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Chapter 10

Chapter 10 - Sexual Disorders

5 Pages

Course Code
PSYC 3140
Stephen Fleming

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Chapter 10 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 having sex.  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 natural siblings 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  Treatment includes: o Sex Reassignment Surgery o Psychosocial Treatment Intersexuality  Intersex individuals – hermaphrodites  Born with physical characteristics of both sexes  Fausto-Sterling suggested five sexes: o Males o Females 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 Dysfunctions 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 dysfunctions: 1) Desire 2) Arousal 3) Orgasm Sexual dysfunctions can be:  Lifelong – chronic condition that is present during a person’s entire sexual life or  Acquired – a disorder that begins after sexual activity has been relatively normal  Generalized – occurring every time the individual attempts sex or  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
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