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25 Cards in this Set

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Sexual Dysfuncitons
disturbance n sexual resonse cycle or pain related to sexual intercource
Male Erectile Disorer
inabilty to attain or maintain an adequate erection.
Female Oransimic diorder or Male OD
delay in or absence of orgasm.
Premature Ejaculation
orbasm and ejeaculation occur with minimal sexual stimulaiton. linked to low serotonin levles can be treated with SSRI
Dyspareunia
genital pain associated with sexual intercourse
Vaginismus
involuntary spasms of the pubococcygeus muscle in the outer third of the gaina that interfere with sexual intercource.
Primary vs. Secondary sexual dysfunctions
primariy always existed and secondary develop after a period of normal functioning
Treatment of Sexual Dysfunciton
1) referral for a medical evaluation. complete abscense of erection during REM sleep - may be organic. CBT works, sex therapy - Masters and Johnson
Sensate Focus treatment of sexual dysfucniton
reduce performance anxiety and thereby increase sexual escitement. entials seris of graded escercise that begin with "nongenital pleasuring" and gradually build to genital stimulation with a ban on orgasm and intercourse.
Parphilias
characterized by intense recurrent sexual urges to nonhuman objects, the suffering or humiliation of oneself or on'e partner, or children or othe rnonconscenting partners.
Treatment of Paraphilias
in vivo aversion therapy in the past. only short term effects. trand has been toward the use of covert sensitization (aversion conditioning in imagination).
Gender Identity Disorder
a strong, persistent cross-gender identificaion and discomfort with one's sex or sense of inapropriatenetss in the gender role of that sex.
Gender Identity Disorder - Course/Prognosis
onset 2-4 in children. only small percent of chldren continue to meet the full criteria for the disorder in adolescens or adulthood. Late adolescence or adulthood about 75% of males who had a childhood onset of the disorder reprt a homosexual or bisexual orientation.
Sleep Disorders divided into Dyssomnias and Parasomnias
Dyssomnias - distrubances in the amount, quality, and timing of sleep and include Primary insomina, primary hyperinsomina
Parasomnias involve behavioral or physiological abnormalities during sleep or in the sleep-wakfulness transition and include Nigtmare Disorders.
Narcolepsy
irresistible attacks of restorative sleep accompanied by cataplexy (loss of muscule tone). Cataplexy is often triggered by strong emotions - anger
Anorexia Nervosa
1) refusal to maintain a minimally noral body weight
2) intense fear of gaiing weight
3)significant disturbance in the perception of the shape, size of body.
4) amenorrhea
wieght loss is usuallyachieved by deceasing total food intake, which may be accompanied by accessive excerise
Standard to be used in Determining anorexia nervosa
Restrictive type vs. bindge and binge eating-purging type
weight that is 85% or less of what is expected for individuals age and height.
restrictive - not eating to lose weight
Gender/Age Anorexia Nervosa
90% are female. onset commonly in mid to late adolescence....usually associated with stressful event.
Etiology of Anorexia Nervosa
linked to certain family and individual characteristics. familyies are middle r upper class and despite outward appearance of adjustment and stability, tend to be competitive and overly concerned with approval and success. considered to be good girls - compliant, nonassertive, introverted, and conscientious, and do well in school.
Anorexia treatment
1) gain weight to reduce health problems. may require hospitalization.
CBT for anxorexia emphasized modifying the individual scognitive errors and erroneous beliefs about weight and food including the value of being thin.
Bulima Nervosa
1) recurrent episodes of ginge eating that are accompanied by loss of control. 2) inappropriate compensatory behavior to prevent weight gain 3) self-evaluation influenced by body shape and wieght. 2x a week for three months.
Binges triggered
by interpersonal stressors or a dysphoric modd and continue ntil the person is uncomfortably or painfuly full.
Bulimia Etiology
linked to low levels of endogenous opioid beta-endorphin and low levels of serotonin. some evidence for genetic. onset usually follows a period of moderae dieting.
Bulimia Treatment
helping the individual gain contorl over eating and modifying dysfuncional beliefs about eating, shape, and
Adjustment Disorders
maladaptive reaction to one or more identifiable psychosocial stressors. diagnosed only when symptoms remit within six months after termination of the stressor or its conseqences.