Child Development/Sexual Psychology II Flashcards Preview

Module 6: Repro/Endocrine > Child Development/Sexual Psychology II > Flashcards

Flashcards in Child Development/Sexual Psychology II Deck (27):
1


What are the 4 domains of pediatric development?


Motor: Fine and Gross motor

Communication: Speech... Receptive and expressive languate

Problem Solving: Cognition

Social-emotional: temperament, behavioral responses to environment

2

What is the development of writing?


Develops between 2 to 6 years of age

As writing develops, hand moves closer to tip of pencil

At first, children hold pencil away from tipa nd movements come from shoulder

Later, elbow produces more movement

Finally, fingers and thumb gain control (dynamic tripod)

Mature writing patter observed by 7 years

3

What are protective factors of childhood development?

 

  • Strong connection with loving family
  • Opportunities to interact with other children
  • Grow in independence in an environment with appropriate structure
  • Resiliency in older children

4


What are risk factors to childhood development?

 

  • Family poverty
  • Parental mental illness
  • Child neglect and abuse
  • Prematurity
  • Poor nutrition
  • Complex medical conditions

5

What are the stages of the sexual response cycle?


1. Desire (appetitive)

2. Excitement (arousal)

3. Orgasmic

4. Resolution

6

What are factors affecting the desire stage?

Biological, psychological, and social factors including:

Libido

Suggestive Content
- Partner availabe
- Suggestive matterials present

Sexual fantasizing

7

What are sexual dysfunctions?


Disturbances in any aspect of the sexual response cycle

Divided into:

  • Sexual dysfunction due to GMC
  • Substance-induced sexual dysfunction
  • Desire disorders
  • Sexual arousal disorders
  • Orgasmic disorders
  • Sexual pain disorders

8

What are the possible desire disorders?


- Hypoactive sexual desire disorder

- Sexual aversion disorder

9

What is hypoactive sexual desire disorder?


- Global: all forms of sexual expression

- Situational: limited to a partner, activity or context

- Wide range of sexual desire is normal

10


What is the treatment of hypoactive sexual desire disorder?


- Testosterone if baseline level is low

- Cognitive-behavioral approaches
Involve homework
Sensate focus

- Interpersonal or dynamic therapy for couples with primary relationship problems

11

What is sexual aversion disorder? Treatment?


Decreased frequency of sexual activity due to active aversion to genital sexual contact with the sexual partner

- Anxiety, fear, or disgust experienced when the opportunity for sex arises

- Aversion may be to specific activity or generalized revulsion (previous victimization?)

Treatment:
In vivo desensitization assignments similar to those for phobic disorders

12

What are the possible sexual arousal disorders?


Female sexual arousal disorder

Male erectile disorder

13

What is female sexual arousal disorder?


Presistent or recurrent inability to attain or maintain an adequate lubrication-swelling response during teh sexual excitement phase

--> 1/3 of married women experience it
--> may be due to physical factors

14

What is Male erectile disorder?


Erectile Dysfunction

Persistent or recurrent inability to attain or maintain an erection adequate for completion of the desired sexual activity

--> most common male sexual disorder

15

What are the risk factors for Male Erectile Disorder?


Aging (50% are 40-70yrs old)

Primary care patients

Adult male diabetes

Vascular disease, smoking, hypercholesterolemia

16

What are treatments for male erectile disorder?


- Intracavernosal Injections
papaverine
phenoxybenzamine

- Oral therapies
Sildenafil
Vardenafil
Tadalafil

17

What are the possible orgasmic disorders?


Female orgasmic disorder

Male orgasmic disorder

Premature ejaculation

18

What is female orgasmic disorder?

Persistent or recurrent delay in, or absence of, orgasm following a normal excitement phase

--> only a problem if the woman is troubled by it
- 25% of women report infrequent orgasm

Primary anorgasmia:
Woman has never achieved orgasm
- Prognosis is good

Secondary anorgasmia:
Anorgasmia is situational or episodic

19

What is male orgasmic disorder?


Persistent or recurrent delay in, or absence of, ograsm following a normal sexual excitement phase

- Situational more common than global

- absence of orgasm more common than delayed orgasm

20

What is treatment of male orgasmic disorder?


Behavioral interventions to minimize performace anxiety
- Sensate focus
- Increased stimulation prior to vaginal intercourse

Pharmacotherapy: 1-2hrs before anticipated sexual activity
- Cyproheptadine
- Yohimbine

21

What is premature ejaculation? Treatment?


Persistent or recurrent onset of orgasm and ejaculation with minimal sexual stimulation before, upon, or shortly after penetration and before the individual wishes it

Treatment:
Behavioral
SSRIs/Clomipramine

22

What are the sexual pain disorders?


Dyspareunia

Vaginismus

23

What is Dyspareunia?


Genital pain that occurs in association with sexual intercourse (during, before, or after)

- More common in females

- May be accompanied by vaginismus

- Phobic avoidnce of sexual activity often develops

24

What are common medical causes of dyspareunia?


- Infections

- Endometriosis

- Episiotomy scar

- Ovarian cysts and tumors

- Pelvic irritation and resulting vaginal atrophy

- Vulvar vestibulitis

25

What is vaginismus?


Recurrent or persistent involuntary contraction of teh perineal muscles surrounding the outer third of the vagina when vaginal penetration is attempted

- Psych factors important

- Treatment invovles relaxation training followed by graded exposure

26

What are paraphilias? Treatment?


Recurrent, intense sexual urges, fantasies, or behaviors taht involve unusual objects, activities, or situations

Treatment:

Confrontation

Behavioral therapy

Antiandrogen agents:
- Cyproterone Acetate
- Medroxyprogesterone Acetate
- Leuprolide Acetate

SSRIs
 

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