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29 Cards in this Set

  • Front
  • Back
What are the 3 subtypes of sexual disorders in DSM 5?
1. Sexual Dysfunctions
2. Paraphilia
3. Gender dysphoria
True or false: The title "gender dysphoria" is a recent change in DSM 5
True, it was previously called gender identity disorder
What is Helen Singer Kaplan's model of sexual response
Desire - Arousal- Orgasm
What is Rosemary Basson's Model of sexual response?
Desire is not always the start
Can be sexual incentives, receptivity and processing of stimuli that leads to arousal
What is the diagnostic criteria for a sexual dysfunction?
Persistent problem at a phase or phases of sexual response cycle, lasts 6 months
- must have distress
- must not have better explanation (e.g. SSRI side effect)
What are the specifiers for dysfunction?
Lifelong vs. acquired
Generalized vs situational (all relationships or some)
current severity (how much distress?)
What are some additional factors to consider with a sexual dysfunction?
- partner's problems
- communication in relationships
- individual vulnerability
- cultural/religious
- medical reasons
What are the 4 DSM 5 Male Sexual Dysfunctions?
1. Hypoactive sexual desire disorder
2. Erectile disorder
3. Premature ejaculation
4. Delayed ejaculation
What are the 3 DSM 5 female sexual dysfunctions?
Female orgasmic disorder (most common)
Female sexual interest/arousal disorder (most or all sexual activity)
Genito-Pelvic Pain; Penetration Disorder
What are some other psychosocial causes for sexual dysfunctions?
1. Anxiety
2. Depression
3. How open are the couples? (interpersonal)
What are some treatments for sexual dysfunctions?
Medication (Viagra)
Psychoeducation (best treatment)
CBT challenges beliefs
Expansion of sexual repertoire
Mindfulness (become aware of negative thoughts)
What is sensate focus?
Type of treatment in which couples gradually increase intimacy. Start with non sexual touches and move on
What are paraphilias?
Intense, recurrent sexual arousal, atypical fantasies, erotic activities or targets
What are paraphilic disorders?
- personal distress
- personal harm or harm to another
- at least 6 months
How can you define a paraphilia?
How necessary it is and how much it substitutes human partner
What are the 2 types of anomalous activity preference?
1. Courtship disorders
2. Algolagnic Disorders
What are the 3 courtship disorders?
Frotteuristic (rubbing)
Voyeuristic (watching others who not know)
Exhibitionistic (public exposure)
What are the 2 algolagnic disorders?
Sexual masochism (receive)
Sexual sadism (inflict)
What are the Anomalous Target Preferences?
Fetishistic (non living, body part)
Transvestic (cross dressing)
Pedophilia (children)
True or false: Statistics on pedophilia prevalence are reliable.
False, not a lot of people coming forth about it
How can you treat paraphilias?
- depends on how much they want treatment
- psychosocial treatment: CBT, family therapy, coping and relapse prevention
- pharmalogical: use drugs to lower sex drive

*idea that you don't cure but learn to cope
What is gender dysphoria?
Incongruence between experienced/expressed gender, strong desire to be rid of sex characteristics
What is sex reassignment surgery?
Change m to f or f to m. Remove or implantation, construction of secondary sex characteristics.
What is the "exotic becomes erotic" theory regarding sexual orientation development?
Theory that other sex group is different and will eventually become attracted to (tries to explain homosexuality by saying if boy with girl group will become attracted to boys)
What is congenital adrenal hyperlasia?
Female brain flooded with male hormones
How does a therapist assess sexual functioning?
1. Interviews
2. Medical exams
3. Psychophysiological assessment
True or false: Alcohol helps with sexual functioning.
False, it only creates dishinibition, but the suppression of the CNS does not help sexual functioning biologically
What is the anxiety cycle of sexual dysfunction?
Biological problem - become anxious - tensing muscles - continues the problem
When is treatment for paraphilia successful?
1. completed all treatments
2. demonstrated no deviant sexual arousal
3. reported no deviant behavior
4. no legal record of charges