Week 6 Sex Disorders TO POST

Sex Disorders: 

Sex Disorders 6.28.2006

Sex Disorders: 

Sex Disorders Sexual Dysfunctions Sexual Desire Disorders Sexual Arousal Disorders Orgasmic Disorders Sexual Pain Disorders Gender Identity Disorder Paraphilias Pedophilia Compulsive Sexual Disorder (NOT in the DSM)

Sexual Dysfunctions: 

Sexual Dysfunctions Either Disturbance in the processes that characterize the sexual response cycle or Pain associated with sexual intercourse

The Sexual Response Cycle: 

The Sexual Response Cycle Desire Arousal Plateau* Orgasm Resolution* *No diagnosable disorders associated with these phases

Sexual Dysfunctions: 

Sexual Dysfunctions Sexual Desire Disorders Hypoactive Sexual Desire Disorder Sexual Aversion Disorder Sexual Arousal Disorder Male Erectile Disorder Female Sexual Arousal Disorder Orgasmic Disorders Male Orgasmic Disorder Female Orgasmic Disorder Premature Ejaculation Sexual Pain Disorders Dyspareunia (Male andamp; Female) Vaginismus

Sexual Desire DisordersHypoactive Sexual Desire Disorders: 

Sexual Desire Disorders Hypoactive Sexual Desire Disorders Persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity, taking into account factors that affect sexual functioning, such as age and the context of the person’s life Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Sexual Desire DisordersSexual Aversion Disorder: 

Sexual Desire Disorders Sexual Aversion Disorder Persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) genital sexual contact with a sexual partner Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder

Sexual Arousal DisordersMale Erectile Disorder: 

Sexual Arousal Disorders Male Erectile Disorder Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Sexual Arousal DisordersFemale Arousal Disorder: 

Sexual Arousal Disorders Female Arousal Disorder Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate lubrication-swelling response to sexual excitement Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Orgasmic DisordersFemale Orgasmic Disorder: 

Orgasmic Disorders Female Orgasmic Disorder Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase. Women exhibit wide variability in the type or intensity or stimulation that triggers orgasm. This diagnosis should be based on the clinician’s judgment that the woman’s orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives. Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Orgasmic DisordersMale Orgasmic Disorder: 

Orgasmic Disorders Male Orgasmic Disorder Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person’s age, judges to be adequate in focus, intensity, and duration. Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Orgasmic DisordersPremature Ejaculation: 

Orgasmic Disorders Premature Ejaculation Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Sexual Pain DisordersDyspareunia: 

Sexual Pain Disorders Dyspareunia Persistent or recurrent genital pain associated with sexual intercourse in either a male or a female Doesn’t occur exclusively when there is a lack of lubrication Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Sexual Pain DisordersVaginismus: 

Sexual Pain Disorders Vaginismus Persistent or recurrent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse Causes marked distress or interpersonal difficulty Not better accounted for by another Mental Disorder and is not due to a GMC or substance

Sexual Dysfunctions Subtypes: 

Sexual Dysfunctions Subtypes Onset Lifelong – Acquired – Context Generalized – Situational – Etiology

Gender Identity Disorder: 

Gender Identity Disorder Strong and persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being the other sex) Persistent discomfort with his or her sex or sense of inappropriateness in the gender role of that sex (often includes desire to be rid of primary and secondary sex characteristics) Not concurrent with a physical intersex condition Causes significant distress or impairment in functioning

Gender Identity Disorder: 

Gender Identity Disorder In children, the disturbance is manifested by four or more of the following: Repeated stated desire to be, or insistence that he or she is, the other sex In boys, preference for wearing/simulating female attire; in girls, insistence on wearing only stereotypical masculine attire Strong and persistent preferences for cross-sex roles in make-believe play or persistent fantasies of being the other sex Intense desire to participate in the stereotypical games and pastimes of the other sex Strong preference for playmates of the other sex

Gender Identity Disorder: 

Gender Identity Disorder In adolescents and adults, the disturbance is manifested by symptoms such as a stated desire to be the other sex frequent passing as the other sex desire to live or be treated as the other sex conviction that he or she has the typical feelings and reactions of the other sex

Gender Identity Disorder vs. Homosexuality: 

Gender Identity Disorder vs. Homosexuality Gender Identity Disorder Homosexuality

Paraphilias: 

Paraphilias Recurrent, intense sexually arousing fantasies, sexual urges, or behaviors generally involving: Nonhuman objects Suffering or humiliation of oneself or one’s partner Children or other nonconsenting persons

Paraphilias – “… is sexually arousing”: 

Paraphilias – '… is sexually arousing' Exhibitionism – Fetishism – Sexual Masochism – Sexual Sadism –

Paraphilias – “… is sexually arousing”: 

Paraphilias – '… is sexually arousing' Voyeurism – Pedophilia – Paraphilia NOS

Facts about Paraphilias: 

Facts about Paraphilias Prevalence: Gender:

Facts about Paraphilias: 

Facts about Paraphilias Age of Onset: Course:

ParaphiliasPedophilia: 

Paraphilias Pedophilia Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger) The person has acted on these sexual urges, or the sexual urges/fantasies cause marked distress or interpersonal difficulty The person is at least 16 years and at least 5 years older than the child or children in Criterion A Note: Do not include an individual in late adolescence involved in an ongoing sexual relationship with a 12- or 13-year-old

ParaphiliasPedophilia: 

Paraphilias Pedophilia Specify if: Specify if: Specify type:

ParaphiliasPedophilia: 

Paraphilias Pedophilia Pedophilia involving female victims is more common Pedophiliacs tend to prefer children of a specific age range The most common age range for female victims is: The most common age range for male victims is:

ParaphiliasPedophilia: 

Paraphilias Pedophilia These activities are commonly explained by saying: Pedophilic arousal patterns are fairly strong predictors of relapse