CHAPTER 18 – CPSY – SEXUAL DISORDERS AND SEX THERAPY.docx

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CHAPTER 18 – CPSY – SEXUAL DISORDERS AND SEX THERAPY 1. Sexual Disorder Sexual Disorder: Problems with sexual response that cause a person mental distress Lifelong sexual disorder: A sexual disorder that has been present since the person began sexual functioning Acquired sexual disorder: A sexual disorder that develops after a period of normal functioning Disorders In Men: a. Male Hypoactive Sexual Desire Disorder = inhibited sexual desire = low sexual desire: an individual does not have spontaneuos thoughts or fantasies about sexual activity and is not interested in sexual activity Discrepancy of sexual desire: A sexual problem in which the partners have considerably different levels of sexual desire b. Erectile Disorder (ED) = erectile dysfunction = inhibited sexual excitement: inability to have an erection or maintain one on almost all or all occasions. The man cannot engage in sexual intercourse c. Premature (Early) Ejaculation: occurs when a man persistently has an orgasm and ejaculates sooner than desired during sexual activity with a partner and is significantly distressed about the problem d. Delayed Ejaculation = male organism disorder: is the opposite of rapid (early) ejaculation. Unable to orgasm, or it is greatly delayed. Disorders in Women a. Female Sexual Interest/Arousal Disorder: A sexual disorder in which the woman’s sexual interest or arousal is significantly reduced. Need to meet at least three of the following persistent symptons: lack of interest in sexual activity; lack of sexual thought; lack of desire as demonstrated by not initiating sex with a partner and not being reponsive to the partner’s initiation; absent or reduced sexual excitement or pleasure in all or almost all sexual encounters….. b. Female Orgasmic Disorder: refers to a woman’s recurrent difficulty having an orgasm or reduced orgams intensity during almost all sexual activity. Laypersons may call this frigidity. DSM-5 explicitly states that women who need clitoral stimulation to reach orgasm should not be diagnosed with this disorder. c. Genito-Pelvic Pain/Penetration Disorder: refers to any one of four symptoms that typically occur together – difficulty having intercourse/penetration; markrd genital and/or pelvic pain during penetration attempts (sometimes termed dyspareunia); fear of pain associated with vaginal penetration; and marked tension or tightening of the pelvic floor muscles during attempts at vagianl penetration. DYSPAREUNIA AND VAGINISMUS WERE COMBINED INTO ONE DISORDER GENITO PELVIC PAIN/PENETRATION 2. What causs sexual disorders?

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