Sex Therapy (Mft Program)

Front 1

Name the five main sexual dysfunction categories

Back 1

1. Desire disorders
2. Arousal disorders
3. Orgasmic disorders
4. Sexual Pain disorders
5. Sexual dysfunction due to GMC

Front 2

Name the sexual desire disorders

Back 2

1. Hypoactive sexual desire disorder (HSDD)
2. Sexual aversion disorder (SAD)

Front 3

Name the sexual arousal disorders

Back 3

1. Female sexual arousal disorder (FSAD)
2. Male erectile disorder (ED)

Front 4

Name the Orgasmic disorders

Back 4

1. Female orgasmic disorder
2. Male orgasmic disorder
3. Premature ejaculation (PE)

Front 5

Name the sexual pain disorders

Back 5

1. Dyspareunia
2. Vaginismus

Front 6

What are paraphilias?
Provide general description.

Back 6

Paraphilias are characterized by recurrent, intense sexual urges, fantasies, or behaviors that involve unusual objects, activities, or situations and cause significant distress or impairment in social, occupational or other important areas of functioning

Front 7

List the paraphilias
Hint: There are nine

Back 7

Exhibitionism, Fetishism, Frotteurism, Pedophilia, Sexual Masochism, Sexual Sadism, Transvestic Fetishism, Voyeurism, and Paraphilia NOS

Front 8

Define 'Sexual Dysfunction'

Back 8

Sexual dysfunction is characterized by a disturbance in the processes that characterize the sexual response cycle or by pain associated with sexual intercourse

Front 9

What are the four phases of the sexual response cycle?

Back 9

1. Desire
2. Excitement
3. Orgasm
4. Resolution

Front 10

Describe the 'desire' phase of the sexual response cycle

Back 10

Consists of fantasies about sexual activity and the desire to have sexual activity

Front 11

Describe the 'excitement' phase of the sexual response cycle

Back 11

Consists of a subjective sense of sexual pleasure and accompanying physiological changes.

Major changes in male: penile tumescence and erection

Major changes in female: vasocongestion in the pelvis, vaginal lubrication and expansion, and swelling of external genitalia

Front 12

Describe the 'orgasm' phase of the sexual response cycle

Back 12

Consists of peaking of sexual pleasure, with release of sexual tension and rhythmic contraction of perineal muscles and reproductive organs

Front 13

Describe the 'resolution' phase of the sexual response cycle

Back 13

Consists of a sense of muscular relaxation and general well-being. During this phase, males are physiologically refractory to further erection and orgasm for a variable period of time. Females may be able to respond to stimulation almost immediately

Front 14

List the subtypes of sexual dysfunctions

Back 14

1. Lifelong versus Acquired
2. Generalized versus Situational
3. Due to Psychological factors versus Due to Combined factors

Front 15

Differentiate between lifelong and acquired subtypes

Back 15

Lifelong applies if the dysfunction has been present since the onset of sexual functioning

Acquired applies if the dysfunction develops only after a period of normal functioning

Front 16

Differentiate between Generalized and Situational subtypes

Back 16

Generalized applies if the dysfunction is not limited to certain types of stimulation, situations or partners

Situational applies if the dysfunction is limited to certain kinds of stimulation, situations or partners. The specific situational pattern of the dysfunction may aid in the differential diagnosis.

Front 17

Differentiate between etiological subtypes: Due to psychological factors and Due to combined factors

Back 17

Due to psychological factors: Applies when psychological factors are implicated in the onset, severity, exacerbation or maintenance of sexual dysfunction

Due to combined factors: Dysfunction attributed to psychological factors and a general medical condition; GMC alone cannot sufficiently account for all of the dysfunction

Front 18

Hypoactive Sexual Desire Disorder
(HSDD)

Back 18

Deficiency or absence of sexuality fantasies and desire for sexual activity

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance or GMC

Not due to a GMC

*Will engage in sexual activity reluctantly if initiated by a partner

Front 19

Sexual Aversion Disorder
(SAD)

Back 19

Aversion to or active avoidance of genital sexual contact with a sexual partner

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance, or GMC

*Individual reports anxiety, fear or disgust when confronted by a sexual opportunity with a partner; aversion may be focused on a particular aspect of sexual experience

Front 20

Female Sexual Arousal Disorder
(FSAD)

Back 20

Persistent or recurrent inability to attain or to maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual excitement

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance, or GMC

Front 21

Male Erectile Disorder
(ED)

Back 21

Persistent or recurrent inability to attain or maintain an adequate erection

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance, or GMC

Front 22

Associated features and disorders: ED

Back 22

Frequently associated with sexual anxiety, fear of failure, concerns about performance, and a decreased subjective sense of sexual excitement and pleasure

Can disrupt existing marital/sexual relationships and may be the cause of unconsummated marriages and infertility

Front 23

Associated features and disorders: FSAD

Back 23

Often accompanied by sexual desire disorders and female orgasmic disorders

May have little/no subjective sense of sexual arousal; may result in painful intercourse, sexual avoidance and disturbance of marital/sexual relationships

Front 24

Associated features and disorders: SAD

Back 24

When confronted with sexual situation, indiv. may experience panic attacks with extreme anxiety

May be markedly impaired interpersonal relations --> marital dissatisfaction

Front 25

Associated features and disorders: HSDD

Back 25

Low sexual interest

Deficiency may be the primary dysfunction or the consequence of emotional distress

Depression often associated with low sexual interest

Individuals with HSDD may also have difficulties est. stable sexual relationships and may have marital dissatisfaction

Front 26

Female Orgasmic Disorder
(FOD)

Back 26

Persistent or recurrent delay in, or absence of orgasm following a normal excitement phase

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance, or GMC

Front 27

Associated features and disorders: FOD

Back 27

May affect body image, self esteem or relationship satisfaction

Front 28

Male orgasmic disorder (MOD)

Back 28

Persistent or recurrent delay in, or absence of orgasm, following normal sexual excitement phase

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance, or GMC

Front 29

Associated features and disorders: MOD

Back 29

Thrusting more of a chore than a pleasure

Pattern of paraphilic sexual arousal may be present

When a man has hidden his lack of coital orgasms from his wife, the couple may present with infertility of unknown cause

Front 30

Premature Ejaculation (PE)

Back 30

Persistent or recurrent onset of orgasm and ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it

PE is not due exclusively to the direct effects of a substance (e.g., withdrawal from opioids)

Front 31

Associated features and disorders: PE

Back 31

May create tension in the relationship

Unmarried males may hesitate to begin dating new partners out of embarrassment or fear; can contribute to social isolation

Front 32

Dyspareunia

Back 32

Genital pain associated with sexual intercourse

Can occur in both males and females

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction), substance, or GMC

Front 33

Associated features and disorders: Dyspareunia

Back 33

Typically seek treatment in general medical facilities

Pain associated with intercourse may result in avoidance of sexual experience

Front 34

Vaginismus

Back 34

Recurrent or persistent involuntary contractions of the perineal muscles surrounding the outer third of the vagina when vaginal penetration with fingers, penis, tampon, or speculum is attempted

Dysfunction not better accounted for by another Axis I disorder (except another sexual dysfunction) or GMC

Front 35

Associated features and disorders: vaginismus

Back 35

Sexual responses may not be impaired unless penetration is attempted or anticipated

Physical obstruction due to muscle contraction usually prevents coitus

Disorder more often found in younger women, in women with negative attitudes toward sex, and in women who have a history of sexual abuse or trauma