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26 Cards in this Set

  • Front
  • Back

What is Normal Sex?

-Multiple Partners


-Mostly Heterosexual


-Mostly Monogamous


-Condom Use has Increased


-Over 50% of college women still practice unsafe sex


-Older populations are still active


Gender Differences in Sexual Behavior

Masterbation: Males > Females


Casual Premarital Sex: Males > Females



No Gender Difference in:


-Attitudes about homosexuality


-Sexual Satisfaction


-Masterbation



Gap in views about sex:


Females (Love) Males (Arousal)

Development of Sexual Orientation

Nature vs Nurture

Nature of Gender Dysphoria

-Man or Woman?


-Goal is not sexual


-Trapped in body of wrong sex


-Transexualism or Transgendered


-Independent of Sexual Arousal patterns


-Rare



(Smaller countries in Europe suggest that roughly 1 per 30,000 adult males and 1 per 100,000 adult females seek sex reassignment surgery)

Causes of Gender Dysphoria

-No specific biological link


-Probably learned early in life

Gender Dysphoria Treatment

-Sex reassignment surgery


-Costs 25-30,000


-Cost double for Female to Male


-Female to Male adjust better


-Psychosocial treatment

Types of Sexual Dysfunctions

-Sexual Desire Disorders


-Sexual Arousal Disorders


-Orgasm Disorders


-Sexual Pain Disorders



(75-100%)

Hypoactive Sexual Desire Disorder

-No interest in Sexual activity


-Limited to Men Only in DSM-5

Sexual Interest/Arousal disorder

-Females only


-Common (20%)


-How much sex is enough?

Sexual Aversion Disorder

No longer in the DSM-5

Erectile Disorder/Female Sexual Arousal Disorder

-Problem NOT desire, but Arousal


-Males: "impotence" (Maintaining/Achieving an erection)


-Females: "frigidity" (Maintaining/Achieving Lubrication)


Premature or Delayed Ejaculation/Female Orgasm Disorder

-Adequate Arousal and desire, but unable to achieve Orgasm


-Common in females, rare in males



50-75% of women NEVER experience regular Orgasm during intercourse

Genito-Pelvic Pain/Penetration Disorder

-New to DSM-5


-Dyspareunia: Intercourse associated with pain


-Rare in males, common in women


(Vaginismus)

Assessment of Sexual Function

Interviews through medical evaluation psychophysiological assessment:


-Listen to Audiovisual erotica Material


-Measure Arousal directly


-Penile Strain Guage


-Vaginal Plethysmograph


Causes of Sexual dysfunction

Biological:


-Diabetes and Kidney Disease


-Cardiovascular Disease


-Chronic Illness


-Perscription Medications


-Using Alcohol and other Drugs



Psychological:


-More than performance anxiety


-Performance anxiety involves (arousal, cognition, and negative affect)


-The role of distraction


-Arousal level is underestimated



Social/Cultural:


-Learn that sexuality is negative


-Traumatic sexual experiences


-Poor interpersonal relationship


-Inaccurate beliefs and myths

Treatment for Sexual Dysfunction

Medications


Psychosocial treatments


-Psychieducation about sex


-Eliminate Performance Anxiety


-Gradual Process of building intimacy


-Several other available treatments



(TREATMENTS MAY WORK)

Paraphilic disorders

Para - "beyond" or "amiss"


Philia - "love"



Sexual stimulation requiring bizarre or unusual acts, imagery, or objects

Fetishism

Attraction to non-living objects


-inattimate objects


-tactile stimulants


-parts of the body

Exhibitionism

"The Flasher"


-Exposes genitals to unsuspecting strangers


-Element of Risk is Important


-Not Harmless


-Many Rape/Molest

Voyeurism

"Peeping Tom"


-Watching unsuspecting strangers naked or undressing

Transvestic Fetishism

"Cross Dresser"


-Sexual Arousal by dressing in clothes of the opposite sex


-Most are male heterosexual


-Most are married

Sexual Sadism and Masochism

The "Sadist"


-Sexual aroused by inflicting pain, humiliating, dominating, beating



The "Masochist"


-Suffers from Pain/humiliation


-helps the sadist

Pedophilia and Incest

Pedo:


-Sexual attraction to children


-more aroused to young children



Incest:


-children related to perpetrator


-may be aroused to adults

Other forms of Paraphilia

Frotteurism - Rubbing


Necrophilia - Corpses


Klismaphilia - Enemas


Coprophilia - Feces


Zoophilia - Animals


Scatologia - Obscene phone calls

Psychosocial Contributions to causes of Paraphilic disorders

-Inability to develop adequate relationships


-Early "unusual" Sexual experiences


-Persons early sexual fantasies


-excessive sex drive and suppression


-specific causes are still unclear

Psychosocial treatment of Paraphilic disorders

-Suppression (Paradoxically backfires)


-Covert Sensitization


-Orgasmic Reconditioning


-Relapse Prevention



(TREATMENT WORKS)



-Drug treatments: Anti-Androgens


Reduces testosterone levels


-eliminates sexual desire/fantasy


-use for sex offender


-only temporary solution