Psych Unit 17 and 11 (communication section only) Flashcards
(80 cards)
Documentary Notes - Orgasm Inc: Background
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
Documentary Notes: Female Sexual Dysfunction
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
Doc Notes: Viagra
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)
Sexual Disorder
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
Lifelong Sexual Disorder
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)
Acquired Sexual Disorder
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)
Hypoactive Sexual Desire
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
Responsive Desire
Responsive desire: people begin to feel desire as the sexual activity starts
Low Sexual Desire: Numbers of Ppl
- 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
Discrepancy of Sexual Desire
Discrepancy of sexual desire = when one partner wants sex a lot less often than the other does (there’s a conflict)
Female Sexual Interest/Arousal Disorder
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
Erectile Disorder
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)
Premature Ejaculation
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
Premature Ejaculation: International Society for Sexual Medicine Def.
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
Delayed Ejaculation
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
Female Orgasmic Disorder
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
Dysparenuina
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)
Vaginismus
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
Physical Causes of Erectile Disorder
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)
Physical Causes of Premature Ejaculation
- 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)
Physical Causes of Delayed Ejaculation
- might be because of medical or surgical conditions like MS, spinal cord injury, and prostate surgery
- it’s usually bc of psychological factors
Physical Causes of Female Orgasmic Disorder
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
Physical Causes: Painful Intercourse
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
Drug Effects on Sexual Disorders
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)