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ment73tquiz10
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Terms in this set (46)
transgender
gradation running from female to male; some cases gender is clear, some unclear, in other cases there is blending of both genders in one individual
gender identity
is an individual's personal or private sense of identity as female or female; it develops from an interaction of biology, identity imposed by others and self identity. It can be viewed as a continuum, at one end are those who are congruent with theri anatomic sex
paraphilic d/o
formerly paraphilia as a group of psychosexual d/o characterized by unconventional sexual bx; usually male, learned to associate sexual arousal with environmental stimulus that has the inability to control or stop the bx.
noncoercive paraphilias
unconventional sexual bx engaged by in oneself or with a consenting adult, calling it love play.
coercive paraphilias
are considered criminal acts becomes sexually aroused by including non consenting persons in their sexual acts
gender roles
roles a person is expected to perform as a result of being a male or female in a particular culture
gender role sterotyping
the expectation that people will exhibit certain bx because they are male or female.
androgyny
or flexibility in gender roles, reflects the belief that most characteristics and bx are human qualities that should not be limited to one specific gender or the other.
gender dysphoria
formerly
gender incongruence or gender identity d/o
are those transexuals that have a strong and persistent feelings of discomfort with one's assigned sex; for them, sexual anatomy is not consistent with gender identity/i it has nothing to do with sexual attraction.
cross dressers
males who express the feminine side of their personality by dressing as such. they are not interested in permanently altering their bodies through surgical means because majority of them are comfortable with their original birth gender.
exhibitionistic d/o, formerly exhibitionism
paraphilic d/o
recurrent intense sexually arousing fantasies, sexual urges, or actually exposing genitals to strangers
fetihistic d/o, formerly fetishism
paraphilic d/o
using objects for sexual arousal
frotteuristic d/o, formerly frotteurism
paraphilic d/o
sexual arousal from touching and rubbing against people without their consent
pedophilic d/o, formerly pedophilia
paraphilic d/o
fantasizing about or having sex with a prepubescent child when either 16 years old or 5 years older than the child
sexual masochism
paraphilic d/o
sexual arousal from suffering or being humiliated
masochism d/o, formerly sexual sadism
paraphilic d/o
sexual arousal from causing psychological or physical suffering or humiliation to another
transvestic d/o, formerly transvestic fetishism
paraphilic d/o
a heterosexual man achieves sexual satisfaction from fantasizing about or cross dressing
voyeuristic d/o, formerly voreurism
paraphilic d/o
sexual arousal from observing people-without their knowledge- while they are undressing, are undressed or are having sex.
autoerotic asphyxia
sometimes called hypoxyphilia, a noncoercive but often fatal masochistic sexual bx is an example of sexual masochism which is a compulsive and unconventional sexual bx
head rushing
also called scarfing, this bx typically begins in the adolescence and is primarily male affliction fashions a tourniquet like device that constrict the neck, decreasing the blood and oxygen supply to the brain , masturbates and at the point of orgasm releases the bonds to enhance the sensation or sexual high
sexual response cycle
four phases
:
desire: urge or fantasies;
arousal: excitement or physiological responses;
orgasmic: peak pleasure or release of tension;
resolution: relaxation
male hypoactive sexual desire d/o
deficiency in or absence of sexual fantasies and persistently low interest in sexual activity due to relationship, other sexual problems,
dissatisfaction or boredom with sexual activities, negative messages in childhood,
fears, performance anxiety,
negative body image, exhaustion or discordance with sexual orientation.
female sexual interest/arousal d/o
DSM diagnostic criteria minimum of 3:
absent/reduce interest in sexual activity;
absent/reduce sexual/erotic thoughts/fantasies;
no/reduced initiation of sexual activity and typically unresponsive to partners attempts;
absent/reduced sexual excitement/pleasure during sex;
absent/reduced sexual interest/arousal in response to any internal or external sexual erotic cues;
absent/reduced genital or non genital sensations during sexual activity.
erectile dysfunction
an arousal d/o that cannot attain full erection and others lose erection prior to orgasms; may be caused by:
medications such as beta blockers, SSRI, SNRI and ADHD medications;
disease processes such as diabetes, htn and cv disease;
fear of failure, anxiety, anger, poor communication and relationship conflict.
female orgasmic d/o
orgasmic d/o
"frigid" sexual response stops before orgasm occur due to:
fatigue, illness, neurologic or vascular damage, and medications that interfere with sexual response
delayed ejaculation d/o, formerly male orgasmic d/o
orgasmic d/o
called retarded ejaculation, they can maintain erection for long periods but have extreme difficulty ejaculating; may be caused by spinal cord injuries, multiple sclerosis, parkinson's disease and use of medications;
fear of pregnancy, performance pressure, fear of losing control, and anxiety and guilt about engaging in sexual activity.
rapid or premature ejaculation
one of the most common sexual problems with men; possible causes could be:
inability to perceive arousal level accurately;
lowered sensory threshold due to infrequent sexual activity; and,
early conditioning
genito pelvic pain/penetration d/o, formerly dyspareunia and vaginismus combined from DSM 4
DSM 5 diagnostic criteria of one or more:
Persistent difficulty having intercourse;
Pain in the genital or pelvic area during vaginal intercourse or attempts at penetration;
Significant fear or anxiety associated with the pain of intercourse. This fear may be present before, during, or after vaginal penetration;
Tensing or tightening of the pelvic floor muscles when attempting vaginal intercourse.
increased sexual interest
symptomatic of the manic phase of bipolar d/o; elevated mood is accompanied by a corresponding rise in sexual activity, variety of activity and often number of partners
sexual addiction
a d/o in which the central focus of life is sex; spends 50% or more of their waking hours dealing with sex from fantasy to acting out bx.
anger
a universal emotional response to a threat or a feeling of powerlessness and a common automatic response to anxiety
aggression
bx that violates the rights of other individuals resulting in harm to others; may be viewed as a direct result of unmet needs and wants
violence
refers to bx that is harmful to others, can be expressed verbally and non verbally
self awareness
a process that helps you avoid personalizing client comments and bx.
mental d/o in which aggressiveness occurs
antisocial personality d/o;
borderline personality d/o;
conduct d/o;
delusional d/o;
dementia of the Alzheimer type;
intermittent explosive d/o;
mania;
schizophrenia;
substance related d/o
reduce aggressiveness
haloperidol-haldol;
olanzapine- zyprexa;
trazodone- desyrel
long acting IM for non adherence on both outpatient and inpatient clients
risperidone-Risperdal consta;
fluphenazine decanoate or Prolixin;
haloperidol-Haldol
to minimize aggressiveness in the elderly
donepezil -Aricept;
rivastigmine- Exelon;
galantamine -Reminyl
second generation antipsychotics
for agitation and reduction of aggressive bx
clozapine- Clozaril;
risperidone-Risperdal;
SSRI
used for agitation and reduction of aggressive bx
fluxetine -Proxac;
paroxetine -Paxil
anticonvulsants
used for agitation and reduction of aggressive bx
carbamazepine -Tegretol;
lamotrigine-Lamictal;
valproic acid - Depakene
anxiolytics
for agitation and reduction of aggressive bx
buspirone -Buspar
benzodiazepines
for agitation and reduction of aggressive bx
clonazepam-Klonopin;
lorazepam-Ativan
beta blockers
for agitation and reduction of aggressive bx
propanolol-Inderal
mood stabilizer
for agitation and reduction of aggressive bx
lithium - Eskalith, Lithane,Lithobid
nueroleptic
for agitation and reduction of aggressive bx
clozapine -Clozaril;
fluphenazine -Prolixin;
haloperidol- Haldol;
risperidone- Risperdal;
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