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Chapter 13

Psychology 2075 Chapter Notes - Chapter 13: Sexual Dysfunction, Human Sexuality, Orgasm

Course Code
PSYCH 2075
Chris Roney

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Friday, February 8, 2019
human sexuality textbook notes
chapter 13 — sexual dysfunction !
-sexual dysfunction — persistent or recurrent diculty with a lack of sexual arousal or
diculty reaching orgasm !
-those with sexual dysfunction may feel inadequate or incompetent and diminished
self esteem, they may also feel guilt, shame, frustration, anxiety, depression !
-prevalence of sexual problems and dysfunctions;!
no precise figures on prevalence due to lack of reporting to doctors !
from studies that have been done around the world, approx. 2 in 5 women and 1 in
4 men experience at least 1 sexual dysfunction !
best sources of info comes from the canadian contraception study !
-asked women if they had experienced 3 types of sexual diculty; low sexual
desire, painful intercourse, lack of orgasm during intercourse !
-about half of the women experienced at least one!
-more married women had problems than single!
-most common was diminished sexual desire (43%)!
married women (57%) vs. single (26%)!
-second most common was diculty orgasming — 24% said they didn’t usually
orgasm during intercourse !
-15% said painful intercourse !
-canadian women and american women had similar results!
in a survey of 40-80 yr old men and women (canadian) — brock, moreira, glasser,
gingell (2006)!
-23% of men experienced rapid ejaculation, 16% had problems with erection!
-30% women reported lack of interest in sex, 24% reported diculties with vag.
lubrication !
-another study that looked at 40-88 yr old canadian men found that 49%
experienced some degree of erectile dysfunction !

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Friday, February 8, 2019
-a national survey between 40-64 found more than half were too tired to have
sex, 42% were too stressed and 40% didn’t have time!
75% with sexual dysfunction hadn’t sought help from professionals !
hill 2005!
-study of women being sexually frustrated !
-3/4 felt sexually frustrated some of the time, 9% felt frustrated often!
-most frustrating situations they reported were; !
lack of orgasm during intercourse, unaectionate partners, unavailability of
partners, refusal of partners to have sex!
-types of sexual dysfunction !
DSM-5 has implemented important changes for sexual dysfunctions !
-female hypoactive desire disorder and female arousal disorder were merged
since they overlap !
-vaginismus and dyspareunia were merged since they overlap — merged into a
single category called genito pelvis pain/penetration disorders !
-4 basic categories;!
(1) sexual desire !
-female sexual interest/ arousal disorder, male hypoactive sexual desire
disorder !
often report an absence of sexual thoughts or fantasies !
survey of 2000 women, low sexual desire 26.7% for premenopausal
women and 52.4% for postmenopausal !
-involve lack of interest in sex or aversion to sexual contact!
-many enjoy the intimacy but not genital stimulation but may enjoy
themselves during sex!
-still able to get erection/adequate lubrication/ orgasm !
-some may think sex is disgusting; comes from childhood sexual abuse,
sexual assault, or incest — especially in women !

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Friday, February 8, 2019
(2) sexual arousal !
-problems with sexual arousal!
-men (erectile dysfunction) : erectile disorders refer to a persistent diculty in
obtaining or sustaining erections sucient to engage in satisfactory sexual
activity !
in most cases the problem is limited to sexual activity with partners or
with some partners and not others and thus can be situational, can also
be found in masturbation which would make it generalizable !
increases with age!
grover et al 2006!
-30% of men in their 40s, and 40% in their 50s, and 65% in their 60s
have some degree of erectile dysfunction !
performance anxiety can lead to erectile dysfunction — anxiety
concerning ones ability to perform behaviours, especially that may be
evaluated by others !
-women: insucient vaginal lubrication !
female sexual interest/ arousal disorder !
desire and arousal phases often overlap and are closely intertwined !
more often situational !
basson 2004!
-women with these issues experience little or no subjective arousal or
sexual excitement !
-2 groups;!
combined arousal problems — no subjective arousal and feel no
genital response!
subjective arousal problems — are aware their genitals physically
respond to stim. but feel no subjective arousal !
may have physical causes;!
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