Chapter 10: Sex Disorders

Front 1

Ego-Dystonic homosexuality

Back 1

a DSM-III diagnosis, since eliminated, that referred to homosexuality that was distressing and unwanted by the client

Front 2

Dhat

Back 2

severe anxiety associated with the loss of semen in ejaculation (India, Sri Lanka)

Front 3

Sexual dysfunctions:

Back 3

the DSM-IV-TR disorders involving persistent problems with sexual interest, sexual response or orgasm
-common in younger people due to inexperiance
-most common sexual disorder

Front 4

4 stages of sex (KAPLAN)

Back 4

1.Sexual interest or desire
2.Sexual excitement or arousal
3.Orgasm
4.Resolution

Front 5

Psychological contributions to sexual dysfunction

Back 5

performance anxiety (worries about sexual compentence) spectatoring (detatched self-observation)

Front 6

Psychological FIXES

Back 6

nondemand pleasuring which involves petting to create a non pressure, discussing emotions

Front 7

sexual desire disorders

Back 7

-hypoactive sexual desire
-sexual aversion

Front 8

sexual arousal disorders

Back 8

-female sexual arousal disorder
-male erectile disorder

Front 9

orgasmic disorders

Back 9

-female orgasmic disorder
-male orgasmic disorder
-premature ejaculation

Front 10

sexual pain disorders

Back 10

-vaginismus
-dyspareunia

Front 11

Hypoactive sexual desire

Back 11

persistently deficient sexual fantasies and deficient desire for sexual activity causing distress

Front 12

Sexual aversion:

Back 12

persistent extreme aversion to, avoidance of genital contact with sexual partner

Front 13

Female sexual arousal disorder:

Back 13

inability to attain an adequate lubrication response of sexual excitement causing distress

Front 14

Male erectile disorder

Back 14

inability to attain an adequate erection causing distress

Front 15

Female orgasmic disorder

Back 15

persistent delay, absence, orgasm following a normal excitement phase that causes distress

Front 16

Male orgasmic disorder

Back 16

delay in, absence of, orgasm following normal sexual excitement causing distress

Front 17

Premature ejaculation

Back 17

persistent ejaculation with minimal sexual stimulation before or shortly after penetration causing distress
-MOST COMMON MALE DYSFUNCTION

Front 18

Vaginismus

Back 18

involuntary spasm of the musculature of the outer third of the vagina that interferes with sex

Front 19

Dyspareunia

Back 19

persistent genital pain associated with sex

Front 20

Premature ejaculation preventions

Back 20

-stop-start method
-penile squeeze

Front 21

Exhibitionism

Back 21

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one’s genitals to an unsuspecting stranger
-most common paraphila

Front 22

Paraphilas

Back 22

the DSM-IV-TR disorders involving persistent sexual desires or preferences that are considered abnormal

Front 23

Voyeurism

Back 23

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity
-6+ months

Front 24

Fetishism

Back 24

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the use of nonliving objects
-6+ months

Front 25

Tranvestic Fetishism (transvestism)

Back 25

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross dressing in a heterosexual male

Front 26

Sexual Sadism

Back 26

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the acts in which a victim’s psychological or physical suffering is sexually exciting

Front 27

sexual masochism

Back 27

recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of being humiliated, beaten, bound, or otherwise made to suffer.
-found in women more than any other paraphila

Front 28

Pedophilia

Back 28

recurrent, intense sexually arousing fantasies, sexual urges or behaviors involving sexual activity with a prepubescent child or children.

Front 29

Frotteurism

Back 29

recurrent, sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a non consenting person.

Front 30

other paraphilas NOS

Back 30

rare behaviors that meet the definition of paraphila but not common enough for its own subfeild.

Front 31

Countertransference

Back 31

the therapists feelings about the client.

Front 32

Stoller theory

Back 32

childhood experience in which one felt humiliated to such a degree that it profoundly threatened their sense of masculinity
-turning passive into active

Front 33

psychodynamic components of paraphilia

Back 33

i.Freud’s explanations of perversion emphasized the idea that perversions represented the direct expression in adulthood of “fixated” sexual interests from the developmental phases of childhood
ii.Later a shift that perverse behavior is a defense mechanism in response to an underlying emotional conflict
iii.Perverse behaviors were designed to provide reassurance that genitals are still intact

Front 34

Psychodynamic Interventions for paraphilias

Back 34

Focus on the roots of the paraphilia in early sexual traumas; humiliation, shame, and rage

Front 35

Cognitive-Behavioral Components

Back 35

Focus on classical conditioning and social learning

Front 36

Phallometric assessment:

Back 36

measurement of the penile responses to various stimuli

Front 37

Aversion therapies for paraphilias

Back 37

electric shocks or odors paired with sexual thoughts

Front 38

Covert sensitization for paraphilias

Back 38

client imagining unpleasant consequences in connection with their paraphilic urges

Front 39

Systematic desensitization for paraphilas

Back 39

learn to relax rather than respond errotically to problematic sexual stimuli

Front 40

Masturbatory satiation:

Back 40

a behavioral treatment for paraphilias in which the client masturbates to “normal” sexual stimuli to reinforce this behavior

Front 41

Cognitive Restructuring of paraphilas

Back 41

fantasies and schemas are challenged and revised

Front 42

biological components to paraphilas

Back 42

Injuries or illnesses can cause a disinhibiting effect on behavior.

Front 43

Chemical Castration:

Back 43

a biological intervention for some paraphilias designed to suppress testosterone levels

Front 44

Gender Identity Disorders (GID) (transsexualism):

Back 44

A DSM-IV-TR disorder involving intense discomfort with one’s biological sex and desire to change sexes

Front 45

Gender identity-

Back 45

sexuality

Front 46

Gender

Back 46

the person’s psychological sense of being male or female

Front 47

sex

Back 47

a persons biological body

Front 48

Temperament

Back 48

inborn behavioral tendencies

Front 49

Sex change (reassignment)

Back 49

A treatment for GID in which the client’s body is altered through various means to conform with his or her gender identity