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Lecture

PSYCH257 Lecture Notes - Scrotum, Sexual Dysfunction, Hypoactive Sexual Desire Disorder


Department
Psychology
Course Code
PSYCH257
Professor
Uzma Rehman

Page:
of 5
CHAPTER 10: SEXUAL DISORDERS AND GENDER IDENTITY DISORDERS
TYPES OF SEXUAL DISORDERS
1. Gender identity disorders
2. Sexual dysfunctions
3. Paraphilias
GENDER IDENTITY DISORDER
Conflict between person’s anatomical sex and his or her self-identification as male or female
TRANSEXUALISM
Have gender role conflicts as children
However, most children with gender role conflicts grow out of it
Often more focused on own sex role than sexual relationships with others
Not related to homosexuality
TREATMENT OF GENDDER IDENTITY DISORDERS:
ADULT TRANSEXUALS
Sex reassignment surgery only indicated after at least one year living as preferred gender
Reassignment is gradual hormonal changes before surgical changes
Therapy required during transition
Often results in happier lives if appropriate screening is followed
The CASE OF DAVID REIMER
Problems:
1. this is most likely a response cycle for male
2. Researches are more likely interested in heterosexual relationships but not in homosexuals
SEXUAL DYSFUNCTIONS: AN OVERVIEW
Sexual dysfunctions involve desire, arousal, and/or orgasm
Most persons suffer from more than one dysfunction
Classification of Sexual Dysfunctions
Lifelong vs. acquired
Generalized vs. specific
Due to psychological factors alone or in combination with a medical condition
SEXUAL DESIRE DISORDERS
Hypoactive Sexual Desire Disorder
Little or no interest in any type of sexual activity
Masturbation, sexual fantasies, and intercourse are rare in this disorder
Accounts for half of all complaints at sexuality clinics
11% of women and 5% of men suffer from this disorder
Sexual Aversion Disorder
Little interest in sex
Extreme fear, panic, or disgust related to physical or sexual contact
SEXUAL AROUSAL DISORDERS
Male Erectile Disorder
Difficulty achieving and maintaining an erection
Female Sexual Arousal Disorder
Difficulty achieving and maintaining adequate lubrication
Associated Features of Sexual Arousal Disorders
Problem is arousal, not desire MORE HARD FOR WOMEN TO DETRMINE SUCH
Males are more troubled by the problem than females
Erectile problems are the main reason males seek help
ORGASM DISORDERS: AN OVERVIEW
Inhibited Orgasm: Female and Male Orgasmic Disorder
Inability to achieve orgasm despite adequate sexual desire and arousal
Rare condition in adult males, but is AMONG the most common complaint of adult females
ORGASM DISORDERS
Premature Ejaculation
Ejaculation occurring before the man or partner wishes it to
Most prevalent sexual dysfunction in adult males
Most common in younger, inexperienced males, but declines with age
How soon is too soon? THE PERSON HAS NO CONTROL TO EJACULATION
SEXUAL PAIN DISORDERS
Dyspareunia
Extreme pain during intercourse
Adequate sexual desire, and ability to attain arousal and orgasm
Must rule out medical reasons for pain
MORE COMMON IN WOMEN BUT CAN BE DIAGNOSED TO MALES
SEXUAL PAIN DISORDERS: OVERVIEW
Vaginismus
Limited to females
Outer third of the vagina undergoes involuntary spasms
Complaints include feeling of ripping, burning, or tearing
Prevalence rates are higher in more conservative countries and subgroups
ASSESING SEXUAL BEHAVIOR AND DYSFUNCTION
Comprehensive Interview
Include a detailed history of sexual behaviour, lifestyle, and associated factors
Medical Examination
Must rule out potential medical causes of sexual dysfunction
Psychophysiological Evaluation
Exposure to erotic material
Determine extent and pattern of physiological and subjective sexual arousal
Males penile strain gauge
Females vaginal photoplethysmograh
CAUSES OF SEXUAL DYSFUNCTION:
Biological Contributions