Sexual Dysfunction Flashcards Preview

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Flashcards in Sexual Dysfunction Deck (56):
1

Define Aetiology

the cause, set of causes, or manner of causation of a disease or condition

2

Define Asphixiophilia

A form of sexual masochism in which oxygen flow to the brain is reduced, as by controlled strangulation or suffocation, in order to enhance the pleasure of masturbation

3

Define Autogynephilia

a man's paraphilic tendency to be sexually aroused by the thought or image of himself as a woman

4

Define Aversion therapy

a type of behaviour therapy designed to make patients give up an undesirable habit by causing them to associate it with an unpleasant effect

5

Define Cognitive behavioural therapy

a type of psychotherapy in which negative patterns of thought about the self and the world are challenged in order to alter unwanted behaviour patterns or treat mood disorders such as depression

6

Define Delayed ejaculation

a common medical condition where it takes a prolonged period of sexual stimulation for a man to ejaculate. In some cases, ejaculation cannot be achieved at all

7

Define Erectile disorder

the inability to get or keep an erection firm enough to have sexual intercourse. It's also sometimes referred to as impotence

8

Define Exhibitionistic disorder

a condition marked by the urge, fantasy, or behavior of exposing one’s genitals to non-consenting people, particularly strangers for sexual gratification

9

Define Female orgasmic disorder

the difficulty or inability for a woman to reach orgasm during sexual stimulation

10

Define Fetishistic disorder

the eroticization of nonliving objects and/or body parts for sexual gratification

11

Define Frotteuristic disorder

a disorder characterised by the urge, fantasy or the act of touching or rubbing one's genitals up against another person in a sexual manner without their consent

12

Define Gender

the state of being male or female (typically used with reference to social and cultural differences rather than biological ones)

13

Define Gender dysphoria

the condition of feeling one's emotional and psychological identity as male or female to be opposite to one's biological sex

14

Define Genito-pelvic pain/penetration disorder

a condition in which people experience difficulty having intercourse and feel significant pain upon penetration

15

Define Male hypoactive sexual desire disorder

a persistent deficiency or absence of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty

16

Define Paraphilic disorders

the experience of intense sexual arousal to atypical objects, situations, fantasies, behaviors, or individuals

17

Define Paedophilic disorder

a paraphilia involving intense and recurrent sexual urges towards and fantasies about prepubescent children that have either been acted upon or which cause the person with the attraction distress or interpersonal difficulty

18

Define Performance anxiety

the anxiety, fear, or persistent phobia which may be aroused in an individual by the requirement to perform in front of an audience, whether actually or potentially

19

Define Positive feedback

the enhancing or amplification of an effect by its own influence on the process which gives rise to it

20

Define Premature ejaculation

a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration

21

Define Schema therapy

an integrative approach to treatment that has shown remarkable results in helping people to change negative ("maladaptive") patterns which they have lived with for a long time

22

Define Sexual dysfunction

a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle traditionally includes excitement, plateau, orgasm, and resolution

23

Define Sexual masochism disorder

a disorder in which individuals use sexual fantasies, urges or behaviors involving the act (real, not simulated) of being humiliated, beaten or otherwise made to suffer in order to achieve sexual excitement and climax

24

Define Sexual sadism disorder

the condition of experiencing sexual arousal in response to the extreme pain, suffering or humiliation of others

25

Define Transvestic disorder

recurrent and intense sexual arousal from cross-dressing, which may manifest as fantasies, urges, or behaviors

26

Define Vascular

relating to, affecting, or consisting of a vessel or vessels, especially those which carry blood

27

Define Voyeuristic disorder

a psychosexual disorder in which a person derives sexual pleasure and gratification from looking at the naked bodies and genital organs or observing the sexual acts of others

28

Define Female sexual interest/arousal disorder

a disorder characterized by a persistent or recurrent inability to attain sexual arousal or to maintain arousal until the completion of a sexual activity

29

What factors must be considered when determining whether sexual behaviour is "normal"?

Time
Place
Gender
Culture

30

What is the difference between males and females in terms of patterns of arousal?

Men have a narrow arousal pattern whereas females tend to have a broader and more fluid arousal pattern

31

Why are there difficulties defining what is normal sexual behaviour?

Over-reliance on self-reports and clinical impressions
Extensive use of clinical groups without using non-clinical controls

32

What are the 4 phases in both Masters & Johnson's and the Kaplan model of arousal?

Desire phase
Excitement phase
Orgasmic phase
Resolution phase

33

What male sexual disorders effect interest, desire and arousal?

Male hypoactive sexual desire disorder
Erectile disorder

34

What female sexual disorders effect interest, desire and arousal?

Female sexual interest/arousal disorder

35

What male sexual disorders effect orgasm?

Delayed ejaculation
Premature ejaculation

36

What female sexual disorders effect orgasm?

Female orgasmic disorder

37

What female sexual disorders effect pain

Genito-pelvic pain/penetration disorder

38

For an individual to be diagnosed with sexual dysfunction what factors must be present?

- Sexual dysfunction during 75% of sexual experiences for at least 6 months
- Cause clinically significant distress
- It must not be due to a medical condition/other psychological illness

39

If an individual that is depressed and also experiencing difficulty maintaining an erection what is the course of action?

The individual's depression will be treated first in the hope that the sexual dysfunction is a symptom. If the sexual dysfunction is separate the individual will also be treated for that

40

What four specifiers are used to designate onset of the sexual dysfunction?

Lifelong
Acquired
Generalised
Situational

41

What other factors are considered when assessing someone with a sexual dysfunction?

Partner factors
Relationship factors
Individual vulnerability factors
Cultural/religious factors
Medical factors

42

What biological factors can contribute to sexual dysfunction?

Organic problems
- Neurological (e.g. MS), diabetes
- Anxiety associated with cardiovascular disease
Prescription medication
- Antihypertensives, anxiolytics, antidepressants
Illicit drugs
- Marijuana, opiates, cocaine
Alcohol
Smoking

43

What social and cultural factors can contribute to sexual dysfunction?

- Cultural and religious influences most common cause
- Significant negative or traumatic event
- Marked deterioration in close interpersonal relationships
- Sexual inexperience

44

What are the possible treatments of sexual dysfunction?

- Providing basic education about sexual functioning
- Dynamic (couples) therapy
- Eliminating psychologically based performance anxiety
- Medication and physical treatments

45

What other disorders often coexist in individuals with fetishistic disorder?

Pedophilia
Sadism
Masochism

46

What other disorders often coexist in individuals with transvestic disorder?

Masochism

47

What other disorders often coexist in individuals with exhibitionistic disorder?

Voyeuristic
Frotteuristic

48

True or False:
Individuals with exhibitionistic disorder are never remorseful about their actions

False

49

True or False:
Frotteuristic disorder is more common in females

False

50

True or False:
Any male can become aroused by erotic pictures of children

True

51

What are cognitive distortions?

Excuses for the behaviour that occur after the fact

52

What are the different types of paedophilic cognitive distortions?

Misattributing blame
- "she started by being too cuddly"
Denying sexual intent
- "I was just teaching her about sex... better from her father than from someone else"
Debasing the victim
- "She'd had sex before with her boyfriend"
Minimising consequences
- "She has always been friendly to me, even afterwards"
Deflecting censure
- "This happened years ago. Why can't everyone forget about it?"
Victim empathy deficits
- "He wasn't crying or anything, so what's the problem"

53

What factors increases the likelihood of a victim of paedophilia developing a mental disorder?

Perpetrator threatens child
Child blames him/herself
Unsupportive family
Young age
Involved intercourse

54

What are the biological factors for paraphilias?

Genetic predisposition
Excess levels of male hormones
Neurological differences

55

What are the developmental and psychological factors for paraphilias?

Disordered relationships during childhood/adolescence
Physical or sexual abuse
Operant conditioning
OCD
Cognitive distortions/unwarranted beliefs

56

What treatments are used to treat paraphilias?

Cognitive behaviour therapy
- Aversion therapy, improve social skills, impuse control, emptahy

Rescripting fantasy
- Associating a normal fantasy with climax

Castration
- Physical and chemical

Medication