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PSYC3018 Abnormal Psychology > Sexual Dysfunctions > Flashcards

Flashcards in Sexual Dysfunctions Deck (18)
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1

How prevalent is sexual dysfunction?

40-45% of women and
20-30% of men reported as having one or more sexual dysfunction

2

What what are the criteria sexual dysfunctions?

> A clinically significant disturbance in a person's ability to respond sexually or experience sexual pleasure - there must be significant distress!
>A minimum duration of 6 months - new criteria
> Experienced on allmost all or all occasions of sexual activity (75-100%)
> Consider cultural values and age

3

What are the specifiers/subtypes?

Nature of onset:
> Lifelong or acquired
Context:
> generalized or situational
Severity:
> mild, moderate, severe, or extreme

4

What was the major change from DSM IV to DSM V

IV:
> Defined in terms of simple linear stages of sexual response - desire, arousal, orgasm.
V:
> Replaced the three stages of sexual response cycles by GENDER SPECIFIC DISORDERS

5

What female disorder was removed from IV to V

Sexual Aversion Disorder

6

What are the three female sexual dysfunctions in the DSM-V

> Female sexual interest/arousal disorder
> Female orgasmic disorder
> Genito-pelvic pain/penetration disorder

7

Sexual Desire Disorders

> Persistent disinterest in sexual activity
> prevalence: 7-33%
> increases with age
> much higher in women - not necessarily lower libido in females, just more distress regarding the low libido levels

It is the most common female sexual dysfunction

8

Male sexual arousal disorders:
Erectile Disorder (ED)

> Difficulty in obtaining or maintaining erection
> Often spontaneously remits
> Up to 50% of men will have ED at some stage
> Will increase with age
Prevalence higher among smokers and substance abusers etc

9

Female sexual arousal disorder

> Desire to have sex but their body is not responding well enough - not lubricating; not enough blood to labial area; dryness and pain during sex
> Prevalence rate uncertain due to overlap with other female disorders: 30-50%
> less research in this area for females than men

10

Male orgasmic disorders

Delayed ejaculation:
> without person desiring the delay
> experienced on almost all or all occasions of partners sexual activity - can still ejaculate during masturbation
> least common male dysfunction

Premature ejaculation:
> Ejeculating with only minimal stimulation and before thy desires it

11

Female orgasmic disorder

> Marked delay, infrequency, or absence of orgasm, or markedly reduced intensity
> WOMAN MUST BE CLINICALLY DISTRESSED ABOUT HER SYMPTOMS
> lifelong vs acquired; can be situational
> prevalence: 50%

12

Gential-pelvic pain/penetration disorder

Common comorbid symptoms:
> marked difficulty having intercourse/penetration
> vulvo-vaginal or pelvic pain during intercourse
> fear or anxiety about pain
> tensing of the pelvic floor during attempted pentration - body anticipates pain -> becomes anxious -> tightens muscles - VISCOUS CYCLE!

Dyspareunia: persistent or recurrent pain during intercourse
Vaginismus: tightening of vaginal muscles

13

What are the limitations of prevalence rates (3)

> Different samples - 20+ 40+ 70+ etc
> Different measurements - self report vs clinical
> Different definitions

14

Aetiology (3)

Psychological Factors:
> culture and rearing
> body issues
> self-esteem
> depression etc
Physiological Factors:
> ageing
> illness
> medication
> substance use
Relational-interpersonal Factors:
> Attraction
> Satisfaction w/non-sexual aspects

15

Psychogenic vs Organis Erectile Dysfunction

Psychogenic:
> Often sudden onset
> erection through masturbation
> younger patient

Organic:
> gradual course of deterioration
> no erections through masturbation
> older patients

16

What are some treatments for Erectile Dysfunction (ED)?

> Drugs - viagra
> penile injections
> pumps

Note: don't neglect the underlying psychological disturbances!

17

Treatments for females

Pharmacological:
> hormone therapy
Non-pharmacological:
> lubricants and dilators

18

What is at the core of all sexual dysfunction therapy?

> Communication
> Non-goal-orientated pysical intimacy (SENSATE focused exercises)