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36 Cards in this Set

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What is normal sexuality?

Normal vs. "Abnormal" sexual behaviour


Normative data, cultural considerations, gender differences and age

What are considered as factors relating the normal behaviour of sexuality

What are the types of sexual dysphoria disorders?

Sexual dysfunctions, paraphilias and gender dysphoria

Dysphoria

a state of unease and dissatisfaction

Sexual response cycle

Desire (phase 1)


Arousal (phase 2)


Orgasm (phase 3)


Resolution (phase 4)

Gender

An individuals sense of identifying as male, female or another gender identity

Sex hormones

Direct the physical development of biological sex characteristics and help activate sexual behaviour

Sexual dysfunctions

Disorders involving either a disruption of the sexual response cycle or pain during intercourse

Sexual dysfunctions are:

Lifelong, qcquired, generalised and situational

What are the sexual desire/arousal disorders?

Male hypoactive sexual desire disorder, female sexual interest/arousal disorder, erectile dysfunction

What is the male hypoactive sexual desire disorder?

Little or no interest in sexual activity. Decreased frequency of fantasies and intercourse. Most common complaint. Can result from underlying psychological problem such as depression, stress and conflict.

Less sexual desire

What is the female sexual arousal disorder?

Difficulty achieving and maintaining adequate lubrication.

Sexual aversion disorder

Uninterested in sex. Disgusted or frightened by sex and avoids it. Extreme aversion to sex. Can be related to sexual trauma history

Orgasm disorders

In men: delayed ejaculation


In women: the condition is referred to as female orgasmic disorder. Unable to achieve orgasm even with adequate desire and arousal. Common complaint in female adults.

What are the sexual pain disorders?

Genito-pelvic pain/penetration disorder and vaginismus

What is genito-pelvic pain/penetration disorder?

Marked pain during intercourse, sometimes extreme. Adequate sexual desire, arousal and orgasm

What is vaginismus?

Muscles surrounding the vagina contract involuntary - making sexual intercourse painful for women. Sexual trauma can be a cause. Usually responsive to treatment

How do you assess sexual behaviour?

Interviews, medicine and psychological methods

Interviews for sexual behaviour

Clinician must demonstrate comfort, assess multiple dimensions. Sexual attitudes, behaviours, sexual response cycle, health and relationship issues.

Medical treatment for sexual behaviour

Medication side effects and physical conditions

Paychological treatments for sexual behaviour

Exposure to erotic material, sexual arousal response

What are the causes of sexual dysfunctions?

Biological: physical disease, medical illness, medication and drugs.


Psychological: anxiety, performance anxiety.


Social and cultural: erotophobia, trauma, lack of communication. Often a subtle combination of all three factors.

Treatment of sexual dysfunctions

Psychosocial interventions: education (highly effective) eliminate performance anxiety.


Medical interventions: oral tablets, drug injections, surgery.

Paraphilic disorders

A paraphilia that causes distress or impaired functioning in the individual. A paraphilia is a condition that is characterized by abnormal sexual desires.

Nature of Paraphilic disorders

Sexual attraction and arousal, socially inappropriate objects/people. Associated with distress and impairment or harm. Related to anxiety, mood and substance abuse.

Fetishistic disorder (paraphilia)

Sexual attraction to non living objects


to non living objects.

A type of paraphilia

Voyeuristic disorder (paraphilia)

Observing an unsuspecting individual undressing

A type of paraphilia

Exhibitionistic disorder (paraphilia)

Achieving sexual arousal & gratification by exposing genitals to strangers

A type of paraphilia

Frotteuristic disorder

Unwanted touching in public

A type of paraphilia

Transvestic disorder

Sexual arousal associated with dressing as opposite sex

A type of paraphilia

Sexual sadism and masochism

Associated with inflicting pain or humiliation

Causes of paraphilic disorders

Social deficits, inappropriate arousal from early experiences, sexual problems, high sex drive

Treatment for paraphilic disorders

Psychosocial: behavioural - target deviant and inappropriate sexual associations. Orgasmic reconditioning.


Prevention: cognitive behavioural therapy

Gender dysphoria

Feels trapped in the body of the wrong sex. Assumes identity of the desired sex. Must distinguish from: transvestic fetishism, disorders of sex development.

Cisgenderism

Sociocultural ideology that promotes and reinforces dominant binary gender systems, provides justifications for stigma towards transgender people and delegitimizes peoples own understanding of their genders and bodies

Gender dysphoria causes

Biological: likely genetic contributions, hormones, higher levels of testosterone or estrogen

Treatment

Sex reassignment surgery: have to had 1 or 2 years in opposite sex role.