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48 Cards in this Set

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How accurate is the Linear Model of Female Sexual Response Cycle?
Not extremely. This cycle is more similar to a man's cycle. Women usually sense arousal before they sense desire.
What are questions you could ask to determine what sexual desire is?
- How often do you think about sex?
- How willing are you to initiate sex?
- Masturbation- good measure of drive.
- How receptive you are to sex. When approached do you agree to sex?
4 cues that McCall and Meston discovered make women want to have sex
- emotional bonding cues
- Explicit/Erotic Cues
- visual/proximity cues
- romantic cues
What hormone plays an important role in male sex drive?
Androgens (testosterone)
What works as a negative feedback system to decrease testosterone?
Treating sex offenders with estrogen to decrease sex drive.
Do men have too much testosterone?
There are excessive amount of testosterone in males that are not necessary. There is a critical level of T to have an erection and once you are past that it does not effect sex drive anymore.
Anonymous male who was having an affair on an island study results.
Significant increases in testosterone while anticipating seeing his lover.
Meston studied this using saliva of women.
What role does estrogen play in sexual desire?
deficiency can cause a decrease in lubrication and or vaginal atrophy which cain impair desire
How much do both men and women average a day of testosterone?
1-7pcg: women
300-1000 pcg: men
What is the most important hormone in females sexual desire?
Testosterone.
Women who have their ovaries removed are supplemented with what to increase drive?
Testosterone
What effect can birth control have on drive?
It decreases it.
What did Belis and Baker conclude about relationship between affairs and testosterone leve?
Women had more affairs during ovulation when T was highest.
What did Goldstein discover about the birth control effect on drive?
SHBG (sex hormone binding globulin) levels do not return to normal after getting off of the pill.
SHBG
sex hormone binding globulin- attaches to testosterone
Depressions effect on desire. What was the odd reports for women with depression?
This negatively effects desire. More problems with arousal, orgasm, pain, sexual satisfaction.
GREATER desire for sexual activity alone: masturbation.
Why might this be?
- self-medicating
- no worry of having to please a partner.
Childhood abuse effects on desire. What are the four traumagenic dynamics?
- traumatic sexualization
- betrayal
- stigmatization
- powerlessness
traumatic sexualization
conditions of abuse under which child's sexuality is shaped in developmentally inappropriate ways
betrayal
child discovers that someone they trusted has caused them harm
stigmatization
negative messages about the experience lead to a sense of the self as evil, worthless and shameful
powerlessness
child experiences having their body repeatedly invaded against their wishes. May teach child that only "escape" is dissociation from body.
How does sexual abuse correlate with sexual activity in women
Usually these women have more sex.
Why is this?
- sex doesn't hold the same value to them as it does to others
don;t have the same emotional connection to sex.
What study/therapy did meston create to help women who have been sexually abused?
HAd them write for 20 to 30 minutes about their sexual experiences. Afterwords their levels of depression were checked.
What was the finding?
It was significantly affective. Women became less depressed and had increased sexual desire.
Mestons study on physical abuse, emotional abuse, sexual abuse, and wide rang of sexual behaviors.
Men and women findings?
Women: abuse led to more sexual behavior
Men: no relation between sexual abuse and adult sexual behaviors
Men: emotional abuse led to a poorer body image and more sexual dissatisfaction
What is the biggest relationship problem that effects desire?
COMMUNICATION
What are some sub-groups of communication that lead to less desire?
- Anger
- Lack of trust
- Lack of Connection
- Lack of emotional intimacy
Other Relationship problems that effect desire.
- Unrealistic expectations
- Loss of attraction to partner
- Lack of Sexual skill
- Differences in desired amount of emotional intimacy and/or sex
Unrealistic expectations are caused many times by?
"infatuation stage"
What causes this?
(PEA)- phenylethylamine, which is released when a person first falls in love.
"fusion" or "merging" among lesbian couples
Women become so connected that they lose their identities. What does this result in, and why?
A lacks of sex because one of the reasons women have sex is to be emotionally connected to their mate.
What questions are asked when trying to decide whether there is a relationship between religiosity and sexual desire. And what are the problems with each question?
What denomination are you?
- many religions are lumped together
How often do you go to church?
- may not have time to go to church, or may not find a church they like.
- Do you think of yourself as a spiritual person?
- How much you believe in or adhere to strict rules of religion.
Mestons study of religions effect on sexual desire. What were the results for men and women?
men: no significant effect.
women: religious fundamentalism: negative effect related to sexual experience in women.
How many women are affected by female circumcision?
80-120 million
Sunnah clitoridectomy
clitoral hood removed
clitoridectomy
entire clitoral glans, shaft, hood removed, sometimes part of labia
infibulation
clitoridectomy plus removal of entire labia minor and parts of labia majora; abraded edges of labia majora stitched together
What are some health factors that effect desire?
- disease: pelvic surgery or trauma
- weakness, pain, body image, survival concerns
- postpartum hormone deficiencies
- BC pills
How does alchool effect drive?
- small amounts can positively increase it, giving less anxiety.
- large amounts can negatively effect performance.
What types of prescription drugs effect desire?
- antidepressants
- antipsychotics
- antihypertensives
- BC
Effects of again on desire?
What is the greatest?
*- psychological beliefs about aging and sex
- health
- medication use
- depression
- loss of partner
smoking/alcohol
What sex reports higher levels of sexual desire?
Men
Why?
- differences in hormones
- socialization ( men are supposed to be assertive in the sexual situation)
- sex roles (men expected to be the sexual creatures)
- anatomical differences
HSDD Hypoactive sexual desire disorder
Diagnosis:
- deficiency or absence of sexual fantasies and desire for sexual activity
- must cause distress
How may patients in therapy report to having HSDD?
30-50%
Why do women with more education tend to have a greater sex drive?
- Women who have more education tend to have more information about sex and sexual problems can be fixed more easily.
Treatment of HSDD
- lifelong: screen endocrine disorders, illness, medication use, depression
- no disorder= individual or couples therapy
- cognitive therapy: restructures beliefs and thoughts about sexuality that may inhibit desire
- behavioral intervention- change behavior to treat affection and communication
- testosterone therapy
Testosterone treatments for women
- pills
- lozenges
- sprays
- implants& patches - UK and australia
- cream
- DHEA: makes testosterone in the body
Sexual aversion disorder
Diagnosis:
- aversion to and avoidance of genital sexual contact with a sexual partner
- causes distress

* more of an anxiety disorder
Causes for sexual aversion disorder:
- Women with this may have a history of sexual or physical abuse
- In men often caused by erectile failure, or desire to avoid anxious feelings
Treatment for Sexual Aversion Disorder
- treat underlying anxiety
- set realistic goals for performance
- anxiolytic meds sometimes used along with sex therapy
Systematic desensitization
- relax muscles
- list rankings of anxieties
- beginning with least fearful, the anxieties are imagined.
- engages in sexual activities in real life while relaxed.