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Textbook note-Chapter 16 Sexual Disorders

Course Code
Neil Rector

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CH 16: Sexual Disorders
Sexual Dysfunctions
x people have trouble engaging in and enjoying sexual relationships with other ppl
x 5 phases of sexual response cycle
o desire
o excitement/arousal
vasocogestion: filling of blood vessels and tissues with blood
mytonia: muscular tension
o plateau
also a pleasureable state
physiological arousal
o orgasm
discharge of neuromuscular tension
refractory period for men but not women (few minutes -> few hours)
o resolution
state of deep relaxation
x DSM diagnosis on pg. 579 table 16.1
Sexual Desire Disorders
x people have trouble engaging in and enjoying sexual relationships with other ppl
x DSM III included sexual disorders as a category
x Hypoactive Sexual Desire Disorder
o Little or no desire for sex
o Do not initiate in sexual activity or fantasy
o Not due to physiological problems
o Generalized sexual desire disorder: lack desire for all ppl.
o Situational sexual dersire disorder: lack desire only for their own partners
x Sexual aversion disorder
o Actively avoid sexual contact b/c it is anxiety inducing
Sexual Arousal Disorder
x Female: inability to attain or maintain the swelling lubrication response of sexual
o 20% prevalence rate
x Male: recurrent inability to maintain an erection until completion of sexual activity
o Life long form: never been able to sustain and maintain
o Acquired form: could in the past but can no longer now
o 4-9% prevalence rate
Orgasm Disorder
x female (anorgasmia): recurrent delay in or the complete absence of orgasm after
having reached the excitement phase
x most common among post-menstrual women
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