Chapter 16 - Sexual Dysfunctions Flashcards

1
Q

What are sexual dysfunctions?

A

Group of disorders that are characterized by clinically significant disturbance in a person’s ability to respond sexually or experience sexual pleasure.

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2
Q

List 4 main categories sexual problems fall into.

A
  1. Intrapsychic + psychological
  2. Interpersonal + relational
  3. Cultural + psychosocial
  4. Organic
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3
Q

What are Intrapsychic factors? (3 points)

A
  • Related to how we feel about ourselves (anxiety + depression + self-esteem)
  • Importance of early childhood observation based on early family interactions (how sexuality + affection is communicated)
  • Trust + Shame + Performance anxiety
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4
Q

What are Interpersonal + Relational factors? (4 points)

A
  • Conflict resolution is essential for communicating
  • If anger cannot be expressed safely + effectively –> it will suppress passion + contribute to sexual problems
  • Feelings of jealousy + distrust
  • Fear of being disappointed + hurt again after a betrayal
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5
Q

What are Cultural + Psychosocial factors? (4 points)

A

Society’s sexual values taught through:
- Religious teachings (homosexuality + arranged marriage)
- Family teachings (sex is dirty + forbidden/ taboo subject)
- School based education (sex education conveys reproductive biology + how to avoid STD’s –> no discussion of sexual feelings + desire + pleasure)
- Media images (myths)

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6
Q

What are Organic factors? (3 points)

A
  • Cardiovascular disease + its treatments can affect sexual arousal/response (blood flow to genitals)
  • Damage to CNS can affect sexual functioning + response (spinal cord injuries)
  • Hormones can influence levels of desire
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7
Q

Name a sexual dysfunction disorder related to sexual desire in Men.
Name a sexual dysfunction disorder related to sexual arousal in Men.
Name a sexual dysfunction disorder related to orgasm in Men. (2)

A
  • Hypoactive sexual desire disorder
  • Erectile disorder
  • Premature ejaculation –> within 60 secs of penetration
  • Delayed ejaculation
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8
Q

Name a sexual dysfunction disorder related to sexual desire + sexual arousal in Women.

Name a sexual dysfunction disorder related to orgasm in Women.

Name a sexual dysfunction disorder related to genital pain in Women.

A
  • Sexual interest/arousal disorder
  • Orgasmic disorder
  • Genito-pelvic pain/penetration disorder
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9
Q

What is the difference between primary and secondary sexual problem?

A
  • Primary –> lifelong (always existed)
  • Secondary –> acquired (after a period of normal sexual functioning)
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10
Q

What is the difference between a situation and a generalizable sexual problem?

A
  • Situational –> occurs only during certain sexual activities/partners
  • Generalizable –> occurs in every sexual situation (activity + partner)
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11
Q

Name 3 factors that affect sexual desire/arousal disorders.

A
  • Intrapsychic (fear, attitude, expectations)
  • Interpersonal/relationship (communication)
  • Organic factors (feeling aroused but not lubricated)
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12
Q

Name 2 factors that affect erectile disorder.

A
  • Organic (disease + old age)
  • Psychological (stress)
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13
Q

Name 2 factors that affect premature ejaculation.

A
  • Organic: Hyperexcitability, over-sensibility, medications, genetics
  • Psychological: Stress, anxiety, unresolved conflict, guilt , shame
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14
Q

Name 2 factors that affect delayed ejaculation.

A
  • Organic: anti-depressants, alcohol, anti-psychotic drugs
  • Psychological: anxiety, depression, low sexual satisfaction/arousal
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15
Q

Name 3 factors that affect female orgasmic disorder.

A
  • Intrapsychic –> lack of knowledge about her body + sexuality / lack of permission to engage in sexual self-discovery
  • Cultural + psychosocial –> media falsely portrays female response as coming easily from penetration
  • Organic: anti-psychotic disorders
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16
Q

Name 2 components of Genito-Pelvic Pain/Penetration.

A
  • Dyspareunia
  • Vaginismus
17
Q

What is Dyspareunia?

A

Pain/fear of pain from vaginal penetration

18
Q

What is Vaginismus?

A

Tightening of the muscles in anticipation of pain

19
Q

Name 1 factor that can affect Genito-Pelvic Pain/Penetration.

A

Organic:
- Ovulation
- Endometriosis
- STIs
- Vaginal dryness + infection

20
Q

What are three “normal” factors that can contribute to low sexual desire six months after giving birth?

A
  • Low levels of iron
  • Elevated prolactin levels from breastfeeding causing vaginal dryness
  • Interrupted sleep