chapter13 - CHAPTER 13: ABNORMAL PSYCHOLOGY, 13e Chapter...

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CHAPTER 13: ABNORMAL PSYCHOLOGY, 13e 325 Chapter Thirteen: Sexual Variants, Abuse, and Dysfunctions BEFORE YOU READ Paradoxically, sex is a common topic in the movies, on television, and in music, yet we rarely talk about it openly in our own lives, and often wonder about other people’s sexuality, whether we are normal, and how to manage sexual problems. This chapter emphasizes the variability in sexual attitudes and behaviors across cultures. It also focuses on a particularly timely topic, homosexuality, which is not considered a sexual deviation in the current version of the DSM-IV. Sexual issues which do cause psychological difficulty for individuals can be classified as either sexual variants, sexual abuse, or sexual dysfunctions. Sexual variants include paraphilias in which individuals seek sexual arousal via nonhuman subjects, hurting others or being hurt, or interacting with nonconsenting partners. For example people with a shoe fetish become excited by touching or fondling shoes, masochists and sadists are people who are sexually aroused by suffering humiliation or hurting others respectively, and pedophiles respond sexually to minors. Gender identity disorders, characterized by strong discomfort with one’s own sex are also classified as sexual variants. Sexual abuse, or sexual behavior characterized by coercion and lack of consent is discussed in terms of its negative psychological impact on the victim, and its adverse impact on society. The third section concerns sexual dysfunctions— problems that may interfere with an individual’s full enjoyment of sexual relations, but fortunately are the most and treatable disorders discussed. • SOCIOCULTURAL INFLUENCES ON SEXUAL PRACTICES AND STANDARDS Case 1: Degeneracy and Abstinence Theory Case 2: Ritualized Homosexuality in Melanesia Case 3: Homosexuality and American Psychiatry • SEXUAL AND GENDER VARIANTS The Paraphilias Causal Factors and Treatments for Paraphilias
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CHAPTER 13: ABNORMAL PSYCHOLOGY, 13e 326 Gender Identity Disorders • SEXUAL ABUSE Childhood Sexual Abuse Pedophilia Incest Rape Treatment and Recidivism of Sex Offenders • SEXUAL DYSFUNCTIONS Dysfunctions of Sexual Desire Dysfunctions of Sexual Arousal Orgasmic Disorders Dysfunctions Involving Sexual Pain • UNRESOLVED ISSUES How Harmful is Child Sexual Abuse? OBJECTIVES After reading this chapter, you should be able to: 1. Provide a number of examples of sociocultural influences on sexual practices. 2. Describe the clinical features of the following paraphilias: fetishism, transvestic fetishism, voyeurism, exhibitionism, sadism, and masochism. 3. Discuss the most effective treatments for paraphilias, and summarize causal factors implicated in their etiology. 4. Define and describe the clinical features and treatment of the gender
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This test prep was uploaded on 04/18/2008 for the course DEP 3053 taught by Professor Miller during the Spring '08 term at University of Florida.

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chapter13 - CHAPTER 13: ABNORMAL PSYCHOLOGY, 13e Chapter...

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