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103 Cards in this Set

  • Front
  • Back

sexual functioning 363

the ability and capacity to engage in sexual behavior

gender identity 363

one’s perception of oneself as male or female

sexual desire 365
in the sexual response cycle, an urge or inclination to engage in sexual activity
arousal phase 365
in the sexual response cycle, psychological experience of arousal and pleasure as well as physiological changes, such as the tensing of muscles and enlargement of blood vessels and tissues (also called the excitement phase)
plateau phase 365
in the sexual response cycle, period between arousal and orgasm, during which excitement remains high but stable
orgasm 365
discharge of neuromuscular tension built up during sexual activity; in men, entails rhythmic contractions of the prostate, seminal vesicles, vas deferens, and penis and seminal discharge; in women, entails contractions of the orgasmic platform and uterus
resolution 365
in the sexual response cycle, state of deep relaxation following orgasm in which a man loses his erection and a woman’s orgasmic platform subsides
sexual dysfunction 366
problems in experiencing sexual arousal or carrying through with sexual acts to the point of sexual arousal
male hypoactive sexual desire disorder 366
condition in which a man’s desire for sex is diminished to the point that it causes him significant distress or interpersonal difficulties and is not due to transient life circumstances or another sexual dysfunction
female sexual interest/arousal disorder 367
in women, recurrent inability to attain or maintain the swelling-lubrication response of sexual excitement
erectile disorder 367
in men, recurrent inability to attain or maintain an erection until the completion of sexual activity
female orgasmic disorder 368
in women, recurrent delay in or absence of orgasm after having reached the excitement phase of the sexual response cycle (also called anorgasmia)
early or premature ejaculation 368
recurrent ejaculation within 1 minute of initiation of partnered sexual activity when not desired
delayed ejaculation 369
marked delay, infrequency, or absence of ejaculation during sexual encounters
genito-pelvic pain/penetration disorder 370
marked difficulty having vaginal penetration; pain or tightening of pelvic floor muscles during penetration
substance-induced sexual dysfunction 371
problems in sexual functioning caused by substance use
performance anxiety 372
anxiety over sexual performance that interferes with sexual functioning
sensate focus therapy 377
treatment for sexual dysfunction in which partners alternate between giving and receiving stimulation in a relaxed, openly communicative atmosphere in order to reduce performance anxiety and concern over achieving orgasm by learning each partner’s sexual fulfillment needs
stop-start technique 379
sex therapy technique used for premature ejaculation; the man or his partner stimulates his penis until he is about to ejaculate; the man then relaxes and concentrates on the sensations in his body until his level of arousal declines; the goal of this technique is for the man to learn to identify the point of ejaculatory inevitability and to control his arousal level at that point
squeeze technique 379
sex therapy technique used for premature ejaculation; the man’s partner stimulates him to an erection, and then when he signals that ejaculation is imminent, the partner applies a firm but gentle squeeze to his penis, either at the glans or at the base, for 3 or 4 seconds; the goal of this technique is for the man to learn to identify the point of ejaculatory inevitability and to control his arousal level at that point
paraphilic disorder 380
disorder characterized by atypical sexual activity that involves one of the following: (1) nonhuman objects, (2) nonconsenting adults, (3) the suffering or humiliation of oneself or one’s partner, or (4) children
fetishistic disorder 380
paraphilic disorder in which a person uses inanimate objects as the preferred or exclusive source of sexual arousal
transvestic disorder 382
paraphilic disorder in which a heterosexual man dresses in women’s clothing as his primary means of becoming sexually aroused
sexual sadism disorder 382
disorder characterized by obtaining sexual gratification through inflicting pain and humiliation on one’s partner
sexual masochism disorder 382
disorder characterized by obtaining sexual gratification through experiencing pain and humiliation at the hands of one’s partner
sadomasochism 382
pattern of sexual rituals between a sexually sadistic “giver” and a sexually masochistic “receiver”
voyeuristic disorder 384
disorder characterized by obtainment of sexual arousal by compulsively and secretly watching another person undressing, bathing, engaging in sex, or being naked
exhibitionistic disorder 384
obtainment of sexual gratification by exposing one’s genitals to involuntary observers
frotteuristic disorder 384
disorder characterized by obtainment of sexual gratification by rubbing one’s genitals against or fondling the body parts of a nonconsenting person
pedophilic disorder 384
disorder characterized by adult obtainment of sexual gratification by engaging in sexual activities with young children
aversion therapy 387
treatment that involves the pairing of unpleasant stimuli with deviant or maladaptive sources of pleasure in order to induce an aversive reaction to the formerly pleasurable stimulus
gender dysphoria 388
condition in which a person believes that he or she was born with the wrong sex’s genitals and is fundamentally a person of the opposite sex
transsexuals 389
people who experience chronic discomfort with their gender and genitals as well as a desire to be rid of their genitals and to live as a member of the opposite sex
anorexia nervosa 339
eating disorder in which people fail to maintain body weights that are normal for their age and height and have fears of becoming fat, distorted body images, and amenorrhea
amenorrhea 339
cessation of the menses
restricting type of anorexia nervosa 340
type of anorexia nervosa in which weight gain is prevented by refusal to eat
binge/purge type of anorexia nervosa 341
type of anorexia nervosa in which periodic bingeing or purging behaviors occur along with behaviors that meet the criteria for anorexia nervosa
bulimia nervosa 343
eating disorder in which people engage in bingeing and behave in ways to prevent weight gain from the binges, such as self-induced vomiting, excessive exercise, and abuse of purging drugs (such as laxatives)
bingeing 343
eating a large amount of food in one sitting
binge-eating disorder 345
eating disorder in which people compulsively overeat either continuously or on discrete binges but do not behave in ways to compensate for the overeating
other specified feeding or eating disorder 346
captures presentations of an eating disorder that cause clinically significant distress or impairment but do not meet the full diagnostic criteria for any of the other eating disorders
atypical anorexia nervosa 346
all the criteria for anorexia nervosa are met, except that despite significant weight loss, the individual’s weight is within or above the normal range
bulimia nervosa of low frequency and/or limited duration 346
involves meeting all of the criteria for bulimia nervosa, except that the binge eating and inappropriate compensatory behaviors occur, an average, less than once a week and/or for less than 3 months
night eating syndrome 346
an eating disorder characterized by the regular intake of excessive amounts of food after dinner and into the night
obesity 347
condition of being significantly overweight, defined by the Centers for Disease Control as a body mass index (BMI) of 30 or over, where BMI is calculated as weight in pounds multiplied by 703, then divided by the square of height in inches
substance use disorders 396
disorders characterized by inability to use a substance in moderation and/or the intentional use of a substance to change one’s thoughts, feelings, and/or behaviors, leading to impairment in work, academic, personal, or social endeavors
gambling disorder 396
a disorder, similar to substance abuse, characterized by the inability to resist the impulse to gamble
substance 396
naturally occurring or synthetically produced product that alters perceptions, thoughts, emotions, and behaviors when ingested, smoked, or injected
substance intoxication 398
experience of significantly maladaptive behavioral and psychological symptoms due to the effect of a substance on the central nervous system that develops during or shortly after use of the substance
substance withdrawal 398
experience of clinically significant distress in social, occupational, or other areas of functioning due to the cessation or reduction of substance use
substance abuse 399
diagnosis given in the DSM-IV when a person’s recurrent substance use leads to significant harmful consequences, as manifested by a failure to fulfill obligations at work, school, or home; the use of substances in physically hazardous situations; legal problems; and continued use despite social and legal problems
substance dependence 399
diagnosis given in the DSM-IV when a person’s substance use leads to physiological dependence or significant impairment or distress, as manifested by an inability to use the substance in moderation; a decline in social, occupational, or recreational activities; or the spending of large amounts of time obtaining substances or recovering from their effects
tolerance 399
condition of experiencing less and less effect from the same dose of a substance
depressants 400
drugs that slow the nervous system
delirium tremens (DTs) 402
symptoms that result during severe alcohol withdrawal, including hallucinations, delusions, agitation, and disorientation
benzodiazepines 406
drugs that reduce anxiety and insomnia
barbiturates 406
drugs used to treat anxiety and insomnia that work by suppressing the central nervous system and decreasing the activity level of certain neurons
stimulants 406
drugs that activate the nervous system
cocaine 406
central nervous system stimulant that causes a rush of positive feelings initially but that can lead to impulsiveness, agitation, and anxiety and can cause withdrawal symptoms of exhaustion and depression
amphetamines 409
stimulant drugs that can produce symptoms of euphoria, self-confidence, alertness, agitation, paranoia, perceptual illusions, and depression
nicotine 410
alkaloid found in tobacco; operates on both the central and peripheral nervous systems, resulting in the release of biochemicals, including dopamine, norepinephrine, serotonin, and the endogenous opioids
caffeine 411
chemical compound with stimulant effects
opioids 411
substances, including morphine and heroin, that produce euphoria followed by a tranquil state; in severe intoxication, can lead to unconsciousness, coma, and seizures; can cause withdrawal symptoms of emotional distress, severe nausea, sweating, diarrhea, and fever
hallucinogens 413
substances, including LSD and MDMA (ecstasy), that produce perceptual illusions and distortions even in small doses
phencyclidine (PCP) 414
substance that produces euphoria, slowed reaction times, and involuntary movements at low doses; disorganized thinking, feelings of unreality, and hostility at intermediate doses; and amnesia, analgesia, respiratory problems, and changes in body temperature at high doses
cannabis 414
substance that causes feelings of well-being, perceptual distortions, and paranoid thinking
inhalants 415
solvents, such as gasoline, glue, or paint thinner, that one inhales to produce a high and that can cause permanent central nervous system damage as well as liver and kidney disease
antagonist drugs 420
drugs that block or change the effects of an addictive drug, reducing desire for the drug
methadone 420
opioid that is less potent and longer-lasting than heroin; taken by heroin users to decrease their cravings and help them cope with negative withdrawal symptoms
motivational interviewing 423
intervention for sufferers of substance use disorders to elicit and solidify individuals’ motivation and commitment to changing the motivational interviewer adopts an empathic interaction style, drawing out the user’s own statements of desire, ability, reasons, need, and, ultimately, commitment to change
abstinence violation effect 423
what happens when a person attempting to abstain from alcohol use ingests alcohol and then endures conflict and guilt by making an internal attribution to explain why he or she drank, thereby making him or her more likely to continue drinking in order to cope with the selfblame and guilt
relapse prevention programs 423
treatments that seek to offset continued alcohol use by identifying high-risk situations for those attempting to stop or cut down on drinking and teaching them either to avoid those situations or to use assertiveness skills when in them, while viewing setbacks as temporary
Alcoholics Anonymous (AA) 423
an organization created by and for people with alcoholism involving a 12-step treatment program
harm reduction model 426
approach to treating substance use disorders that views alcohol use as normative behavior and focuses education on the immediate risks of the excessive use of alcohol (such as alcohol-related accidents) and on the payoffs of moderation (such as avoidance of hangovers)
conduct disorder 321
syndrome marked by chronic disregard for the rights of others, including specific behaviors such as stealing, lying, and engaging in acts of violence
childhood-onset conduct disorder 321
a conduct disorder characterized by aggression, destructiveness, deceitfulness, and rules violation beginning before age 10 that tends to worsen with age
adolescent-onset conduct disorder 321
a conduct disorder characterized by aggression, destructiveness, deceitfulness, and rules violation beginning after age 10
life-course-persistent antisocial behavior 321
a form of conduct disorder involving aggression, destructiveness, deceitfulness, and rules violation that persists into adulthood
psychopathy 322
set of broad personality traits including superficial charm, a grandiose sense of self-worth, a tendency toward boredom and need for stimulation, pathological lying, an ability to be cunning and manipulative, and a lack of remorse
oppositional defiant disorder 323
syndrome of chronic misbehavior in childhood marked by belligerence, irritability, and defiance, although not to the extent found in a diagnosis of conduct disorder
antisocial personality disorder (ASPD) 329
pervasive pattern of criminal, impulsive, callous, and/or ruthless behavior, predicated on disregard for the rights of others and an absence of respect for social norms
intermittent explosive disorder 332
disorder characterized by (a) several episodes of failure to resist aggres sive impulses that result in serious assaultive acts or destruction of property, (b) a degree of aggressiveness grossly out of proportion to the situation, and (c) symptoms not better explained by another mental disorder (such as antisocial personality disorder), the effects of substances, or a medical condition (e.g., a head trauma)
personality 252
patterns of thinking, emotions, and behavior that tend to be enduring
personality trait 252
a facet of personality on which people differ from one another
five-factor model 252
a leading theory in personality: a dimensional perspective that posits that everyone’s personality is organized along five broad personality traits, or factors
personality disorder 254
chronic pattern of maladaptive cognition, emotion, and behavior that begins by adolescence or early adulthood and continues into later adulthood
paranoid personality disorder 256
a pattern of pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent
schizoid personality disorder 258
a pervasive pattern of detachment from social relationships and a restricted range of emotional expression in their interactions with others
schizotypal personality disorder 259
people diagnosed with this disorder show symptoms similar to those of schizophrenia but in milder form
borderline personality disorder 262
syndrome characterized by rapidly shifting and unstable mood, selfconcept, and interpersonal relationships, as well as impulsive behavior and transient dissociative states
dialectical behavior therapy 266
cognitive-behavioral intervention aimed at teaching problem-solving skills, interpersonal skills, and skill at managing negative emotions
transference-focused therapy 266
a highly structured psychodynamic treatment for borderline personality disorder that uses the relationship between patient and therapist to help patients develop a more realistic and healthier understanding of their interpersonal relationships
mentalization-based treatment 266
a form of psychodynamic treatment for borderline personality disorder based on attachment
histrionic personality disorder 267
shares features with borderline personality disorder, including rapidly shifting emotions and intense, unstable relationships; people with this disorder behave in ways to draw attention to themselves across situations
narcissistic personality disorder 268
syndrome marked by grandiose thoughts and feelings of one’s own worth as well as an obliviousness to others’ needs and an exploitative, arrogant demeanor
avoidant personality disorder 270
pervasive anxiety, sense of inadequacy, and fear of being criticized that lead to the avoidance of most social interactions with others and to restraint and nervousness in social interactions
dependent personality disorder 272

People with this disorder are anxious about interpersonal interactions, but their anxiety stems from a deep need to be cared for by others, rather than from a concern that they will be criticized

obsessive-compulsive personality disorder 273
anxiety disorder characterized by obsessions (persistent thoughts) and compulsions (rituals)
negative affectivity 276
a dimension of personality characterized by negative mood states
detachment 277
the inability to connect with others
antagonism 277
hostility toward others

disinhibition 277

lack of restraint
psychoticism 277

proneness to psychotic-like symptoms, such as illusions