Sexual Dysfunction, paraphilic Disorders & gender dysphoria Flashcards by Courtney Moeller

Normal human sexual response cycle:

Phase 1: sexual desire = fantasies about sexual activity and the related desire for it

Phase 2: sexual excitement = subjective sense of sexual arousal and pleasure and the accompanying physiological changes

Phase 3: orgasm = peaking and climax of sexual pleasure and release of sexual tension

Phase 4: resolution = consists of a sense in general relaxation, well-being and muscular relaxation

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Sexual Arousal, Interest & Desire (excitement) disorders:

male hypoactive sexual desire d/o

female sexual interest / arousal d/o

erectile disorder

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ejaculation & orgasmic disorders:

female orgasmic disorder

premature ejaculation

delayed ejaculation

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sexual pain disorders

gentio-pelvic pain / penetration disorder

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etiology of sexual dysfunction?

childhood sexual/emotional abuse
sexual trauma/rape
body image / self esteem problems

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treatment of sexual dysfunction

short term therapy (focus on here and now of couple interactions)

sensate focus (pay increase attention to own senses)

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Preferential Sexual Interests?

Paraphilias?

Paraphilic Disorder?

Preferential Sexual Interest = sexual preferences (not intense or persistent)

Paraphilias = an intense & persistent sexual interest other than genital stimulation or fondling with normal consenting partners

Paraphilic Disorder = paraphilia that is causing distress and impairment or whose satisfaction causes personal harm or risk of harm.
paraphilia is a necessary but not a sufficient condition for having a paraphilic disorder

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unusual or bizarre imagery, acts or objects to induce sexual excitement

paraphilia

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most paraphilias occur in men and are of unknown etiology

paraphilia

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Overview of Paraphilic Classification

Paraphilias:

I. Anomalous ACTIVITY preference:

a. courtship disorders (distorted components of courtship behavior)
1. voyeuristic
2. exhibitionistic
3. frotteuristic

b. algolagnic (pain & suffering)
4. sexual masochism
5. sexual sadism

II. Anomalous TARGET preferences:

a. human directed:
6. pedophilic

b. other directed:
7. fetishistic
8. transvestic

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Anomalous ACTIVITY preferences:

a. courtship disorders (distorted components of courtship behavior)

Courtship disorders = voyeuristic, exhibitionistic & frotteuristic

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anomalous activity preferences:

b. algolagnic (pain & suffering)
4. sexual masochism
5. sexual sadism

algolagnic (pain & suffering):

sexual masochism
sexual sadism

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II. Anomalous TARGET preferences:

human directed:

6. pedophilic

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II. Anomalous TARGET preferences:

b. other directed:

other directed:

fetishistic
transvestic

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Voyeurism

sexual excitement in watching unsuspecitng people who are nude, undressing or having sex

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TRUE OR FALSE:
Voyeurism:
1. almost always male

victims are usually strangers
may fantasize about having sex with a victim but almot never actually pursues this

TRUE

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exposure of genitals to a non-consenting stranger (or has fantasized about this)

Exhibitionistic

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Exhibitionistic d/o

A. 6 months, recurrent sexual arousal from exposure of one’s genitals to an unsuspecting person (manifested in fantasies, urges or behaviors)
B. individual has acted on these urges w/ a non-consenting persons or the urges/fantasies cause impairment

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Voyeuristic d/o

A. 6 months recurrent sexual arousal from observing an unsuspecting person who is naked, getting naked or having sex (manifested in fantasies, urges or behaviors)

B. individual has acted on these urges w/ a non-consenting persons or the urges/fantasies cause impairment

C. person is at least 18 yrs or older

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exhibitionistic d/o: may masturbate while exposing himself

tends to occur in mid twenties- shy, married hetereosexual males

TRUE

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gratification by touching or rubbing against a non-consenting person

often occurs in busy/crowded places

Frotteurism

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Frotteuristic d/o

A. 6 months recurrent arousal from touching or rubbing against a non-consenting person (manifested in fantasies, urges or behaviors)
B. individual has acted on these urges w/ a non-consenting persons or the urges/fantasies cause impairment

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desire to be made to suffer

Sexual Masochism

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Sexual Masochism d/o

Sexual Masochism d/o
A. 6 months recurrent arousal from the act of being humiliated, beaten, bound or made to suffer (manifested in fantasies, urges or behaviors)
B. the urges, fantasies, behaviors casuse impairment

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sexual masochism is the only paraphilia in which any noticeable number of women participate - 5% are female it usually begins in childhood or adolescence and is chronic

TRUE

the desire to make others suffer

sexual sadism

Sexual Sadism d/o

Sexual Sadism d/o A. 6 months recurrent arousal from the physical or psychological suffering of another person (manifested in fantasies, urges or behaviors) B. individual has acted on these urges w/ a non-consenting persons or the urges/fantasies cause impairment

involves sexual activity with a child (generally under age 13) usually sexually abused as a child develop strategies for gaining access to and trust of children it is a chronic disorder with frequent relapses

Pedophilia

Pedophilic d/o

Pedophilic d/o A. 6 months recurrent arousing fantasies, urges or behaviors involving sexual activity with a prepubescent chil or children (generally 13 years or younger) B. individual has acted on these urges or the urges/fantasies cause impairment C. individual is at least 16 years or older & at least 5 yrs older than the child

intense desire to use or fantasize about using non-living objects to achieve sexual gratification

Fetishism

most fetishes are women's underwear, shoe's or other clothing

TRUE

Fetishistic d/o

Fetishistic d/o A. 6 months recurrent arousal from the use of nonliving objects or specific focus on nongenital body parts (manifested in fantasies, urges or behaviors) B. the urges/fantasies cause impairment C. fetish objects are not limited to articles of clothing used in cross dressing or for genital stimulation (vibrator)

heterosexual males who dress in women's clothing to achieve a sexual response: arousal from crossdressing

Transvestic d/o

Transvestic d/o A. 6 months recurrent arousal from crossdressing (manifested in fantasies, urges or behaviors) B. the urges/fantasies cause impairment

Transvestic d/o: a. with fetishism b. with autogynephilia

Transvestic d/o with fetishism: if sexual aroused by fabrics, materials or garments Transvestic d/o with autogynephilia: if sexually aroused by thoughts or images of self as female

Tranvestic D/o (with fetishism or autogynephilia) VS Transsexual (gender Dysphoria)

transvestic: heterosexual males, cross dressing for sexual pleausure & doesn't wish to change gender Transsexual (gender dysphoria): commonly male with female gender identity, cross dressing is done only to be congruent with gender identity; male wants to be female and wishes to get rid of genitals

Zoophilia | other specified paraphilic disorder

(sexual feelings on animals)

Necrophilia | other specified paraphilic disorder

(sex with corpse)

Telephone scatalogia | other specified paraphilic disorder

(obscene phone calls)

Coprophilia | other specified paraphilic disorder

(feces)

Klismaphilia | other specified paraphilic disorder

(enemas)

Urophilia | other specified paraphilic disorder

(urine)

Gender Dysphoria, in children d/o

Gender Dysphoria, in children d/o A. Incongruence btwn one’s own gender and assigned gender for 6 months and 6 (or more) Sx: I. Desire to be other gender II. (boys) preference for cross dressing (girls) wearing masculine clothing III. preference for cross gender roles in fantasy play IV. preference for toys, games or activities stereotypical of other gender V. playmate of the other gender VI. (boys) rejection of rough play (girls) rejection of feminine toys/games VII. dislike of sexual anatomy VIII. desire for sex charateristics of desired gender

Gender Dysphoria, in adults d/o

Gender Dysphoria, in adults d/o A. Incongruence btwn one’s own gender and assigned gender for 6 months and 2 (or more) Sx: I. Incongruence betwn gender and sex II. Desire to rid of sex characteristics III. Desire for the sex characteristics of the other gender IV. Desire to be of the other gender V. Desire to be treated as the other gender VI. Conviction that one acts/feels typical fo other gender *specify if: posttransition (full-time living in desired gender) cross-sex hormone treatment gender reassignment surgery

involves a strong feeling of incongruence betwen gender at birth and gender identity occurs in both women and men

Gender Dysphoria

gender dysphoria: begins in childhood manifest in adolescence or adulthood by dressing like other gender suicide attempts and substance abuse are common no agreed upon cause if it persists into adolescence, it is chornic

true

DURATION of Sexual Dysfunction, paraphilic disorders and gender dysphoria

6 MONTHS

gender dysphoria refers to a broad class of phenomena characterized by:

biological sex, social gender or both

gender dysphoria was previously called?

transsexualism and gender identity disorder

individuals with gender dysphoria can be sexually attracted to: MALES, FEMALES OR NEITHER

TRUE

gender dysphoria in children incldues a marked incongruence btwn one's gender and one's assigned gender of at least: (duration & sx)

6 months duration and 6 sx

what is the recommended treatment for gender dysphoria?

group therapy CBT Sexual identity therapy (SIT)

what is the prevalence rate for all sexual disorders?

men = 31% women = 43%

what 4 factors play a role in the etiology of sexual dysfunction disorders?

drugs medical conditions psychosocial/culture biopsychosocial

rewarding sexual activity requires adequate functioning of which 3 organs?

hormonal cardiovascular neurological

viagra can be used to help which sexual dysfunction disorder?

viagra = Erectile Dysfunction

sexual dysfunction CBTexercizes involves?

diagnostic and therapeutic values

what factors impact the likelihood of developing a paraphilic disorder?

low IQ lower white matter in brain childhood sexual abuse

what is the symptom duration for paraphilic disorders?

6 months

the term paraphilia can be defined as?

any intense or persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with normal, mature consenting human partners and any sexual interest greater than or equal to normophilic sexual interests

what should a therapist focus on when working with paraphilic disorders?

treating the mental, social and sociocultural dynamics that lead to the development of paraphilia

only men can develop paraphilic d/o?

FALSE (women and men can develop paraphilic d/o

Sexual Dysfunction, paraphilic Disorders & gender dysphoria Flashcards

(62 cards)