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Ch 29

Ch 29. Sexual Disorders. Continuum of Sexual Responses. Behaviors occur along continuum Adaptive- satisfying that respect rights and wishes Maladaptive-impaired or dysfunctional, harmful to self or others. Adaptive or Helathy. Between consenting adults Satisfying to both

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Ch 29

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  1. Ch 29 Sexual Disorders

  2. Continuum of Sexual Responses • Behaviors occur along continuum • Adaptive- satisfying that respect rights and wishes • Maladaptive-impaired or dysfunctional, harmful to self or others

  3. Adaptive or Helathy • Between consenting adults • Satisfying to both • Not forced or coerced • Conducted in privacy

  4. Self Awareness • Watch non verbal messages of disaproval or judgment • Awareness of your own views about sexuality • Value clarification process

  5. Sexuality through life-cycle • Childhood • Assigned name – gender indicativve • Unaware gender is a permanent attribute • 2 yr old labels self as girl or boy • 3 yr accurately label gender of others • 7 yr understand gender is permanent • Betw. 7 and 9 learn gender is identified by genitalia • Age 3 identify gender roles • School age – identify with same gender parent • Mid elementary-aware of their gender role

  6. Sexuality in Adolescence • 12 yrs. Intensely involved with same gender friends, mixed group activity and dating increase • Dating usually begins in 7th and 8th grade with social activities dances, picnics etc • Group dating, double dating • 12th grade have single pair dates • Teens – have difficulty believing that sex can exist without love “true love”

  7. Sexual activity becomes the norm rather than exception with teens • Multiple relationships by age 19 • STD HIV higher for adolescents than general population

  8. Sexuality in and Adulthood • More unmarried, sexually active young adults • Ages 18 and 24 , multiple partner and serial relationships • Women less sexually aggressive than men • 25 to 59 – relative monogamy

  9. Sexual behavior changes to situation • New parents- less sex • Fear of unplanned pregnancy

  10. 30 and 40 yr olds bearing children and beginning families • Single parenthood common • Sexual freedom as children leave home and menopause occurs • Spontaneous interaction

  11. Older adulthood sexuality • Shifts from procreation to companionship, sharing, touching and intimate communication • More important than the actual act • Established sexual patterns continue

  12. Sexuality and Disability • Many are able to enjoy satisfying sex lives with adaptation • Cope with negative attitudes and stigmas

  13. Modes of Sexual Expression • Express sexuality with members of opposite gender are heterosexual • Homosexuality- sexual preference is with members of own gender • Close coupled – akin to married, well adjusted • Open coupled – living together having relations with others, less committed, higher levels of sexual activity than close coupled • Functional – no special partner not interested in finding one • Dysfunctional- regret sexual orientation, more unhappy, depressed or paranoid • Asexual- feel sexually unattractive, lonely, unhappy

  14. Bisexuality • Attracted to and engage in sexual activity with members of both genders

  15. Transvestites • Cross dressers • Excitement from wearing clothing of opposite gender • 1st type- man aroused by certain article of clothing • 2nd type- dresses completely in women’s clothing • Typical- married, with children, secretive, heterosexual, accepted by his wife

  16. Theory • Biological-chromosomal, genetic, brain structure, hormones • Psychoanalytical – behavior with neurotic or psychopathic motivations • Oedipal/Electra complex sexual feelings to opposite gender parent Behavioral – learned measurable responses Learning- introduced by accidental experience

  17. Sexual disorders- problems that cause distress and impair functioning in individual or others exposed to the behavior • Sexual dysfunction – disturbance anywhere during the four stages of sexual response

  18. Paraphilias • Group of sexual variations that depart from society’s traditional and acceptable modes of seeking sexual gratification • Pedophilia, voyeurism, exhibitionism

  19. Gender Identity Disorder • Unhappy with own gender • Want to eliminate own sexual characteristics and trade them for the opposite’s • Believe they were born in wrong body • Transexualism- persistent desire to become member of opposite sex • Discontented with biological gender

  20. Sexual addiction • Progressive and chronic addiction characterized by patterns of compulsive sexual behavior despite negative consequences • Obsessive need for self gratification • Dysfunctional history with primary caregiver, abuse neglect or abandonment

  21. Therapeutic Interventions • Group or individual therapy • Hormonal drug therapy • Environmental control for undesireable behaviors (jail or prison) • Mostly outpatient

  22. Psychosocial Assessment • Be aware of client’s level of comfort

  23. Nursing Process Ability to educate Objective Assessment and treatment

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