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59 Cards in this Set

  • Front
  • Back

Sexual disorder

-not able to respond sexually


-can't feel sexual pleasure


-distress

Primary sexual disorder

generalized, life long

Secondary sexual disorder

acquired after previous function

situational sexual disorder

occurs under certain circumstances

desire sexual disorder

hypoactive or aversion

arousal sexual disorder

erectile or subjective

orgasm sexual disorder

preamture, difficulty or not at all

sexual pain sexual disorder

dyspareunia or vaginisum

Hypoactive sexual desire

lack of interesting initiating or having sex


-general or situational


-no standard


-relate to discrepancy of desire

arousal challenges

Male: issues with obtaining or sustaining erection, less then 10% of men under 40, 30% 60s, MOST COMMON


Female: lack of response to stimulation

Male orgasmic challenges: premature ejactulation

-Not being able to control orgasm


-MOST common complaint 24%


-average is 8min


-7%- 1min


-17% 2min


**if females orgasm quick it isn't seen as weird**

Female orgasm challanges

-no orgasm is MOST common


-10% never orgasm


-21% canadian women don't


-orgasmic capacity increases with age


-once ability is gained- pretty much can't loose it

Vaginismus

involuntary contraction of muscles around the outer third of the vagina upon attempted penetration


-what helps? relaxation techniques & gradual insertion

Dysparemunia

pain during sexual intercourse


symptom not disorder

what causes erectile sexual challenges?

organic factors- heart diseases or diabetes


low testosterone levels- hypogonadism

what causes rapid ejaculation sexual challenges?

often psychological


physical hypersensitivity


infection of prostate



what causes male orgasmic sexual challenges?

psychological factors


spinal injury


MS


prostate surgery

what causes female orgasmic sexual challenges?

often psychological issues


severe illness, poor health

what causes female painful intercourse sexual challenges?

-challenges to entrance of vag- scars from episiotomy or inflection of Bartholin glands


-infections


-pelvic disorders- PID, tumours, cysts and endometriosis

what causes female vaginisums sexual challenges?

organic or psychological factors

effects of alcohol

alcoholism- disrupt sex hormons, impairs desire, damages testes and liver


-low doses reduce inhibitions


-high doses acts as depressant and suppresses arousal

effects of illicit drugs- cocaine

chronic results in loss of sexual desire erectile challenges

effects of illicit drugs-amphetamines

injection described as total body orgasm


may delay or make orgasm impossible



effects of illicit drugs- meth

tendency to engage in riskier sex


hallucinations, violent behaviour

effects of illicit drugs- opiates (morphine, heroin)

long term use leads to low testosterone in males

predisposing factors- sexual challenges

negative childhood experiences


childhood abuse


growing up in sex negative family


-combo of cognitive and physiological factors (sex with anxiety)

maintaining factors- sexual challenges

myths or misinformation


anxieties- fear of failure


cognitive interference


spectating


behavioural/lifestyle factors


failure of communication


failure in sexual stimulating behaviour


relationship distress



therapies for sexual challenges

-behaviour therapy - sensate focus (no goal focus)


-cognitive behaviour therapy-behaviour and reconstructing negative thought patterns therapy


-couple therapy


-mixed CBT and couple therapy



treatment

-stop start technique


-directed masturbation- women with primary orgasmic challenges, vibrators


-kegel exercises-enhance arousal and orgasm


-bibliotherapy- self help books

biomedical therapies

drug treatments- viagra


intravernosal injection-vasodilator into corpora cavernosa


vacuum devices


surgical therapy

Viagra and women

do NOT have vasocongestion issues


orgasm difficulties b/c of low desire or psychological barriers


-b/c age and testosterone production decreases





principles from sex therapists

-communication with partner


-no spectator


-don't set goals for sex performance


-choosy about sex situations


-expect differences with each partner

Past definition of rape

-forced HETEROsexual intercourse


-male assailant female victim


-outside of marriage


-sexually inexperienced- NO prostitutes


-invalid unless reported immediately

Canadian Constitution sexual assault

271- no concert touching- grinding at a club


272-assault with a weapon, threats to harm 3rd party or causing body harm


273- aggravated assault


153.1- disability

Consent

established


cannot be a thing if: drunk,unconscious, signs of disagreement or mind changing


does not relate to complainant's past sexual history

females as victims

39%- assaulted by a man since 16yrs


8%- assaulted by former spouse


**women with disabilities are 4X more likely to be sexually assaulted**

males as victims

1/6 is sexually abused before 16


19% unwilling sexual activity


22%men in prison


no means yes


male victims are blamed more harshly

reporting sexual assault

6% of assaults are reported b/c


ashamed, police couldn't do anything, privacy, liar

impact of sexual assault

injuries external and internal


pregnancy


STI


PTSD


depression


sexual dysfunction

acquaintance/date rape

48% of female uni students coerced into sex


becoming under the influence is not choosing to be assaulted

4 major theories of sexual assault

1. victim precipitated- asking for it


2. psychopathology- committed by psychologically disturbed person


3. feminist- gender role and power


4.social disorganization- community cannot enforce its norms against crime

understanding sexually aggressive men

1.hold theories that support sexual assault


2.poor inhibition and impulse control


3.lack of empathy


4.may experience emotional triggers

child sexual abuse

sexual assault


sexual interference


invitation to sexual touching


sexual exploitation


showing pornography


sexual solicitation on internet

age of concent

16yrs


12 or 13- relationship 2 yrs older


14 or 15- relationship 5 yrs older


anal sex- 18yrs old


under 18 defendant is in position of trust

patterns of child sexual abuse

20% of women and 5-10% of men report child sexual abuse


heterosexual men are primary abusers


20% told anyone


abusers- acquaintance, fam member, stranger

Pedophiles

sexual preferences for PREpubecent children


score low on heterosocial competence


not all are molesters


treatment: antiandrogen drugs, hormones and antidepressants


dew sex offenders willingly take drugs


cognitive behavioural treatment

sexual harassment-a form of sex discrimination

unwelcome advances


requests for favours


verbal or physical conduct of a sexual nature- employer


key: UNWELCOME and Coercive

sexual harassment- female stereotypes

sexy non-traditional, traditional

Ernest

desire:sexual intimacy


behaviour:wont take no


stereotype: sexy

hostile

desire:domination


behaviour:intimidating


stereotype: non-traditional

paternalistic ambivalent

desire:sexual intimacy- father figure


behaviour: intimidating but things he is acting benevolently


stereotype: sexy traditional

competitive ambivalent

desire:sexual intimacy domination


behaviour:intimidating and sexual persistence


stereotype: sexy non-traditional

5 principles of sexual responsibility

1. adequate sexual knowledge


2.connect values to sexual socialization and sexual behaviour


3.protecting one another from abuse


4.control sexual decision making


5. create respectful mutually satisfying relationships that include sex

Sexual agency definition

ability to act in a way the accomplishes your goals. agency in an area in your life = producing the results you want

sexual agency

ability to...


-define yourself sexually


-choose if you want to experience sexual activity


-how you want to engage in sexual activity


-stop engaging in a sexual act

human sexualities

-single sexuality does not exist


-each person is unique blend of sexual thoughts, feelings, desires and behaviours


-each person develops these in their own way


-collective sexuality is dynamic and evolves over a lifetime

sexual authenticity

real or genuine: not copied or false



becoming sexually authentic

-developing authenticity- we make aspects of our sexuality to be known to others


-not distinguishing from good or bad


-BUT society we also must develop sexual ethics

politics- sexual authenticity

-more sexually authentic = more politically concerned


-as sexual authenticity develops --> more restrictions


-SA might prevent sexual patterns and identities from being more normative