SEXUAL DYSFUNCTIONS AND PARAPHILIAS

SEXUAL DYSFUNCTIONS AND PARAPHILIAS - SEXUAL DYSFUNCTIONS...

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SEXUAL DYSFUNCTIONS AND PARAPHILIAS DSM-IV SEXUAL DESIRE DISORDERS 302.71 Hypoactive sexual desire disorder 302.79 Sexual aversion disorder SEXUAL AROUSAL DISORDERS 302.72 Female sexual arousal disorder 302.72 Male erectile disorder ORGASMIC DISORDERS 302.73 Female orgasmic disorder 302.74 Male orgasmic disorder 302.75 Premature ejaculation SEXUAL PAIN DISORDERS 302.76 Dyspareunia (not due to a general medical condition) 306.51 Vaginismus (not due to a general medical condition) (Refer to DSM-IV manual for sexual dysfunctions due to a general medical condition) PARAPHILIAS 302.4 Exhibitionism 302.81 Fetishism 302.89 Frotteurism 302.2 Pedophilia 302.83 Sexual masochism 302.84 Sexual sadism 302.82 Voyeurism 302.3 Transvestic fetishism Sexual   disorders   include   sexual   dysfunctions   and   paraphilias.   Sexual   dysfunction   is   defined   as  persistent impairment / disturbance of a normal or desired pattern in any phase of the sexual response cycle.  Paraphilias are more specific disorders in which unusual or bizarre imagery or acts are necessary for  realization of sexual excitement. Because many paraphiliac behaviors are illegal in most states, individuals  usually come for psychiatric treatment because of pressure from others, partners, or the authorities / judicial  system. ETIOLOGICAL FACTORS Psychodynamics Individual causes of sexual desire disorders may include religious beliefs, obsessive-compulsive  personality, conflicts with gender identity or sexual preference, sexual phobias, fear of losing control over  sexual urges, secret sexual deviations, fear of pregnancy, inadequate grieving following the death of a  spouse, depression, and aging-related concerns. Psychological factors may also be involved in arousal  disorders. Psychoanalytical theories state that paraphilias are the product of childhood desires that survive into  adulthood in their immature forms because emotional development has been inhibited, distorted, and  diverted. These wishes are believed to be universal and are used to achieve arousal and release when  ordinary forms of sexual activity are not available. Deviations arise when these immature forms of libido  dominate adult sexual life. Fixation is thought to occur in Freud’s oral, anal, and phallic phases when  corresponding body parts provide sources of instinctual gratification. Conflict arises when an imperfect  compromise occurs between these impulses and reality, resulting in fear, which the unconscious perceives  as castration.
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Behavioral theorists believe any paraphilia / sexual dysfunction can be acquired through conditioning,  in which an initial pairing of an object is accidentally associated with / then becomes necessary for sexual  release. This need may become generalized to other situations of tension
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This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

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SEXUAL DYSFUNCTIONS AND PARAPHILIAS - SEXUAL DYSFUNCTIONS...

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