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81 Cards in this Set

  • Front
  • Back
what are the 3 stages of sexuality acccording to APA
Desire: interest in being sexual
Excitement: arousal caused by sexual stimulation
Orgasm: peaking of sexual pleasure
what constitues a sexual disorder
Problem in any 1 of 3 stages of sexuality
what are the 5 things that "has something to do with" human sexuality
Reproduction
Physiology
Erotic desire
Gender (Biologic, Expectations, Roles)
Identity (Demand for synthesis of these elements)
describe the physical development of infancy
Genital Response in the uterus
Male fetuses have erections in the uterus and female babies are capable of vaginal lubrication from birth
Ability to reach orgasm
Kinsey established that half of boys between the ages of 3 and 4 could achieve muscle spasms of orgasm, though no fluid is ejaculated
how old are you in the infancy stage
birth to 2
what is the psychosexual development according to Kohlberg
Gender Identity ~2
Gender Stability ~3-5
Gender Consistency ~6
why is gender important? like what kind of things does it affect
Biologic & problems with binary concepts
Psychosocial: Identity, Role Expectations
Desire - self/other (informed by both biologic and psychologic)
what are the empirical problems with socialization of gender argument
Early play preferences
Behavioral modeling
Peer and role-model preference
Nuances of Gender Constancy
Approximately the same
Better understanding of constancy Doesn’t equate to stereotyped role-fulfillment
Gender roles - Learn gender behaviors through modeling
what are the sexual behaviors of Infancy
Body pleasures and genital response
Stimulation can create a generalized neurological response that stimulates the genital response (erections or vaginal lubrication).
Masturbation
Normal at this age and indicates exploration of body
how do we transverse developmental stages ??? Explain physical, cognitive ways. How do they know if they are doing something right???
Trial and Error: Experimentation

Physical: self directed or interactive
Cognitive: verbal/silent, interactive/imaginitive
Modulated by affect (usually communicated via attitudes/reactions)
how does Erikson's developmental theory describe shame/doubt stage and how old are they
2-3 yr old
Curiosity driven
Exploration is heavily modulated by attachment security
Balancing social norms (healthy shame) & Exploration (prideful self-awareness)
Developmental demand: intact curiosity about sexual self
how does Erikson's developmental theory describe initiative/guilt stage and how old are they
4-5 yr olds
More goal driven & Aware of others
Risks: Inhibition (excessive guilt) or Lack of compassion (range: selfish to abusive)
Developmental demand: initiative in exploring curiosity about sexual self
Describe the physical development of early childhood
2-5 yr olds
Crucial period for physical development from walking to talking.
Learn about nature of their bodies.
Describe the psychosexual development of early childhood
Toilet training leads to an intense interest in genitals and bodily wastes.
During early childhood, children begin to ask basic questions about sexuality.
Children are also exploring what it means to be “boys” or “girls.”
Describe the sexual behavior of early childhood
Masturbation
Masturbation in early childhood may be deliberate and obvious and may even become a preoccupation
Parental reaction important
Setting socially acceptable limits vs. supporting developmentally driven exploration

Sexual Contact
Childhood sex play often begins with exposing the genitals, touching, and even rubbing up against each other
What are the sexual knowledge/attitudes of early childhood
The secrecy surrounding sex taught to children at this period
Children are rarely taught the anatomically correct names for their genitals.
Boys learn more about boys’ bodies and function and pleasure of the penis.
What is the physical development of childhood through preadolescence
6-12 yr olds
Internal pubertal changes begin in the body
Girls may begin menarche (12.5) and boys begin semenarche (11-15)
What is the psychosexual development of childhood through preadolescence
Freud’s latency period now not favored
Sexual interest increases throughout childhood
Children become better at hiding their sexual interests and behaviors
What is the psychological development of childhood through preadolescence
Industry/Inferiority
Developmental demand: Competence
Responsibility and clearer sense of right and wrong
What is the sexual behavior of childhood through preadolescence
Children learn about adult sexual behaviors and begin to assimilate cultural taboos and prejudices around sexual behaviors.
Masturbation is not uncommon, more conscious process than early masturbatory exploration

Sexual Contact
Sexual play
Sex games such as “spin the bottle” & “7’ in heaven”
Both boys and girls exhibit a range of same-sex sexual behaviors as they move through childhood
how do parents feel about the sexuality of children in the childhood through preadolescence.

Hint: 4 things we talked about
Parents often send contradictory messages to their children about sexuality.
Parents are often unprepared and unsure how to respond to children’s sex play.
Plummer calls the scripting of “absence” & scripting of values (negative typically)
Associations of secrecy, shame, awkwardness, inadequacy, repressed, & guilty
How are the sexual relationships of childhood through preadolescence? Not actually sexual fyi
Modeling
Expectations - Peer pressure/hierarchies/cliques
Assimilation of new perspectives/information
Start to recognize selves as relationally sexual
Sexual play: range from normal to abusive (coercive)
What is the physical development of adolescence.

Hint boys and girls have different manifestations so don't forget that in your answer
12-18 yr olds
Puberty is a major stage of physiological sexual development,
Maturing earlier or later than average associated with different effects across gender
Boys: Muscular, Skeletal, Neurological, Genital, Glandular, Hair
Girls: Body fat distribution, skeletal, Neurological, Genital, Glandular, Hair
What is the psychosexual development of adolescence.
Friendships during this time are crucial to emotional well-being.
Cliques, dating, and body image become centrally important in adolescence.
Gay, lesbian, bisexual, and transgender adolescents may have a tough time fitting in and feel depressed and alone.
describe how Erikson describes psychosexal development in adolescence
Identity/Role Confusion
How am I unique v. fitting in
Developmental crisis is one of “self-in-relation”
Sexuality:
Virginity or readiness for any sexual “next step”
Sexual orientation
“Am I man enough?”
Body-image questions, demands for sexual objectification
describe sexual self esteem in adolescence
feelings about one's sexual activity
perceptions of one's sexual appeal
feelings concerning one's sexual adequacy
contentment with one's body
describe sexual self efficacy in adolescence
ability to say no to unwanted sex
ability to achieve sexual satisfaction
ability to purchase and use condoms
describe sexual self image in adolescence
perception of arousal
perception of openness to sexual experimentation
anxiety in sexual situations
commitment to a single sexual partner
what is the definition of gender
Sociocultural and psychological dimensions of being male or female. It is a sociocultural term.
what is the definition of gender roles
A set of expectations that prescribes how females and males should think, act, and feel.
Children are exposed to and influenced by gender roles since childhood and intensifies during adolescence
def of transgender
people who live full or part-time in the other gender’s role and derive psychosocial comfort in doing so.
def of transsexual
a person who feels that he or she is trapped in the body of the wrong gender.
def of transvestite
a person who dresses in the clothing of the other gender and derives sexual pleasure from doing so.
describe the feelings of transgender ppl. don't give def
Feel “trapped” in the body of the wrong sex; gender identity is inconsistent with his or her biological sex which is called gender dysphoria.
Most people identifying as transgendered report a life-long desire to be a member of the other sex
The psychiatric term to refer to those with this condition is Gender Identity Disorder
May not merely be a desire for any perceived cultural advantages of being the other sex
what are the models of sexual orientation
kinsey scale
klein sexual orientation grid
describe the kinsey scale
ranging from exclusively heterosexual behavior (0) to exclusively homosexual behavior (6).
describe the klein grid
shift from experiential (Kinsey) to attraction based
____-___% of males are predominantly gay, ___-___% of women are predominantly lesbian and ___-____% of people are bisexual.
3-4% of males are predominantly gay, 1.5-2% of women are predominantly lesbian and 2-5% of people are bisexual.
Has homo behavior gone up or down in the US
Trick question. it is constant
what are the bio theories of sexual orientation?
genetics or hormones
describe genetics of bio theory
Twin studies - conflicting, but general trend toward association
Chromosomes - Gay men have more gay relatives on Mo’s side
Birth order - 33% increase in likelihood with each male born
describe hormones of bio theory
Prenatal exposure shown to have an effect on sexual orientation in adulthood
Adult hormone levels not explanatory of sexual orientation differences
What are developmental theories
Freud's psychoanalytic school
gender
sociological
behaviorist
interactional
describe Freud of development theory
Later model by Irving Beiberd: Mo/Son intimacy, Son dominant over father
Reparative Therapy
describe gender of development theory
Role Nonconformity
describe sociological of development theory
Culturally shaped, contextually bound concept. Distinctions are linguistic and imbued w/ cultural meaning
describe behaviorist of development theory
reinforcement (gay), punishment (hetero)
describe interactional of development theory
BEM: biopsychosocial
why is coming out important?
Coming out is the need to establish a personal self-identity and communicate it to others.
what are the 6 stages of Cass's identity formation
identity confusion
identity comparison
identity tolerance
identity acceptance
identity pride
identity synthesis
What is masters and johnson's sexual response cycle
excitement
plateau
orgasm
resolution
what is helen singer kaplan's 3-stage model of sexual response
sexual desire
excitement
orgasm
what is david reed's erotic stimulus pathway
seduction
sensation
surrender
reflection
are all sexual problems sexual dysfunction?
Many men and women experience sexual problems, but sexual problems aren’t the same as sexual dysfunctions
describe psychological factors in sexual dysfunction
Unconscious fears, anxiety, stress, depression, guilt, anger, fear, etc
Performance fears and an excessive need to please a partner interfere with sexual functioning.
Distractions, shifts in attention, or preoccupation during sexual arousal may interfere with the ability to become aroused, as can spectatoring (acting as an observer or judge of one’s own sexual performance).
what are the physical factors in sexual dysfunction
Physical causes such as disease, disability, illness, and many commonly used drugs can interfere at any point in the sexual response cycle in both men and women.
A person with poor health, who smokes, or takes medications or illegal drugs experiences more sexual dysfunctions.
Sexual problems for women, with the exception of lubrication, have been found to decrease with age, while erection problems in men tend to increase with age.
define primary sexual dysfunction
one that has always existed
describe secondary sexual dysfunction
one in which a dysfunction developed after a period of adequate functioning.
define situational sexual dysfunction
dysfunction that occurs during certain sexual activities or with certain partners.
define global sexual dysfunction
A global sexual dysfunction is a dysfunction that occurs in every situation, during every type of sexual activity, and with every sexual partner.
does the type of dysfunction affect treatment?
Yes
The type affects treatment strategies since primary problems tend to have more biological or physiological causes, while secondary problems tend to have more psychological causes.
how do you treat sexual dysfunctions
Treatment of most sexual dysfunctions begins with a medical history and an evaluation of any past sexual trauma or abuse.
Treatment of sexual dysfunctions may be multimodal, involving more than one type of therapy.
Success rates of treatment vary for different types of dysfunctions.
describe hypoactive sexual desire
a low or absent desire for sexual activity, even with normal functioning.
Psychological causes - lack of attraction to one’s partner, fear of intimacy and/or pregnancy, marital or relationship conflicts, religious concerns, depression, and other psychological disorders.
Can also result from negative messages about female sexuality, anorexia, or sexual coercion.
Biological factors - hormonal problems, medication side effects, and illness, along with chronic use of alcohol, marijuana, and cocaine
how do you treat hypoactive sexual desire
Cognitive-behavioral therapy is most promising for women
emphasizes the importance of how a person thinks and the effects these thoughts have on a person’s feelings and behaviors.
Testosterone has been used for both men and women
the majority of men who experience low sexual desire have normal levels of testosterone.
The discrepancy in desire between the partners can create a problem for a couple.
describe sexual aversion
Strong disgust or fear to a sexual interaction,
History of sexual trauma and/or anorexia have been associated
how do you treat sexual aversion
The most common treatment for sexual aversion involves discovering and resolving the underlying conflict that is contributing to the sexual aversion, often using cognitive-behavioral therapy
describe Female sexual arousal disorder
An inability to either obtain or maintain adequate lubrication in response to sexual excitement.
Physiological factors - decreased blood flow to the vulva
Psychological factors - fear, guilt, anxiety, and depression.
how do you treat Female sexual arousal disorder
Viagra
Combination of drugs and psychological therapy.
EROS Clitoral Therapy Device was approved by the FDA for the treat FSAD.
what is persistent sexual arousal syndrome
the opposite of FSAD, where a woman experiences excessive and unremitting arousal.
describe male erectile disorder
Inability to obtain or maintain an erection sufficient for satisfactory sexual performance.
Psychological factors (including fear of failure and performance anxiety).
Combination of physiological and psychological factors
Diagnosis - nocturnal penile tumescence test (NPT)
how do you treat male ED
Psychological Treatments: Systematic Desensitization, Sensate Focus, Couples Therapy
Medication: Viagara, Cialis, Levitra
Hormonal: Injections
Vacuum Constriction
Surgical Treatments: Revascularization, Prosthesis (semirigid rods, inflatable devices)
describe female orgasmic disorder
A delay or absence of orgasm following a normal phase of sexual excitement.
Psychological - more negative attitudes about masturbation, believe more myths about sexuality, and possess greater degrees of sex guilt.
Physical factors - diabetes, neurological problems, hormonal deficiencies, alcoholism, and medications like antidepressants.
how do you treat female orgasmic disorder
A combination of different treatment approaches, including homework assignments, sex education, communication skills, training, cognitive restructuring, and desensitization
Teaching a woman to masturbate to orgasm.
Systematic desensitization
describe male orgasmic disorder
8% of men reporting problems reaching orgasm.
A delay or absence of orgasm following a normal phase of sexual excitement.
how do you treat male orgasmic disorder
Psychotherapy and, if necessary, changing medications.
describe premature ejaculation
Man reaching orgasm just prior to, or directly following, penetration.
30% of men reported experiencing PE in the last year.
Psychological factors - anxiety, depression, drug and alcohol abuse, and personality disorders.
how do you treat premature ejaculation
Squeeze Technique
Stop-Start Technique
describe retarded ejaculation
lol not making this us
A man may be entirely unable to reach orgasm during certain sexual activities or may only be able to ejaculate after prolonged stimulation (30-45 minutes).
Psychological factors - strict religious upbringing, unique or atypical masturbation patterns, or ambivalence over sexual orientation
Physical factors - diseases, injuries, or medications.
how do you treat retarded ejaculation
Psychotherapy is used to help work through issues.
Can be very difficult to treat.
describe vaginismus
Involuntary contractions of the muscle that surrounds the entrance to the vagina
May be situation-specific
Common in women who have been sexually abused or raped.
how do you treat vaginismus
use of dilators