Human Sexuality And Paraphilias Fcs

Front 1

What is sexual identity defined as?

Back 1

Consistent, enduring sense of one's own sexuality and of repeated sexual feelings, thoughts and/or behaviors.

Front 2

What is gender identity?

Back 2

Subjective feeling of either being male or female.

Front 3

What is the sexual response cycle?

Back 3

Desire
Excitement
Plateau
Orgasm
Resolution

Front 4

What are 3 common psychological causes of sexual disorders?

Back 4

Interpersonal problems with sexual partner

Guilt about sexual activity

Fears (pregnancy, rejection, oss of control)

Front 5

What are sexual disorders NOT caused by?

Back 5

Substance abuse or a general medical condition.

Front 6

What are three categories of sexual disorders?

Back 6

1) Sexual dysfunctions - involve either disturbance of sexual arousal or disturbance of psychophysiological performance.

2)Paraphilias - involve culturally inappropriate or dangerous patterns of sexual arousal.

3)Gender identity disorders - involve dissatisfaction with one's biological gender and a desire to become a member of the opposite gender.

Front 7

4 major categories of sexual dysfunction?

Back 7

1) Sexual desire disorders
2) Sexual arousal disorders
3) Orgasmic disorders
4) Sexual pain disorders

Front 8

2 disorders of sexual desire?

Back 8

1) Hypoactive sexual desire disorder (20% of population, women>men)
2) Sexual aversion disorder

Front 9

What must be taken into account before hypoactive sexual desire disorder is diagnosed?

Back 9

Age
Gender
Context of a person's life

Front 10

What is sexual aversion disorder?

Back 10

Avoidance of genital contact with sexual partner - possibly former victim of sexual abuse.

Front 11

What are the sexual arousal disorders?

Back 11

1) Male erectile disorder (Primary or secondary(10-20%))

2) Female sexual arousal disorder (33% of women)- inability to maintain lubrication until completion of sex act.

Front 12

Difference btwn primary and secondary impotence?

Back 12

Primary - man has never been able to acheive erection sufficient for vaginal insertion.

Secondary - Successfully acheived erection in past but cannot now.

Front 13

What are the orgasmic disorders?

Back 13

1) Female orgasmic disorder (30% of women)- delay/absence of orgasm but normal excitement stage.

2) Male orgasmic disorder

3) Premature ejaculation (35% of all male sexual disorders)

Front 14

What are the sexual pain disorders?

Back 14

1) Dyspareunia - women>men; often associated with vaginismus; should not be dx'ed when better accounted for by Axis I disorder.

2) Vaginismus (increased incidence with higher socioeconomic class and strict religious upbringing)- spasms/contracture of vaginal muscles.

Front 15

What are post coital headaches?

Back 15

Headache occuring immediately after intercourse.

Front 16

What is orgasmic anhedonia?

Back 16

No physical sensation of orgasm even though ejaculation may have occured.

Front 17

What is 75% of male impotence caused by?

Back 17

Physical disorder:
Cardiovascular dz
Renal disorders
Liver disease
Malnutrition
DM
MS
Traumatic spinal cord injury
Abuse of alcohol/drugs
Psychotropic meds
Prostate surgery
Pelvic irradiation

Front 18

Important when determining if psychological cause is responsible for impotence?

Back 18

If spontaneous erections occur when man does not plan to have intercourse.

Front 19

What must male orgasmic disorder be differentiated from?

Back 19

Retrograde ejaculation

Front 20

Important factor in ejaculatory delay or failure?

Back 20

Age - older men may not ejaculate at every sexual encounter.

Front 21

Important methods for treating sexual disorders?

Back 21

1) Dual sex therapy (focuses on unit, short term)
2) Behavior therapy
3) Hypnosis
4) Group therapy
5) Testosterone
6) Masturbation
7) Squeeze technique
8) Gradual desensitization (dyspareunia)
9)Vaginal dilation
10) SSRI - Prem. Ejac

Front 22

3 drugs approved for erectile dysfunction?

Back 22

Sildenafil - works quickly
Vardenafil - last up to 1day
Tadalafil - lasts up to 3days

enhance effect of nitric oxide --> relaxes smooth muscle in penis -> increased blood flow

Front 23

SEs of erectile dysfunction drugs?

Back 23

HA
Upset stomach
Nausea
Muscle aches

Front 24

What is Alprostadil?

Back 24

Impotence drug placed directly into penis to increase penile blood flow. Inconvinient.

Front 25

Surgical tx's for erectile dysfunction?

Back 25

Penile prosthesis
Vacuum pump device

Front 26

What are paraphilias?

Back 26

A disturance in the object or expression of sexual gratification.

Last >6months and interfere with daily functioning.

Men>women;some only in men

Front 27

What is exhibitionism?

Back 27

Exposing self to others.

Front 28

What is fetishism?

Back 28

Using inanimate objects(shoe).

Front 29

What is frotteurism?

Back 29

rubbing against non-consenting persons.

Front 30

What is pedophilia?

Back 30

Preferring prepubertal children.

Front 31

What is sexual masochism?

Back 31

Enjoying pain and humiliation.

Front 32

What is sexual sadism?

Back 32

Inflicting pain on others.

Front 33

What is Transvestic fetishism?

Back 33

Cross-dressing

Front 34

What is voyeurism?

Back 34

Window peeping

Front 35

Paraphilia NOS: What is coprophilia?

Back 35

Feces

Front 36

Paraphilia NOS: What is hypoxyphilia?

Back 36

Desire to acheive altered state of consciousness secondary to hypoxia.

Front 37

Paraphilia NOS: What is Infantilism?

Back 37

Acting as though one is an infant.

Front 38

Paraphilia NOS: What is klismania?

Back 38

Enemas

Front 39

Paraphilia NOS: What is Necrophilia?

Back 39

Dead persons.

Front 40

Paraphilia NOS: What is oralism?

Back 40

Focusing on oral-genita contact to exclusion of intercourse.

Front 41

Paraphilia NOS: What is partialism?

Back 41

Focusing on one part of the body to exclusion of all else.

Front 42

Paraphilia NOS: What is telephone scatologia?

Back 42

obscene telephone calls.

Front 43

Paraphilia NOS: What is Urophilia?

Back 43

Urine

Front 44

Paraphilia NOS: What is zoophilia?

Back 44

animal contacts.

Front 45

Poor prognostic factors for paraphilias?

Back 45

Early age of onset
Co-morbid substance abuse
Frequent paraphilic behavior
Referral by law enforcement agency.

Front 46

Good prognostic factors for paraphilias?

Back 46

Self- referral for treatment.
Associated guilt
Hx of normal sexual behavior

Front 47

3 aspects of sexual deviation?

Back 47

1) behavior doesn't conform to generally accepted views of what constitutes normal sexual activity.

2) Behavior may cause harm to antoher person involved

3) Behavior may result in subjective distress.

Front 48

Most common paraphilia?

Back 48

Pedophilia

Front 49

Parphilias most common in?

Back 49

Men
Heterosexuals

Front 50

Treatments for paraphilias?

Back 50

1) Insight oriented psychotherapy
2) Behavior therapy
3) Antiandrogens (Depoprovera, Leuprolide)
4)SSRIs

Front 51

Gender identity disorder occurs more often in?

Back 51

Men
Associated with increased incidence of depression, anxiety, suicide.