PSYCH 205 1st Edition Lecture 21 Outline of Last Lecture I. ContraceptionII. Contraception In Ancient TimesIII. Contraception in the United States: 1800s and Early 1900sIV. Contraception outside the U.S.V. Male CondomsVI. Female CondomOutline of Current Lecture Challenges to Sexual Functioning I. Sexual Dysfunction: Definitions, causes and treatment strategy II. Psychological Factors in Sexual DysfunctionIII. Physical Factors in Sexual Dysfunction IV. Categorizing the DysfunctionV. Treatment Dysfunction VI. Sexual Desires Disorder VII. Hypoactive Sexual DesireVIII. Sexual Aversion DisorderIX. Sexual Arousal Disorders X. Female Sexual Arousal Disorder Current LectureI. Sexual Dysfunction: Definitions, causes and treatment strategy a. The Diagnostic and Statistical Manual (DSM IV-TR) classifies sexual dysfunctions, providing descriptions, diagnoses, treatments and research findings- Uses a physiological framing of sexual problems, not acknowledging relational aspects - Has a heterosexist focusb. Psychological and physiological factors can overlapc. Psychological Challenges to Sexual Functioningd. Physiological Challenges to Sexual Functioninge. Evaluating Sexual Problemsf. Treating Sexual ProblemsThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.II. Psychological Factors in Sexual Dysfunctiona. Psychological factors can interfere with sexual functioning: unconscious fears, ongoing stress, anxiety, depression, guilt, anger, fear of intimacy, dependency, abandonment and concern over loss of control b. Performance fears – distractions, shifts in attention or preoccupation during sexual arousal may interfere with the ability to respond sexuallyc. Disease, disability, illness and use of prescription and non-prescription drugs can interfere with sexual functioningd. Sexual dysfunction increases with ageIII. Physical Factors in Sexual Dysfunction a. Sexual dysfunctions increases with age mainly because of physical factors in general healthb. Disease, disability, illness, and use of prescription and non-prescription drugs canall lead to sexual dysfunctions c. Psychotropic medications often lead to sexual dysfunctiond. SSRI range from 17% to 80% IV. Treatment Dysfunction a. Medical history and workup are taken first to determine physiological causesb. Evaluations of past sexual abuse or traumac. Plan for treatment is made after causes have been uncoveredd. Treatment may be multimodal (involve more than one type of therapy)V. Hypoactive Sexual Desirea. Hypoactive Sexual Desire Disorder: Men and women are diagnosed; characterized by persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activityVI. Sexual Aversion Disorder/Sexual Arousal Disorders a. Women are diagnosed; characterized by many symptoms including no initiation of sexual activity, little receptiveness to partner’s initiation, absence of genital
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