Quiz 3 Flashcards
Ch. 11-14 (59 cards)
Disorders of Desire
Affect one or more of the first 3 phases; occurs during the desire phase of the sexual response cycle
-Urge to have sex, sexual fantasies, and sexual attraction to others (just psychological)
2 dysfunctions of disorders of desires
Male hypoactive sexual desire disorder
-A male dysfunction marked by a persistent reduction or lack of interest in sex and hence a low level of sexual activity (not interested in sex)
Female sexual interest/arousal disorder
-A female dysfunction marked by a persistent reduction/lack of interest in sex and low sexual activity, as well as, in some cases, limited excitement and few sexual sensations during sexual activity
Checklist for male hypoactive/female sexual interest/arousal disorders
-For at least 6 months, individual repeatedly experiences few/no sexual thoughts, fantasies, disorders
-Significant distress
Characterized by reduction/absence of at least 3:
*Sexual interest
*Sexual thoughts/fantasies
*Sexual initiation/receptiveness
*excitement/pleasure during sex
*responsiveness to sexual cue
*genital or non-genital sensations during sex
Biological causes of low sexual desires
Abnormal hormonal levels
Prolactin: high level
Testosterone: Low level
estrogen: high or low level
Excessive neurotransmitter activity
Serotonin (raised = decreased sex desire)
Dopamine (too low = decreased desire)
Psychological causes of low sexual desire
-General increase in anxiety, depression, anger may reduce sexual desire in both men/women
-Fears, attitudes, memories may contribute to disorders of sexual desire
-Certain psychological disorders including depression and OCD may lead to sexual desire disorders (WOMEN WANT CONNECTION)
Sociocultural causes of low sex desire
-Situational pressures
-Unhappy or problematic relationship
-Differences in skills as lover or need for closeness
-Cultural standards; double standard (important to communicate)
-Sexual molestation or assault trauma
-Certain psych disorders
Pre-mature ejaculation
Within 1 min
For at least 6 months, individual usually ejaculates within 1 min of beginning sex with a partner and earlier than he wants to (has to care!)
affect men of any age
impacted by youth, inexperience, and infrequent sex (masterbation encouraged and distraction)
Paraphilic disorders
Characterized by intense sexual urges, fantasies, or behaviors involving objects or situations outside the usual sexual norms
-May involve multiple paraphilia displays
-Relatively few people receive a formal diagnosis, but clinicians suspect patterns may be common
**Objects or situations outside usual sexual norms (non-humans (animals), children, non-consenting adults, experience of suffering or humiliation)
Consensual (partner is ok with it) vs nonconsensual paraphilia
Fetishistic disorder
*Can cause criminal behavior –> stealing persons things
Recurrent intense sexual urges or fantasies involving use of a non-living object or non-genital body part (foot fetish)
Far more common in men
Defense mechanism to avoid sexual contact anxiety
Transvestic disorder (cross-dressing)
Fantasies, urges, or behaviors involving dressing in clothes of the opposite sex to achieve sexual arousal (KEY IS AROUSAL)
Typically a heterosexual male who began cross-dressing in childhood/adolescence
Does not involve transgender feelings or behaviors
Persons who perform this behavior for sexual arousal do not warrant a diagnosis of transvestic disorder unless causes significant distress/impairment
Exhibitionistic disorder
Characterized by arousal from the exposure of genitals in a public setting
Sexual contact rarely initiated or desired
Important to not react and just walk away
Theories about cause: immaturity in interpersonal and sexual relationships, fears about masculinity, possessive mother
Voyeuristic disorder
Characterized by repeated and intense sexual urges to observe people as they undress or to spy on couples having intercourse
Often leads to stalking
Invasion of other people’s privacy; risk of discovery often adds to excitement
Frotteruristic disorder
Characterized by recurrent and intense fantasies, urges, or behaviors involving touching and rubbing against a non-consenting person
-Almost always male, person fantasizes during the act that he is having caring relationship w/ the victim
-Usually begins in teens or earlier; may disappear after age 25
Pedophilic disorder
Characterized by repeated and intense sexual urges or fantasies about watching, touching, or engaging in sexual acts with children, and either acts on these urges or experiences
**Both sexual abuse and pedophilia if they act on it
Prepubescent children (classic type)
13 and under
Early prubescent children (hebephilic type)
12-14
Both = pedohebephilic type
Pedophilic disorder cont.
Emerges during adolescence
-Some people with this were sexually abused as children
-Most are immature, display distorted thinking, have an additional psychological disorder
-Most imprisoned or forced into treatment if caught
Sexual masochism disorder
Characterized by fantasies, urges, or behaviors involving the act or the thought of being humiliated, beaten, bound, or made to suffer
-May include hypoxyphilia (self-stimulation by oxygen deprivation)
-Some act on masochistic urges by themselves or have partners do it to them
Sexual sadism disorder
Involves thought or act of psychological or physical suffering of a victim (serial killers sometimes)
Appears in childhood or adolescence; usually affects males
Transgender functioning
Trans. women outnumber trans men
Feelings may emerge in childhood; pattern may disappear later; irreversible physical procedures are not recommended before 19
Psychosis
State in which a person loses contact with reality in key ways
ability to perceive and respond to the environment is significantly disturbed; functioning is impaired.
•Symptoms may include hallucinations (false sensory perceptions) and/or delusions (false beliefs).
•Most commonly appears as schizophrenia
Schizophrenia
Psychotic disorder in which personal, social, and occupational functioning deteriorate as a result of unusual perceptions, odd thoughts, disturbed emotions, and motor abnormalities
For 1 month, individual displays two or more of the following symptoms much of the time:
•Delusions
•Hallucinations
•Disorganized speech
•Very abnormal motor activity, including catatonia
•Negative symptoms
•At least one of the individual’s symptoms must be delusions, hallucinations, or disorganized speech
•Individual functions much more poorly in various life spheres than was the case prior to the symptoms
Schizophrenia produces…
Positive, negative, and psychomotor symptoms
•The symptoms, triggers, and course of schizophrenia vary greatly
•Some clinicians have argued that schizophrenia is actually a group of distinct disorders that share common features