exam 3 Flashcards
behavior of having sex with the opposite sex
heterosexual behavior
behavior of having sex with the sane sex
homosexual behavior
sexual disorder in which the client finds it difficult to function adequately
sexual dysfunction
a chronic condition that is present during a person’s entire sexual life
lifelong sexual dysfunction
a disorder that begins after sexual activity
acquired sexual dysfunction
occurring every time the individual attempts sex
generalized sexual disorder
occurring with some partner or at certain times but not with other partners or at other times
situational sexual disorder
dysfunction in which a man feels distress from having little or no sexual interest
male hypoactive desire disorder
recurrent inability in some women to attain or maintain adequate lubrication and sexual excitement swelling responses until completion of sexual activity
female sexual interest/arousal disorder
apparent lack of interest in sexual activity or fantasy that would not be expected considering the person’s age and life situation
hypoactive sexual desire disorder
recurring inability in some men to attain or maintain adequate penile erection until completion of sexual activity
erectile disorder
disorder in which a man receives orgasm only with great difficulty
delayed ejaculation
recurring delay or absence of orgasm in some women following a normal sexual excitement phase, relative to their prior experience and current stimulation
female orgasmic disorder
ejaculation that occurs well before the man and his partner wish it to
premature ejaculation
a sexual dysfunction specific to women refers to difficulties with penetration during attempted intercourse or significant pain during intercourse
genito-pelvic pain/penetration disorder
the pelvic muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted
vaginismus
usually supported by numerous questionnaires bc patients may provide more info on paper than in a verbal examination
interviews
rules out the variety of medical conditions that can contribute to sexual probs
thorough medical evaluation
directly measures the physiological aspects of sexual arousal
psychophysiological assessment
drug treatments for high blood pressure
antihypertensive medication
many people learn early that sexuality can be negative and somewhat threatening
erotophobia
sexual disorders and deviations in which sexual arousal occurs almost exclusively in the context of inappropriate objects or individuals
paraphilic disorders
Recurrent and intense sexual arousal from touching or rubbing against a non-consenting person, as manifested by fantasies, urges, or behaviors.
frotteuristic disorder
sexually attracted to non-living objects
fetishistic disorder
observing, becoming aroused by, an unsuspecting person undressing or naked
voyeuristic disorder
achieving sexual arousal and gratification by exposing genitals to unsuspecting strangers
exhibitionistic disorder
either inflicting pain or humiliation leading to arousal
sadism
suffering pain or humiliation leading to arousal
masochism
sexual arousal is strongly associated with the act of (or fantasies of) dressing in clothes of the opposite sex, or cross-dressing
transvestic disorders
involves self-strangulation to reduce the flow of oxygen to the brain and enhance the sensation of orgasm
hypoxiphilia
Not classified as a paraphilic disorder because most instances of rape are better characterized as an assault by a male whose patterns of sexual arousal are not paraphilic. Many rapists meet the criteria for antisocial personality disorder.
Motivated by anger and vindictiveness
sadistic rape
sexual attraction to children aged 13 yrs or younger
pedophilia
deviant sexual attraction toward a family member
incest
patients associate sexually arousing images in their imagination with some reasons why the behavior is harmful or dangerous
covert sensitization
patients are instructed to masturbate to their usual fantasies but to substitute more desirable ones just before ejaculation
orgasmic reconditioning
is present if a person’s physical sex (anatomy or “natal” sex) is not consistent with the person’s sense of who he or she really is or with his or her experienced gender
gender dysphoria
The essence of your masculinity or femininity is a deep-seated personal sense; gender you actually experience
gender identity
the natal sex is female but the experienced gender is strongly male
transsexual man
the natal sex is male but the experienced gender is strongly female
transsexual woman
people who are born with ambiguous genitalia w documented hormonal or other physical abnormalities
hermaphrodite
Basically, boys who behave in feminine ways and girls who behave in masculine ways
gender nonconformity
sexual attraction to both the opposite and the same sex
bisexual
the nonreversible way to alter anatomy physically to be consistent with gender identity
sex reassignment surgery
the growth of breasts
gynecomastia
five sexes for intersexuality
male female herms merms ferms
anatomically more male than female but some aspect of female genitalia
merms
have ovaries, but possess some aspect of male genitalia
ferms
associated with the abuse of drugs and other substances people take to alter the way they think, feel, and behave
substance-related and addictive disorders
involve the inability to resist on acting a drive or temptation
impulse-control disorders
using multiple substances
polysubstance abuse
substances that alter mood, behavior or both.
psychoactive substances
the ingestion of psychoactive substances in moderate amounts that does not significantly interfere with social, educational, or occupational functioning.
substance use
our psychological reaction to ingested substances – drunkenness or getting high; depends on which drug is taken, how much is ingested, and the person’s individual biological reaction; experienced as impaired judgment, mood changes, and lowered motor ability;
intoxication
Hard to define – DSM-V defines it in terms of how significantly it interferes with the user’s life; disrupt job, education, relationships or puts you in dangerous situations; drug use can sometimes predict later job outcomes;
addiction
usually described as addiction; maladaptive pattern of substance use characterized by the need for increased amounts to achieve the desired effect, negative physical effects when the substance is withdrawn, unsuccessful efforts to control its use, and substantial effort expended to seek or recover it from its effects
drug/substance dependence
) requires increasingly greater amounts of the drug to experience the same effect
tolerance
will respond physically in a negative way when the substance is no longer ingested
withdrawal
these substances result in behavioral sedation and can induce relaxation. They include alcohol and the sedative and hypnotic drugs in the families of barbiturates and benzodiazepines.
depressants
cause us to be more active and alert and can elevate mood; amphetamines, cocaine, nicotine, caffeine;
stimulants
produce analgesia temporarily (reduce pain) and euphoria; heroin, opium, codeine, and morphine;
opiates
alter sensory perception and can produce delusions, paranoia, and hallucinations; Cannabis and LSD;
hallucinogens
substances that are abused but do not fit neatly into one of the categories here include inhalants, anabolic steroids, and other over-the-counter and prescription medications; variety of psychoactive effects that are characteristic of the substances described in the previous categories;
other drugs of abuse
as with the ingestion of substances just described, individuals who display gambling disorder are unable to resist the urge to gamble which, in turn, results in negative personal consequences;
gambling disorder
test that measures levels of intoxication
breathalyzer
Apparent stimulation is the initial effect of it although it is a depressant
Inhibitory centers in the brain are slowed
Motor coordination is impaired
Reaction time slowed, confusion, judgment, vision and hearing affected
Contacts every organ through ingestion
alcohol
affects mood, sleep, and eating behavior; responsible for alcohol cravings;
serotonin
sensitive to alcohol
inhibitory transmitter
major role is to interfere w the firing of the neuron it attaches to
gaba
is excitatory, helps neurons fire
suspected to involve learning and memory
glutamate
a condition that can produce frightening hallucinations
withdrawal delirium
caused by thiamine, a vitamin metabolized poorly by heavy drinkers; results in confusion, loss of muscle coordination, and unintelligible speech
wernicke-korsakoff syndrome
a combination of probs that can occur in a child while she is pregnant including: fetal growth retardation, cognitive deficits, behavior probs, and learning difficulties
fetal alcohol syndrome
an enzyme that metabolizes alcohol
alcohol dehydrogenase (ADH)
drinking occasionally w a few serious consequences
prealcoholic stage
drinking heavily but w few outward signs of a prob
prodromal stage