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29 Cards in this Set
- Front
- Back
What are the 3 subtypes of sexual disorders in DSM 5?
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1. Sexual Dysfunctions
2. Paraphilia 3. Gender dysphoria |
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True or false: The title "gender dysphoria" is a recent change in DSM 5
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True, it was previously called gender identity disorder
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What is Helen Singer Kaplan's model of sexual response
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Desire - Arousal- Orgasm
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What is Rosemary Basson's Model of sexual response?
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Desire is not always the start
Can be sexual incentives, receptivity and processing of stimuli that leads to arousal |
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What is the diagnostic criteria for a sexual dysfunction?
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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) |
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What are the specifiers for dysfunction?
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Lifelong vs. acquired
Generalized vs situational (all relationships or some) current severity (how much distress?) |
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What are some additional factors to consider with a sexual dysfunction?
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- partner's problems
- communication in relationships - individual vulnerability - cultural/religious - medical reasons |
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What are the 4 DSM 5 Male Sexual Dysfunctions?
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1. Hypoactive sexual desire disorder
2. Erectile disorder 3. Premature ejaculation 4. Delayed ejaculation |
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What are the 3 DSM 5 female sexual dysfunctions?
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Female orgasmic disorder (most common)
Female sexual interest/arousal disorder (most or all sexual activity) Genito-Pelvic Pain; Penetration Disorder |
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What are some other psychosocial causes for sexual dysfunctions?
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1. Anxiety
2. Depression 3. How open are the couples? (interpersonal) |
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What are some treatments for sexual dysfunctions?
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Medication (Viagra)
Psychoeducation (best treatment) CBT challenges beliefs Expansion of sexual repertoire Mindfulness (become aware of negative thoughts) |
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What is sensate focus?
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Type of treatment in which couples gradually increase intimacy. Start with non sexual touches and move on
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What are paraphilias?
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Intense, recurrent sexual arousal, atypical fantasies, erotic activities or targets
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What are paraphilic disorders?
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- personal distress
- personal harm or harm to another - at least 6 months |
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How can you define a paraphilia?
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How necessary it is and how much it substitutes human partner
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What are the 2 types of anomalous activity preference?
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1. Courtship disorders
2. Algolagnic Disorders |
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What are the 3 courtship disorders?
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Frotteuristic (rubbing)
Voyeuristic (watching others who not know) Exhibitionistic (public exposure) |
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What are the 2 algolagnic disorders?
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Sexual masochism (receive)
Sexual sadism (inflict) |
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What are the Anomalous Target Preferences?
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Fetishistic (non living, body part)
Transvestic (cross dressing) Pedophilia (children) |
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True or false: Statistics on pedophilia prevalence are reliable.
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False, not a lot of people coming forth about it
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How can you treat paraphilias?
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- 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 |
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What is gender dysphoria?
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Incongruence between experienced/expressed gender, strong desire to be rid of sex characteristics
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What is sex reassignment surgery?
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Change m to f or f to m. Remove or implantation, construction of secondary sex characteristics.
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What is the "exotic becomes erotic" theory regarding sexual orientation development?
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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)
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What is congenital adrenal hyperlasia?
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Female brain flooded with male hormones
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How does a therapist assess sexual functioning?
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1. Interviews
2. Medical exams 3. Psychophysiological assessment |
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True or false: Alcohol helps with sexual functioning.
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False, it only creates dishinibition, but the suppression of the CNS does not help sexual functioning biologically
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What is the anxiety cycle of sexual dysfunction?
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Biological problem - become anxious - tensing muscles - continues the problem
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When is treatment for paraphilia successful?
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1. completed all treatments
2. demonstrated no deviant sexual arousal 3. reported no deviant behavior 4. no legal record of charges |