Final Exam New Material Flashcards
(214 cards)
Gottman’s Four Horseman of the Apocalypse
- “predicts divorce” if the couple has lots of:
- criticism
- contempt
- defensiveness
- withdrawal
Gottman’s magic ratio in stable marriages
- 5 positive to 1 negative interaction
Tannen’s argument about communication between women and men
- women and men from different linguistic communities
- implies huge gender differences in communication and great difficulty in cross-gender communication
Sexual Disorder
- problem with a sexual response that causes a person mental distress
- aka sexual dysfunction
- can have lifelong disorder or acquired disorder
Desire Disorders (2)
- hypoactive sexual desire
- discrepancy of sexual desire
Hypoactive Sexual Desire (HSD)
- aka inhibited sexual desire, low sexual desire
- lack of interest in sexual activity, sharply reduced interest, or lack of responsive desire
- 10-15% of women, half as many men
- women over 65, 50%
DSM-5 new desire disorder
- Female sexual interest/arousal disorder
- merged female low sexual desire with female arousal disorder
- controversial (split up men and women, no category for those who are trans)
Responsive desire
- individual feels desire as sexual activity begins
Arousal Disorders (2)
- Female sexual arousal disorder (FSAD)
- Erectile Disorder (ED)
Female Sexual Arousal Disorder
- lack of response to sexual stimulation
- 10% of women, more in menopause (less lubrication)
- combination phys and psychological
Erectile Disorder (ED)
- inability to have OR maintain an erection
- ## lifelong vs acquired vs situational
Orgasmic Disorders (3)
- premature ejaculation
- delayed ejaculation
- female orgasmic disorder
Premature ejaculation/early/rapid ejaculation (PE)
- ejaculating “too soon”
- international society for sexual medicine declares less than 1 minute from intromission AND feeling out of control AND distress
Delayed Ejaculation
- man cannot have an orgasm even with high arousal and sufficient stimulation
- 10% of men (usually older)
- can cause very long intercourse (could be good or bad)
Female Orgasmic Disorder
- anorgasmia
- inability to orgasm
- “frigidity”
- lifelong vs acquired vs situational
- not really a disorder because so common (20% of women)
Pain Disorders (2)
- Dyspareunia
- Vaginismus
Dyspareunia
- Painful Intercourse
- can be diagnosed in men and women
Vaginismus
- Spastic contraction of the muscles surrounding the vaginal entrance
- outer 1/3 of vagina
Genito-pelvic pain disorder
- DSM-5 merged dyspareunia and vaginismus for females, often co-occurence
Causes of Sexual Disorders (3 categories)
- Organic (Physical) factors
- Psychological factors
- New View
Organic (Physical) causes of sexual disorders: Premature ejaculation
- psychological mostly
- prostatitis, m.s.
Organic (Physical) causes of sexual disorders: Delayed Ejaculation
- m.s.
- spinal cord injury
- prostate surgery
- psychological
Organic (Physical) causes of sexual disorders: dysparenia
- vaginal infection
- PID
- vaginal entrance disorder
- pelvic disorders
Organic (Physical) causes of sexual disorders: ED
- vascular pathology
- damage to lower spinal cord
- hypogonadism
- hyperprolactinemia
- stress/fatigue
- prostate surgery
- diabetes major cause ( can cause circulatory and nerve damage)