belonging to one gender while possessing the sexual organs inconsistent with their identity

Question 5

TGNC

Answer 5

Transgender/Gender Non-Conforming

Question 5

Features of Gender Dysphoria (criteria)

Answer 5

A) A meraked incongruence between one’s experiences/expressed gender and assigned gender, of at least 6 months’ duration, as manifested by at least two of the following:
1. A marked incongruence between one’s experience/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics)
2. A strong desire to be rid of one’s primary and/or secondary sex characteristics because of a marked incongruence with one’s experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics)
3. A strong desire for the primary and/pr secondary sex characteristics of the other gender
4. A strong desire to be of the other gender (or some alternative gender different from one’s assigned gender)
5. A strong desire to be treated as the other gender (or some alternative gender different from one’s assigned gender)
6. A strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one’s assigned gender)
B) The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning

Question 6

Features of Gender Dysphoria (specify if)

Answer 6

Specify if:
With disorder/difference of sex development

Specify if:
Post Transition

Question 7

The significant distress or impairment in social, occupation, or other important areas of functioning associated with Gender Dysphoria stems from…

Answer 7

THE TREATMENT AND SOCIETAL ATTITUDE THE INDIVIDUAL FACES AND ENDURES, NOT THE INCONGRUENCE ITSELF!!!!!!!!!!!!!!!!!!

Question 8

Psychodynamic persepctive - gender dysphoria

Answer 8

Depends on the relationship with parents
- Overidentification with parents of a different sex
- Absent parents (to become or replace) or extremely close (to become and reflect)

Question 9

learning perspective - gender dysphoria

Answer 9

Encouragement or frequenting of another gender and related behaviors

Question 10

Biological perspective - gender dysphoria

Answer 10

Variations in hormones during prenatal development, perhaps a disturbance in hormonal environment has gender identity develop one way with the secondary sex characteristic develop the other way

Question 11

summary (of theoretical perspectives) - gender dysphoria

Answer 11

(genetic + hormonal influence) x (early life expectancies)

Or, who knows, and do we need to know?

Question 12

Types of Sexual Dysfunctions

Answer 12

Note: Gender Dysphoria and Sexual/Paraphilic Dysfunctions are entirely different chapters in the DSM V TR – the conflation is dangerous and unfounded

Question 13

Quantifiers
KEY

Answer 13

The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition

Question 14

specifiers

Answer 14

lifelong
acquired
generalized
situational
mild
moderate
severe

Question 15

lifelong

Answer 15

The disturbance has been present since the individual became sexually active

Question 16

acquired

Answer 16

The disturbance began after a period of relatively normal sexual function

Question 17

generalized

Answer 17

Not limited to certain types of stimulation, situations, or partners

Question 18

situational

Answer 18

Only occurs with certain types of stimulation, situations, or partners

Question 19

mild

Answer 19

Evidence of mild distress over the symptoms

Question 20

moderate

Answer 20

Evidence of moderate distress over the symptoms

Question 21

severe

Answer 21

Evidence of severe or extreme distress over the symptoms

Question 22

Disorders of Interest and Arousal

Answer 22

Male hypoactive sexual desire disorder

Female sexual interest/arousal disorder

Erectile disorder

Question 23

Male hypoactive sexual desire disorder

Answer 23

Persistently little, if any sexual or erotic thoughts, or desire for sexual intimacy

Question 24

Female sexual interest/arousal disorder

Answer 24

Lack or greatly reduce level of sexual interest, drive or arousal and/or lack of pleasure during intimacy

Question 25

Erectile disorder

Answer 25

Difficulty in achieving or maintaining an erection during sex

Question 26

Orgasm Disorders

Answer 26

Female orgasmic disorder Delayed ejaculation Premature (early) ejaculation

Question 27

Female orgasmic disorder

Answer 27

Marked delay in, marked infrequency of, or absence of orgasm and/or markedly reduced intensity of orgasmic sensations

Question 28

Delayed ejaculation

Answer 28

Marked delay in ejaculation and/or marked infrequency or absence of ejaculation

Question 29

Premature (early) ejaculation

Answer 29

Persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it

Question 30

Genito-pelvic pain/penetration Disorder

Answer 30

Persistent or recurrent difficulties with one (or more) of the following: Vaginal penetration during intercourse Marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration Vaginismus

Question 31

Vaginismus

Answer 31

involuntary contraction of muscles making penetration painful or impossible

Question 32

psychological perspective (Genito-pelvic pain/penetration Disorder)

Answer 32

Performance anxiety Unresolved conflicts Lack of sexual competencies Sexual trauma

Question 33

biological perspective (Genito-pelvic pain/penetration Disorder)

Answer 33

Testosterone levels Disease Effects of alcohol Effects of other drugs

Question 34

sociocultural perspective (Genito-pelvic pain/penetration Disorder)

Answer 34

Sexually restrictive cultural learning Attitudes towards sex and pleasure

Question 35

Treatment of Sexual Dysfunctions

Answer 35

sex therapy other common interventions

Question 36

Sex Therapy

Answer 36

Therapy targeted at the mental or emotional aspects of sex-related issues

Question 37

Common interventions

Answer 37

Enhancing self efficacy expectations Teaching sexual skills Improving communication Reducing performance anxiety Trauma based therapy Biomedical hormone treatments Biomedical drugs to facilitate blood flow or delay ejaculation