CH10: SEXUAL DYSFUNCTIONS, PARAPHILIC DISORDERS, AND GENDER DYSPHORIA

people with this find it difficult to function adequately while having sex that can be either lifelong or acquired; for example, they may not become aroused or achieve orgasm.

the relatively new term for sexual deviation, sexual arousal occurs primarily in the context of inappropriate objects or individuals

this term refers to a strong attraction or liking

this term indicates the attraction is abnormal

psychological distress and dissatisfaction with the gender that has been assigned at birth (boyirl). People with this disorder often feel trapped in a body of the wrong sex

most common term for casual sex outside of a relationship

Until the 1970s, many forms of sexual behaviors were considered pathological and are often treated with ____ (from same-sex to heterosex)

The greater amount of older brothers one might have the higher that chance of being gay by one third

change of sexual orientation of women {commonly more widening than narrowing of range of attraction}

Sexual urges occur in response to sexual cues or fantasies.

A subjective sense of sexual pleasure and physiological signs of sexual arousal

arousal phase in men (increased flow of blood into the penis)

arousal phase in women (blood pools in the pelvic area, lubrication, erect nipples)

Brief period occurs before orgasm

In males, feelings of the inevitability of ejaculation, followed by ejaculation; in females, contractions of the walls of the lower third of the vagina.

Decrease in arousal occurs after orgasm (particularly in men)

characterized by little or no interest in sex experienced by men that is causing significant distress in the individual or couple, which often leads to infertility in some individuals.

low sexual interest is almost always accompanied by a diminished ability to become excited or aroused by erotic cues or sexual activity.

a specific disorder of arousal in men

an old and derogatory term for erectile disorders

experienced by men. takes a significant more time or great difficulty to reach orgasm or some none at all {some even 30 minutes}

most common complaint among women who seek therapy for sexual problems, necessary in diagnosing this is “never or almost never” to reach orgasm

the ejaculatory fluids travel backward into the bladder rather than forward, almost always caused by the effects of certain drugs or a coexisting medical condition

ejaculation way earlier than the couple wish it to, a minute after penetration, most common male sexual dysfunction. consistently occurs primarily in inexperienced men with less education about sex.

chronic pain in the area on the outside of a woman’s genitals, often associated with tensing and tightening of the pelvic floor muscle during intercourse

In the DSM-5, vulvodynia is classified as a

the pelvic muscles in the outer third of the vagina undergo involuntary spasms when intercourse is attempted. Can occur during ANY attempted penetration (e.g. insertion of tampon, gynaecological exam), Sensation of “ripping, burning, or tearing during attempted intercourse”

usually supported by numerous questionnaires because patients may provide more information on paper than in a verbal interview

to rule out the variety of medical conditions that can contribute to sexual problems

to directly measure the physiological aspects of sexual arousal

direct measurement of penile erection where as the penis expands, the strain gauge picks up the changes and records them on a polygraph

psychophysiological measurement of the ability of women to become sexually aroused under a variety of conditions. This device, which is smaller than a tampon, is inserted by the woman into her vagina. A light source at the tip of the instrument and two light-sensitive photoreceptors on the sides of the instrument measure the amount of light reflected from the vaginal walls.

Drug treatments for high blood pressure, called ______, in the class known as beta-blockers (including propranolol) may contribute to sexual dysfunction.

negative cognitive set presumably learned early in childhood from families, religious authorities, or others—seems to predict sexual difficulties later in life

according to which we all operate by following “scripts” that reflect social and cultural expectations and guide our behavior

Pfizer’s original Viagra pill which was blue and shaped as a diamond

a technique utilized in sex therapy that uses a series of structured touching exercises to help reduce sexual anxiety and negativity associated with sexual intimacy, and can improve communication between the couple.

in which the penis is stimulated, usually by the partner, to nearly full erection. At this point, the partner firmly squeezes the penis near the top where the head of the penis joins the shaft, which quickly reduces arousal.

1989 by Pfizer, originally made for treating blood pressure and angina but showed promising results in treating ED. Last up to 3-4hrs with mild side effects (stuffy nose, flushing, headache and stomach pain), most common

Block a particular enzyme (Phosphodiesterase-5 PDE5) lasts up to 36hrs can be taken daily on very small dose. Very effective though dangerous with certain heart condition and when mixing with other drugs

greater satisfaction and increased in sexual activity compared to only meds

possible treatment for hypoactive sexual desire, though have negligible effect on women

urologist teach patients to inject vasolidating drugs if they want to have sexual intercourse, dilates the blood vessels gaining an erection in 15 mins lasting 1-4 hrs

surgical implants; involves implanting a semirigid silicone rod that can be bent by the man into correct position for intercourse and maneuvered out of the way at other times.

creating a vacuum cylinder placed over the penis. 70-100% users report satisfactory erections

sexual arousal form touching or rubbing against a non-consenting or unsuspecting person

sexual attraction to nonliving objects

practice of observing, to become aroused, an unsuspecting individual undressing or naked

achieved sexual arousal and gratification by exposing genitals to unsuspecting strangers. Must be repeatedly and be compulsive or out of control to be diagnosed.

sexual arousal strongly associated with the act of dressing in clothes of the opposite sex or cross-dressing. Does not show a compensatory behavior

(transvestic disorder) if the sexual arousal is focused on the clothing itself

(transvestic disorder) if the sexual arousal is associated with thoughts or images of oneself as a woman. Controversial as it exhibits qualities for gender dysphoria

associated with either inflicting pain or humiliation and becoming sexually aroused

associated with either suffering pain or humiliation and becoming sexually aroused

involves self-strangulation to reduce the flow of oxygen to enhance the sensation of orgasms

Many rapists meets the criteria for Antisocial Personality Disorder. Many raped are describes as opportunistic marked with lack of empathy and disregard for inflicting pain on other

pedophilia

the children are the person’s relatives, victims tends to be girls beginning to mature physically

an example of a learning process in which a behavior is repeatedly reinforced through association with a pleasureable consequences

behavioral therapy

associate sexually arousing images in their imagination with some reasons why the behavior is harmful or dangerous.

patients are instructed to masturbate to their usual fantasies but to substitute more desirable ones just before ejaculation.

created for addictions, patients are taught to recognize the early signs of temptation and to institute a variety of self-control procedures before their urges become too strong

the tendency of convicted criminal to reoffend

referred to those preparing for or have undergone gender-affirming surgery

people who are born with ambiguous genitalia associated with documented hormonal or other physical abnormalities suffer from this disorder

gender dysphoria begins with a strong and specific sexual attraction to a fantasy of oneself (auto) as a female (gyne). Encompasses to a more gender experienced female.

intersex condition in girls, their brains are flooded with male hormone (androgen) resulting into producing an external male genitalia although internal remains female.

The behavior of an individual is the opposite of the stereotyped behavior in their assigned gender

Female that vowed on chastity and live as a man, and allowed to privileges only allowed to men in the culture but has no desire to be change sex

the final nonreversible step to alter the anatomy physically to be consistent with gender identity

(the growth of breasts)

letting the expressed gender unfold naturally

help clarify gender identity and navigate the complex social issues associated with cross-gender identification