Chapter 13 - Sexual and Gender Identity Disorders Flashcards Preview

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Flashcards in Chapter 13 - Sexual and Gender Identity Disorders Deck (90):
1

Egodystonic homosexuality

conflicted homosexuals

2

sexual response stage

changes that occur in the body during sexual arousal, orgasm, and the return to the unaroused state

3

stages of sex

excitement, plateau, orgasm, resolution, refractory period

4

what may cause development of sexual dysfunctions

shame/ignorance about sex, anxiety about sex, lack of experience, low self confidence

5

lifelong sexual dysfunction

always experienced sexual problems

6

acquired sexual dysfunction

fairly recent onset of sexual problems

7

generalized sexual dysfunction

problems are apparent in all situations

8

situational sexual dysfunction

problems are apparent in one type of situation ex. specific partner

9

male hypoactive sexual desire disorder

when a client describes persistently or recurrently deficient/absent sexual/erotic thoughts or fantasies and desire for sexual activity

10

female sexual interest/arousal disorder

combination of lack of sexual interest and arousal disorder

11

what do sexual arousal disorders involve

when person has difficulty becoming physically aroused when the person desires such arousal

12

erectile disorder

difficulties with obtaining an erection during sexual activity, maintaining an erection until the completion of sexual activity

13

how long must symptoms in erectile disorder be present

must be distressing and present for a minimum of 6 months

14

female orgasmic disorder

presence of infrequency or absence of orgasm or reduced intensity of orgasmic sensations

15

how long must symptoms in female orgasmic disorder be present

minimum 6 months and must be distressing

16

delayed ejaculation

delay in ejaculation or infrequency/absence of ejaculation

17

how long must symptoms in delayed ejaculation be present

minimum 6 months and must be distressing

18

premature ejaculation

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

19

how long must symptoms in premature ejaculation be present

minimum 6 months and must be distressing

20

paraphilia

deviations from normal sexual interests - critical that disorder causes distress to self or others

21

gender differences in sexual behaviors

more similarities

22

are women non-specific

yes

23

are men specific

yes

24

gentio-pelvic pain/penetration disorder

persistent or recurrent difficulties with one or more of the following: vaginal penetration during intercourse, vulvovaginal/pelvic pain during sex/penetration, fear/anxiety about penetration, tensing/tightening of pelvic muscles during penetration

25

how long must symptoms for gentio-pelvic pain/penetration disorder last?

at least 6 months and cause distress to the individual

26

hypersexuality

loss of control over sexual urges, fantasies and behaviors

27

assessment for hypersexuality

TSO - 7+ orgasms per week for 6+ months

28

risk factors for male erectile disorder

smoking, hypertension, diabetes, alcoholism, age

29

two types of premature ejaculation

primary and secondary

30

secondary premature ejaculation

occurs in men who previously had ejaculatory control - could be caused by trauma to the sympathetic nervous system, abdominal/pelvic injuries etc.

31

primary premature ejaculation

caused by various problems - conditioned response to rapid ejaculation or when men attempt sex under pressure

32

communication and exploration

understanding of own sensations and bodily response - acceptance of own body (use masturbation)

33

sensate focus

form of desensitization applied to sexual fears - step by step process

34

stop-start technique

with or without partner - start masturbating - when close, stop then repeat

35

squeeze technique

squeeze coronal ridge and prevents ejaculation by diminishing arousal

36

when are treatments for sexual dysfunctions most successful

for premature ejaculation and sexual pain disorders less for erectile dysfunction

37

gender identity

person's basic sense of self as male or female - first signs appear between 18-36 months

38

gender role

collection of characteristics that a society defines as masculine or feminine

39

gender dysphoria

discordant with person's sense of self

40

fetishistic disorder

sexual interest in nonliving objects or specific body parts - does not include cross-dressing

41

onset for fetishistic disorder

childhood or puberty

42

tranvestic disorder

sexual interest related to cross-dressing

43

impairment in fetishistic disorder

sexual relationships

44

impairment in transvestic disorder

conventional heterosexual relationships

45

exhibitionistic disorder

sexual arousal related to exposing one's genitals to another unsuspecting person

46

gender differences in exhibitionistic disorder

primarily affects men

47

voyeuristic disorder

sexual arousal related to observing an unsuspecting person who is naked, undressing or having sex

48

gender differences in voyeuristic disorder

primarily affects men

49

possible risk factors for exhibitionistic disorder

child sexual and emotional abuse, hypersexuality

50

possible risk factors for voyeuristic disorder

child sexual abuse, hypersexuality, substance abuse

51

frotteuristic disorder

sexual arousal related to touching or rubbing up against a non-consenting individual

52

gender differences in frotteuristic disorder

primarily affects men

53

possible risk factors for frotteuristic disorder

hypersexuality, antisocial behaviour

54

sexual sadism

sexual preference toward inflicting pain or psychological suffering on others and can be considered either a sexual variant or a sexual offence

55

sexual masochism

describes individuals who enjoy experiencing pain or humiliation from another individual

56

hypoxyphilia

choking, chest compression strangulation, etc

57

what paraphilias can be a crime

sexual sadism disorder, exhibitionistic disorder, voyeuristic disorder, frotteuristic disorder, pedophilic disorder

58

list of paraphilia disorders

sexual sadism disorder, exhibitionistic disorder, voyeuristic disorder, frotteuristic disorder, pedophilic disorder, fetishistic disorder, transvestic disorder, sexual masochism disorder

59

gender differences in pedophilic disorder

most often in males

60

pedophilic disorder

individuals who exhibit sexual fantasies, urges or behaviours involving children usually under 13

61

how old must the individual being assessed for pedophilic disorder be

at least 16 and 5 years older than victim

62

child molester

individual who has engaged in a sexually motivated act against a prepubescent child without indication of preference

63

pedophile

individual who has displayed preference for sexual behaviour with a child

64

problems with pedophilic disorder diagnosis

poor reliability, poor validity, unrelated to long term recidivism

65

three distinct arousal patterns seen in rapists

biastophilia, sadism, antisociality

66

biastophilia

sexual preference toward non consenting and resisting but not necessarily physically suffering victims

67

sadism

preference toward the suffering or humiliation of others

68

antisociality

marked sexual indifference to the interests and desires of others

69

klisaphilia

sexual satisfaction from receiving enemas

70

urophilia

sexual satisfaction from urine

71

coprophilia

sexual satisfaction from defection

72

necrophilia

sex with corpses

73

zoophilia/bestiality

sex with animals

74

scatologia

obscene telephone calls

75

courtship disorder theory

four phases in human sexual interactions
1) looking for and appraising a potential partner
2) posturing and displaying oneself to the partner
3) tactile interact with the partner
4) sexual intercourse

76

do patriarchal societies encourage rape

yes

77

what do comprehensive theories believe about sexual offending

there are vulnerabilities, family factors, culture that attract an individual to such behaviors

78

physical castration

removal of testicles - essentially removing body's production of testosterone (which promotes sex drive)

79

chemical castration

reduction in testosterone resulting form action of pharmacological treatment

80

comprehensive program

works on improving self-esteem and social and relationship skills to try and minimize offending

81

behavior therapy

eliminate deviant preferences and offending behaviour would disappear

82

how long must symptoms in adolescents/adults in gender dysphoria show

mismatch between experienced and assigned gender for at least 6 months

83

symptoms in adolescents/adults in gender dysphoria

- mismatch between gender + 2 other symptoms + distress/impairment
- mismatch between experienced gender and sex characteristics
- strong desire to get rid of current sex characteristics
- strong desire for sex characteristics of the other gender
- strong desire to be of a different gender
- strong desire to be treated like a different gender
- strong belief that you have the typical feelings and reactions of a different gender

84

how long must symptoms in kids in gender dysphoria show

mismatch between experienced and assigned gender for at least 6 months

85

symptoms in kids in gender dysphoria

- mismatch between gender + 6 other symptoms + distress/impairment
- strong desire to be other gender or insistence that one is the other gender (necessary for diagnosis)
- strong preference for other gender's clothing
- strong preference for other gender's roles in fantasy play
- strong preference for other gender's toys
- strong preference for playmates of the other gender
- strong rejection of assigned gender's activities
- strong dislike of own sexual anatomy
- strong desire for sexual characteristics of other gender

86

heritability of gender dysphoria

- more in twins, gender identity - strong biological influence

87

treatment of gender dysphoria in adults

- fitting into assigned gender role, gender bending, hormone therapy, surgery, full sexual reassignment surgery, top surgery only

88

sex reassignment surgery requirements

- 12 months of continuous experience living as a different gender
- 12 months of continuous hormone replacement theory
- if required, regular participation in psychotherapy

89

treatment of gender dysphoria in children in non-acceptance of gender dysphoria

- encourage gender "appropriate" behaviours and discourage cross-gender behaviours
- long-term efficacy unknown

90

treatment of gender dysphoria in children in acceptance of gender dysphoria

- encourage and accept cross-gender behaviours
- hormone replacement - prevent onset of puberty
-sex reassignment