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26 Cards in this Set
- Front
- Back
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30. Tx of Sexual Disorders (just to prep):
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1. Dual Sex Therapy
2. Behaviour Therapy 3. Hypnosis 4. Group Therapy 5. Analytically oriented psychotherapy |
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31. Dual Sex Therapy?
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a. Utilizes the concept of the marital unit, rather than the individual, as the target of therapy.
b. Couples meet w/a male and female therapist together in 4-way sessions to identify and discuss their sexual problems. c. Therapists suggest sexual exercises. d. Activities initially focus on heightening sensory awareness and progressively incorporate ↑ levels of sexual contact. e. Tx is short term |
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32. When is hypnosis most useful for sexual disorders?
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a. When anxiety is present.
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33. Analytically oriented psychotherapy?
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a. Individual, long-term therapy that focuses on feelings, fears, dreams, and interpersonal problems that may be contributing to sexual disorder.
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34. Erectile Disorder Rx?
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a. Phosphodiesterase-5 inhibitors (eg, sildenafil is given orally to enhance blood flow to penis).
b. They require sexual stimulation to achieve an erection. |
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35. Alprostadil?
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a. Injected into the corpora cavernosa or transurethral.
b. Acts locally. c. Produces an erection w/in 2-3 minutes. d. Works in the absence of sexual stimulation. |
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36. What drugs can be used for premature ejaculation?
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a. SSRIs and TCAs prolong the time from stimulation to orgasm.
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37. Hypoactive sexual desire disorder Rx?
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a. Testosterone as replacement therapy for men w/low levels.
b. Low doses may also improve libido in women. c. Oestrogen replacement therapy may improve vaginal dryness and atrophy in hypoestrogenemic women. |
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38. Mechanical therapy for male erectile disorder?
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a. Vacuum pumps, constrictive rings, or surgical insertion of semirigid or inflatable tubes into the corpora cavernosa (used only for end-stage impotence).
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39. Mechanical therapy for male orgasmic disorder?
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a. Gradual progression from extravaginal ejaculation (via masturbation) to intravaginal.
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40. Mechanical therapy for female orgasmic disorder?
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a. Masturbation (sometimes w/vibrator).
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41. Mechanical therapy for Premature ejaculation?
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a. The squeeze technique is used to ↑ threshold of excitability.
b. When the man has been excited to near ejaculation, he or his sexual partner is instructed to squeeze the glans of this penis in order to prevent ejaculation. c. Gradually, he gains awareness about his sexual sensations and learns to achieve greater ejaculatory control. |
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42. Stop-Start technique (also a Mechanical therapy for premature ejaculation)?
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a. Involves cessation of all penile stimulation when the man is near ejaculation.
b. This technique functions in the same manner as the squeeze technique. |
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43. Mechanical therapy for Dyspareunia?
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a. Gradual desensitization to achieve intercourse, starting w/muscle relaxation techniques, progressing to erotic massage, and finally achieving sexual intercourse.
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44. Mechanical therapy for Vaginismus?
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a. Women may obtain some relief by dilating their vaginas regularly w/their fingers or a dilator.
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45. Paraphilias?
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a. Paraphilias are sexual disorders characterized by engagement in unusual sexual activities and/or preoccupation w/unusually sexual urger or fantasies for at least 6 months that cause impairment in daily functioning.
b. Paraphilic fantasies alone are not considered disorders unless they are intense, recurrent, and interfere w/daily life. |
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46. Paraphilias?
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1. Pedophilia
2. Frotteurism 3. Voyeurism 4. Exhibitionism 5. Sadism 6. Fetishism 7. Transvestic fetishism 8. Masochism 9. Necrophilia 10. Telephone Scatologia |
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47. Pedophilia?
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a. Sexual gratification from fantasies or behaviours involving sexual acts w/children age 13 yrs or younger.
b. DSM specifies that the person is at least 16 and at least 5 yrs older than the child. |
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48. Frotteurism?
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a. Sexual pleasure from touching or rubbing against a non-consenting person.
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49. Voyeurism?
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a. Watching unsuspecting nude individuals (often w/binoculars) or in order to obtain sexual pleasure.
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50. Exhibitionism?
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a. Exposure of one’s genitals to strangers.
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51. Sadism?
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a. Sexual excitement from hurting or humiliating another.
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52. Fetishism?
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a. Sexual preference for inanimate objects (eg, shoes or pantyhose).
b. i.e. a man being sexually aroused by women’s shoes. |
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53. Transvestic fetishism?
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a. Sexual gratification in men (usually heterosexual) from wearing women’s clothing (especially underwear).
b. i.e. A person being sexually aroused by dressing up as a member of the opposite gender. c. This does not mean they are homosexual. |
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54. Masochism?
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a. Sexual excitement from being humiliated or beaten.
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55. Necrophilia?
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a. Sexual pleasure from engaging in sexual activity w/dead people.
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