Three types of sexual disorders:
Gender identity disorder – a person experiences psychological dissatisfaction with his or
her biological sex.
Sexual dysfunction – people who have this, find it difficult to function adequately while
Paraphilia – includes disorders in which sexual arousal occurs primarily in the context of
inappropriate objects or individuals.
o “Para” – attraction is abnormal
o “Philia” – strong attract or liking
The development of Sexual Orientation
Reports suggest homosexuality runs in families
More common among monozygotic twins (identical) than dizygotic twins (fraternal) or
Gender Identity Disorder
When a person’s physical gender is inconsistent with that person’s sense of identity.
People with this disorder feel trapped in a body of the wrong sex.
Used to be called transsexualism
Primary goal is not sexual but rather the desire to live openly in a manner consistent with
that of the other gender
Independent of sexual arousal patterns
o Male-to-female transsexual, may be sexually attracted to females, which
technically, makes his arousal homosexual
Slightly higher levels of testosterone or estrogen at certain critical periods of
development might masculinize a female fetus or feminize a male fetus.
Consolidates between 18 months and three years of age
o Sex Reassignment Surgery
o Psychosocial Treatment Intersexuality
Intersex individuals – hermaphrodites
Born with physical characteristics of both sexes
Fausto-Sterling suggested five sexes:
o Herms – true hermaphrodites, born with both testes and ovaries
o Merms – anatomically more male that female
o Ferms – anatomically more female that male
Sexual disorder in which the client finds it difficult to function adequately while having sex.
Three stages of sexual response cycle, which are each associated with specific sexual
Sexual dysfunctions can be:
Lifelong – chronic condition that is present during a person’s entire sexual life
Acquired – a disorder that begins after sexual activity has been relatively normal
Generalized – occurring every time the individual attempts sex
Situational – occurring only with some partners or at certain times, but not with other
partners or at other times
Sexual Desire Disorders
Hypoactive Sexual Desire Disorder
A person with little or no interest in any type of sexual activity
More than 50% of patients who come to sexuality clinics for help, complain or
hypoactive sexual desire
Shown more in women
For men prevalence increases with age, for women it decreases with age
Sexual Aversion Disorder
Even the thought of sex or a brief casual touch may evoke fear, panic, or disgust
Principal problem may be panic disorder
Sexual acts and fantasies may trigger traumatic images or memories similar to but
not as severe as those experience by people with PTSD Sexual Arousal Disorders
Individuals with sexual arousal disorders have frequent sexual urges and fantasies and a
strong desire to have sex, but their problem is in becoming aroused.
Male erectile disorder (impotence) – difficulty attaining and maintaining erections
Female sexual arousal disorder (frigidity) – diffi