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30 Cards in this Set

  • Front
  • Back
What are the three categoris for Sexual and Gender Identity Disorders?
1. Sexual Dysfunctions
2. Paraphilias
3. Gender Identity Disorders
What are the five categories for Sexual Dysfunction Disorders?
1. Sexual Desire Disorders
2. Sexual Arousal Disorders
3. Orgasmic Disorders
4. Sexual Pain Disorders
5. Sexual Dysfunction Due to a General Medical Condition
What are the two Sexual Desire Disorders?
1. Hypoactive Sexual Desire Disorder
2. Sexual Aversion Disorder
What are the two Sexual Arousal Disorders?
1. Female Sexual Arousal Disorder
2. Male Erectile Disorder
What are the three Orgasmic Disorders
1. Female Orgasmic Disorder
2. Male Orgasmic Disorder
3. Premature Ejaculation
What are the two types of Sexual Pain Disorders?
1. Dyspareunia
2. Vaginisumus
What are the Diagnostic Criteria for the Hypoactive Sexual Desire Disorder?
A. Persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity. The judgment of deficiency or absence is made by the clinician, taking into account factors that affect sexual functioning, such as age and the context of the person's life.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The sexual dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for the Sexual Aversion Disorder?
A. Persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) genital sexual contact with a sexual partner.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The sexual dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction).

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for the Female Sexual Arousal Disorder?
A. Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual excitement.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The sexual dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for the Male Erectile Disorder?
A. Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The erectile dysfunction is not better accounted for by another Axis I disorder (other than a Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for the Female Orgasmic Disorder?
A. Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase. Women exhibit wide variability in the type or intensity of stimulation that triggers orgasm. The diagnosis of Female Orgasmic Disorder should be based on the clinician's judgment that the woman's orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The orgasmic dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for the Male Orgasmic Disorder?
A. Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person's age, judges to be adequate in focus, intensity, and duration.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The orgasmic dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for Premature Ejaculation?
A. Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The premature ejaculation is not due exclusively to the direct effects of a substance (e.g., withdrawal from opioids).

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for Dysparenuia (Not Due to a General Medical Condition?
A. Recurrent or persistent genital pain associated with sexual intercourse in either a male or a female.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The disturbance is not caused exclusively by Vaginismus or lack of lubrication, is not better accounted for by another Axis I disorder (except another Sexual Dysfunction), and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. Due to Combined Factors

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
What are the Diagnostic Criteria for Vaginismus (Not Due to a General Medical Condition?
A. Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The disturbance is not better accounted for by another Axis I disorder (e.g., Somatization Disorder) and is not due exclusively to the direct physiological effects of a general medical condition.

Specify type:

Lifelong Type
Acquired Type

Specify type:

Generalized Type
Situational Type

Specify:

Due to Psychological Factors
Due to Combined Factors
For Sexual Dysfuntions, what are the two specifiers that indicate the nature of onset?
1. Lifelong (it occurs throughout the patient's active sexual life)

2. Acquired (there has been a time when the patient did not have this sexual dysfunction)
For Sexual Dysfuntions, what are the two specifiers that indicate the context in which the dysfunction occurs?
1. Generalized (the disorder occurs with all partners and in all situations)

2. Situational (the disorder is limited to certain types of stimulation, situations, or partners)
For Sexual Dysfuntions, what are the two specifiers that indicate etiological factors?
1. Due to Psychological Factors (the disorder is judged to have a psychological foundation)

2. Due to Combined Psychological Factors and a General Medical Condition
What are the Diagnostic Criteria for Substance-Induced Sexual Dysfunction?
A. Clinically significant sexual dysfunction that results in marked distress or interpersonal difficulty predominates in the clinical picture.

B. There is evidence from the history, physical examination, or laboratory findings that the sexual dysfunction is fully explained by substance use as manifested by either (1) or (2):

(1) the symptoms in Criterion A developed during, or within a month of, Substance Intoxication
(2) medication use is etiologically related to the disturbance

C. The disturbance is not better accounted for by a Sexual Dysfunction that is not substance induced. Evidence that the symptoms are better accounted for by a Sexual Dysfunction that is not substance induced might include the following: the symptoms precede the onset of the substance use or Dependence (or medication use); the symptoms persist for a substantial period of time (e.g., about a month) after the cessation of intoxication, or are substantially in excess of what would be expected given the type or amount of the substance used or the duration of use; or there is other evidence that suggests the existence of an independent non-substance-induced Sexual Dysfunction (e.g., a history of recurrent non-substance-related episodes).

Note: This diagnosis should be made instead of a diagnosis of Substance Intoxication only when the sexual dysfunction is in excess of that usually associated with the intoxication syndrome and when the dysfunction is sufficiently severe to warrant independent clinical attention.

Code [Specific Substance]-Induced Sexual Dysfunction:
Alcohol; Amphetamine [or Amphetamine-Like Substance]; Cocaine; Opioid; Sedative, Hypnotic, or Anxiolytic; Other [or Unknown] Substance)

Specify if:

- With Impaired Desire
- With Impaired Arousal
- With Impaired Orgasm
- With Sexual Pain

Specify if:

- With Onset During Intoxication: if the criteria are met for Intoxication with the substance and the symptoms develop during the intoxication syndrome
What are Paraphilia Disorders?
These mental disorders are characterized by sexual fantasies, urges, or behaviors involving non-human objects (coprophilia, Fetishism, Transvestic Fetishism), suffering or humiliation (Sexual Sadism, Masochism), children (Pedophilia) or other non-consenting person (Voyeurism, Frotteurism, Exhibitionism).
What are the nine Paraphilia Disorders?
1. Exhibitionism
2. Fetishism
3. Frotteurism
4. Pedophilia
5. Sexual Masochism
6. Sexual Sadism
7. Transvestic Fetishism
8. Voyeurism
9. Paraphilia NOS
What are the Diagnostic Criteria for Exhibitionism?
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one's genitals to an unsuspecting stranger.

B. The person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.
What are the Diagnostic Criteria for Fetishism?
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the use of nonliving objects (e.g., female undergarments).

B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The fetish objects are not limited to articles of female clothing used in cross-dressing (as in Transvestic Fetishism) or devices designed for the purpose of tactile genital stimulation (e.g., a vibrator).
What are the Diagnostic Criteria for Frotteurism?
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a non-consenting person.

B. The person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.
What are the Diagnostic Criteria for Pedophilia?
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger).

B. The person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.

C. The person is at least age 16 years and at least 5 years older than the child or children in Criterion A.

Note: Do not include an individual in late adolescence involved in an ongoing sexual relationship with a 12- or 13-year-old.

Specify if:

- Sexually Attracted to Males
- Sexually Attracted to Females
- Sexually Attracted to Both

Specify if:

- Limited to Incest

Specify type:

- Exclusive Type (attracted only to children)
- Nonexclusive Type
What are the Diagnostic Criteria for Sexual Masochism?
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer.

B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
What are the Diagnostic Criteria for Sexual Sadism?
A. Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not simulated) in which the psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person.

B. The person has acted on these urges with a nonconsenting person, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.
What are the Diagnostic Criteria for Transvestic Fetishism?
A. Over a period of at least 6 months, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing.

B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Specify if:

With Gender Dysphoria: if the person has persistent discomfort with gender role or identity
What are the Diagnostic Criteria for Voyeurism?
A. Over a period of at least 6 months, 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.

B. The person has acted on these urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.
What are the Diagnostic Identity Disorder?
A. A strong persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex). In children, the disturbance is manifested by four (or more) of the following:
1. Repeatedly stated desire to be, or insistence that he or she is, the other sex.
2. In boys, preference for cross-dressing or simulating female attire; In girls, insistence on wearing only stereotypical masculine clothing.
3. Strong and persistent preferences for cross-sex roles in make believe play or persistent fantasies of being the other sex.
4. Intense desire to participate in the stereotypical games and pastimes of the other sex.
5. Strong preference for playmates of the other sex.

In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex, frequent passing as the other sex, desire to live or be treated as the other sex, or the conviction that he or she has the typical feelings and reactions of the other sex.

B. Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex.

In children, the disturbance is manifested by any of the following:

In boys, assertion that his penis or testes are disgusting or will disappear or assertion that it would be better not to have a penis, or aversion toward rough-and-tumble play and rejection of male stereotypical toys, games, and activities.

In girls, rejection of urinating in a sitting position, assertion that she has or will grow a penis, or assertion that she does not want to grow breasts or menstruate, or marked aversion toward normative feminine clothing.

In adolescents and adults, the disturbance is manifested by symptoms such as preoccupation with getting rid of primary and secondary sex characteristics (e.g., request for hormones, surgery, or other procedures to physically alter sexual characteristics to simulate the other sex) or belief that he or she was born the wrong sex.

C. The disturbance is not concurrent with physical intersex condition.

D. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Code based on current age:
- Gender Identity Disorder in Children
- Gender Identity Disorder in Adolescents or Adults

Specify if (for sexually mature individuals):
- Sexually Attracted to Males
- Sexually Attracted to Females
- Sexually Attracted to Both
- Sexually Attracted to Neither