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What are the 3 main categories of sexual disorders distinguished by the DSM-V?

-Gender dysphoria
-Sexual dysfunctions
-Paraphilic disorders


What defines gender dysphoria?

-Feeling of "gender incongruence" and discomfort with one's own sex
-Strong desire to be of alternative gender


What is gender dysphoria the same as?

-Cross-gender identification
-Gender identity disorder


What is gender dysphoria different from? How so?

-Homosexuality = sexual orientation
-Hermaphrodite = biological ambiguity (born w/ characteristics of both genders, but usually identify w/ one gender)
-Transvestic disorder = cross dressing for sexual thrill (usually heterosexual male)


What is the Kinsey Report (1948)?

-Kinsey did large scale surveys about Americans' sexual practices
-Asked about how often they have sex, what they think about, fantasies, affairs, masturbation, fetishes


What is the Human Sexual Response Cycle (Masters & Johnson, 1950s)?

-Cycle of desire, arousal, orgasm, resolution (diff for males & females)
-Masters & Johnson interested in fertility during a time before birth control, hormone therapy
-Observed sexual acts like masturbation and intercourse w/ participants hooked up to machines (measured pulse, perspiration, etc.)


What are the different ways in which sexual dysfunctions can be categorized?

-Primary vs. Secondary (Lifelong vs. Acquired)
-Generalized vs. Situational


Primary vs. Secondary (Lifelong vs. Acquired) sexual dysfunction

-Primary/Lifelong = dysfunction present their whole lives
-Secondary/Acquired = normal sexual functioning preceded the dysfunction


Generalized vs. Situational dysfunction

-Generalized = dysfunction present during all sexual situations
-Situational = dysfunction tied to particular situations


What is the DSM-V duration requirement for sexual dysfunctions?

About 6 months


List the disorders involving a lack of sexual interest, excitement or arousal.

-Male Hypoactive Sexual Desire Disorder
-Female Sexual Interest/Arousal Disorder
-Erectile Disorder


What is Male Hypoactive Sexual Desire Disorder?

-Persistent or recurrent deficiency of sexual fantasies and desire for sexual activity
-Significant distress or interpersonal difficulty


What is Female Sexual Interest/Arousal Disorder?

-Persistent or recurrent inability to attain or maintain adequate lubrication or genital swelling until completion of the sexual activity
-Significant distress or interpersonal difficulty
-Often tied to an orgasmic disorder


What is Erectile Disorder?

-Persistent or recurrent inability to attain or maintain an adequate erection until completion of sexual activity
-Significant distress or interpersonal difficulty


List the disorders involving impaired orgasmic response.

-Female Orgasmic Disorder
-Delayed Ejaculation
-Early Ejaculation


What is Female Orgasmic Disorder?

-Persistent or recurrent delay in or absence of orgasm following a normal sexual excitement phase during sexual activity
-Significant distress or interpersonal difficulty


What is Delayed Ejaculation? Cause? When is it more common?

-Males having no or difficult time w/ orgasm
-Can be a problem w/ wanting to stay in control, not surrender
-More common in men who use a lot of porn --> reality doesn't fit fantasy


What is Early Ejaculation?

-Persistent or recurrent ejaculation w/ minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it
-Significant distress or interpersonal difficulty


List the disorders involving pain during intercourse or penetration (females).

-Genito-Pelvic Pain/Penetration Disorder
-Combo of two DSM IV disorders --> Dyspareunia and Vaginism


What is Dyspareunia?

-Recurrent or persistent genital pain associated w/ sexual intercourse in either a male or female
-Significant distress or interpersonal difficulty


What is Vaginism?

-Recurrent or persistent involuntary spasm of the muscles of the outer third of the vagina that interferes w/ sexual intercourse (prevents entry of the penis)
-Significant distress or interpersonal difficulty


What are the general treatments for sexual dysfunctions?

-Education about sex
-Communication training (couple's counseling)


What is sensate focus? What is it used to treat?

-A series of sensual tasks in which partners focus on the sexual pleasure that can be achieved by exploring and caressing each other's body at home, without demands to have intercourse or reach orgasm
-Behavioral technique that entails no sex for a certain amount of time & exercised prescribed by therapist (starting far away from genital area)
-For problems w/ desire arousal, orgasm, pain, anticipatory anxieties


What are dilators used to treat?

Penetration disorder (vaginism)


What does the stop and squeeze technique treat?

Early ejaculation


What are masturbation techniques used to treat?

-Sexual aversion
-Primary orgasmic probs


What are paraphilic disorders? Characteristics/habits?

-Intense and recurrent sexual urges or fantasies involving non human objects, non-consenting people, or suffering and humiliation
-Harmful consequences of these desires and behaviors for either the individual or others
-Strong sex drive, inordinate amount of time spent w/ sex-related fantasies or activities --> sex addiction


Which gender more commonly has paraphilic disorders?



When is the onset of paraphilic disorders?

Start early, usually in adolescence


What are the 3 categories of paraphilic disorders?

-Nonhuman objects
-Non-consenting persons
-Suffering or humiliation