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Lecture 8

Psychology 2030A/B Lecture Notes - Lecture 8: Strain Gauge, Vaginal Photoplethysmograph, Clinical Psychology


Department
Psychology
Course Code
PSYCH 2030A/B
Professor
David Vollick
Lecture
8

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Chapter 10: Sexual Disorders and Gender Identity Disorder
Sexual Disorders and Gender Identity Disorder: An Overview
What is “normal” vs. “abnormal” sexual behaviors?
o Cultural considerations (i.e. only about 50% of societies accept premarital sex)
o Sexuality and the elderly
o Gender differences in sexual behavior and attitudes- no difference between males and females
re: number of sexual partners in the past year
Development of Sexual Orientation
o Complex interactions of bio-psycho-social influences- no single factor can account for
orientation
The Nature of Gender Identity Disorder
Clinical Overview
o Trapped in the body of the wrong sex
o Assume the identity of the desires sex, but the goal is not sexual (i.e. not sexually aroused be
wearing opposite clothing)
Causes are Unclear
o Postulations include abuse as a child and genetics
o Biological- testosterone/estrogen?
o GI develops between 18 months and 3 years of age
Sexual Reassignment as a Treatments of Gender Identity Disorder
o Changing physiology; 75% report satisfaction with new identity
o Female to male adjustment is better than male to female
o Need to dress in the opposite gender and act like the opposite gender for a certain period of
time to be able to qualify
Psychosocial Treatment of GI Disorder
o Realigning the persons psychosocial gender with the biological sex
o Few large scale studies
Sexual Dysfunctions: An Overview
The Normal Cycle- Figure 10.2
Sexual dysfunction involve desire, arousal, and/or orgasm
Males and females experience parallel versions of most dysfunctions
o Affects 43% of females and 31% of males
o Most prevalent class of disorders in the US
Most persons suffer from more than one dysfunction
Classification of Sexual Dysfunction
o Lifelong vs. acquired: Lifelong= for as long as you can remember, never had the desire
Acquired: were “normal” then suddenly can no longer be aroused
o Generalized vs. Specific
o Due to psychological factors alone or in combination with medical condition; need to first
eliminate medical condition before treating
Sexual Desire Disorder
Hypoactive Sexual Desire Disorder
o Little or no interest in any type of sexual activity
o Masturbation, sexual fantasies, and intercourse are rare in this disorder
o Accounts for half of all complaints at sexual clinics
o 11% of women and 5% of men suffer from this disorder
Sexual Aversion Disorder
o Little interest in sex
o Extreme fear, panic, or disgust related to physical or sexual contact
o 25% of patients met criteria for panic attacks (Kaplan)
Sexual Arousal Disorders
Male Erectile Disorder
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