New version page

UA PSY 381 - Lecture Notes

Upgrade to remove ads

This preview shows page 1-2-23-24 out of 24 pages.

Save
View Full Document
Premium Document
Do you want full access? Go Premium and unlock all 24 pages.
Access to all documents
Download any document
Ad free experience
Premium Document
Do you want full access? Go Premium and unlock all 24 pages.
Access to all documents
Download any document
Ad free experience
Premium Document
Do you want full access? Go Premium and unlock all 24 pages.
Access to all documents
Download any document
Ad free experience
Premium Document
Do you want full access? Go Premium and unlock all 24 pages.
Access to all documents
Download any document
Ad free experience

Upgrade to remove ads
Unformatted text preview:

Sexual and Gender Identity DisordersSexual and Gender Identity Disorders: An OverviewFigure 9.2Defining Gender Identity Disorder (transsexualism)Overview of Sexual DysfunctionsFigure 9.3Sexual Desire Disorders: An OverviewSexual Arousal DisordersOrgasm DisordersSexual Pain DisordersAssessing Sexual BehaviorCauses and Treatment of Sexual DysfunctionFigure 9.5Treatment of Sexual DysfunctionParaphilias: Clinical Descriptions and CausesVoyeurism and ExhibitionismFetishism and Transvestic FetishismSexual Sadism and Sexual MasochismFigure 9.6PedophiliaPedophilia: Causes and AssessmentPedophilia: Psychosocial TreatmentPedophilia: Drug TreatmentsSummary of Sexual and Gender Identity DisordersSexual and Gender Identity Sexual and Gender Identity DisordersDisordersChapter 9Chapter 9Sexual and Gender Identity Disorders: An Overview•gender identity disorders•sexual dysfunctions–sexual desire disorders, sexual arousal disorders, orgasm disorders, sexual pain disorders•paraphilias–fetishism, voyeurism and exhibitionism, transvestic fetishism, sexual sadism and masochism, pedophiliaFigure 9.2Sequence of events leading to sexual orientationDefining Gender Identity Disorder (transsexualism)•Clinical Overview–Person feels trapped in the body of the wrong sex–Assume the identity of the desired sex, but the goal is not sexual•Causes are Unclear•Sex-Reassignment as a Treatment of Gender Identity Disorder–Who is a candidate? – Some basic prerequisites before surgery –75% report satisfaction with new identity–Female-to-male conversions adjust better than male-to-female•Psychosocial Treatment of Gender Identity Disorder–Involve realigning the persons psychological gender with their biological sex–Few large scale studiesOverview of Sexual Dysfunctions •Sexual Dysfunctions Involve Desire, Arousal, and/or Orgasm•Males and Females Experience Parallel Versions of Most Dysfunctions–Affects about 43% of all females and 31% of males–Most prevalent class of disorders in the United States•Classification of Sexual Dysfunctions–Lifelong vs. acquired–Generalized vs. situational–Due to psychological factors alone or in combination with a medical conditionFigure 9.3The human sexual response cycleSexual Desire Disorders: An Overview•Hypoactive Sexual Desire Disorder–Little or no interest in any type of sexual activity–Accounts for half of all complaints at sexuality clinics–22% of women and 5% of men suffer from this disorder–Sexual fantasies, and intercourse are rare in this disorder•Sexual Aversion Disorder–Little interest in sex –Extreme fear, panic, or disgust related to physical or sexual contact–10% of males report panic attacks during attempted sexual activitySexual Arousal Disorders •Male Erectile Disorder–Difficulty achieving and maintaining an erection•Female Sexual Arousal Disorder–Difficulty achieving and maintaining adequate lubrication•Associated Features of Sexual Arousal Disorders–Problem is arousal, not desire–Problem affects about 5% of males, 14% of females–Males are more troubled by the problem than females–Erectile problems are the main reason males seek helpOrgasm Disorders •Inhibited Orgasm: Female and Male Orgasmic Disorder–Inability to achieve orgasm despite adequate sexual desire and arousal–Rare condition in adult males, but is the most common complaint of adult females–25% of adult females report significant difficulty reaching orgasm–50% of adult females report experiencing regular orgasms during intercourse •Premature Ejaculation–Ejaculation occurring before the man or partner wishes it to–21% of all adult males meeting criteria for premature ejaculation–Most prevalent sexual dysfunction in adult males–Most common in younger, inexperienced males, but declines with ageSexual Pain Disorders •Defining Feature: Marked Pain During Intercourse•Dyspareunia–Extreme pain during intercourse–Adequate sexual desire, and ability to attain arousal and orgasm–Must rule out medical reasons for pain–Affects 1% to 5% of men and about 10% to 15% of women•Vaginismus–Limited to females–Outer third of the vagina undergoes involuntary spasms–Complaints include feeling of ripping, burning, or tearing–Affects over 5% of women seeking treatment in the United States–Prevalence rates are higher in more conservative countries and subgroupsAssessing Sexual Behavior •Comprehensive Interview–Include a detailed history of sexual behavior, lifestyle, and associated factors•Medical Examination–Must rule out potential medical causes of sexual dysfunction•Psychophysiological Evaluation–Exposure to erotic material–Determine extent and pattern of physiological and subjective sexual arousal–Males – Penile strain gauge–Females – Vaginal photoplethysmograhCauses and Treatment of Sexual Dysfunction•Biological Contributions –Physical disease and medical illness–Prescription medications–Use and abuse of alcohol and other drugs•Psychological Contributions–The role of “anxiety” vs. “distraction”–The nature and components of performance anxiety–Psychological profiles associated with sexual dysfunction •Social and Cultural Contributions –Erotophobia – Learned negative attitudes about sexuality –Negative or traumatic sexual experiences –Deterioration of interpersonal relationships, lack of communicationFigure 9.5A model of functional and dysfunctional sexual arousalTreatment of Sexual Dysfunction•Education Alone–Is surprisingly effective•Masters and Johnson’s Psychosocial Intervention–Education–Eliminate performance anxiety – Sensate focus and nondemand pleasuring•Erectile Dysfunction–Viagra – Is it really the wonder drug?–Injection of vasodilating drugs into the penis–Penile prosthesis or implants–Vascular surgery•Few Medical Procedures Exist for Female Sexual DysfunctionParaphilias: Clinical Descriptions and Causes•Nature of Paraphilias–Sexual attraction and arousal to inappropriate people, or objects–Often multiple paraphilic patterns of arousal–High comorbidity with anxiety, mood, and substance abuse disorders•Main Types of Paraphilias–Fetishism–Voyeurism–Exhibitionism–Transvestic fetishism–Sexual sadism and masochism–PedophiliaVoyeurism and Exhibitionism •Voyeurism–Practice of observing an unsuspecting individual undressing or naked–Risk associated with “peeping” is necessary for sexual


View Full Document
Download Lecture Notes
Our administrator received your request to download this document. We will send you the file to your email shortly.
Loading Unlocking...
Login

Join to view Lecture Notes and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view Lecture Notes 2 2 and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?