Final Flashcards
(57 cards)
Three categories of sexual dysfunction:
- Sexual Dysfunction
- Sexual Dissatisfaction
- Sexual Deviation
Prevalence of Sexual Dysfunction (based on gender)
Women = 43%
Men = 31 %
Prevalence of sexual dysfunction in women
Hypoactive sexual desire disorder = 33.4%
Difficulty with orgasm = 24.1%
Pain during intercourse = 14.4%
Causes of low sex drive in women
Vary.
Fatigue/stress from daily responsibilities
Psychological
Certain health conditions or medications (ex. mood stabilizers)
Depression/anxiety
Birth control pills
Prevalence of sexual dysfunction in men:
Hypoactive sexual desire disorder = 15.8%
Erectile dysfunction = 34.8% (increases with age)
Premature ejaculation = 30%
4 Types of Sexual Dysfunction
- Disorders of Desire
- Arousal Dysfunction
- Orgasm dysfunction
- Pain
Disorders of Desire (male and female)
Hypoactive sexual desire disorder
Sexual aversion disorder
30% women, 15% men
Most common psychological causes of disorders of desire:
Depression
Anxiety
Stress
Substance abuse
Fatigue
Hypoactive sexual desire disorder
Persistent or recurrent deficiency (or absence) of sexual fantasies/thoughts and/or desire for or receptivity to sexual activity that causes personal distress (not just partner distress).
Lifelong or acquired (lifelong = more difficult to diagnose/treat)
Generalized or situational
Single or multiple etiologies
Arousal Dysfunction (by gender)
Male erectile disorder
Female sexual arousal disorder
Sexual Arousal Disorder
The persistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress.
May be expressed as a lack of subjective excitement, genital response (lubrication/swelling), or other somatic responses.
Orgasm Dysfunction (by gender)
Male orgasmic disorder
Premature ejaculation
Female orgasmic disorder
Orgasmic Disorder
The persistent or recurrent difficulty, delay in, or absence of attaining orgasm/ejaculation following sufficient sexual stimulation and arousal, causing personal distress.
Pain
(Type of sexual dysfunction)
Dyspareunia
Vaginismus
Dyspareunia
Recurrent or persistent genital pain associated with sexual intercourse.
Vaginismus
Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration, causing personal distress.
All 4 types of sexual dysfunction may be:
Lifelong/acquired
generalized/situational
psychological/combined factors
Masters and Johnson (1970)
Crystallized cognitive/behavioral methods to treat sexualized problems.
Revolutionized treatment (like Viagra revolutionized pharmacology) - prior treatment for sexual disorders was long-term, multi-year psychotherapy or psychoanalysis with very low rates of success.
Birth of the field of sex therapy.
Treatment created by Masters and Johnson
Devised a rapid (2 week) psychotherapy in couple, rather than individual, context, working with male/female therapist team - >80% success rate.
Strictly talking therapy (did not observe sexual activity).
Provide appropriate sex information, alleviate anxiety about sexual performance, and facilitate verbal/emotional/physical communication.
Still widely used today.
Revolutionary.
Female Sexual Response Cycle (Basson)
Non-linear, intimacy-based model.
Female dysfunction (and desire) appears to have many causes and many dimensions, including biological, psychological, and interpersonal determinants that can aid or impede arousal.
Responsive rather than spontaneous (i.e. sexual stimuli). Begins with cognitive decision to engage in sexual activity (ex. listen to music, direct stimulation).
Goal of sexual activity = personal satisfaction, not necessarily orgasm, but can be physical or emotional
Esther Perel on female eroticism
Diffuse, not localized in the genitals but distributed throughout the body, mind, and senses.
Tactile and auditory; linked to smell, skin, and contact.
Arousal is often more subjective than physical.
Desire arises on a lattice of emotion.
Healthy Sex (Wendy Maltz)
Conscious, positive expression of our sexual energy in ways that enhance self-esteem, physical health, and emotional relationship.
Mutually beneficial and harms no one.
Requires five basic conditions be met: CERTS
Sexual Energy (Wendy Maltz)
Powerful, natural force.
Potential to be channeled and experienced in either destructive or life-affirming ways.
Healthy Sex CERTS Model (Wendy Maltz)
- Consent
- Equality
- Respect
- Trust
- Safety
All five must basic conditions must be met to foster healthy sex.