sexual disorders

Question 1

3 general criteria for sexual disorders

Answer 1

over 6 months duration
causes interpersonal distress
not better explained

Question 2

6 criteria for female sexual interest and arousal disorder

Answer 2

must have 3/6
decreased interest
decreased fantasies
decreased initiation of activity
decreased pleasure 
decreased response to cues
decreased genital and non-genital sensations

Question 3

male hypoactive sexual disorder

Answer 3

decreased sexual thoughts/fantasies

decreased desire

Question 4

male hypoactive sexual disorder vs. female sexual interest and arousal disorder

Answer 4

male hypoactive sexual disorder criteria are ONLY psychologic, female criteria are psychologic and physiologic

Question 5

sexual aversion disorder

Answer 5

extreme aversion to all genital contact with a partner

Question 6

sexual aversion disorder is commonly seen in patients with history of-

Answer 6

trauma

Question 7

criteria for erectile disorder (4)

Answer 7

inability to achieve erection
inability to maintain erection
decreased rigidity
present during 75-100% of encounters

Question 8

how to differentiate between psychological causes of ED and physiologic causes?

Answer 8

presence of nocturnal/morning erections indicate psychological problem

Question 9

premature ejaculation

Answer 9

ejaculation within 1 minute of vaginal penetration, occurring earlier than desired, at least 75-100% of the time

Question 10

medical conditions that can contribute to premature ejaculation

Answer 10

hyperthyroidism

prostatitis

Question 11

delayed ejaculation

Answer 11

difficulty in achieving ejaculation in partnered sexual activity greater than 75% of the time

Question 12

penetration disorder criteria (4)

Answer 12

difficulty with penetration
pain with penetration
anxiety/fear about pain with penetration
tightening of muscles making penetration difficult
-only 1 needs to be present for diagnosis

Question 13

penetration disorder is associated with high rates of-

Answer 13

concomitant depression

Question 14

criteria for gender dysphoria disorder (60

Answer 14

repeated, stated insistence of being the other sex
prefer attire of other sex 
play/fantasies of cross-sex roles 
past-times of other sex
playmates of other sex 
Not part of physical intersex condition

Question 15

DEFINITION of “post transition”

Answer 15

living full-time as the other sex

Question 16

3 general criteria for paraphilias

Answer 16

urges present for 6+ months
urges acted on
urges cause distress

Question 17

voyeurism

Answer 17

observing an unsuspecting person who is naked, disrobing or engaged in sexual activity

Question 18

age cutoff for voyeurism

Answer 18

must be at least 18 for diagnosis, because some voyeuristic behavior is considered part of pubertal development/curiosity

Question 19

exhibitionism

Answer 19

exposure of one’s genitals to an unsuspecting stranger

Question 20

onset of exhibitionism in the elderly may indicate-

Answer 20

development of a neurocognitive disorder

Question 21

exhibitionists usually…

Answer 21

masturbate, but do not touch victims

Question 22

frotteursim

Answer 22

touching and rubbing against a non-consenting person

Question 23

location m/c for frotteurism

Answer 23

crowded public places

Question 24

m/c age group to commit frotteurism

Answer 24

15-25

Question 25

masochism

Answer 25

sexual arousal from being humiliated, beaten, bound or made to suffer

Question 26

sadism

Answer 26

sexual arousal from the humiliation, beating, suffering of OTHERS

Question 27

pedophilia

Answer 27

sexual urges about a pre-pubescent child (under 13), person is over 16 and more than 5 years older than victim

Question 28

what is not required for the diagnosis of pedophilia that is required for other paraphilia?

Answer 28

distress about the symptoms

Question 29

how do most abusers know their victims?

Answer 29

acquaintances

Question 30

hebephilia

Answer 30

attraction to a post-pubertal child

Question 31

fettishism

Answer 31

arousal from non-living object or non-genital body part

Question 32

transvestic fetishism

Answer 32

sexual urges about dressing as a member of the opposite sex, may or may not accompany gender dysphoria

Question 33

coprophilia

Answer 33

sexual pleasure from feces

Question 34

infantilism

Answer 34

sexual pleasure from behaving like an infant

Question 35

hypoxyphilia

Answer 35

sexual pleasure from altered state of consciousness due to hypoxia

Question 36

klismania

Answer 36

sexual pleasure from enemas

Question 37

necrophilia

Answer 37

sexual pleasure from dead persons

Question 38

telephone scatologia

Answer 38

sexual pleasure from obscene phone calls

Question 39

urophilia

Answer 39

sexual pleasure from urine

Question 40

zoophilia

Answer 40

sexual pleasure from animals

aka beastiality