Sex and Gender Issues Flashcards Preview

Year 2 Psych exam2 > Sex and Gender Issues > Flashcards

Flashcards in Sex and Gender Issues Deck (47):
1

Definition sexual dysfunction

clinically significant disturbance in person's ability to respond sexually or to a experience sexual pleasure

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medications that can cause sexual dysfunction

antipsychotics thru dopamine blocking
antidepressants thru serotonergic activity
antiHTN

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sexual dysfunction must meet criteria through

causing subjective, clinically significant distress

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main male sexual dysfunctions

premature ejaculation
delayed ejaculation
erectile dysfunction
male GPPPD

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main female sexual dysfunctions

female sexual interest/ arousal disorder
female orgasmic disorder
female GPPPD

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Tx for female sexual interest arousal disorder

sensate focus exercises
sildenafil

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Tx for male hypoactive sexual desire disorder

psychotherapy
testosterone
bupropion

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Tx for genito-pelvic-pain penetration disorder

medical and/or gynecological workup
psychotherapy

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Tx for delayed ejaculation

sensate focus exercises
couples therapy
sildenafil

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Tx for erectile disorder

sensate focus exercises
PDE5 inhibitors
vasoactive injections
vacuum devices

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Tx for premature ejaculation

delay techniques
couples therapy

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Tx for female orgasmic disorder

masturbation
accessory equipment
couples therapy

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ground rules for gender dysphoria

address individual consistently with what gender they identify
do not project own ideas

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genetic sex

determinied at conception

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gender identity

individuals perception and self awareness of being male or female

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gender role

behavior of an individual that identifies him/her as male/female

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sexual orientation

erotic attraction to males, females or both
sexual orientation is not a disorder

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complaint of patients with gender dysphoria

"trapped" in wrong body

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Dx criteria for gender dysphoria for all ages

marked incongruence between ones experienced gender and assigned
6+ mo
can occur with/without a disorder of sex development
must cause significant distress or impairment in social/occupational/other functioning

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additional gender dysphoria criteria for children

strong desire to be other gender with insistence and at least 5:
- want attire other gender
-cross gender roles in play
- likes toys games sterotypic to other gender
-playmates of other gender
-rejection assigned toys
-dislike own anatomy
-desire for primary or secondary sex characteristics matching ones experienced gender

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Tx gender dysphoria in children

rule out psychosis and adjustment disorders
hormone and surgery not appropriate
individual and family psychotherapy

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additional gender dysphoria critera for adults and adolescents

at least 2:
-marked incongruence
-strong desire to rid of ones own primary secondary characteristic
-desire characteristics other gender
-strong desire to be gender other than assigned
-strong desire to be treated as gender other than assigned
-strong conviction that one has typical feelings/reactions of gender other than assigned

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helpful information for dx gender dysphoria

collateral info like from family and friends

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steps if reassignment surgery requested for gender dysphoria

engage in psychotherapy first

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what is criteria for reassignment surgery

patient lived 1-2 years in cross gender role and begun to alter physical appearance
-hormone Tx for 1-2 years
then surgery

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after surgery feelings in reassignment

happy with decision

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post surgical complications gender dysphoria reassignment

genetic males: urethral stenosis, misdirected urinary streams, vaginal strictures and rectovaginal fistulas
genetic females: chest wall scars and polycystic ovarian disease

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side effect E therapy

DVT, inc BP, thromboembolic disorders, weight gain, impaired glucose tolerance, liver abnormalities, depression

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side effect T therapy

impaired liver function, acne, Na retention-- edema

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paraphilic disorders in general

>6 mo
intense persistenc sexual interest
M>>>W
person must experience distress/impairment as result of paraphilia or pursuit of paraphilia resulted in harm to others

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requirement for paraphilic disorder

recurrent intense sexual arousal from 1+ of the types

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exhibitionism

exposure of genitals to unsuspecting stranger

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transvestic fetishism

urges fantasies involving cross dressing

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pedophilia

urges fantasies involving prepubescent children "generally 5 yr older than target

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frotteurism

touching rubbing against nonconsenting person

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voyeurism

observing an unsuspecting person naked, disrobing, or having sex

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fetishism

non living object

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partialism

focus on one part of body

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telephone scatalogia

obscene telephone ccalls

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sexual masochism

being humiliated, beaten, bound or otherwise made to suffer

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sexual sadism

pyschological or physical suffering of another person

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necrophilia

contact with corpses

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urophilia

urine

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zoophilia

animals

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klismaphilia

enemas

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pyschotherapy for paraphilic disorders

CBT
aversive conditioning

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biological Tx for paraphilic disorders

SSRI
hormonal (dec sex drive)