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Psychiatry > Human Sexuality > Flashcards

Human Sexuality Flashcards

1
Q

abnormal sexual behavior definition:

A
  • causes harm to other people
  • causes persistent or recurrent distress
  • causes impairment in important areas of fxn’ing
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2
Q

Normal sexual behavior definition

A
  • brings pleasure to oneself and one’s partner involves stimulation of primary sex organs including coitus, devoid of inappropriate feelings of guilt or anxiety and is not compulsive.
  • recreational sex is normal
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3
Q

stages of normal sexual response

A
  • desire
  • excitement
  • plateau
  • orgasm
  • resolution
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4
Q

Sexual dysfxn =

A

disturbance in sexual response cycle or pain with intercourse

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5
Q

Abnormality in individual responsiveness:

A
  • indiviudually defined
  • usually related to other problems
  • must distinguish from physical and psychological
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6
Q

sexual dysfxn can be:

A
  • lifelong or acquired
  • generalized or situational
  • biological or intrapsychological/intrapersonal
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7
Q

Spectatoring

A
  • stage fright in the bedroom

- person may self-impose performance anxiety

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8
Q

Desire Disorder definition

A
  • desire for and fantasy about sexual activity are chronologically or recurrently deficient or absent
  • judged on the basis of the pt’s age and other life circumstances that may affect sexual fxn’ing
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9
Q

Causes of Sexual Dysfxn

A
  • medications, dz, injuries, and psych problems
  • medical causes: endocrine, vascular, local genital dz, surgical/post-op problems
  • meds: CV meds, psychotropics, hormones, opiates, GI meds, methantheline bromide, anticonvulsants
  • psychological: lack of info, negative family/religious attitudes, sexual trauma, rape, incest, childbirth, infidelity, sexual dysfxn in partner, psychiatric illness, interpersonal issues
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10
Q

treatment for sexual dysfxn:

A
  • meds: cyproheptadine, buproprion, yohimbine, amantadine, busprione, sildenafil (viagra)
  • psych/behavioral interventions: psychoeducation, sensate focus, homework assignments
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11
Q

Types of Arousal/Erectile Disorders:

A
  • Hypoactive sexual desire disorder
  • Sexual Aversion Disorder
  • Female Sexual Arousal Disorder
  • Male erectile disorder
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12
Q

Arousal Disorder=

A
  • no other Axis I disorder explains it better
  • it is not directly caused by substance use (medication or drug of abuse) or by general medical condition
  • causes marked distress or interpersonal problems
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13
Q

Hypoactive Sexual desire D/O =

A
  • abnormally low interest in sexual activity

- usually results from other physiological problems

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14
Q

Sexual Aversion disorder =

A
  • active dislike/avoidance of sexual activity
  • may lead to anxiety/panic attacks
  • often related to: negative parental or religious attitudes, sexual trauma, pattern of sexual pressuring, gender identity or confusion
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15
Q

Female Sexual arousal disorder

A
  • persistent or recurrent inability to maintain physiological arousal ( lubrication) during sexual activity
  • sexual desire remains
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16
Q

Male erectile disorder

A
  • recurrent failure to attain/maintain an erection

- sexual desire remains

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17
Q

Orgasmic Disorders =

A
  • Male/Female Orgasmic DIsorder

- premature ejaculation

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18
Q

Male/Female Orgasmic Disorder

A
  • inability to achieve an orgasm
  • situational or generalized
  • 75% of women do not achieve orgasm
  • 25% of men do not achieve orgasm
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19
Q

Premature Ejaculation

A

-male reaches orgasm with minimal sexual stimulation, often ejaculating earlier than he wants to (before, during or just after penetration)

20
Q

Sexual Pain disorder

A
  • not caused by a substance use or by general medical condition
  • causes marked distress or interpersonal problems
  • 2 types: dyspareunia and vaginismus
21
Q

Dyspareunia

A

=persistent genital pain before, during or after intercourse in male or female pts
-much more common in women

22
Q

Vaginismus =

A

persistent involuntary spasm of musculature of the outer third of the vagina that creates problems with intercourse

23
Q

Paraphilia =

A
  • attraction to deviant object
  • individual is unable to feel sexual gratifications in the absence of their desired stimulus
  • recurrent intense obsessions and compulsive behavior related to the desired target
  • desire must persist for 6 mnths
  • exclusively male disorder
24
Q

Paraphilia Tx

A
  • is generally ingrained behavior
  • hormone and antidepressant meds
  • behavioral and cognitive therapies
  • group, couple or family therapy
25
Q

Exhibitionism =

A
  • derives sexual gratification from exposing genitals to un-suspecting strangers
  • *shock is arousing
  • 100% male
  • may prefer this to sexual behavior
26
Q

Fetishism =

A
  • strong sexual attraction related to non-living object
  • sexual activity may be directed toward fetish itself or fetish may be incorporated into sexual intercourse
  • may look at, smell, rub or wear object to get sexually aroused
27
Q

Partialism =

A

-attraction to a body part

28
Q

Sadism/Masochism

A
  • sadist= derives sexual gratification from inflicting pain/humiliation
  • masochist= derives sexual gratification from being humiliated/injured
29
Q

Transvestic fetishism =

A
  • man derives sexual gratification from wearing women’s clothing
  • must be heterosexual
  • often begins in childhood and adolescents
30
Q

Voyuerism =

A
  • derives sexual gratification from watching nudity or sexual activities of un-suspecting victims
  • *not porn
  • usually sexually frustrated
31
Q

Pedophilia =

A

uncontrollable urge to have sex with children

-persons with pedophilia must be at least 16 y/o and 5 yrs older than child

32
Q

Types of Molesters

A
  • situational molesters
  • preference molesters
  • child rapists
33
Q

Must specify sexual attraction of pedophile

A
  • sexually attracted to women
  • sexually attracted to men
  • sexually attracted to both
34
Q

Must specify pedophile’s sexual attraction limitations

A
  • limited to incest
  • exclusive: only attracted to children
  • nonexclusive: not just children
35
Q

Tx of Pedophilia

A
  • Biological Tx
  • Behavioral tx
  • cognitive tx
  • group therapy
36
Q

Biological tx in pedophilia

A
  • lowering level of testosterone = chemical castration
  • surgical castration (rare)
  • hypothalamotomy
37
Q

Behavioral tx in pedophilia

A

adversive tx

38
Q

Cognitive tx in pedophila

A
  • relapse precention

- tx depression and anger

39
Q

Group therapy tx

A
  • confront denial and rationalizations

- supportive context to discuss desires and conflicts

40
Q

Gender Identity disorder

A

-aka transexualism
=discrepancy btwn assigned sex (biological) and gender role (cultural and societal): feeling that they were born the wrong sex

41
Q

Gender identitiy disorder features:

A
  • must be evident before age 4
  • refusal to engage in gender appropriate behaviors
  • strong and persistent cross gender identification: repeated desire to be or insistence are other sex; insistence of dressing in opposite sex’s clothing; strong/persistent preference for cross-sex role in make believe play
42
Q

Prevalence of transsexualism

A
  • 1 in 30,000 males

- 1 in 100,000 females

43
Q

Biological factors for Transsexualism

A
  • Abnormal fetal hormones

- vulnerability to high sensory level

44
Q

Psychological Factors to transsexualism

A
  • parental preferences for child of other sex

- parental unintentional reinforcement of cross-gender bias

45
Q

Ways to help transsexualsm young child:

A

-help develop self esteem

46
Q

-transsexualism in older child tx:

A
  • deal with cross gender behavior and fantasy
  • help manage low self esteem
  • cope with peer rejection
47
Q

transsexualism in adults tx:

A
  • focus on the biopsychosocial causes

- provide support and coping strategies

Psychiatry (9 decks)

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