Topic 12: sexual dysfunction·3 types: General, acquired and situational disorder of desire:o hypo : they could do without sex (complete disinterest)o hyper: too much sex and disrupts daily life· disorder of arousal: (lack of desire/arousal in circumstance that ordinarily would elicit arousal)o for males: erectile failureo females: inadequate lubrication and swelling· types of orgasmic dysfunction:o males: premature ejaculationo females: not achieving orgasm· treatmento PLISSIT MODEL: (masters and Johnson)§ P – permission giving (you or therapist give permission§ LI- limited information§ SS- specific suggestions (hw assignments)§ IT – intensive therapy (drugs or aversion therapy; more serious if other steps don’t work basically)o hands on demonstration by therapisto stop and go therapy§ female stimulates penis and male says to stop when he thinks he will ejaculate (for premature ejaculation)§ containment: female sits with penis inside her§ intercourse with female on top§ squeeze technique by female§ intercourse in missionary position (95% success rate)§ many men don’t wanna do this process and would rather take chemical pills ie viagraTopic 13: Contraception BIRTH CONTROL· opposition to birth control – tried to put prohibitions on it· right to life argued against abortion and BC· Phyllis schlafly : the lady that was right to life lady- feminist most ardent opponent · Methods of BCo Non COITALo Most popular is the pillo Progesteroneo Mini pill: bc pills if you have heart probs bc ppl with heart probs cant have estrogen pillo IUD: intrauterine device that prevent implantationo Dalkon shield: caused probs (perforation of uterus, infertility, PID, spontaneous abortions and even death ) so reduced preference for IUDo Sterilization – married mostlyo COITAL methods: at time of sex§ For woman - Diaphragm (barrier over cervix) and spermicide (weak acid; foam)§ Condoms are only form of bc that prevents STDS (NOT lambskin condoms, however)· Not wearing, expired or rips won’t protect§ o Max protection is the pill and the condom- dual methodo Rhythm method: tracking ovulation and knowing the dayso w/drawl: w/drawl before ejaculation (not very good) 20-40% fail rateo nothing has 90% fail rateo back up methods:§ plan b§ chemical abortion§ abortion: vacuum aspiration w/in first couple of months or saline solution injected that kills fetus and expels itTopic 14: future of sexuality· privacy virtually impossible in our society· explosion of knowledge bc of interneto this knowledge of sexual health could save lives· positive for adults and elderly but not positive for young ppl· attitudes: sex is permissible if accompanied by affection (in love)· education : what kind of ed for sex to use· behavioro for kids: to prevent any expression· the battle against premarital sex is over and ppl have accepted that younger ppl are going to havesex· married ppl – extramarital affairs will always continue but most ppl are serially monogamous · widowers and widows and divorced ppl often remarry· regulation vs liberty: arguments about when a baby is a person (abortion)· battle of abortion and birth control will
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