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Quiz Questions. What are the categories of DSM sexual disorders? Sexual dysfunciton Paraphilia Gender identity disoder a and b 2. Which is NOT in the DSM? Gender identity disorder Pedophilia Homosexuality Frotteurism. More Quiz Questions.

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Quiz Questions

  • What are the categories of DSM sexual disorders?

    • Sexual dysfunciton

    • Paraphilia

    • Gender identity disoder

    • a and b

      2. Which is NOT in the DSM?

    • Gender identity disorder

    • Pedophilia

    • Homosexuality

    • Frotteurism


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More Quiz Questions

3. Which is characterized by rubbing against a nonconsenting person?

a. exhibitionism

b. voyeurism

c. sexual masochism

d. frotteurism

4. What is male orgasmic disorder?

  • ejaculation w/ minimal sexual contact

  • delayed or absent orgasm

  • either a or b


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Last Quiz Questions

  • Which involves being humiliated, beaten, bound, etc.?

    • exhibitionism

    • frotteurism

    • masochism

    • voyeurism


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Paraphilias

  • Recurrent, intense sexually arousing fantasies, urges, or behaviors involving nonhumans, suffering of self or partner, children. (For some these are necessary for erotic arousal & always inc. in sexual activity; for other these occur episodically.)


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Types of Paraphilias

  • Exhibitionism - exposing genitals to (unsuspecting) stranger(s), most common sex crime in U.S., rare outside, involves shock & risk, often distant from victim, needs to display masculinity w/o having to perform


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Other Paraphilias

  • Voyeurism - illegal, secretive nature is arousing, most don’t ever commit more serious sex crimes (but Bundy did)

  • Fetishism - involving (nonliving) objects, depression, anxiety, loneliness


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More Types of Paraphilias

  • Sexual sadism - involves psychological or physical suffering

  • Sexual masochism - involves act (real, not simulated) of being humiliated, beaten, bound, otherwise made to suffer


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More on Paraphilias

  • Transvestic fetishism - cross-dressing for sexual arousal in heterosexual male (for over 6 mo.)

  • Frotteurism - rubbing against nonconsenter


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Pedophilia

  • Molestation of prepubescent child, most heavily punished paraphilia

  • Most conflicted re sexuality vs. religion

  • Feel guilty, doomed

  • Lack confidence, uneasy in social & sexual situations w/ adults


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Etiology of Paraphilias

  • Over 90% committed by males

  • Classical conditioning - pairing of stimulus w/ sexual arousal

  • Social learning - hx of inappropriate sexual & aggressive experiences, poor social skills, hostility toward women


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Tx of Paraphilias

  • Most research done on sex offenders (atypical group)

  • Cognitive-behavioral tx predominates

  • Aversion tx - harmless shock

  • Empathy training - inc. role reversal

  • Desensitization & social skills trg. - unlearn anxiety & approach more appropriate partners ( in appropriate manner)


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Gender Identity Disorder

  • Strong, persistent identification w/ other sex

  • Persistent discomfort w/ sex, inappropriateness in gender role

  • R/O physical intersex condition

  • As child

    • Cross dressing

    • Cross sex roles

    • Played w/ other sex

    • Insisting is other sex


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Sexual Response Cycle

  • Desire - inc. fantasies

  • Excitement - subjective pleasure, physiological changes

  • Orgasm - peaking of pleasure, ejaculation or vaginal wall contractions

  • Resolution - differs for sexes, refractory period

  • Sexual Dysfunctions at any of first 3


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Sexual Desire Disorders

  • Most common sexual dysfunction, may be on rise, others may be secondary (Kaplan)

  • Hypoactive Sexual Desire Disorder - little or no interest in sex (for age, etc.)

  • Sexual Aversion Disorder - disgust, fear, revulsion to one of all aspects of sex, often result of sexual abuse, assault


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Sexual Arousal Disorders

  • Female Sexual Arousal Disorder - persistent, recurrent inability to attain or maintain lubrication-swelling responsee

  • Male Erectile Disorder (impotence) - recurrent inability to attain or maintain erection til end of activity, may be secondary to alcohol, diabetes, distinguish from occasional problem in gaining or sustaining erection


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Orgasmic Disorders

  • Female Orgasmic Disorder - no orgasm when stimulation adequate, 1 in 4 have difficulty reaching orgasm

  • Premature Ejaculation

  • Retarded Ejaculation - usually no orgasm w/ partner, only masturbation


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Sexual Pain Disorders

  • Dyspareunia - genital pain upon intercourse, rare in men, can be from vaginal dryness, antihistamines, injury or irritation

  • Vaginismus - involuntary contraction of muscles of outer third of vagina (5-17% of women)


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Sexual Dysfunction Tx (Masters & Johnson)

  • Sensate focus is tx of choice for impaired excitement in females, erectile dysfunction in males

    • Pleasuring

    • Genital stimulation

    • Nondemand intercourse (no pressure for orgasm)

  • Female orgasmic disorder treated w/ masturbation homework

  • Squeeze technique for premature ejaculation


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