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Sexual Disorders
& Gender Diversity
Term | Definition |
---|---|
Sexual Functioning | what happens in the body during sexual activity |
Gender Identity | individuals' perception of themselves as male or female compared to assigned sex at birth, gender expression, sexual/romantic orientation |
Sexual Dysfunctions | set of disorders in which people have difficulty responding sexually or experiencing sexual pleasure |
What's the criteria to be diagnosed with a sexual dysfunction? | - occurs most times for AT LEAST 6 MONTHS - causes significant DISTRESS or IMPAIRMENT - not due to another (nonsexual) psychiatric problem |
anorgasmia | the inability to have an orgasm (women) |
what is anorgasmia also known as? | female orgasmic disorder |
What are the phases in the sexual response cycle? | desire -> arousal -> plateau -> orgasm -> resolution |
What is one disease that often goes undiagnosed and that lowers sex drive, arousal, enjoyment, and satisfaction in sexual activities? | diabetes |
What does paraphilia mean? | beyond usual love |
Paraphilic Disorders | attractions to nonliving objects, children, or nonconsenting adults, or causing suffering or humiliation to oneself or a partner |
Biological causes of sexual dysfunction in women | low levels of estrogen & androgens, antihistamines, vaginal contraceptives, radiation therapy, infections, & endometriosis |
biological causes of sexual dysfunction in men | low levels of testosterone & androgen or high levels of estrogen & prolactin |
Male Hypoactive Disorder | little desire for sexual activity, desires, or fantasies |
what medications can affect sexual functioning? | antidepressants, antihypertensive, & antipsychotic meds |
what substances/drugs impact sexual functioning? | alcohol, cocaine, nicotine, marijuana, meth |
female sexual arousal disorder | little interest in sexual activity / lack of arousal during sexual activity |
erectile disorder | inability to maintain or attain an erection |
premature ejaculation | recurrent ejaculation within 1 min of sexual activity when not desired |
delayed ejaculation | delayed, infrequent, or the absence of an ejaculation |
genito-pelvic pain/penetration disorder | pain or tightening of pelvic muscles (females) during penetration |
performance anxiety | worrying about being aroused & having an orgasm that it interferes w/ sexual functioning |
what are commonly used to treat sexual dysfunction? | psychosocial & sex therapies & biological interventions |
Fetishistic disorder | use of nonliving objects or nongenital body parts for sexual arousal or gratification |
Transvestic Disorder | dressing in the clothes of the opposite sex to become sexually aroused |
Sexual Sadism Disorder | sexual fantasies, urges, or behaviors that involve inflicting pain & humiliations on the sex partner |
Sexual Masochism Disorder | sexual fantasies, urges, or behaviors that involve personally enduring pain or humiliation during sex |
Voyeurism | watching another person undress, do things nude, or have sex |
Voyeuristic Disorder | voyeuristic behavior repeated over 6 months & compulsive (causes distress and/or impairment) |
Exhibitionism | obtaining sexual gratification by exposing genitals to involuntary observers |
Exhibitionistic Disorder | exhibitionistic behavior causing distress & impairment |
What's the most common treatment for female/male hypoactive disorder? | hormone therapy |
What is it called when a partner has expectations about what will take place during a sexual encounter & about each partner's responsibilities? | sexual scripts |
sensate focus therapy | reducing anxiety by focusing on pleasurable sensations |
stop-start technique | used to treat early ejaculation - alternating stimulation to avoid early ejaculation |
squeeze technique | used to treat early ejaculation - pressing the penis to cause a partial loss of erection |
Pedophilic Disorder | sexual fantasies, urges, & behaviors focused on prepubescent children (13 or younger) |
Ephebophilia | primarily attracted to late or post-adolescents, or children who have gone through puberty & have advanced signs of adult sexual maturation (15 - 19yrs) |
out of all the paraphilic disorders, voyeurism is the most common... | illegal paraphilia with the highest incidence rate |
Gender Dysphoria | discrepancies between individual's gender identity & biological sex |
Frotteuristic Disorder | gaining sexual gratification from rubbing against & fondling body parts of a NON-consenting person |
Gender Dysphoria treatments | - gender affirming surgery - cross-sex hormone therapy (HRT) - real-life experience in the desired gender role |
Biological influences on gender dysphoria | - prenatal hormonal effects on brain development - genetic abnormalities |
Criteria for Pedophilic Disorder | must be AT LEAST 16yrs & at least 5yrs older than the child |
Cognitive Theories for Pedophilic Disorder | - head injury before 13 - cognitive & memory deficits - lower intelligence - differences in brain structure volume - dysfunctions in frontal areas of brain |
Aversion Therapy | extinguishing the sexual responses to objects or situations that one finds arousing by associating them w/ negative stimuli |