Final- Gender/sexual Flashcards
(27 cards)
Gender dysphoria prevalence/ gender
rare <1%
more common in men
Gender dysphoria clinical description
Incongruence between assigned gender and expressed gender
indicators of gender dysphoria in children/ adults
children
- strong desire to be other gender
- clothes, games etc
adults
- wanting to be treated as other gender
- feelings like other gender
ethology of gender dysphoria
- forms early in life
- males with gender dysphoria more likely to have older bros
- genetics are weak
phychological/medical/support for people with gender dysphoria
- living in role consistent with gender identity
- horomone therapy
- phychotherapy (helping people explore their gender identity)
- peer support
Sex reassignment surgery criteria
- age 18
- has gender dysphoria
- 1 year of hormone therapy and living in other gender role
what is mastectomy, hysterectomy
mastectomy- breast/chest surgery
hysterectomy- genital surgery
both f to m
treatment options for children/ adolescents
children
- may not persist
- pursue psychotherapy
adolescents
-puberty suppressing hormones
difficulty with sexual functioning can be
lifelong or acquired
generalized or situational
sexual response cycle and associated sexual dysfunctions
- Appetitive (sexual desire disorders)
- Excitement (sexual arousal disorders)
- Orgasm (orgasm disorders)
- Resolution (not associated- sexual pain disorders)
sexual desire disorders
Male hypoactive sexual desire disorder
- No interest in any sex
- low sex drive
Sexual aversion
- more extreme
- removed from DSM 5
Sexual arousal disorders
Erectile disorder
-maintaining/achieving erection
Female sexual interest/arousal disorder
- maintain/achive lubrication
- plus low desire
orgasmic disorders
- inhibited orgasm
- inability to achieve orgasm
- common in women
- premature ejaculation
- -under 1 min
4 areas of sexual pain disorder
- difficulty with vaginal penetration
- pain (before/during/after)
- Anxiety/fear of pain
- Vaginismus
assessment of sexual behaviour and dysfunction
- interview and thorough medical evaluation
- physchophysiological assessment
biological causes of sexual dysfunctions
- diabetes or kidney disease
- CVD
- chronic illness
- alcohol/drugs
psychosocial contributions and who was it found by
- MAsters and Johnson
- mainly performance anxiety (spectator role)
historical things that lead to spectator role
-religious orthodoxy
-psychosexual trauma
-homosexual inclination
-inadequate counsling
-excessive alcohol
physiological probs
Psychosocial treatments of sexual dysfunctions
- education
- graudal process of building intimacy
- communication training
- start-stop method
paraphilia disorders
- sexual stimulation requiring bizarre or unusual acts, imagery or objects over a period of at least 6 months
- mostly men
- distress or distress to others
fetishism
sexual attraction to nonliving objects, nongenital body parts, disorder can cause distress
exhibitionism
- expose genitals to unsuspecting strangers
- element of risk is important
voyeurism, frotteurs
voyeurism- watching unsuspecting strangers naked or undressing
frotteurism- rubbing up against someone
transvestic fetishism
- sexual arousal by dressing in clothes of the opposite sex
- most are male heterosexuals
