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Unformatted text preview: Sexual Disorders and Gender Identity Disorders LECTURE 5.20, 5.25 Sexual dysfunctions problems of inhibited sexual desire, problems with sexual arousal, and/or problems with sexual response (orgasm)- Relatively common in both males and females 31% of men and 43% of women at some point in their life report having some type of sexual dysfunction- Sexual dysfunctions affect 1 or many of the phases of the human sexual response o Often times, people have co-morbidity of these dysfunctions, meaning that if they have one, they’re more likely to have another- Phases of human sexual responses o Desire the urge to have sex, sexual fantasies, and having sexual attraction to others o Excitement marked by changes in the pelvic region, general physical arousal, increasing heart rate, muscle tension, blood pressure, and rate of breathing In men, this leads to the erection of the penis In women it’s the swelling of the clitoris and labia as well as the lubrication of the vagina o Orgasm (response) individual sexual pleasure peaks and sexual tension is released as the muscles in the pelvic region contract or draw together rhythmically Men this leads to ejaculation Women the contraction of the outer 3 rd of the vaginal wall o Resolution the end, everything goes back to its prior state- Disorders of Desire o Hypoactive sexual desire little or no interest in sexual activities, either actual or fantasized Lifetime rates 20-35% of women and 15% of men Most common complaint of couple-seeking sex therapy o Sexual Aversion disorder avoidance of, and aversion to, sexual intercourse (finding it very distasteful) Rare in men and somewhat more common in women, but rare on the whole o Causes of Sexual Desire Disorders Biological • In both men and women, a high level of Prolactin, a low level of testosterone, and either a high or a low level of estrogen can lead to low sex drive/sexual desire disorders Psychological people with hypo-active sexual disorder (little or no interest in sex) or sexual aversion (avoiding sex and finding it very distasteful) have particular attitudes, fears, or memories that contribute to their dysfunction (so they tend to have maladaptive sexual attitudes, XX a belief that sex is immoral or that it’s dangerous) • So they have certain ideas about sex that contribute to this disorder o Treatments Effectual awareness much like cognitive behavioral therapy • The patient visualizes sexual schemes in order to discover any feelings of anxiety or...
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This note was uploaded on 08/11/2010 for the course PSC 49640 taught by Professor Schleper during the Spring '09 term at UC Davis.
- Spring '09