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23 Cards in this Set

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dsm 5 disorders of sexuality and gender

gender dysphoria


sexual dysfunctions


paraphilias

what is a sexual disorder

dysfunction lasting 6+ months. must lead to impairment or distress... involved desire, arousal and/or orgasm




EXTREMELY COMMON! 40% men issues with ejaculation.... 63% women with problems with arousal

what are some of the sexual dysfuctions

male hypoactive sexual desire disorder.


female hypoactive sexual desire disorder.


female orgasmic (1 in 4 women have issues with orgasms)


genito-pelvic pain/ penetration disorder


premature ejaculation


erectile dysfunction (60% of men over 60)



causes/ treatment of sexual disorders

social/ cultural ideas of sex being bad... physiological issues (biological) with disease, medical issues.... psychophysiological evaluation (let them look at erotic materal and then evaluate them physiologically)

treatments?

erotic material


squeeze technique (premature ejaculation)


learning how to masturbate (women's female orgasmic.)


dilators (vaginismus)

DSM paraphilic disorders?

fetishistic (to nonhuman objects)


frotteuristic (rubbing against unwilling others)


voyeuristic (peeping tom)


exhibitionistic (exposing yourself to others)


transvestic (dressing up as opposite sex)


sadism (inflicting pain/ humiliation)


masochism (suffering pain/ humiliation)


pedophilia (on kids)





whats different in DSM 5?

parahilic disorders now comprise seperate section. gender dysphoria now seperate ...




paraphilic disorder is a paraphilia tht either causes distress or impairment to the individual or personal harm or risk of harm to others.

What is the DSM 5 differences with substance use?

they eliminate abuse/ dependence distinction and instead call it substance use and give it levels of severity (mild to severe) depending on how much criteria are met.... mild 2 to 3 criteria are met, severe 6+....

5 categories of substances

depressants..sedation (alcohol, sedatives)


stimulants.. elevate mood/ alertness (nicotine, cocaine)


opiates... euphoria! (morphine, heroin)


hallucinogens...alter sensory perception (marijuana, LSD)


other (inhalants, steroids)

DSM 5 substance use disorders symptoms..

craving substance


desire to cut down use


taking more than intended


interpersonal problems


reduction in important activities


tolerance


withdrawal


using in physically dangerous situations (driving)



What is the difference with DSM and substance criteria?

now spells out criteria for intoxication for different substances, as well as withdrawal patterns, as well as substance use disorders for different substances. ...


cover four classes.. as well as diagnoses include criteria for intoxication, withdrawal, and substance use

types of depressants

sedatives: calming (barbiturates)


hypnotic: sleep inducing


anxiolytic: anxiety reducing




DEPRESSANTS (including alcohol) GO FOR GABA!

describe stimulants

most widely used drugs!! (caffeine!)




produce elation, reduce fatigue.... usually followed by extreme fatigue or depression tho.

criteria for tobacco withdrawal

insomnia, increased appetite, restlessness, trouble concentrating, anxiety, depression, irritability

designer drugs?

heighten arousal... popular in parties and such.. special K and ecstasy.

drug use depends on...

social/ cultural expectations


positive and negative reinforcement


genetic predisposition and biological factors


psychosocial factors

agonist and antagonists?

agonist: mimics the substance (nicotine gum)


antagonist: drugs that block or counteract positive effects of substances (naltrexone)

most substance use what..

dopamine pathways!

new disorder in DSM 5?

gambling!!!

non substance disorders that involve adiction

gambling, intermittent explosive disorder (aggressive outburts), kleptomania (stealing), pyromania (setting fire)

personality clusters?

A: odd or eccentric (paranoid, shizoid)


b: dramatic, emotional, erratic (antisocial, borderline)


c: fearful/ anxious (avoidant, OCD)



difference with DSM 5?

introduced additional dimensional model... so there is a level/ dimension to their disorder... rated on the degree to which they exhibit disorder.




10 disorders under the 3 clusters..


....causes: start in childhood, dififuclt to specify


treatment difficult and prognosis poor

DBT

dialect behavior therapy.. focus on interpersonal relationships... distress tolerance to decrease recklessness!