Psych Unit 17 and 11 (communication section only) Flashcards

(80 cards)

1
Q

Documentary Notes - Orgasm Inc: Background

A

beginning: asks girls what an orgasm is and what it feels like
- asks many people who can’t orgasm
- the documentary is about treatments for women and sexual dysfunction

VIVUS: pharma company that tried to develop a cream to help women orgasm
- the market increased for products to help “cure” women who couldn’t orgasm

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2
Q

Documentary Notes: Female Sexual Dysfunction

A

female sexual dysfunction: lack of desire, painful intercourse

  • the FDA had to approve that female sexual dysfunction was a real disorder
  • companies started coming up with products to “help women” (one person thought they had to change women’s spinal cords)
  • people opened clinics to help women orgasm
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3
Q

Doc Notes: Viagra

A

doctors thought viagra could treat women - they promote the use of viagra even though it was proved not to work

  • once the FDA approves the drug (viagra), doctors are allowed to prescribe it, even if it has been proven to not work
  • Pfizer stopped doing clinical trials of women for viagra because it didn’t work

Bermann sisters were paid to promote viagra for women even though it didn’t work
- pharmacutical companies started advertising it (***US and New Zealand are the only countries that allow pharma companies to directly advertise to people

*magazines promoted sexual genital surgery (showed women with perfect vaginas)

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4
Q

Sexual Disorder

A

Sexual Disorder = a problem with sexual response that causes a person mental distress

  • people use the word sexual dysfunction too
    ex: inability to get an orgasm or inability to get an erection

*this is a continuum – most people have had an issue

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5
Q

Lifelong Sexual Disorder

A

Lifelong Sexual Disorder = one that has been present ever since the person became sexual

ex: lifelong erectile dysfunction (man has never been able to get an erection — not acquired ED bc he has never been able to get an erection)

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6
Q

Acquired Sexual Disorder

A

Acquired Sexual Disorder = a dysfunction that develops after a period of normal functioning

ex: you used to be able to get an erection, but now you can’t (not lifelong bc you used to be able to get an erection)

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7
Q

Hypoactive Sexual Desire

A

Hypoactive Sexual Desire: when sexual desire is very low that the person is not interested in sexual activity

  • sex desire/libido = an interest in sexual activity
  • disorder found both in women and men
  • lack of interest in sex is common
    -there are times in people’s lives where they experience this which is normal
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8
Q

Responsive Desire

A

Responsive desire: people begin to feel desire as the sexual activity starts

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9
Q

Low Sexual Desire: Numbers of Ppl

A
  • most reported issue by women
  • 10% of women before the age of 49 have low sexual desire
  • 50% of women over 65 report low sexual desire
  • men experience low sexual desire, just fewer men than women
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10
Q

Discrepancy of Sexual Desire

A

Discrepancy of sexual desire = when one partner wants sex a lot less often than the other does (there’s a conflict)

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11
Q

Female Sexual Interest/Arousal Disorder

A

Female Sexual Interest/Arousal Disorder = combination of female low sexual desire and female arousal disorder

  • a lack of sexual response to sexual stimuli, including lack of vaginal lubrication (something that happens to sexual stimulation usually)
  • psych and physiological components involved in this
  • common to have problems getting aroused and lubrication (10% of women report this)
  • problems are more common in women post-menopause
  • sterile lubricants can be a solution to this problem
  • it’s harder to treat people who don’t have feelings of arousal
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12
Q

Erectile Disorder

A

Erectile Disorder = inability to have an erection or maintain one
- some men can’t have sex because of this

different types of erectile disorder:
lifelong erectile disorder = the man has never been able to have an erection that is enough for intercourse

Acquired erectile disorder = the man has difficulty or maintaing an erection but has had erections in that past that were enough to have intercourse

  • erectile disfunction is more common in men over 60
  • most common disorder for men who seek sex therapy, especially after viagra was created
  • men have different reactions to ED (some men get embarassed, but some think it’s normal)
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13
Q

Premature Ejaculation

A

when a man has an orgasm and ejaculates too soon
- sometimes the man ejaculates before intercourse has started
- it’s hard to say when a man is ejaculating prematurely

***the real problem isn’t when they ejaculate, but how much control they have when ejaculating

self-definition: if a man is concerned about his lack of control when ejaculating

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14
Q

Premature Ejaculation: International Society for Sexual Medicine Def.

A

when ejaculation always or usually happens prior to or within one minute of entering the vagina
- being unable to delay ejaculation
- when you have distress about the problem

  • most men who have this, have seen a therapist
  • the man’s anxiety can cause this problem if they have too much pressure on delaying ejaculation and pleasing partner
  • the condition can create friction in the relationship
    ex: one guy stopped dating because he was humiliated by his sexual partners
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15
Q

Delayed Ejaculation

A

opposite of premature ejaculation
- man is unable to have an orgasm or ejaculation is very delayed
- this problem can happen only sometimes

  • more common that a man can’t orgasm from sex but can from getting a hand/blow job
  • less common than premature ejaculation
  • some women don’t like this bc it makes them think they’re the problem
  • some men fake orgasm bc of this
  • can create painful sex for women bc it’s too long
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16
Q

Female Orgasmic Disorder

A

Female Orgasmic Disorder: the inability to have an orgasm

  • sometimes called frigidity – therpists hate this term bc it’s derogatory

Situational orgasmic disorder = the woman has orgasms in some situations but not others
Ex: she might be able to have an orgasm while masturbating but not during sex

  • common among women
  • 20% of women have problems with orgasming
  • some ppl think situational orgasmic disorder shouldn’t be a disorder bc you can orgasm sometimes
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17
Q

Dysparenuina

A

painful intercourse - genital pain from intercourse
- more common in women
- common for women to complain about pain sometimes but not always (you don’t have this if pain only sometimes)

in women pain:
- vagina, vaginal entrance, deep in pelvis

in men pain: penis or testes

  • disorder decreases someone’s enjoyment of sex
  • this can create relationship problems (bc the pain can cause sexual functioning issues)
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18
Q

Vaginismus

A

Vaginismus: a spastic constraction of the outer third of the vagina

severe cases: the vaginal entrance is closed and women can’t have intercourse

  • vaginismus and dysparenunia are often related — if intercourse is painful it might causes spasms that close off the vaginal entrance
  • uncommon disorder
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19
Q

Physical Causes of Erectile Disorder

A

problems with heart/circulatory system:
- erection needs circulatory system to work correctly (blood needs to be able to get to penis)
- any problems with blood vessels or arteries can cause problems with erections

Diabetes Mellitus:
- circulation problems, low testosterone, and nerve damage
- erectile disfunction can be the earliest symptom of diabetes
- diabetes is also associated with sexual problems in women

hypogonadmis: testes don’t work so testorsterone levels are really low

  • any disease to spinal cord can cause ED bc erection relex center is there
  • stress and fatigue
  • prostate surgery
  • most ED happens bc of multiple things (ex: low testosterone and damage to circulatory system)
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20
Q

Physical Causes of Premature Ejaculation

A
  • usually caused by psychological factors, not physical
  • local infection can cause this
  • issues with nervous system can cause this

survival of the fastest - early theory
- they thought apes ejaculating fastest would be advantageous so that females would be less likley to get away and they wouldn’t be attacked by other males (the fast ejaculator could get his sperm into her and pass on his genes to offspring)

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21
Q

Physical Causes of Delayed Ejaculation

A
  • might be because of medical or surgical conditions like MS, spinal cord injury, and prostate surgery
  • it’s usually bc of psychological factors
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22
Q

Physical Causes of Female Orgasmic Disorder

A

could be caused by severe illness, bad health, or extreme fatigue

  • could be caused by spinal cord injuries
  • most causes are because of psychological factors
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23
Q

Physical Causes: Painful Intercourse

A

usually caused by organic factors: women
- disorders of vaginal entrance (infection, painful scars)
- vagina disorder (infection, allergy to latex, thinning vaginal walls)
- pelvic disorder (tumors, cysts, infection)

men:
- being uncircumsized
- allergy to spermicides or latex
- prostate problems

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24
Q

Drug Effects on Sexual Disorders

A

some drugs have side effects that cause sexual disorders
- drugs that are used to treat high blood pressure increase erection problems and decrease sexual desire

ex: SSRIs
ex: Nicotine - decrease blood flow to penis (can create erectile disorder)

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25
Alcohol Effects on Sexual Disorders
3 categories: short-term pharmacological effects, expectancy effects, and long term effects - many people think alcohol will loosen them up - expectancy and pharmacological effects interact with each other - at high doses, alcohol can be a depressant and sexual arousal is suppressed
26
Weed Effects of Sexual Disorders
- some people think weed is an aphrodisiac - small amount of weed can increase sexual desire and make sexual intercations better (large amounts inhibit sexual functioning) - weed can cause risky sexual behavior - CBD can reduce the size of testes and hormones Cannabinoids: active drug in weed - effects depend on gender women: low doses increase sexual desire and sexual pleasure men: moderate doses increase sexual desire but can also cause erectile dysfunction
27
Cocaine Effects on Sexual Disorders
- enhances sexual experiences - delays orgasm chronic cocaine users: - loss of sexual desire, orgasmic disorder, and erectile disorder - the effects depend on how you ingest the cocaine - regularly injecting cocaine has the worst sexual effects
28
Opiods, Crystal Meth, and Amphetamines
amphetamines: increase sexual desire (stimulants) crystal meth: people do risky behaviors - can lead to paranoia, hallucinations, and violence Opiods: suppress sexual desire and response - long-term use of heroin can decrease testosterone levels in men
29
Prescription Drugs Effect on Sexual Functioning
- drugs to treat schizophrenia can cause dry orgasm in men (orgasm but no ejaculation) - antidepressants can improve sexual repsonse - SSRIs can delay orgasm and decrease sexual arousal in men and women
30
Psychological Causes of Issues with Sexual Functioning: Prior Learning
Prior Learning = the things that people learned earlier ex: learned things in childhood that inhibit your sexual response
31
Psychological Causes of Issues with Sexual Functioning: Immediate Causes
anxieties: anxiety during a sexual interaction can cause sexual disorders - fear of being unable to preform strongly effects men cognitive interference: thoughts that distract the person from focusing on sexual experience - the problem = attention - ex: thinking about if their techique is good spectatoring= the person behaves like a judge of their own sexual performance cognitive interference and anxiety: - Barlow found that the fucntional and dysfunctional group respond very differently to sexual stimuli ex: anxiety increase the arousal of functional men but decreases the arousal of dysfunctional men - dysfunctional men underestimate their physical arousal but functional men report an accurate report
32
Psychological Causes for Sexual Functioning: Communication w Partner
failure to communicate with partner can cause problems ex: a woman who needs a lot of clitoral stimulation to have an orgasm doesn’t tell her partner this so she doesn’t get the stimulation she needs to have an orgasm
33
Psychological Causes for Sexual Functioning: Failure to Engage in Stimulating Behavior
- this happens because of ignorance ex: some couples go to sex therapy because the wife can't orgasm - the therapist learns the wife and husband don't know where the clitoris is **this problem can be fixed by education
34
Prior Learning
in some sexual disorders, people's sexual experience were traumatic, which affects them behaviors causing sexual disorders: - kids with parents who had seductive behavior - victims of child sexual abuse - kids who grew up with strict, religious families (taught that sex is bad) - when parents punish kid for sexual behavior (ex: masturbating) - parents teaching kids about the double standard
35
Emotional Factors of Sexual Disorders
- depression is associated with erectile disorder - anger and sadness can cause sexual responding issues - disgust can inhibit arousal
36
Behavioral/Lifestyle Factors of Sexual Disorders
- smoking, drinking, and obesity all can cause sexual disorders ex: a study of obese men showed that regular exercise reduced their BMI which reduced their frequency of erectile disorder
37
Sexual Excitation-Inhibition Model
part 1: excitation - responding with arousal to sexual stimuli part 2: inhibition - not responding to sexual stimuli **The idea is that people who are low on sexual excitation and high on sexual inhibition are likely to get sexual disorders
38
Combined Cognitive and Physilogical Factors Causing Sexual Disorders
- the idea is that we function well sexually when we are physiologically aroused and intepret that as sexual arousal - Barlow thinks that people with sexual disorder think that their anxiety causes it study of women: - the women who were exposed to a scary movie and told that they were sexually aroused, were aroused more in following sessions
39
Interpersonal Factors Causing Sexual Disorders
- anger or resentment towards your partner - sex can be used as a weapon to hurt ur partner (witholding it) - being afraid of intimacy
40
New View of Women's Sexual Problems
this new view is developed by therapists - they critique the DSM argues that it has 3 flaws: - they treat male and female sexuality as the same - they ignore the relational context - they ignore the differences between women and variations in women's sexuality
41
New View's Proposed Categories: Sexual Problems bc of Economic or Political Problems
- ignorance and anxiety due to bad sex education - lack of access to health services - sexual avoidance or distress bc of inability to preform - inhibitions between the person's cultural norms and the dominant culture
42
New View's Proposed Categories: Sexual Problems bc of Parnter/Relationshop
- sexual inhibition or distress bc of fear and distrust - different preferences in sexual activity - poor sexual communication - loss of interest bc of conflict over money or infertility - loss of arousal bc of sexual problems or bad health
43
Behavioral Therapy for Sexual Disorders
- has roots in behavioritism and learning theory - thinks sex problems happen bc of prior learning and keep happening bc of ongoing reinforcements or punishments - thinks the sexual problem can be unlearned by new conditioning - they use systematic desensitization (client led thru excerises that reduce anxiety)
44
Masters and Johnson on Sexual Disorders
- thought sexual disorders were learned and not an illness - had a 2 week program of intense therapy - wanted to eliminate goal-oriented sexual performance - didn't want people to think they could fail at sex
45
One Technique on Sexual Disorders
- couple can't have sex unless the therapist allows them to - the couple does the exercises given gradually, and eventually they can have sex and the disorder is gone - idea is based on that touching is important
46
Mindfulness Therapy on Sexual Disorders
a system of training people in mindfulness practices: their goal is to help people regulate their own negative emotions - can also do mindfulness therapy online (a lot of ppl did this during COVID)
47
Couple Therapy on Sexual Disorders
used when they think the sex problem comes from a problem in the relationship - sex problems can cause conflict and conflicts can cause sex problems they use a 5 part model
48
The Stop-Start Technique
this is used to treat premature ejaculation - the woman uses her hand to get the man to have an erection - when she stops touching him, he loses the erection - she starts stimulating him again, and gets an erection (this goes on and on) - the man eventually learns that he can have an erection without having an orgasm
49
Other Treatments:
masturabtion, kegal excerises, bibliotherapy (self-help book)
50
Viagra
can treat erectile disorder - doesn't produce an erection but helps men get an erection once sexually stimulated - not many side effects - allows blood flow by relaxing the corpora cavernosa - it works by blocking an enzyme which relaxes the muscles in the arteries of the penis to allow blood flow
51
Intracavernosal Injection
treatment for erectile disorder - injects drug into corpora cavernosa - they are vasodilators --- they open the blood vessels in the penis so more blood can get to it, producing an erection
52
Evaluating Sex Therapy
- primary orgasmic disorder in women is treated with masturbation - treatments for acquired orgasmic dysfunction are less successful - premature ejaculation can be treated with antidepressants and CBT - vaginismus can be treated with vaginal dialators, relaxation, PT, and kegal excercises
53
Avoiding Sexual Disorders
"prevention is better than cure" - communicate with partner about what you want - don't be a spectator (don't feel like you're putting on a performance) - be choosy about the sitations for when u have sex - failures will happen and that's okay
54
Counseling Psycholgists Experiences
- when people seek therapy for sex problems, the distressed couple usually don't communicate as well as the non-distressed couples
55
John Gottman
a lot of research about relationships is from John Gottman (Dr. In clinical psych) - him and his wife are very famous - they established the Gottman Institute for research on romantic relationships and communication
56
Markman: Longitudinal Reserach
measure something at one time point, and measure something else at another time point - there are many studies that look at communication over time self-report: ask couples how negative they think their communication style is - might videotape them and ask them to make a list of their problems (code the video for negative and positive emotion) study: followed couples until their 5th anniversay - the people who divorced during the time reported more negative communication patterns before marriage and their videos were coded more negatively
57
Gottman's 4 Horsemen of the Apocolypse
predicts divorce by 4 things: 1. critisim -- verbally attacking 2. contempt -- intentionally insulting or verbally abusing the other person 3. defensiveness -- not taking ownership of your mistakes and deflecting onto the other person 4. withdrawl (stonewalling) - refuse to discuss with them
58
Gottman's Newlywed interaction Study
created the longtitudinal method method: brought in couples to talk about their source of conflict while being videotaped - said it was possible to predict the likliehood of the marriage ending in divorce within a 6 year period (he said he could predict this by looking at the first 3 mins of the video) for straight couples: the husband's change in emotional expression was the key predictor of couple longevity (the wife's expression didn't predict anything) - husbands who show a fast escalation of negative emotion and fast decline of positive emotions during the first few mins of the conflict discussion later divorced VS. husbands who maintained non-verbal joy, affection and humor during conflict discussion stayed together
59
Demand Withdrawl
pattern - predictive if couples will stay together - when one partner critisizes or demands and the other partner responds by shutting down (withdrawing) - it's predictive of divorce if the wife demands and the husband withdraws - queer couples tend to display more positive emotions and fewer negative emotions - this is probably related to the fact that there's more equality in their relationship which promotes better communication
60
Self-Disclosure
this is important - telling your partner personal things about yourself - this is associated with sexual satisfaction - stimulates reciprocity (the partner is likley to self-disclose if you self-disclose first)
61
Match Intent and Impact
intent = what you mean to say impact = what the listener thinks you mean - when the intent and impact match, the communication is more effective
62
"I" Language
speak for yourself and avoid mind-reading - "I" language is less likley to make your partner defensive ex: Samantha says: "I feel sad when you.."
63
Documenting
giving specific examples (Samantha giving an example of when she didn’t orgasm) - helpful to give a specific action after giving the example
64
Leveling
telling your partner what you’re feelings are by stating your thoughts clearly and honestly - this is usually the hardest part in communication
65
Censoring
censoring or not saying things that would be deliberately hurtful or irrelevant - Need to balance leveling and editing
66
Feedback
what you do when listening - ex: nodding head
67
Listening
actively trying to hear and understand what the other is saying - a partner's responsiveness to sexual talk during sexual interaction is strongly associated with sexual satisfaction - maintain eye contact and nod head - Be a nondefensive listener – focus on what your partner is saying and feeling, and don’t immediately become defensive - Give feedback after you listen nondefensively -- Facial movements or sounds that show you are listening
68
Paraphrasing
saying in your own words what you thought your partner said
69
Validating
Validating: telling your partner that, given their POV, you understand why they might feel a certain way - you don't have to agree with them, just validate -
70
Drawing Your Partner Out
Drawing your partner out: what can we do to make things better
71
Nonverbal Communication
not only the words, but how we say them (our body language, expression, tone of voice) - Distressed couples are more likely to be negative listeners
72
Importance of Cultural Context
there's different norms for communication in different culture - ex: eye contact is a sign of respect in some cultures but in others it's disrespectful - men of color are less likely to hold eye contact so they seem less threatneing
73
Fighting Fair (Arguing)
You will always have an argument in a relationship, even if you have amazing communication
74
Rules for Communication
- no sarcastic or insulting remarks - don't bring up former partners - don't play a psychologist - don't bring kids into the argument - no dumping (don't store things you dislike and then unload them) - don't hit and run - don't focus on blame
75
The Magic Ratio
gottman came up with this rule for positive communication in stable marriages: positive to negative ratio is 5 positive for every 1 negative - it's good to bring up positives - there has to be a lot more positivity than negativity for a marriage to feel good - nondistressed couples make more positive and few negative comments than distressed couples
76
Gender Differences in Communication
- we have different gender roles for boys and girls (boys and girls are socialized so differently that they may as well come from different cultures) - stems from different communication goals - people think this leads to a lot of miscommunication other side of argument: - they think that the genders communicate similarily and there's little evidence in difference between men and women communication - the data supports the view that the genders are similar
77
Mind-reading
making certain assumptions about what the other is thinking Ex: Samantha assumes that Jose doesn’t know anything about women having orgasms
78
Limited Choices
a technique of good messages - Offering a set of acceptable options (would you like to talk about it now or later?)
79
Checking out Sexy Signals
- some messages are very direct (ex: I want to have sex with you after lunch) - most people use indirect signals for sexual interest - ambigious messages can lead to feelings of hurt or rejection - don't make assumptions about the meaning of ambigious messages
80
Relationship Education
- in the 1980s, relationship programs were established in education - most of the focus was on developing better communication and problem solving skills Randomized Control Trials showed: - couple relationship education is effective in improving relationship satisfaction and communication skills compared to the control group