Chapter 14 - Chapter 14: Challenges to Sexual Functioning...

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Chapter 14: Challenges to Sexual Functioning
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Chapter 14 Outline Sexual Dysfunctions: Definitions, Causes, and Treatment Strategies Psychological Factors in Sexual Dysfunction Physical Factors in Sexual Dysfunction Categorizing the Dysfunctions Treating the Dysfunctions
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Chapter 14 Outline (Cont.) Sexual Desire Disorders Hypoactive Sexual Desire Sexual Aversion Sexual Arousal Disorders Female Sexual Arousal Disorder Male Erectile Disorder Orgasm Disorders Female Orgasmic Disorder Male Orgasmic Disorder Premature Ejaculation
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Chapter 14 Outline (Cont.) Pain Disorders Vaginismus Dyspareunia and Vulvodynia Illness, Disability, and Sexual Functioning Cardiovascular Problems: Heart Disease and Stroke Cancer Chronic Illness and Chronic Pain Respiratory Illness Diabetes
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Chapter 14 Outline (Cont.) Multiple Sclerosis Alcoholism Spinal Cord Injuries AIDS and HIV Mental Illness and Retardation: Special Issues Getting Help for Sexual Problems and Dysfunctions
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Sexual Dysfunctions: Definitions, Causes, and Treatment Strategies The Diagnostic and Statistical Manual ( DSM IV-TR ) classifies sexual dysfunctions It provides descriptions, diagnoses, treatments, and research findings Sexual problems vs. sexual dysfunctions Common sexual problems – not enough foreplay, lack of enthusiasm, inability to relax Dysfunction – disturbance in the sexual response that doesn’t go away by itself
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Sexual Dysfunctions: Definitions, Causes, and Treatment Strategies (Cont.) Psychological Factors in Sexual Dysfunction Physical Factors in Sexual Dysfunction Categorizing the Dysfunctions Treating Dysfunctions
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Psychological Factors in Sexual Dysfunction Psychological factors can interfere with sexual functioning: fears, stress, anxiety, depression, guilt, anger, partner conflict, dependency, loss of control, time pressures, distractions Performance fear – excessive need to please a partner Spectatoring – acting as an observer or judge of one’s own sexual performance
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Physical Factors in Sexual Dysfunction Sexual dysfunction increases with age Disease, disability, illness, and use of prescription and non-prescription drugs can all lead to sexual dysfunctions
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Categorizing the Dysfunctions Categorization helps determine appropriate treatment strategies Primary – one that always existed Secondary – one that develops after a period of adequate functioning Situational – occurs during certain sexual activities or with certain partners Global – occurs in every situation
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Treating Dysfunctions Medical history and workup are taken first to determine physiological causes Evaluations of past sexual abuse or trauma Plan for treatment is made after causes have been uncovered Treatment may involve several therapy types Highest success rates are 60% for primary erectile disorder, 97% for premature ejaculation, 80% for female orgasmic disorder
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This note was uploaded on 04/07/2012 for the course ACCT 201 and 20 taught by Professor Any during the Spring '12 term at Old Dominion.

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Chapter 14 - Chapter 14: Challenges to Sexual Functioning...

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