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Ch. 16 - Sexual disorders and dysfunction

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Lecture #7: Sexual Disorders & Dysfunction (Chapter 16) Changing views of sexual behaviour - Change over time (permissive vs. restrictiveconservative) In different cultures, different genders have a dominant role in sex - Views toward sexual preferences vary across cultures Homosexuality was previously considered an abnormal behaviour Can differ across different countriescultures or even regionssocieties across a country (Toronto vs. Calgary) - Diversity of sexual practices in human societies (e.g. swinging, bigamy, strip clubs) Gay, lesbian, and bisexual orientations Homosexual behaviour - Defined as sexual behaviour with members of ones own sex - Is NOT a DSM diagnosis - On a continuum no discrete patterns Homosexual orientation - Individuals who prefer to engage in sexual activity with members of their own sex over an extended period of time - Used to be considered a diagnosis in DSM-III, but not now in DSM-IV, obviously - Freud thought it was caused by early arrest in the psychosexual stages Homosexual Experiences Description Men Women Self-identified as 2.8 % 1.4% homosexual or bisexual Had sex with person of same sex at least once 5.3% 3.5% since puberty Felt desire for sex with 7.7% 7.5% person of same sex Total reporting some same-sex desires or 10.1% 8.6% experiences Gay, Lesbian, and Bisexual Orientations - Bisexual behaviour Preferred partners are sometimes the same sex, sometimes the opposite sex Again, NOT a DSM diagnosis - Identifying oneself as gay, lesbian, or bisexual is associated with stigmas - Associated with potentially serious psychological problems (depression, anxiety, etc.) - High suicide rate (highest among bisexuals, maybe because they dont have a specific group to identify with they dont quite fit in with either hetero- or homosexuals) There are many theories on how to classify sexual orientations - One way is to look at brain functionstructure some homosexual men have parts of their brains that are more similar to women than heterosexual men - Also an environmental influence - For most people who arent heterosexual, the point at which they realize it takes place relatively early in life DSM disorders - Sexual disorders - Gender identity disorder psychological dissatisfaction with ones biological sex - Paraphilias sexual arousal occurs primarily in response to inappropriate objects or individuals non-human or children or non-consenting adults - Sexual dysfunctions - Disturbance in the process that characterizes the sexual response cycle or by pain associated with sexual intercourse Normal Sexual Function - Many problems regarding what is normal sexual behaviour - Research has led to a better understanding of sexual practices and physiology in males and females - Masters and Johnson examined sexual physiology in the laboratory (scientific study of sexual phenomena) Overall, they found that people go through the same 5 phases in sex Peoples sexual cycle for sexual intercourse and masturbation were very similar Physiological response had no correlation between physical anatomy and response - Kinsey was the first who looked at viewspreferences in sex Surveys about sexual practices vary depending on methodagesculturespolitical orientationregion really any demographic orientation (probably quite related to views of sex in society) SexPorn Addiction According to a large survey
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