PSY 204: Exam 4 2014
49 Cards in this Set
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Sexual Disorders
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Hard to determine, based on moral, legal and statistical/behavioral models
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Sexual Dysfunction
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Cannot respond normally in key areas of sexual functioning (Desire, Excitement, Orgasm)
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DSM distinctions
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Lifelong type vs acquired type
generalized type vs situational type
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Disorder of Desire
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Problems with urge to have sex, sexual attraction, etc.
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Hypoactive Sexual Desire Disorder
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absent or low interest in sex
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Sexual Aversion Disorder
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Views sex as disgusting and animalistic
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Female Sexual Arousal Disorder
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Repeated inability to maintain lubrication or clitoral swelling during sexual activity ~ 10% of women
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Male Erectile Dysfunction
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Repeated inability to gain/maintain adequate erection during activity ~ 50% of men
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Causes of Desire/Excitement Disorders
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Premature (Early) Ejaculation Disorder
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Male Orgasmic Disorder (delayed ejaculation disorder)
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Inability or great delay in orgasm, biologically driven by hormones or damage to spinal cord
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Female Orgasmic Disorder
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Persistent delay or absence of orgasm following normal sexual excitement ~ 25% of women
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Causes of Female Orgasmic Disorder
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Usually hormonal, but could be psychological from molestation or rape
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Vaginismus
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Involuntary muscle contractions of outer 1/3 of vagina. Fear response from traumatic experience
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Dyspareunia
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Severe pain in genitals during sex, most often has a physical cause
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Treatments for Sexual Pain Disorders
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Hormone therapy/medication, educate, reduce anxiety, structured behavior exercises, increase sexual communication skills
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Paraphilias
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Unusual sexual fantasy urge/behavior that is inappropriate and recurrent. Involves nonhuman, non-consenting, children, humiliation, and must cause distress
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Fetishism
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Involves nonhuman nonliving object, can be almost anything (usually develops in adolescence)
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Transvestic Fetishism
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Cross-dressing for sexual arousal, mostly heterosexual males, follows operant conditioning
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Exhibitionism
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Arousal from exposing oneself in public. Sexual contact neither initiated nor desired. Almost exclusively male. Treatment is aversion therapy and masturbatory satiation.
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Voyeruism
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Sexual desire to observe people undressing, kissing, etc. Masturbate during observation (adds excitement)
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Frotteurism
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Fantasies/urges/behavior of touching strangers. Usually young males, wants a caring relationship.
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Pedophilia
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Sexual desires to a prepubescent child. Some were sexually abused/neglected as children, low IQs.
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Sadism & Masochism
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Sexual arousal in inflicting suffering, and/or sexual response to being humiliated, bound or made to suffer.
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Gender Identity
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Internal feeling of maleness or femaleness
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Sexual Identity
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Feeling of who you are attracted to
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Transgender
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born one sex, identifies as opposite
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Gender Dysmorphia
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Born one sex, identify as other, MUST CAUSE DISCOMFORT
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Treatment for Gender Dysmorphia
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Research is limited and weak, but psychotherapy, hormone therapy, sexual reassignment surgery
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Addiction is characterized by
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Compulsive behavior, continued use despite negative effects, changes the brain structure and function
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Addiction is like other diseases
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Preventable, treatable, changes biology, could last a lifetime if untreated, strong physiological component
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Dopamine
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Neurotransmitter involved in movement, motivation, addiction, reward. Less dopamine receptors = high vulnerability
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Drug abuse effects on the brain
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Prolonged use changes brain in fundamental and long-lasting ways, mental/motor skills lost
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Environmental factors for drug addiction
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Stress, early physical abuse, witnessing violence, peers who use drugs, drug availability
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DSM characterizes substance related disorders under which axis?
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Axis I
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Substance use disorders
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Abuse/dependence
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Substance-induced disorders
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Withdrawal/disorders
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Substance Abuse
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patter of use; significant impairment/dysfunction. Includes failed role obligation, use in hazardous situations, recurrent legal problems, continued use despite problems but doesn't meet criteria for dependency
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Substance Dependence (addiction)
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Maladaptive use and 3+ symptoms in 12 months: tolerance, withdrawal, increase in amount used over time, unsuccessful at controlling use, increased time recovering, gave up other social/occupational things, continue despite negative effects
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Substance Induced Disorder
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Have the symptoms and meet the criteria for another DSM diagnosis, but onset of symptoms developed during substance intoxication or withdrawal.
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Substance Use changes in DSM-V
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10 classes of substances to be addicted to and each has 3 disorders (use, intoxication, withdrawal)
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10 Classes of substances to abuse
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Alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids, sedatives, stimulants, tobacco, other
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Traditional Treatments for addiction
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abstinence programs, CBT, learn coping skills
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Pathological gambling
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impulse control disorder popularized by the World Series of Poker
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Kleptomania
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Impulse control disorder of stealing for the thrill of it
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Pyromania
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Impulse control disorder for the thrill of watching something burn
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Intermittent Explosive Disorder
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Impulse control disorder of (random) violent acts
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Trichotillomania
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Impulse control disorder of ripping out their own hair
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Trichotillomania
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Impulse control disorder of ripping out their own hair
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Why do we need sleep?
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No unified theory, but perhaps cellular construction/replenishment, neuronal rerouting, filing of memories, improve the immune system
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