Quiz 3 Flashcards

Ch. 11-14 (59 cards)

1
Q

Disorders of Desire

A

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)

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2
Q

2 dysfunctions of disorders of desires

A

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

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3
Q

Checklist for male hypoactive/female sexual interest/arousal disorders

A

-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

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4
Q

Biological causes of low sexual desires

A

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)

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5
Q

Psychological causes of low sexual desire

A

-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)

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6
Q

Sociocultural causes of low sex desire

A

-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

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7
Q

Pre-mature ejaculation

A

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)

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8
Q

Paraphilic disorders

A

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

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9
Q

Fetishistic disorder

A

*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

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10
Q

Transvestic disorder (cross-dressing)

A

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

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11
Q

Exhibitionistic disorder

A

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

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12
Q

Voyeuristic disorder

A

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

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13
Q

Frotteruristic disorder

A

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

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14
Q

Pedophilic disorder

A

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

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15
Q

Prepubescent children (classic type)

A

13 and under

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16
Q

Early prubescent children (hebephilic type)

A

12-14

Both = pedohebephilic type

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17
Q

Pedophilic disorder cont.

A

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

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18
Q

Sexual masochism disorder

A

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

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19
Q

Sexual sadism disorder

A

Involves thought or act of psychological or physical suffering of a victim (serial killers sometimes)
Appears in childhood or adolescence; usually affects males

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20
Q

Transgender functioning

A

Trans. women outnumber trans men
Feelings may emerge in childhood; pattern may disappear later; irreversible physical procedures are not recommended before 19

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21
Q

Psychosis

A

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

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22
Q
A
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23
Q

Schizophrenia

A

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

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24
Q

Schizophrenia produces…

A

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

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Positive symptoms
•Bizarre additions to normal thoughts, emotions, or behaviors Pathological excesses or bizarre additions to a person's behavior •Delusions •Disorganized thinking and speech •Loose associations or derailment •Neologisms •Perseveration •Clang or rhymes •Inappropriate affect •Situationally unsuitable
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Negative symptoms
Deficits in normal thought, emotions, or behaviors
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Psychomotor symptoms
•Slow, awkward movements, repeated grimaces, and odd gestures that have a private purpose; catatonia
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Positive continued
Heightened perceptions: People may feel that their senses are being flooded by sights and sounds, making it impossible to attend to anything important. •Hallucinations: Sensory perceptions that occur in the absence of external stimuli •Most common are auditory and seem to be spoken directly to, or overheard by, the hallucinator.
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Delusions: single or many
Delusions of persecution: o “they are out to get you” •Delusions of reference: oPeople are talking about them, slandering them or spying on them •Delusions of grandeur: oPerson believes they have great wealth, power and influence over others •Delusions of control: oPeople, group of people or external forces controls one’s general thoughts, feelings, impulses, or behavior
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Negative symptoms
Pathological deficits •Poverty of speech (alogia) •Reduction of quantity of speech or speech content •May also say quite a bit but convey little meaning •Restricted affect •Show less emotion than most people •Avoidance of eye contact •Immobile, expressionless face •Blunted affect •Flat affect
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Negative continued
Loss of volition (motivation or directedness) •Feeling drained of energy and interest in normal goals •Inability to start or follow through on a course of action •Ambivalence: Conflicted feelings about most things •Social withdrawal •Illogical and confused ideas •Withdrawal from social environment and attention only to own ideas and fantasies •Withdrawal leading to social skill breakdown, including ability to accurately recognize needs and emotions of others
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Psychomotor symptoms
Experienced by about 10% of people with schizophrenia •Awkward movements, repeated grimaces, and odd gestures •Movements seem to have a magical quality •Symptoms may take extreme forms, collectively called catatonia •Includes stupor, rigidity, posturing, and excitement Course of schizophrenia •Schizophrenia usually first appears between the late teens and mid-thirties
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3 phases of psychomotor symptoms
Prodromal: beginning of deterioration; mild symptoms Active: symptoms become apparent Residual: return to prodromal-like levels
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Type 1 schizophrenia
Dominated by positive symptoms Seem to have better adjustment prior to the disorder, later onset of symptoms, and greater likelihood of improvement •May be linked more closely to biochemical abnormalities in the brain
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Type 2 schizophrenia
Dominated by negative symptoms May be tied largely to structural abnormalities in the brain
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Biological factors of schizo
Inheritance and brain activity play key roles in the development of schizophrenia •Genetic factors (diathesis-stress perspective) have research support •Relatives of people with schizophrenia •Twins with schizophrenia •People with schizophrenia who are adopted •Direct genetic research and molecular biology Certain neurons using dopamine fire too often, producing symptoms of schizophrenia
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Personality disorder
The individual displays a long-term, rigid, and wide-ranging pattern of inner experience and behavior that leads to dysfunction in at least two of the following realms: •Cognition •Emotion •Social interactions •Impulsivity •The individual’s pattern is significantly different from ones usually found in his or her culture
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Odd personality disorders
Paranoid personality disorder •Schizoid personality disorder •Schizotypal personality disorder •People with these disorders display behaviors similar to, but not as extensive as, schizophrenia •Few people with these disorders seek treatment; treatment success is limited •Behaviors include extreme suspiciousness, social withdrawal, and peculiar ways of thinking and perceiving things
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Paranoid personality disorder
Characterized by deep distrust and suspicion of others •Limited close relationships; cold and distant affect •Excessive trust in own ideas and abilities; critical of weakness and fault in others More common in men
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Schizoid personality disorder
Characterized by persistent avoidance and removal from social relationships; little demonstration of emotions •Prefer to be alone and keep to themselves •Preference for being alone; weak social skills •Limited expression of feelings Slightly More common in men
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Schizotypal personality disorder
Characterized by a range of interpersonal problems, marked by extreme discomfort in close relationships, odd (even bizarre) ways of thinking, and behavioral eccentricities •Individuals believe unrelated events pertain to them in important ways; bodily illusions •Demonstrate difficulty keeping attention focused; •Conversation is typically digressive and vague, even sprinkled with loose associations Slightly more males
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Antisocial personality disorder (psychopaths, sociopath)
People with antisocial personality disorder persistently disregard & violate others' rights •Person must be at least 18 years of age to receive this diagnosis (DSM-5) •Lie repeatedly, reckless, and impulsive •Little regard for other individuals and can be cruel, sadistic, aggressive, and violent •Higher rate of alcoholism, substance use disorder, or childhood conduct disorder and ADHD •Aside from substance-related disorders, this is the disorder most linked to adult criminal behavior.
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Borderline personality disorder
Characterized by instability, including major shifts in mood, unstable self-image, and impulsivity •Unstable, intense, conflict-ridden interpersonal relationships •Prone to bouts of anger, which sometimes result in physical aggression and violence; also may direct impulsive anger inward and harm themselves
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Childhood anxiety disorder
Some level of anxiety is a normal part of childhood •Common events •Parental problems or inadequacies •Genetic influences such as anxious temperament •Children may be strongly affected by parental problems or inadequacies •Divorce, illness, or long-term separation •Genetic studies suggest that some children are prone to an anxious temperament
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Selective mutism
children consistently fail to speak in certain social situations, but show no difficulty at all speaking in others
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Childhood depression
Depression in the young may be triggered by negative life events (particularly losses), major changes, rejection, or ongoing abuse •Childhood depression is characterized by such symptoms as headaches, stomach pain, irritability, and disinterest in toys and games •Clinical depression is much more common among teenagers than among young children •While there is no difference between rates of depression in boys and girls before age 13, girls are twice as likely as boys to be depressed by age 16. •Suicidal thoughts and attempts are common in teenagers
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Childhood bipolar disorder
often considered an adult mood disorder, whose earliest age of onset is the late teens •Theorists suggest the bipolar disorder diagnosis has become a clinical “catch-all” that is being applied to almost every explosive, aggressive child •The current shift in diagnoses has been accompanied by an increase in the number of children who receive adult medications
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Oppositional defiant disorder
Children with this disorder are repeatedly argumentative and defiant, angry and irritable, and, in some cases, vindictive •Characterized by repeated arguments with adults, loss of temper, anger, and resentment •Children ignore adult requests and rules, blame others for their mistakes and problems, and repeatedly violate others’ basic rights
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Conduct disorder
Individual repeatedly behaves in ways that ●violate the rights of other people ●ignores the norms or rules of society, ●beyond the violations displayed by most other people of the same age.
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Conduct disorder patterns
Often aggressive and may be physically cruel to people and animals •Many steal from, threaten, or harm their victims •Begins between 7 and 15 years of age •Overt-destructive pattern: Individuals display openly aggressive and confrontational behaviors •Overt-nondestructive pattern: Dominated by openly offensive but nonconfrontational behaviors such as lying •Covert-destructive pattern: Characterized by secretive destructive behaviors •Covert-nondestructive pattern: Individuals secretly commit nondestructive behaviors Relational aggression: Individuals are socially isolated and primarily display social misdeeds •Slander •Rumor-starting •Friendship manipulation •More common among girls than boys •Consequences of conduct disorder •School suspension; foster home placement; incarceration •Juvenile delinquency label
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Elimination disorder
Children with elimination disorders repeatedly urinate or pass feces in their clothes, in bed, or on the floor •They have already reached an age at which they are expected to control these bodily functions
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Enuresis
Repeated involuntary (or in some cases intentional) bed-wetting or wetting of one's clothes •Typically occurs at night during sleep, but may also occur during the day •May be triggered by a stressful event •Children must be at least 5 years of age to receive this diagnosis •Most cases of enuresis correct themselves without treatment •Treatment •Alarm treatment (bell-and-battery treatment); dry-bed training
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Encopresis
Soiling; defecation into clothing; constipation •Less common than enuresis and less well researched •Usually involuntary •Seldom occurs during sleep •Starts after the age of 4 •More common in boys than in girls •Treatment •Intervention to eliminate constipation •Biofeedback, dietary changes
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Autism spectrum disorder
may be extremely unresponsive to others, uncommunicative, repetitive, and rigid •Symptoms appear early in life, before age 3 •Approximately 80 percent of all cases appear in boys marked by limited imaginative play and very repetitive and rigid behavior—called perseveration of sameness. •Many individuals become strongly attached to particular objects—plastic lids, rubber bands, buttons, water—and may collect, carry, or play with them constantly.
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Self-stimulatory behavior
may include jumping, arm flapping, and making faces. •May include self-injurious behaviors. •Children may at times seem overstimulated and/or understimulated by their environments.
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Intellectual disability
when they display general intellectual functioning that is well below average, in combination with poor adaptive behavior •Educators and clinicians administer intelligence tests to measure intellectual functioning •An individual’s overall test score, or intelligence quotient (IQ), is thought to indicate general intellectual ability. •IQ must be 70 or lower •The person must have difficulty in such areas as communication, home living, self-direction, work, or safety •Symptoms must appear before age 18 •The most consistent sign of intellectual disability is learning very slowly
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