Sexual Dysfunction Flashcards
1
Q
Paraphilias
A
- Recurrent, intense arousing fantasies, urges, behaviors that involve
- non human objects
- suffering, humiliation
- non consenting ppl
2
Q
Dx of Paraphilia
A
- must have acted on fantasy without distress
- many are reluctant to disclose behavior
3
Q
Types of Paraphilias
A
- fetishism
- transvestic fetishism
- voeurism
- exhibitionism
- sadism
- masochism
- pedophilia
- frotteurism
4
Q
Fetishism
A
- fantasies involving inanimate objects for sexual gratification
- masturbate while touching object
ex: hair, ears, underpants, shoes, prefume all associated with opposite sex
5
Q
Cause for Fetishism
A
Classical conditioning and social learning: items become eroticized via association with sex
6
Q
Transvestic Fetishism
A
- Fantasies cross-dressing as female
- caused by masturbation while wearing womens clothing during adolescence
- attracted by woman on the outside and the inside
- mostly hetero men
7
Q
Voyeurism
A
- Peeping toms
- Fantasies observing unknowing others undressing, having sex
- men tuned on by nude women, privacy surrounding sexual activity increases curiosity, male feels inadequate
8
Q
Exhibitionism
A
- flasher
- indecent exposure of genitals
- shock is arousing
9
Q
Sadism
A
- fantasies inflicting psychological/physical pain
- themes of dominance, control, humiliation, bondage
- varying severity: transient sadist, severe sadist
10
Q
Masochism
A
- sexual gratification from pain and degradation
- Causes: physical abuse in youth
- Autoerotic asphyxia
11
Q
Causal factors of Paraphilias (Men)
A
- Males (most vul to paraphilias) are more dependent on visual imagery, physical stimulus.
- more vulnerable to form sexual associations with nonsexual stimuli
- occurs after puberty when sex drive is high
- behavior is reinforced by orgasm release
12
Q
Gender Identity Disorder
A
- strong cross gender identification (desire to be opposite sex)
- gender dysphoria (persistent discomfort about bio sex)
13
Q
Tx of gender Identity Disorder
A
- psychotherapy
- improve peer and parent relationships
- reduce cross-gender behavior
14
Q
Transsexualism
A
- adults with desire to change sex
- adult version of GID
15
Q
Homosexual Transsexual
A
men are feminine and are attracted to men
16
Q
Autogeniphilia
A
attraction to thoughts, images, fantasies of self as a woman
17
Q
Tx of Transsexualism
A
- surgical sex reassignment:
- hormone tx
- live as opposite sex for 1 year
18
Q
Sexual Abuse
A
Sexual contact that involves coercion
- pedophilia
- incest
- rape
19
Q
Consequences of childhood sex abuse
A
- PTSD
- sexual inappropriateness
- poor self esteem
- sexual aversion
- promiscuity
- borderline personality disorder
- somatization disorder
- dissociative identity disorder
20
Q
Pedophilia
A
- fantasies of sexual activity with children
- fondling child’s genitals, penetration
- mostly hetero males
- think child benefits from behavior
21
Q
Causal Factors for Rapists
A
- abuse
- violent home environment
- inconsistent caregiver
- rape & other paraphilias
- deficits in social communication
22
Q
Pschotherapy Tx of sex offenders
A
- modify patterns of arousal
- modify cognitions and social skills
- change habits
- reduce sexual drive
- aversion therapy: paraphilic stim paired with aversive event
- cognitive restructuring
23
Q
Bio Tx of Sex Offenders
A
- Hormone tx
- castration
24
Q
Sexual Dysfunction
A
Impairment in desire or ability to achieve sexual gratification
25
4 phases of sexual response
1. Desire: fantasies about/for sexual activity
2. excitement (arousal): sexual pleasure and physiological changes that come with pleasure. I.e. erection, lubrication
3. Orgasm: release of sexual tension and peak
4. Resolution: relaxation and well-being
26
Hypoactive Sexual Desire Disorder
* little or no sexual drive or interest\
* psychologica factors
27
Sexual Aversion Disorder
Extreme aversion and avoidance of genital sexual contact
28
Causes for Sexual Desire Disorders
1. depression/anxiety
2. decline in testosterone
3. SSRI
4. low relationship satisfaction
29
Tx of Sexual Desire Disorders
* SSRI
* communication training
* cognitive restructuring
* sexual fantasy training
* sensate focus training
30
Male Erectile Disorder
* Sexual Arousal Disorder
* inability to achieve or maintain erection for sex
* originating from psychogenic and medical factors
* anxiety aout performance
31
Causes of Erectile Disorder
1. negative thoughts
2. cognitive distractions
3. age
4. meds
32
Tx of Erectile disorder
* Erection promoting meds
* injections of muscle relaxers
* vaccum pump
33
Female Sexual Arousal Disorder
* Absence arousal and unresponsiveness to stimulation
* no swelling, lubrication of vagina
* intercourse uncomfortable, orgasm impossible
34
Tx of Female Sexual Arousal Disorder
* psychotherapy and sex therapy
* vaginal lubricants
35
Premature Ejaculation
* orgasmic disorder
* recurrent onset of orgasm and ejaculation with minimal stimulation
* before or shortly after penetration
* loss of control
36
Tx of Premature Ejaculation
* Antidepressants
* pause-and-squeeze
37
Male Orgasmic Disorder
* Inability to ejaculate during intercourse
38
Female Orgasmic Disorder
* women who are excitable but have delay or abscence of orgasm
39
Tx of Female Orgasmic Disorder
* education
* masturbation exercises
40
Vaginismus
* involuntary muscle spasms on outer vagina perventing intercourse
* comorbid with sexual arousal disorder
* conditioned fears associated with traum experience
41
Tx of Vaginismus
* ban intercourse
* train muscles
* gradual self insertion
* relaxation exercises
42
Dispareunia
* persistent, recurrent genital pain associated with intercourse
* more common in women
* caused by infection, inflammation, vaginal atrophy, vaginal tearing, insufficient arousal
43
Tx of Dyspareunia
* cognitive behavioral therapy
* vaginal insertion exercises
