Sexual Disorders and Paraphilia Flashcards
Complete lack of or significant reduction in sexual interest or sexual arousal
Diagnosed with three or more of the following: absence of interest in sexual activity, decided reduction of sexual activity, absence of fantasizing or thinking sexual thoughts, disinclination to initiate sexual encounters, derives no pleasure from sexual acts
Symptoms must persist for a minimum of 6 months and result in distress on the part of the patient
No evidence of biological or substance induced problem
Often comorbid with mood/anxiety disorders, panic attacks, bipolar disorder
female sexual interest/arousal disorder
Male with low sexual desire (low desire for sex and absent sexual thoughts)
Patient reports marked delay, infrequency, or absence of orgasm during sexual activity for at least 6 months
Tendency to ejaculate within one minute of sexual activity
Clinically significant distress or interpersonal problems
Not the result of medical illness, another mental disorder, or substance use
Symptoms experienced from 75-100% of the time for 6 months or longer
male hypoactive sexual desire disorder
Recurrent inability to achieve or maintain an adequate erection during partnered sexual activities
At least one of three symptoms 75%-100% of the time during sexual activity: struggle to achieve erection, struggle to maintain erection, noticeable decrease in erectile rigidity
Persistent for at least 6 months
May be generalized, situational and mild, moderate, or severe
May occur in 7-18% of the male population during their lifetime
Cannot be more appropriately traced to a different disorder, not caused by substance abuse or another medical condition
erectile disorder
Men who ejaculate prematurely during vaginal intercourse (may occur during other sexual acts but only defined in vaginal intercourse)
Consistently unable to control orgasm and climaxing in less than one minute after vaginal penetration (experienced 75-100% of the time for at least 6 months)
Results in significant distress, sexual frustration, dissatisfaction or tension between partners
Condition not better accounted for by another non-sexual mental disorder, medication, or illicit substance use or medical condition
Specifiers: lifelong, acquired, generalized, situational, mild, moderate, severe
1-3% of the male population
premature ejaculation
Man is unable to ejaculate during sexual activity, specifically after 25-30 minutes of continuous stimulation
Associated with trauma, fear of impregnation, cultural taboo, anxiety, depression, medications, alcohol
Inability to climax during sex with partner for 75-100% of the time with either delayed or absent ejaculation
Symptoms persist for at least 6 months and produce marked distress
Not better explained by another disorder, substance use or stressor
Specifiers: lifelong, acquired, generalized, situational, mild, moderate, severe
delayed ejaculation
Significant change in orgasm (delay, reduction of intensity, or cessation)
Symptoms must last for at least 6 months and cause distress
Associated with relationship problems, stress, depression, anxiety, medications, and chronic medical conditions
Affects up to 42% of women in their lifespan
female orgasmic disorder
Pelvic floor muscles around the vagina contract when there is an attempt at penetration, this is an involuntary action, results in pain
One or more of the following: tightening of the vaginal muscle resulting in the inability to penetrate, feeling of tension, pain or burning when penetration is attempted, decrease in or no desire to have intercourse, voluntary avoidance of sexual activity, intense phobia or fear of pain
Specifiers: early onset, late onset, situational
genito-pelvic pain/penetration disorder
Not in the DSM5
Recurrent and intense sexual fantasies, sexual urges, and sexual behavior in association with four or more of the following for at least 6 months: excessive time consumed in fantasies/sexual behavior, repetitively engaging in fantasies/behavior in response to dysphoric mood, repetitively engaging in sexual fantasies/behavior in response to stress, repetitive but unsuccessful efforts to control or significantly reduce fantasies/behaviors, repetitive engagement in fantasies/behaviors disregarding risk for physical or emotional harm to self or others
Clinically significant personal distress or impairment in social or occupational functioning
Not due to direct physiological effects of exogenous substances or manic episodes
Person is at least 18 years old
hypersexual disorder/sexual addiction
Behaviors occur over a period of 6 months, are recurrent and result in intense sexual arousal from the exposure of one’s genitals to a stranger or unsuspecting individual
Uncontrollable sexual urge that is deliberately intended for a nonconsenting person
Results in significant distress, impairs social/occupational functions
exhibitionistic disorder
Sexual urges focused on a nongenital body part, or inanimate object, or other stimulus; individual has acted out urges, fantasies or behaviors
Fantasies, urges or behaviors cause distress, or impairment in functioning
Object is not an article of clothing employed in cross dressing or a sexual stimulation device
Specifiers: type of stimulus, in controlled environment, in remission (5 years)
Partialism = preoccupation with a part of the body rather than the whole person
fetishistic disorder
Intense sexual arousal resulting from touching or rubbing against individuals who are nonconsenting, and may extend to fantasies of touching as well
Recurrent touching or rubbing of one or more nonconsenting individuals on at least three occasions
Inappropriate touching often occurs in public settings
Symptoms must be present for at least 6 months and the patient must experience significant distress or negative impact on functioning
Specifiers: in a controlled environment, in remission (5 years)
frotteuristic disorder
Individual who has had arousing fantasies about, urges for, or behaviors with a prepubescent child or children
Individual has acted out these sexual desires or is experiencing significant distress or difficult as a result of these desires
Individual is 16 years of age, at least 5 years older than the children involved
Specifiers: exclusive type, non-exclusive type, attraction to boys/girls, incestuous only
pedophilic disorder
Recurrent intense fantasies, urges, or behaviors involving real acts of receiving extreme physical pain, torture, or humiliation for sexual arousal
Sexual arousal for being made to suffer through physical violence or humiliation (beaten, bound, verbally abused)
Present for at least 6 months
Results in significant impairment or distress in daily life
Specify if occurring with asphysiophilia
May be self-inflicted but must be distinguished from injury not for the purpose of sexual arousal
sexual machoism
Intense feelings of sexual excitement when fantasizing about or witnessing another individual undergoing physical or psychological pain
Acts may occur on consenting partner or nonconsenting individual
Persists for at least 6 months along with either significant distress or impaired functioning, or acting with nonconsenting person
Specifiers: controlled environment, in remission (5 years)
sexual sadism disorder
Recurrent sexual arousal brought on by the act of cross-dressing persisting for at least 6 months
Arousal may manifest as sexual fantasies, behaviors, or urges that cause the patient significant distress or impairment in important areas of function
Feelings of distress at cross dressing are separate from feelings of gender dysphoria and individuals identify as their anatomical gender
transvestic disorder
