SST Chapter 8, 9 and CG Chapter 7 Flashcards
(33 cards)
T or F: Sexual desire is qualitatively and quantitatively the same for men and women.
False: pg. 107
What is sexual desire?
an appetite, wish or drive moving the individual to seek sexual gratification and a psycho-physiologic state which is influenced by psychological health, relationship significance, culture, and other contextual factors.
T or F: Sexual desire in early relationships is often characterized as occurring in response to context or relational cues
False pg. 107 Long-term relationships have desire to context and relational cues where early relationships are more spontaneous.
What is sexual interest?
the willingness to engage in sexual activity
What is vasocongestion?
swelling of bodily tissues caused by increased blood flow
T or F: Vaginal lubrication is not studied as a marker of sexual arousal in women
False pg. 108
T or F: Genital arousal is an appropriate indicator of subjective sexual arousal
False Genital arousal alone is not enough
What is sexual concordance?
The relationship between subjective experience of sexual interest and genital sexual arousal
What are the four main reasons why people have sex?
1) physical reasons (attraction)
2) attaining goals
3) emotional reasons
4) insecurity factors
T or F: Sexual frequency is not an accurate measure of sexual interest
True pg. 109
Jane and her partner come to therapy very distressed because of desire discrepancy. After a full sexual assessment, Jane has a reduction in interest of sexual activity and no sexual/erotic thoughts. This has persisted for more than 6 months. Can she be diagnosed with FSIAD?
No.
She only meets 2 of the criteria and she needs to meet three.
Molly has no interest in sex with her partner, does not initiate sex with her partner, and experiences no sexual excitement/pleasure in all sexual encounters with her partner (6 months, and includes distress). Molly has fantasies about being with another man and masturbates. Does she meet the criteria for FSIAD?
Yes. She would have situational FSAID
What are the four phases of the Master’s and Johsons model of sexual response?
excitement, plateau, orgasm, and resolution
What did Kaplan and Lief add to the Masters and Johnson model?
They added desire which preceded the physiological responses.
What are the three components of Levine’s model of desire ?
1) drive- biological dimension that leads to spontaneous desire
2) expectations- social dimension
3) motivation-psychological dimension
Which theoretical model of sexual response states that emotional closeness, and intimacy or overtures from her partner are usually required to trigger sexual desire in women?
Basson
What does the Goal Response Model of Sex say the motivation for sex are?
Hedonistic reasons- pleasure
eudomonic reasons- maintaining a relationship
What systems/domains must be considered in the Intersystem Approach?
- Individual physical/biological
- Individual psychological factors
- Couple relationship
- Intergenerational influences
- Contextual domains
T or F: Fatigue, hormone imbalances during menstrual cycle, and breastfeeding can reduce interest in sex.
True.
T or F: Women with FSAID experience more negative and inaccurate beliefs compared to women without sexual difficulties
True
Masley, a cisgender female, has FSIAD and is coming to therapy with her husband because of conflict around sexual intimacy . What are the steps the book suggest to treat the couple?
- Setting Realistic Expectations
- Promote Intimacy
- Lower response anxiety
- Address Affect
- Cognitive work
- Communication and mindfulness work
What variable is a common factor in achieving sexual satisfaction?
Self-disclosure
How should clinicians handle fear of intimacy issues?
- Identify the fear
- Use Cognitive therapy to address negative thoughts
- Disrupt the pattern of avoidance
What are some biological factors that can adversely affect orgasm?
heart disease, multiple sclerosis, hypertension, asthma and thyroid problems pg. 131