PSYCH 225 Lecture Notes - Delayed Ejaculation, Premature Ejaculation, Foreign Object Damage
Chapter 17 page 430-450
• Sexual disorder: problem w/ sexual response causing mental distress; sexual dysfunction
o Lifelong: present since first sexual xp
o Acquired: develops after period of normal function
• Desire disorders
o Hypoactive sexual desire: low sexual desire
▪ Female sex interest/arousal disorder: lack of interest/arousal
o Discrepancy of sexual desires: partners have significantly different levels of desire
• Arousal disorders
o Female sexual arousal: lack of response; subjective + physio components
o Erectile disorder (lifelong v acquired): inability to have/maintain erection
• Orgasmic disorders
o Premature ejaculation: orgasm + ejaculates too soon
▪ 3 parts: w/in 1 min of PVI, inability to delay, distress
o Delayed ejaculation: unable or greatly delayed
o Female orgasmic disorder: inability to have orgasm
▪ Situation orgasmic disorder
▪ Traditional sexual scripts abt “right” way to have sex
• Pain disorders - genito-pelvic pain/penetration disorder
o Dyspareunia: painful intercourse
o Vaginismus: spastic contraction of muscles
• Causes: organic (physical) factors
o ED: circulatory system, diabetes, hypogonadism, lower spinal cord
o PE: more often psych than phys; evolutionary?
o DE: variety of medical/surgical reasons; often psych
o FOD: illness, fatigue, spinal cord; often psych
o Dys: scars, irritation, episiotomy, infection, allergic rxn, thinning of walls
• Causes: drugs
o Alcohol: short term, expectancy, long term chronic
o Weed: pleasure but not performance; gendered
o Coke: enhance xp: assoc w/ disorders w/ chronic use
o Amphetamines: increased desire, arousal, risky behavior
o Opiates: suppression
o Prescription drugs: see chart (lol)
• Causes: psych
o Prior learning
o Immediate causes: anxieties, cognitive interference, no communication, not effective stimulation
▪ Spectatoring: person behaves like judge of own sexual xp
▪ Functional v nonfunctional patterns of dealing with anxiety; cognitive interference; anxiety
→ arousal v arousal → negative
o Excitation-inhibition model
o Cognitive-physiological model: feedback loop; arousal as arousal → arousal, arousal as anxiety →
anxiety
o Interpersonal factors, intimacy
• Therapy
o Behavior therapy: modify behavior; ex M+J
▪ Sensate focus exercise: successive exercises w/ increasing sexual component + no
performance demands + communication
o Cognitive-behavioral: behavior therapy + restructure thought patterns
o Couple therapy
o Start-stop (ED), masturbation (FOD); Kegel (FOD)
o Bibliotherapy: self-help books
o Viagra, intracavernosal injection, suction devices, penile prosthesis
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