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Quiz Questions

Quiz Questions. What are the categories of DSM sexual disorders? Sexual dysfunciton Paraphilia Gender identity disoder a and b 2. Which is NOT in the DSM? Gender identity disorder Pedophilia Homosexuality Frotteurism. More Quiz Questions.

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Quiz Questions

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  1. Quiz Questions • What are the categories of DSM sexual disorders? • Sexual dysfunciton • Paraphilia • Gender identity disoder • a and b 2. Which is NOT in the DSM? • Gender identity disorder • Pedophilia • Homosexuality • Frotteurism

  2. More Quiz Questions 3. Which is characterized by rubbing against a nonconsenting person? a. exhibitionism b. voyeurism c. sexual masochism d. frotteurism 4. What is male orgasmic disorder? • ejaculation w/ minimal sexual contact • delayed or absent orgasm • either a or b

  3. Last Quiz Questions • Which involves being humiliated, beaten, bound, etc.? • exhibitionism • frotteurism • masochism • voyeurism

  4. Paraphilias • Recurrent, intense sexually arousing fantasies, urges, or behaviors involving nonhumans, suffering of self or partner, children. (For some these are necessary for erotic arousal & always inc. in sexual activity; for other these occur episodically.)

  5. Types of Paraphilias • Exhibitionism - exposing genitals to (unsuspecting) stranger(s), most common sex crime in U.S., rare outside, involves shock & risk, often distant from victim, needs to display masculinity w/o having to perform

  6. Other Paraphilias • Voyeurism - illegal, secretive nature is arousing, most don’t ever commit more serious sex crimes (but Bundy did) • Fetishism - involving (nonliving) objects, depression, anxiety, loneliness

  7. More Types of Paraphilias • Sexual sadism - involves psychological or physical suffering • Sexual masochism - involves act (real, not simulated) of being humiliated, beaten, bound, otherwise made to suffer

  8. More on Paraphilias • Transvestic fetishism - cross-dressing for sexual arousal in heterosexual male (for over 6 mo.) • Frotteurism - rubbing against nonconsenter

  9. Pedophilia • Molestation of prepubescent child, most heavily punished paraphilia • Most conflicted re sexuality vs. religion • Feel guilty, doomed • Lack confidence, uneasy in social & sexual situations w/ adults

  10. Etiology of Paraphilias • Over 90% committed by males • Classical conditioning - pairing of stimulus w/ sexual arousal • Social learning - hx of inappropriate sexual & aggressive experiences, poor social skills, hostility toward women

  11. Tx of Paraphilias • Most research done on sex offenders (atypical group) • Cognitive-behavioral tx predominates • Aversion tx - harmless shock • Empathy training - inc. role reversal • Desensitization & social skills trg. - unlearn anxiety & approach more appropriate partners ( in appropriate manner)

  12. Gender Identity Disorder • Strong, persistent identification w/ other sex • Persistent discomfort w/ sex, inappropriateness in gender role • R/O physical intersex condition • As child • Cross dressing • Cross sex roles • Played w/ other sex • Insisting is other sex

  13. Sexual Response Cycle • Desire - inc. fantasies • Excitement - subjective pleasure, physiological changes • Orgasm - peaking of pleasure, ejaculation or vaginal wall contractions • Resolution - differs for sexes, refractory period • Sexual Dysfunctions at any of first 3

  14. Sexual Desire Disorders • Most common sexual dysfunction, may be on rise, others may be secondary (Kaplan) • Hypoactive Sexual Desire Disorder - little or no interest in sex (for age, etc.) • Sexual Aversion Disorder - disgust, fear, revulsion to one of all aspects of sex, often result of sexual abuse, assault

  15. Sexual Arousal Disorders • Female Sexual Arousal Disorder - persistent, recurrent inability to attain or maintain lubrication-swelling responsee • Male Erectile Disorder (impotence) - recurrent inability to attain or maintain erection til end of activity, may be secondary to alcohol, diabetes, distinguish from occasional problem in gaining or sustaining erection

  16. Orgasmic Disorders • Female Orgasmic Disorder - no orgasm when stimulation adequate, 1 in 4 have difficulty reaching orgasm • Premature Ejaculation • Retarded Ejaculation - usually no orgasm w/ partner, only masturbation

  17. Sexual Pain Disorders • Dyspareunia - genital pain upon intercourse, rare in men, can be from vaginal dryness, antihistamines, injury or irritation • Vaginismus - involuntary contraction of muscles of outer third of vagina (5-17% of women)

  18. Sexual Dysfunction Tx (Masters & Johnson) • Sensate focus is tx of choice for impaired excitement in females, erectile dysfunction in males • Pleasuring • Genital stimulation • Nondemand intercourse (no pressure for orgasm) • Female orgasmic disorder treated w/ masturbation homework • Squeeze technique for premature ejaculation

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