Front | Back |
Sexual Dysfunction
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Persistent or reoccuring lack of sexual desire, or difficulty to become sexually aroused/reach orgasm
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-What's normal for sexual dysfunctions?
-Heterosexist definitions according to the DSM? |
-Normal couples report problems with sexual functioning (lack of enthusiasm, difficulty to relax, difficult to arouse)
----- -difficulties w desire, arousal or orgasm -Persistent or reoccurant -Cause distress -(exist on a continuum... mild to severe dysfunction) |
Primary Dysfunction
Secondary Dysfunction Secondary Problems |
Primary- A sexual dysfunction that's always existed
Secondary- A sexual dysfunction that occurs after a period of normal functioning Secondary problems- Avoid situations/sexual opportunities...feeling inadequate/incompitent...low self-esteem |
Sexual dysfunctions in Women and Men?
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Women:
Top problem-diminished sexual desire 43% -Married women more likely to report (57% VS 26%) -Difficulty with orgasm 24% -Painful Intercourse 15% Men: -Erectile Dysfunction (10-55%) -Rappid Ejaculation (23%) -Diminished sexual desire (no % given) |
-Sexual dysfinction's negative impact on sex life?
-Most frequent reasons for dysfunction/Stress in sex life? -Married couples report what main factor leads to dysfunction/stress in sex life? |
-Frustration, and discontent with frequency of sex
.Too tired to have sex (>50%) .Too stressed to have sex (42%) .No time for sex (40%) -Children |
2 Psych theories relating to sexual progression?
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-Masters and Johnson
Excitement, Plateau, Orgasm, Resolution -Kaplan's 3 Stage Approach Desire, Excitement, and Orgasm |
Name the 4 categories of dysfunctions stated in the DSM (DOAP)
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Sexual Desire Disorders
-lack of interest Orgasmic Disorders - inability to achieve timely orgasm Sexual Arousal Disorders -impared erection or lubrication Sexual Pain Disorders -pain experienced during intercourse |
"New View" of dysfunctions for women--4 categories associated w it (SRPM)
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1.Sexual problems due to socio-cultural, political, SES
2.Sexual problems relating to partner/relationship factors 3. Sexual problems due to psychological factors 4. Sexual problems due to medical factors |
Life-Long VS Acquired
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Life-long Dysfunction-PRIMARY dysfunction--Biological
Acquired- SECONDARY dysfunction--Psychological |
Generalized VS Situational Sexual dysfunctions
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Generalized- All the time
Situational- some of the time |
What 3 specific factors effect sexual dysfunction in everyone?
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Culture
Age Gender Features |
Reasons related to negative attitude for dysfunction to happen
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-Avoid sexual opportunities...fear or failure
-Think sex will=pain, fear or frustration -Feel inadequate/incompitent (fear of disappointment) -Might be reluctant/ashamed to discuss issues |
Psychological influences for sexual dysfunction... aka known as 1st avenue of intervention
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Fears
stress anxiety depression guilt fear anger conflict loss of control fear of intimacy, dependency & abandonment |
Age is a huge factor in sexual dysfunction..why?
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-disease
-disability -llness -use of prescriptive meds -LIfestype factors: .Heart disease .Smoking .activity level .access to others .isolation |
-Hypoactive Sexual Desire (HSD)
-What % of M and F get it? -How much desire is normal? -Psychological roots of it? -Biological roots of it? |
-Diminished (or absent) feelings of interest in (or desire) for sexual activity
-Men: 16% Women: 33% get this -There is no standard level of desire -Anorexia, Social coersion and abuse assoc. w HSD -Hormonal imbalance, medication side-effects, illness and chronic use of alcohol |