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Lecture 15

Psychology 2075 Lecture Notes - Lecture 15: Hypoactive Sexual Desire Disorder, Premature Ejaculation, Anorgasmia


Department
Psychology
Course Code
PSYCH 2075
Professor
Chris Roney
Lecture
15

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Monday, February 4, 2019
human sexuality
sexual dysfunction and treatment !
-overview: dysfunction categories!
diagnostic criteria for hypoactive sexual desire disorder (low desire)!
-persistently or recurrently deficient or absent sexual fantasies and desire for
sexual activity — the judgement of deficiency or absence is made by the
clinician, taking into account factors that aect sexual functioning, such as age,
sex, and the context of the person’s life!
-occurrence not exclusively during the course of another Axis I disorder (other
than a sexual dysfunction) such as major depression!
-most dicult dysfunction to diagnose and treat!
vaginismus — involuntary muscular contraction of vagina !
premature ejaculation — issue in relationship context because can’t orgasm more
than once, so if they ejaculate then the woman won’t have the opportunity to
orgasm !
female arousal disorder — not adapting to lubrication !
-diagnosis: what constitutes a ‘dysfunction’?!
even if there is no desire, is that a dysfunction?!
in victorian era, women who had desire was better because women were ‘pure’
and not supposed to be interested in sex!
men
women
desire
hypoactive desire disorder (low
desire)
female sexual interest/arousal
disorder
arousal
erectile dysfunction
female sexual interest/arousal
disorder
intercourse
dyspareunia
dyspareunia !
vaginismus
orgasm
inhibited orgasm !
premature ejaculation
inhibited orgasm
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Monday, February 4, 2019
-they would say that no desire would not be a dysfunction (no level where ‘this’ is
a dysfunction and ‘this’ isn’t)!
some couples don’t have sex and are happy, should that still be a dysfunction
even if they are happy?!
no clear cut level where you can say ‘this’ is when it starts to be a dysfunction !
two ways to tell whether it is a disorder !
-when person is unhappy (but their expectations are not too high)!
-when partner is unhappy (issue is causing probs. in relationship)!
low desire — clinical depression !
-problem is not desire, but the depression !
there is no clear cut definition, therefore it is up to the therapist to decide whether
the person’s lack of desire is needed to be treated!
to decide whether the person should be treated:!
-how often does the problem happen (pop. rates/clinical levels)!
what probs. do people go to clinicians for!
pop. rates and going to a clinician are not always the same because some
probs., people do not need to go to a clinician !
Lewis et al. 2010!
-range in estimates of prevalence of sexual dysfunction across many studies !
brotto et. al (2015)!
-comparison of people with hypoactive desire disorder (HSD) to asexuals (AS)
and control participants (CON) on several factors!
dysfunction
women
men
low desire
17-55%
8-25%
arousal problems/ erectile
dysfunction
8-28%
2-15% (up to age 50)!
20-40% (60-65)
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