Chapter 11

Question 1

Stop-Start Procedure

Answer 1

Treatment for premature ejaculation involving pinching the tip of the penis when stimulation becomes intense

Question 2

Sensate Focus

Answer 2

Treatment involving banning sex and having couples only caress nonsexual areas of the body

Question 3

Masturbation Training

Answer 3

Treatment for people with orgasmic problems that involves practicing self-pleasure to learn about one’s body

Question 4

Sexual Dysfunction

Answer 4

Mental disorder involving a disturbance during any stage of a normal erotic activity

Question 5

Male Hypoactive Sexual Desire

Answer 5

Diagnosis in men involving lack of fantasies or desire to have intimate relations

Question 6

Female Sexual Interest/Arousal Disorder

Answer 6

Diagnosis in women marked by lack of interest in, or stimulation during, erotic activity

Question 7

Erectile Disorder

Answer 7

Diagnosis involving difficulty obtaining and maintaining an erection during sexual relations

Question 8

Female Orgasmic Disorder

Answer 8

Diagnosis in women marked by delay or absence of climax during sexual activity

Question 9

Delayed Ejaculation

Answer 9

Absence of orgasm in males during sexual activity with a partner

Question 10

Premature (Early) Ejaculation

Answer 10

Sexual dysfunction in men marked by orgasm that occurs before the person wishes

Question 11

Genito-Pelvic Pain/Penetration Disorder

Answer 11

Sexual dysfunction involving physical suffering or discomfort during, or in anticipation of, vaginal intercourse

Question 12

Spectator Role

Answer 12

Process of caring more about the performance of sex than the pleasure obtained from it

Question 13

Paraphilia

Answer 13

Intense and/or persistent sexual interest that may be odd but is not a mental disorder

Question 14

Paraphilic Disorder

Answer 14

Diagnosis involving problems arising from sexual behavior or fantasies of highly unusual activities

Question 15

Exhibitionistic Disorder

Answer 15

Diagnosis involving exposure of one’s genitals to others such as strangers

Question 16

Fetishistic Disorder

Answer 16

Diagnosis in which the focus of sexual activity is an object or nongenital body part

Question 17

Frotteuristic Disorder

Answer 17

Diagnosis involving rubbing or touching a nonconsenting person, often in a crowded place

Question 18

Pedophilic Disorder

Answer 18

Diagnosis in which the predominant focus of sexual activity is with children

Question 19

Sexual Masochism

Answer 19

Diagnosis involving a desire to be humiliated or made to suffer

Question 20

Sexual Sadism

Answer 20

Diagnosis involving a desire to humiliate or make people suffer

Question 21

Transvestic Disorder

Answer 21

Diagnosis in which the predominant focus of sexual activity is cross-dressing

Question 22

Voyeuristic Disorder

Answer 22

Diagnosis involving secretly watching others undress or engage in sexual activity without being seen

Question 23

Aversion Treatment

Answer 23

Therapy for paraphilias that involves associating paraphilic stimuli with a shock or other unpleasant stimuli

Question 24

Covert Sensitization

Answer 24

Treatment that involves associating imagined paraphilic scenes with descriptions of negative consequences or unpleasant events

Question 25

Orgasmic Reconditioning

Answer 25

Treatment that involves masturbation to a paraphilic stimulus and later to an appropriate sexual stimuli

Question 26

Gender Dysphoria

Answer 26

Diagnosis marked by strong desire to be of the opposite sex

Question 27

Sex Reassignment Surgery

Answer 27

Treatment for people that involves physical transformation to the opposite gender

Question 28

Mya is not interested in sex at all. Her husband is distressed by this, and they seek therapy. Mya has a(n)

Answer 28

Sexual Dysfunction

Question 29

Aleese has found in the past few months that she is not able to enjoy sex any longer because she simply does not feel aroused. She’d like to have sex, but she has very little vaginal lubrication, and she and her partner have been increasingly frustrated at their attempts to have sex. Aleese sounds like she has

Answer 29

Female Sexual Arousal Disorder

Question 30

James goes to his doctor because he has been impotent for the last month. His doctor may diagnose him with

Answer 30

Male Erectile Disorder

Question 31

Which sexual dysfunction is less likely to be diagnosed the older a male becomes?

Answer 31

Premature Ejaculation

Question 32

Chelsea has trouble enjoying sexual activity with her boyfriend because she is constantly evaluating whether or not she is as good of a lover as the previous women he has slept with. She thinks about what she could do to enhance her performance as a lover, and as a result does not enjoy the sexual activity very much. What risk factor does Chelsea have for developing a sexual dysfunction?

Answer 32

Spectator Role

Question 33

Craig is undergoing nocturnal penile testing. He would be diagnosed with male erectile disorder if he has erectile difficulties

Answer 33

While asleep, as well as awake.

Question 34

Bree and Isaac have been referred to a therapist due to Bree’s low sexual desire. The therapist tells them they should not have sex at all for the next few weeks, and in fact should only touch each other in nonsexual areas, avoiding the genitals and breasts. Over time, the therapist works with them to focus on the pleasure of touch, communicate what parts of the body provide the most pleasure to them, work them back towards a sexual relationship including intercourse. What treatment strategy is their therapist using?

Answer 34

Sensate Focus

Question 35

Cameron is sexually excited by physical content with women who have not consented to it. He doesn’t rape them, but if he is in a crowded room, he makes a point to brush up against them, noticing how his penis feels against their bodies in the crowd. As he gets older, his actions become more aggressive, as he may “palm” a woman’s genitals or grope her breasts and then quickly flee the scene. What paraphilia does Cameron have?

Answer 35

Frotteurism

Question 36

Benjamin loves to watch other people having sex, without them realizing he is doing so. He spies on young couples who believe they are stealing a moment alone for a tryst, and becomes very sexually excited himself. Increasingly, he finds himself sneaking around the neighborhood trying to look in windows to get a glimpse of his neighbors engaged in intercourse. Benjamin has

Answer 36

Voyeurism

Question 37

Which person is most likely to have a paraphilia?

Answer 37

Tomas, who is married.

Question 38

Toby has been caught being a Peeping Tom—he was spying on his neighbors’ lovemaking when a police on patrol arrested him. Now Toby is in therapy to help him identify what situations place him at risk for another voyeuristic act, and develop strategies to avoid them. Toby is in a prevention program called

Answer 38

Relapse Prevention

Question 39

Kale was caught trying to molest his younger cousin. The court orders for him to be tested for pedophilia. Kale is presented with a variety of images and the circumference of his penis is measured to determine what sort of stimuli Kale tends to respond to. What instrument is measuring the circumference of Kale’s penis?

Answer 39

Penile Plethysmograph

Question 40

Ari is so focused on panty hose as the object of his sexual excitement that he begins shoplifting them. To help reduce this fetish, Ari enters therapy. His therapist has him masturbate while watching unusual scenes and as he gets close to orgasm, changes the images to more “normal” ones such as erotic pictures of beautiful women. AS the therapy continues, Ari watches the appropriate pictures farther and farther away from his orgasm. After he achieves orgasm, his therapist has him continue masturbating while watching images of panty hose. Which treatment is Ari receiving?

Answer 40

Orgasmic reconditioning with masturbatory satiation.

Question 41

Which patient with gender identity disorder will respond best to behavior therapy?

Answer 41

Caryn, who is 5 years old.