PSY 4122 Lecture Notes - Lecture 9: Premature Ejaculation, Sexual Dysfunction, Sexual Maturity

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March 22, 2018
What role do cognitive variables play in the
development of sexual dysfunctions in men?
Nereah Felix, Olivia Provenzano, Khloe Medeiros, Ana Ignat
What does sex signify for men?
Test of manhood
Masculinity
Sexual maturity
Power
But, no matter the amount of money, status, or power, sexual dysfunctions donā€™t discriminate
RQ
No focus on cognitive variables, most research is focused on drug therapies
Important to focus on cognitive variables because drugs have many unwanted side effects
-Ex. Dry eyes, UTIs, etc.
Sexual Dysfunction
Highly prevalent in men: 10-52% will experience it at one point in their life
Focus on older men
Lower education = less pleasurable sexual experience, increased levels of sexual anxiety
Effectiveness of therapy is largely inadequate: good long-term outcomes for erectile dysfunction but not for premature
ejaculation
Many men suffer fro multiples sexual problems that have been in place for many years
Non-married men report signiļ¬cantly higher rates for list symptoms of sexual dysfunctions
Short-term cognitive behavioural treatment is only effect with about half of respondents, least effective for arousal and
desire cases
SD associated with:
-Poor self-esteem and well-being
-Marital distress
-Lower general happiness
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March 22, 2018
Definitions
Cognitive variable: means people use every day to process information; manner in which they come to understand
the world
SD: difļ¬culty experienced by an individual or a couple during any stage of normal sexual activity including physical
pleasure desire, arousal, or orgasm
Types of Male Sex Dysfunctions
Premature ejaculation: thought to occur when ejaculation occurs under 1-2 minutes from the time of insertion of the
penis
Erectile dysfunction: characterized by the inability to develop more maintain an erection of the penis
Delayed/absent ejaculation: an extreme period of sexual stimulation is required for a man to reach sexual climax and
release semen from the penis; in some cases not able to ejaculate at al
Anorgasmia: persistent inability to achieve orgasm despite resounding to sexual stimulation
Hypoactive sexual desire: can be general or speciļ¬c to their partner
Method
Inclusion:
-English
-Heterosexual
-Adult (18-45) men
-Cis-gendered
Exclusion:
-Pre-existing health issues
-Diagnosed with psychological disorder
-No uses of controlled drugs or medication
-No sexually transmitted infections present
-Focused on affect
-History of abuse
Results: Participant Characteristics
About half of the studies included both male and female participant
-In these studies, there was a larger proportion of female than male participants
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