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Chapter 13

Chapter 13. Sexual Disorders. Sexual Dysfunction Disorders. Sexual desire disorders Sexual arousal disorders Orgasmic disorders Sexual pain disorders. Sexual Dysfunction Disorders. Sexual Desire Disorders. Hypoactive sexual desire disorder Sexual aversion disorder.

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Chapter 13

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  1. Chapter 13 Sexual Disorders

  2. Sexual Dysfunction Disorders • Sexual desire disorders • Sexual arousal disorders • Orgasmic disorders • Sexual pain disorders

  3. Sexual Dysfunction Disorders Sexual Desire Disorders • Hypoactive sexual desire disorder • Sexual aversion disorder Sexual Arousal Disorders • Female sexual arousal disorder • Male erectile disorder

  4. Sexual Dysfunction Disorders, continued Orgasmic Disorders • Female orgasmic disorder • Premature ejaculation • Male orgasmic disorder Sexual Pain Disorders • Vaginismus • Dyspareunia

  5. Causes of Sexual Dysfunctions • Biological causes: “sexual dysfunction due to a general medical condition” • Psychological causes • Psychological disorders • Attitudes and cognitions • Interpersonal factors • Trauma • Cultural factors

  6. Treatments for Sexual Dysfunctions • Biological therapies • Psychotherapy

  7. Paraphilias

  8. Causes of Paraphilias • Biological theories • Behavioral theories • Social learning • Cognitive factors

  9. Treatment for Paraphilias • Biological interventions • Aversion therapy • Desensitization • Cognitive interventions • Group therapy

  10. Hypersexual Disorder: A Proposal for DSM-5 • sexual fantasies, desires, and arranging and taking part in sexual encounters take up much of a person’s time • repeatedly engages in these sexual urges, fantasies, and behaviors in response to dysphoric mood states • repeatedly engages in sexual fantasies, urges, and behaviors in response to stressful life events • repeatedly tried and failed in efforts to control or reduce sexual fantasies, urges, and behaviors • repeatedly engages in sexual behavior while disregarding the risk for physical or emotional harm to the self or others • sexual fantasies, urges, and behaviors must cause significant distress or impairment, and must not be due to a drug of abuse or a medication

  11. Gender Identity Disorder

  12. Treatment of Gender Identity Disorder • Psychotherapy • Cross-sex hormone therapy • Full-time real-life experience in the desired gender role • Sex reassignment surgery

  13. Sexuality and the Biopsychosocial Model

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