lecture12+Sexual+and+Gender+Identity(10,1)

lecture12+Sexual+and+Gender+Identity(10,1) - Lecture 12...

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Lecture 12— Dysfunctions vs. Paraphilias (unconventional sex) --greatest sex organ = brain Gender Differences Normal Sexuality
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Phase I: Desire Phase (fantasies about sexual desire, sense of desire for sex) Phase II: Phase III: Orgasm (release, sex pleasure) Resolution: Relaxation, sense of well being Sexual Dysfunction Impairment in: 1) Desire for sex or 2) Ability to achieve it This is an inhibition within the sex response cycle Last 25-30 years there has been considerable research on treating specific dysfunctions Much is known here Performance Anxiety: I feeling anxious around the process of sexual intercourse--comprised of: arousal cognitive processes negative affect Performance Anxiety: II (i.e., too much drinking resulting is performance difficulties) resulting in worry about performance next time creating Self fulfilling prophecy Performance Anxiety: III Spectatoring : Watching oneself, not participating Solution: Sensate Focus—Stage 1 Couple instructed to NOT have intercourse (or genital touching) Rather (for several days) enjoy: Kissing hugging Massaging & explore (present moment subjective pleasure) Sensate Focus—Stage 2 “Genital pleasuring” but prohibits intercourse or orgasm Purpose is to allow sexual experience w/out anxiety of performance Sensate Focus—Stage 3 As couple completes stage 2 they are instructed to slowly begin sexual activity continuing non-demand pleasuring as they progress
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Sexual Dysfunction—USA incidence 43% women 31% men DSM: Sexual Dysfunctions Sexual Desire Disorders -Hypoactive Sexual Desire Disorder -Sexual Aversion Disorder Sexual Arousal Disorder -Female Sexual Arousal Disorder -Male Erectile Disorder (30% of Viagra users experience severe headache) Orgasmic Disorders -Female Orgasmic disorder -Male Orgasmic disorder -Premature Ejaculation (most common) Sexual Pain Disorder -Dyspareunia: genital pain with intercourse -Vaginismus: involuntary spasms of muscle of outer third of vagina Sexual Dysfunction due to General Medical Substance-Induced Sexual Dysfunction Sexual Dysfunction NOS (NOS = not otherwise specified) Approximately 75% of individuals taking SSRI medication experience some degree of sexual dysfunction Primary Psychological cause of sexual dysfunction = Distraction Erotophobia = negative feelings towards sexuality Paraphilias unconventional sex an attraction to inappropriate individuals or objects **Not understood as well as dysfunctions persistent sexual behavior patterns in which: unusual objects or situations are required for sexual satisfaction Limited research due to political controversies surrounding sexual topics Self Psychology : vulnerable to fragmentation, attempting to attain self-cohesion
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lecture12+Sexual+and+Gender+Identity(10,1) - Lecture 12...

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