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chpt 8 ab psy sexual dysfunctions
Terms in this set (22)
how many heterogenrous disorders are listed in the DSM-5?
what is sexual dysfunctions?
absence or impairment of some aspect of sexual pleasure that causes distress or impairment
what factor contribute to sexual performance?
is their significant distress or impairment? others.. age, sex, culture, life circumstances, illness or separation from sexual partner?
what are the classifications of theses disorders
sexual desire; sexual arousal; orgasm and pain
sexual interest/desire disorder.
usually a codiagnosis, usually negative thoughts about sexualit, couple/relationship distress. ongoing for 6 months. * must examine the norm of the relationship
interest in sexual activity or objects, or wishes to engage in sexual activity.
Male Hypoactive Sexual Desire Disorder
persistently or recurrently deficient or absent sexual thoughts or fantasies and desire for sexual activity. 6 months
associated features of male hypoactive sexual desire disorder
low sexual satisfaction, presence of another sexual disfunction (pain), negative thoughts about sexuality an psychological distress(anxiety), erectile dysfunction
Female Sexual Interest/Arousal Disorder
significantly reduced or absent sexual interest/arousal (via sexual activity, sexual excitement, pleasure,response, thoughts or fantasies) for 6 months
associated features of female sexual interest/arousal disorder
problems experiencing orgasm, pain during sexual activity, relationship difficulites, mood disorders, unrealistic expectations and norms regarding appropriate level of sexual interest
Medical conditions associated with Female sexual interest disorder
irritable bowl syndrome
Medical conditions associated with Male Hypoactive sexual disorder
central nervous system
Male erectile disorder
persistent and recurrent inability to maintain an adequate erection until completion of sexual activity for 6 months, 75% of the time.
experience significant distress and or interpersonal difficulty
associated features of Male erectile disorder
low self esteem, despressed affect, fear or avoidance of sexual encounters, decreased satisfaction in partner, increasing age
delayed ejaculation/infrequency or asensce of ejaculation for 6 mnths. (not as common as MER)
FEMALE ORGASMIC DISORDER
persistent or reoccurring delay or absence or intensity of orgasm following the normal excitement phase for at least 6 months **age needs to be considered
consistent ejaculation with minimal sexual stimulation; increasing age presents challenge for males; risk factors
anxiety drug withdrawl from opiets, partner relationship problems, low self esteem, hormonal imbalance
SEXUAL PAIN DISODERS
only given to women
6 months of symptoms
related to fear and anxiety
tightening of the pelvic muscles
feel a lost of control
GENITO-PELVIC PAIN/PENETRATION DISORDER
Persistent/recurrent difficulties with one or more of the following
vaginal penetration during intercourse; marked vulvovaginal or pelvic pain during intercourse; related marked fear or anxiety or marked tensing/ tightening of the pelvic muscles, 6 months usually comorbid symptoms
ETIOLOGY OF SEXUAL DISORDERS
decrease testosterone levels (30s&40s)
androgen levels(post hysterectomy)
alcohol and drugs
ETIOLOGY OF SEXUAL DISORDERS
TREATMENT FOR SEXUAL DISORDERS
BIOLOGICAL: testosterone replacement therapy
SSRI (vigara, Cialis)
PHYSICAL TREATMENT- penile implants, vacuum devices
*time of onset may indicate different etiologies and treatment) lifelong, generalized and situations
PYSCHOSOCIAL: sex therapy
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