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Clinical & Neuropsychology 2 > CP: Chapter 12 Sexual Disorders > Flashcards

CP: Chapter 12 Sexual Disorders Flashcards

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1
Q

cultural differences sex

A

some cultures view sexuality as an important part of wellbeing and pleasure, others view it as relevant only for procreation.

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2
Q

gender differences sex

A

women are more ashamed of flaws = interference with sexual satisfaction.
women: sexuality more closely tied to relationship status and social norms

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3
Q

sexual response cycle kaplan -> overview

A

desire phase -> excitement phase -> orgasm phase -> resolution phase

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4
Q

desire phase =

A

sexual interest associated with arousing fantasies or thoughts

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5
Q

excitement phase =

A

increased blood flow to genitalia

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6
Q

what happens to your body in the excitement phase

A

flow of blood into tissue to produce erection bij mannen
enlargement of breatst and changes in vagina (eg. lubrication) bij vrouwen

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7
Q

resolution phase =

A

relaxation and sense of wellbeing following an orgasm.
in men: refractory period, women can orgasm again.

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8
Q

how does kaplan not fit the data for women:

A
  1. desire and excitement phase may not be extinct for women
  2. kaplan definition of excitement may be too biological, biological and subjective excitement may be 2 separate things for women (even though they are the same for men)
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9
Q

hoe meten van biological excitement

A

vaginal plethysmograph (in vagina, measures blood flow) or penile plethysmograph (thin rubber tube that stretches as the penis enlargens)

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10
Q

hoe heet minder zin in seks bij vrouwen

A

sexual interest/arousal disorder in women

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11
Q

sexual interest/arousal disorder in women dsm

A

diminished, absent or reduced frequency of at least 3:
interest in sex
erotic thoughts/fantasies
initiation of sexual activity
sexual excitement/pleasure during 75% of the time
sexual interest by cues
genital or non genital sensations during 75% of encounters

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12
Q

hoe heet minder zin in seks bij mannen

A

male hypoactive sexual desire disorder

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13
Q

male hyposexual disorder =

A

sexual fantasies and desires are deficient or absent

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14
Q

erectile disorder =

A

on at least 75% of sexual occasions, one of these:
inability to attain erection
inability to maintain erection
marked decrease in erectile rigidity interferes with penetration oor pleasure

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15
Q

hoe heet het als een vrouw geen orgasme kan krijgen

A

female orgasmic disorder

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16
Q

female orgasmic disorder

A

on at least 75% of sexual occasions:

marked delay/infrequency or absence of orgasm
markeldy reduced sensitivity of orgasmic sensations

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17
Q

women are more likely to have orgasms as…

A

they age, and have closer relationships

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18
Q

womens problems with reaching an orgasm are distinct from problems with sexual arousal

A

oke

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19
Q

hoe heet het als mannen problemen hebben met orgasmen

A

delayed ejaculation disorder

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20
Q

delayed ejaculation disorder =

A

persistent difficulty in ejaculation (mainly during intercourse, not when masturbating)
-> delay, infrequency or absence of orgasm at at least 75% of sexual occasions

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21
Q

prevalentie delayed ejaculation disorder

A

less than 1% of men

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22
Q

early ejaculation disorder =

A

ejaculation that occurs too quickly, within 1 minute of penile insertion on at least 75% of the sexual occasions.

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23
Q

hoe helpen bij early ejaculation disorder

A

via psychoeducation: help set realistic expectations

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24
Q

sexual pain disorder =

A

genitopelvic pain/penetration disorder

persistent or recurrent difficulties with at least one:
vaginal penetration
vulvar, vaginal or pelvic pain during penetration
fear about pain or penetration
tensing of the pelvic floor muscles during penetration (vaginismus)

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25
vaginismus =
involuntar ymuscle spasms of the outer third vagina so that intercourse is impossible
26
wat is er bij genitopelvic pain/penetration disorder wel nog
wel nog sexual arousal en oral orgasms
27
waarom geen mannen dsm 5 criteria bij sexual pain
omdat zij geen treatment zoeken
28
succesful sexual functioning: physical factors
good health, excersise, good nutrition
29
poor sexual functioning: physical factors
smoking drinking cardiovascular problems low physiological arousal neuro diseases diabetes ssri medication antihypertensive medication other drugs
30
psychosocial factors: good sex
good emotional health attraction towards partner positive attitude towards partner positive sex attitude
31
poor sexual functioning psychological factors
depression or anxiety focus on performance too much routine poor self esteem uncomfortable environment rigid attitude towards sex negative thoughts about sex
32
social and sexual history factors; good sex
positive experiences with sex good relationship with partner sexual knowledge and skill
33
social and sexual history factors: poor sex
rape or abuse relationship problems long periods of abstinence history of hurried sex
34
wat kun je doen tegen anxiety bij sex
gradual and systematic reduction of anxiety-provoking aspects: psychoeducation can do a lot to reduce anxiety
35
wat doen tegen attitude and thoughts
sensate focused exercises: use physical touch to get more intimate with partner of communication training
36
wat to do for female orgasmic disorder
directed masturbation: examining nude body, touching, finding areas of pleasure with partner watching etc.
37
squeeze technique
for early ejaculation disorder, reduces arousal
38
wat is het lastige aan depressie
depressie zelf kan leiden tot poor sex, maar antidepressants juist ook
39
pde-5 inhibitors
relax smooth muscles, allowing blood to flow into penis, creating an erection during sexual stimulation maar side effects = headache and indigestion
40
7 paraphilic disorders
fetishistic disorder pedophilic disorder and incest voyeuristic disorder exhibitionistic disorder frotteuristic disorder sexual sadism disorder sexual masochism disorder
41
fetishistic disorder=
at least 6 months: recurring and intense fantasies/urges/behaviour involving the use of nonliving objects or nongenital body parts bv clothing in cross dressing, vibrator etc
42
hoe lang moeten alle paraphilic disorders zijn
at least 6 months!
43
pedophilic disorder
recurrent and intense arousing fantasies/urges/behaviour involving sexual contact with a prepubescent child. either has acted on the urges or urges cause distress/interpersonal problems person is at least 16, child is at least 5 years younger
44
voyeuristic disorder
recurrent and intense sexually arousing fantasies/urges/behaviour involving the observation of unsuspecting others who are naked, disrobing or have sex. has acted on these urges in nonconsenting manner, or cause distress
45
exhibitionistic disorder
recurrent and intense sexually arousing fantasies/urges/behaviour about showing their genitals to unsuspecting strangers. has acted on these urges to nonconsenting person or cause distress
46
frotteuristic disorder
recurrent and intense sexually arousing fantasies/urges/behaviour involving touching a non consenting person has acted on or causes distress
47
sexual sadism disorder
recurrent and intense sexually arousing fantasies, urges or behaviour involving physical/psychological suffering of another person has acted on urges or causes distress
48
sexual masochism disorder
recurrent and intense sexually arousing fantasies/urges/behaviour involving the act of being humiliated, beaten, bound or made to suffer. causes distress or impairment
49
dus welke disorders horen bij ongewenst: kijken - aanraken - showen
kijken = voyeuristic aanraken = frotteuristic showen = exhibitionistic
50
verschil sexual sadism en sexual masochism disorder
sexual sadism = suffering of someone else sexual masochism = suffering of self
51
gender paraphilia
almost all are men
52
androgens in paraphilia?
niet perse anders dan 'gezonde' mannen
53
wat is wel een risicofactor voor paraphilia
childhood sexual abuse: 2/3 of paraphilic disorders zijn abused
54
triggers for paraphilia
alcohol, negative moods, loss of impulse control
55
risk factors for paraphilia
impulsiveness bad emotion regulation parenting social skill deficits hostility towards women cognitive distortion
56
3 types of cognitive behaviour therapy for paraphilic disorders
aversion therapy - shock on the hand, or drug that produces nausea when looking at the thing that is the fetish covert sensitization - imagine the situation in which they are aroused, and then imagine feeling sick or ashamed counter distorted thinking - gedachtes tegengaan met rationaliteit
57
often these cbt methods are combined with...
social skills training, sexual impulse control strategies, empathy training, relapse prevention
58
wat voor biological treatments for paraphilia
drugs that lower testosterone -> ook mindere sex drive. maar veel side effects of antidepressants, maar geen goed bewijs voor
59
sexual desire disorders vrouw en man
female sexual interest/arousal disorder male hypoactive sexual desire disorder
60
sexual arousal disorder vrouw en man
female orgasmic disorder delayed ejaculation disorder early ejaculation disorder
61
sexual pain disorder vrouw
genito-pelvic pain/penetration disorder

Clinical & Neuropsychology 2 (30 decks)

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