KHA713 Lecture Notes - Lecture 11: Human Sexual Response Cycle, Presenting Problem, Premature Ejaculation
25 Jun 2018
School
Department
Course
Professor
Adult Psychopathology
Week 11
Sexual Related Disorders
General:
- Becoming hard to treat due to changes in what is accepted in terms of
terminology
- Areas of disagreement
oLanguage
oComplicated and controversial studies
Sexual dysfunction
- A persons inability to participate in a sexual relationship as he or she would
wish
- Include decreased sexual desire or arousal, difficulty having or timing orgasm,
pain or discomfort during the sex act
- Female and Male differences
oBest tool in your toolkit
oWhat is normal sexuality
oHow common are particular issues
oUsing statistics to inform clients the normality of many of the issues-
this is experienced by 1/3 of women…
oSampling and research issues
Funded by condom companies
oLower prevalence when over a 12 month period
This is
- Masters and Johnson’s four phase model
oDesire phase
oArousal phase
oACT
Pain
Erectile dysfunction
oOrgasm phase
oRecovery phase
oPhases occur on different time cycles for men and women
And between individuals
oDetermine where the problem is occurring based on the cycle
- Factors relevant to etiology:
oSexual issue might be a function of something else
Relationship issues
End process of a cycle of other problems
oPartner functions
Female dysfunctions stem from this
Communication issues
Skill
oRelationship
Communication
Differences between preferences
oIndividual vulnerability factors
Body image
find more resources at oneclass.com
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Sexual or emotional abuse
Psychiatric symptoms
oCultural and religious factors
oMedical factors
oCover all of these issues because dysfunction is complicated
oSynopsis of psychiatry textbook has good section
Ways to ask questions about this
The topics you need to be covering
- DSM-5:
o6 months or more
oClinical distress
For the dyad or the individual
oNot better explained by
Psychological disorder
Relationship distress
Substances or medications
Number of medications that induce this
Anti-depressants
Proactively enquire about this
Look at the slides- outlines how each drug effects
sexual functioning (desire or arousal)
Other medical conditions
oSpecifiers:
Lifelong or acquired
Generalised or situational
Severity
Mild, moderate or severe
oFemale sexual interest/arousal disorder:
3 or more of the symptoms
Symptoms are defined by the person, not the clinician
Prevalence is notable
Lack of interest in sexual activity is common and
normative thing among females among most of the age
range
Unrealistic expectations of sexual functioning
And appropriate levels of interest
What are the symptoms- Don’t focus on this
What is going on during the process
Mood disorders
Most of the time it is down to negative cognitions and attitudes
about sexuality
oMale hypoactive sexual desire disorder
Not interested in sex
The judgment of deficiency is made by clinician taking into
account factors that affect functioning
Age
Sociocultural context
find more resources at oneclass.com
find more resources at oneclass.com
