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Lecture

Chapter 13- Sexual Disorders.docx

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Department
Psychology
Course Code
PSYC 353
Professor
Richard Yi

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Chapter 13: Sexual Disorders 11/15/12 Phases of sexual response cycle (diagram in book) - Desire phase- initial thoughts, sexual urges in response to fantasies - Arousal phase- engagement into sexual activity - Plateau phase- high but stable levels of excitement before orgasm - Orgasm phase- analogy of physiological response - Resolution Phase- decreased arousal, deep relaxation Sexual Dysfunction disorders - Difficult engaging in and enjoying such relationships 1. Sexual Desire Disorders: - Dysfunctions in thoughts of fantasies, and individual interest in sex 1. Hypoactive Sexual desire disorder- very little desire for sex and thought of engaging in sex causes distress and interpersonal problems 2. Sexual aversion disorder- feels squeamish or nauseated by thought of sex (more likely than Hypoactive to actively avoid sex) 2. Sexual Arousal Disorders 1. Female sexual arousal disorder- inability to attain or retain response to sex (location, typically have inability to respond or maintain arousal) 2. Male Erectile disorder- can’t initiate or retain their sexual response 3. Orgasmic Disorders 1. Female Orgasmic disorder (anorgasmia)- absence of or delayed orgasm following arousal? Phase i. Has to be less than what would be reasonable for individual given age, health, etc 2. Male Orgasmic Disorder- absence of orgasm, inability to ejaculate 3. Premature ejaculation- male ejaculates w/ minimal sexual stimulation 4. Sexual Pain disorders 1. Dyspareunia- genital pain associated w/ intercourse 2. Vaginismus- involuntary contractions of PC muscles of vagina around the vulva Etiology 1. Biological causes- substance abuse, 2. Psychological causes - Comorbid w/ mood disorders, negative attitudes about sex, interpersonal factors (conflict btwn couples), experience of traumas 3. Cultural factors - Norms regarding sex (could be neg, masturbation regarding gender), manipulation of sex based on socioeconomic status (poor more likely to have sex) Treatments 1. Biological therapies- treat if medical condition: side of effect of medication, high blood pressure 2. Psychotherapy - Couples therapy- to increase communication as relates to sex lives - Desensitization, operant conditioning, etc. Paraphilias - Significant impairment or distress must be inflicted to self and others - Sexual fantasies, urges or behaviors that involve non- human objects (fetishes) - The suffering of oneself or partner- sadism and masochism (want to be humiliated or suffer) - Children or other non- consenting partners- exhibitionism, flashing, pedophilia TYPES - Fetishism - Transvestic Fetishism-
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