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Lecture 1

PSY240H5 Lecture Notes - Lecture 1: Libido, Coprophilia, Aversion Therapy


Department
Psychology
Course Code
PSY240H5
Professor
Norman Farb
Lecture
1

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Sexual disorders
Historical prespective
1830s
Reverend sylvester graham hopes to suppress sexual urges by preaching a diet of
bland food lacking in spices, meat, milk, and other animal products (vegan)
graham crackers
Masturbation, said its evil that inevitably lead to insanity
1890s
Dr. John harvey kellogg prescribed bland foods to inpatients corn flakes
Considered masturbation as self-abuse including shortness of breath and
smallness of stature, fatigue and restlessness, boldness and bashfulness, paralysis
and epilepsy, and of course, a dull and lifeless expression in the eyes
Published books :
Charles darwin the descent of man, and selection in relation to sex in 1871
Sir havelock ellis first medical textbook on sex “the psychology of sex” in
1897
Sigmund freud three essays on the theory of sexuality” in 1905 in which he
expounded plenty of theories no longer generally considered factually relevant
Alfred kinsey published “sexual behavior in the human male” in 1948
followed by “sexual behavior in the human female” in 1953
Sexual activity in america
Received penis in anus
Interted penis into anus
Vaginal Intercourse
Received oral from female
Gave oral to female
Received oral from male
Gave oral to male
Masterbated with partner
Masturbated Alone
0% 20% 40% 60% 80% 100%
Women 25-29 Women 20-24 Women 18-19
We see that, generally speaking, older women have
more experience than their younger
solo masturbation range from 65% to 85%
giving and receiving oral sex with a male partner
range 60% to almost 90%
Reports of anal sex show a marked increase, doubling in
lifetime prevalence after the age of 20
older men tend to have more experience than younger
men
We see a higher baseline % at age 18-19, peaking at
94%
heterosexual oral sex range from about 60% to
about 90%
anal sex show a similar marked increase, more than
doubling after age of 20 and reaching about 45% by age
25-29
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Received penis in anus
Interted penis into anus
Vaginal Intercourse
Received oral from female
Gave oral to female
Received oral from male
Gave oral to male
Masterbated with partner
Masturbated Alone
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%
Men 25-29 Men 20-24 Men 18-19
Sexual dysfunction disorders statistics
At just over 30% of women greatest reported issue lack of interest in sex
followed closely by lacking pleasure and orgasm
30% of men complain climax too early premature ejaculation
15-20% of people are anxious about their performance
Sexual dysfunction disorders
In men
Erectile disorder
Early ejaculation
Delayed ejaculation
Male hypoactive sexual desire disorder
In women
Female sexual interest / arousal disorder
Genito-pelvic pain / penetration disorder
Female orgasmic disorder
Sexual dysfunction disorders is a category of 5th ed and it include problems in sexual
functioning , the condition have to exist at least 6 months and cause significant
impairment
Three prespectives :
oBiological and medical medical, health condition, alcohol can impair
functioning
oPsychological include previous sexual abuse or condition such as depression
or anxiety
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oRelationship it self feelings hurt or bad relationship
Sexual dysfunction disorders
Lifelong / acquired:
Each disorder can be diagnosed with the lifelong or acquired subtype
Lifelong problem present since the first or early sexual encounters
Acquired being a more recent development
Generalized / situational subtypes :
Generalized describe a persistence across all or most sexual activity, that
is 75-100%,
Situational limitation to a specific situation, type of stimulation, or
particular partner, respectively
Other factors come in to play as sex is usually experienced as among
biological, psychological, and sociocultural elements
oPartner if you are not getting along with your partner sexual dysfunction is
likely temporary
oRelationship
oIndividual vulnerabilities (comorbidity, stress)
oCultural / religious
oMedical being on certain medications or under the influence of drugs like
alcohol can impair performance or arousal
oThese would not typically be diagnosed as sexual dysfunction
Sexual dysfunction in men
Erectile disorder
Problem in at least one of:
Can not or hard to Obtain an erection
Maintain an erection until end of activity
Rigidity of an an erection is decreased
Prevalence
As much as 20% in men 40-80
As much as 50% in men 60-70
Neurotic personality traits may be associated
Life style factors can influence this disorder smoking , not exercising, obese ,
abuse alcohol
Erectile disorder is not due enough stimulation
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