Lecture Notes 4/8/14
• Sexual Disorders
o 2003 Lawrence v. Texas
Unconstitutional to control private sex life
o Sexual dysfunctions
Disturbance in the processes that characterize the sexual response
cycle or by pain associated with sexual intercourse.
Sexual response cycle: Desire > excitement > orgasm > resolution
Male Hypoactive Sexual Desire Disorder
• Low sex drive
• Causes marked distress or interpersonal difficulties
• Common factors associated with HSDD
o Partner conflicts
o Loss of physical attraction
o Being married (150% increase in risk).
o Having Kids.
o Being older.
Female Sexual Interest/Arousal Disorder
• Absent/reduced interest in sexual activity.
• Absent/reduced sexual/erotic thoughts or fantasies.
• No/reduced initiation of sexual activity, and typically unreceptive
to a partner’s attempts to initiate.
• Absent/reduced sexual excitement/pleasure during sexual activity.
• Absent/reduced sexual interest/arousal in response to any internal
or external sexual/erotic cues.
• Absent/reduced genital or nongenital sensations during sexual
activity. • Cause clinical significant distress
• Viagra does not help women with this
Male Erectile Disorder
• Inability to achieve or maintain an erection necessary to complete
• Increases dramatically with age
• Viagra is very effective
• Included in DSM because not caused by underlying biological
o Interactions between biology and psychological factors
o Causes significant anxiety
Genito-Pelvic Pain/Penetration Disorder
• Difficulties for 6 months with any:
• 1) Inability to have vaginal intercourse/penetration
• 2) Marked pain during vaginal intercourse/penetration
• 3) Marked fear or anxiety either about pain or vaginal penetration
• 4) Marked tensing or tightening of the pelvic floor muscles during
attempted vaginal penetration
• Persistent or recurrent ejaculation with minimal sexual stimulation
before, on, or shortly after penetration and before the person
• Most men last between 6 and 16 minutes
• Rates are similar across different cultures
• No association with age
Female Orgasmic Disorder • Persistent or recurrent delay in, or absence of, orgasm following a
normal sexual excitement phase
• People are skeptical of this
• Orgasm difficulties can be partner specific
• Number of sex acts effects female orgasm, not so for men
• People who are willing to do 6 different sex acts are more inclined
to have an orgasm
Recurrent, intense, and sexually arousing fantasies, sexual urges or
• Non-human objects
• Suffering or humiliation of self or others
• Non-consenting persons (e.g., children)
• Recurrent, intense, and sexually arousing fantasies, sexual urges
or behaviors involving NON-LIVING OBJECTS.
• Recurrent, intense, and sexually