SST Chapter 5 & 6, CG Chapter 6

Question 1

T or F: 10-15 percent of adult males report little or no sexual desire.

Answer 1

False: 15 to 25 percent of adult males report little or no desire for sex

Question 2

T or F: HSDD is one of the most easy to treat as it generally is a result of one factor

Answer 2

False: It is generally a result of a confluence of factors.

Question 3

What does HSDD stand for?

Answer 3

Hypoactive Sexual Desire Disorder

Question 4

What is the first step in treating a man with HSDD?

Answer 4

Medical evaluation for possible medication/organic causes

Question 5

What is the second step in treating a man with HSDD?

Answer 5

Treating occurring sexual disorders and psychological problems

Question 6

Can HSDD be treated conjointly?

Answer 6

Yes. Sometimes the partner will be contributing to the shame of the male partner.

Question 7

What is response anxiety?

Answer 7

The subjective preoccupation about not feeling enough or any desire in sexual contexts

Question 8

How do you treat HSDD?

Answer 8

1. Medical Evaluation
2. Treat concurring disorders and individual psychology
3. Psychoeducate on response anxiety
4. Utilize cognitive work
5. Identify and address intimacy fears
6. Uncover possible secrets
7. Communication training
8. Other techniques: sensate focus, novel sexual experiences, increase rewards for sex (emotional intimacy), prescribed fantasies

Question 9

What is the first step in treatment for a client with ED?

Answer 9

Medical evaluation

Question 10

What is the basic principle in treating ED?

Answer 10

lowering performance anxiety

Question 11

What are the treatment options for ED?

Answer 11

1. Bibliotherapy and Education
2. Removing Performance Anxiety (staying present and reducing pressure)
3. Cognitive work

Question 12

What are the included parts of sensate focus treatment for ED?

Answer 12

Pay attention to the sensations that accompany touch
Verbally or nonverbally communicate what is pleasurable and what is not
Focus on your own sensations
Be mindful of sensations in the moment and not the future.
Give assignments that are reciprocal, but do not perform them simultaneously

Question 13

What are some other considerations after treating ED successfully?

Answer 13

Some men have PE and some women have gotten used to coital orgasms so there is potential for other sexual issues to be treated.

Question 14

T or F: ED is the most common male sexual disorder

Answer 14

False: PE is the most common

Question 15

What are some risk factors of PE?

Answer 15

Lower urinary tract symptoms, younger age, a lower number of sexual partners

Question 16

What is needed to diagnose PE?

Answer 16

A persistent or reccurrent pattern of ejaculation occurring during partner sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes”
Persistent for 6 months
causes significant distress
Not caused by substance/medical/relationship/emotional issues

Question 17

What did Waldinger and Schweitzer propose about the diagnosis of PE?

Answer 17

They proposed 4 specifiers rather than the normal two (lifelong/acquired)

Question 18

What is Variable PE?

Answer 18

Early ejaculation is inconsistent and sporadic but normal given the variability of the ejaculatory process.

Question 19

What is subjective PE?

Answer 19

men who believe they have the problem but do not meet the diagnostic requirements. A man with subjective PE might have imagined early ejaculation but has a normal intravaginal ejaculatory latency time (IELT) and an ability to control ejaculation.

(Page 79).

Question 20

What does IELT stand for?

Answer 20

Intravaginal ejaculatory latency time

It is the time from the moment of vaginal penetration until the moment of intravaginal ejaculation.

(Page 79).

Question 21

What are the two components of orgasm?

Answer 21

Emission and ejaculation

Emission- ejaculatory inevitability (point of no return)

Question 22

What are the two research based causative factors for PE?

Answer 22

Organic (Physical)

and psychogenic

Question 23

What are the possible neuroglogical causes for PE?

Answer 23

Serotonin disregulation, Penile hypersensitivity

Question 24

T or F: high testosterone levels are characteristic of ED while low levels are characteristic of PE

Answer 24

False: high testosterone levels are characteristic of PE while low levels are characteristic of PE

Question 25

What are some urological causes of PE?

Answer 25

Chronic prostatis, varicocele, and monosymptomatic enuresis | Diseases of prostate and genito-urinary system problems are common correlates

Question 26

A clinician is working with a client with lifelong PE. The clinician believes the reason the client is struggling with PE is that they lack sexual experience and they do not have the interpersonal skills/dating skills necessary to control sexual arousal and ejaculation. What perspective is the therapist operating under?

Answer 26

Behavioral and social learning theory. CBT

Question 27

What does the psychoanalytic theory say about PE?

Answer 27

PE is due to the unconscious conflict with women. Ex. wanting to give her semen, but also exact revenge. What the Freak?!!!!

Question 28

What medicines are commonly used by physicians to treat PE?

Answer 28

SSRIs because delayed ejaculation is a side effect of these medications Topical creams and sprays PDE-5 inhibitors (treatment for ED). Tramadol Dapoxetine most effective

Question 29

What are the behavioral techniques for treating PE?

Answer 29

1) The New Sensate Focus 2) Stop-Start 3) Stop-slow 4) Squeeze 5) Quiet Vagina

Question 30

What is Master Conflict Theory?

Answer 30

It is a treatment for PE that combines psychoanalytic conflict theory (Freud), Bowenian family of origin and behavioral sex therapy (Kaplan). It contends that exposing a couple’s internalized conflicts, determining the origins of these conflicts, and helping the couple differentiate from the deleterious influences of their families of origin, from which these conflicts have emanated, can result in their resolution. (Page 89).

Question 31

What are some medical risk factors for ED?

Answer 31

Cardiovascular disease, diabetes, hypertension, liver, renal and respiratory illnesses, alzheimer's, Parkinsons, spinal injuries

Question 32

What is required for a diagnosis of ED?

Answer 32

Must be present in almost all or in all occasions of sexual activity 1) Distinct difficulty in obtaining an erection during sexual activity 2) Noticeable difficulty in maintaining an erection until the completion of sexual activity 3) A marked decrease in erectile rigidity 6 months and must be distressing

Question 33

T or F: ED is an inevitable consequence of aging

Answer 33

False: It is not an inevitable consequence of aging

Question 34

ED with a sudden onset and short duration suggest a _______ etiology?

Answer 34

psychogenic

Question 35

T or F: Collecting family history is the foundation of Inter systemic assessment of ED

Answer 35

False: Sex history

Question 36

What are the psychological treatments for ED?

Answer 36

Reframing, cognitive work, supporting realistic expectations, reducing anxiety (performance and response), communication training, psychoeducation

Question 37

What are the possibilities for medications given to someone with ED?

Answer 37

PHE-5 inhibitors-Viagra, Levitra, Cialis, Stendra

Question 38

What physical interventions can be used to treat ED?

Answer 38

Vacuum Constriction Device- pump Trouniquet Intracavernosal Injection- injection into the penis Intraurethral medication- pellet into urethra