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Study Guide abnormal Exam 3 review

Decrease paraphilic impulses and behaviors by

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- Decrease paraphilic impulses and behaviors by targeting neurological, psychological, and social factors - Chemical castration o Use of medication to decrease or eliminate sex drive o DepoProvera, Androcur decrease testosterone levels o Paraphilic interest may remain intact Cognitive-Behavior Therapy (CBT) Target cognitive distortions that promote paraphilic fantasies, urges, and behaviors Covert sensitization Orgasmic reconditioning Relapse prevention training Teaches men to identify and recognize high-risk situations and learn strategies to avoid them Training to empathize with victims in an attempt to curb reoffending Many offenders do not complete psychosocial treatments Has not been successful Know the stages of the sexual response cycle. Sexual response cycle Four stages of sexual response (others include “Desire” as first stage) Excitement – physiological response to sexual stimulation Plateau – bodily changes become intense and level off Orgasm – involuntary contractions of internal genital organs, followed by ejaculation in men Resolution – Following orgasm, a period of relaxation (refractory period) Know all of the Sexual Dsyfunctions (e.g., Hypoactive Sexual Desire Disorder, Dyspareunia), and be able to distinguish them based on definitions or examples. - Hypoactive sexual desire disorder o Persistent or recurrent lack of sexual fantasies or an absence of desire for sexual activity o May be lifelong or recently acquired o May occur in all situations or in particular situations o Occurs more often in women than men Probably related to hormonal shift with menopause Psychological and social factors account for a given woman’s distress about decreased desire - Sexual aversion disorder o Persistent or recurrent extreme aversion to and avoidance of most genital sexual contact with a partner o Persons may have normal desire, interest, and sexual fantasies and may masturbate o However, even the idea of contact with a partner’s genitals or of being touched by a partner makes them anxious - Female sexual arousal disorder o Persistent or recurrent difficulty attaining or maintaining engorged genital blood vessels in response to adequate stimulation o Can be part of the natural aging process o Most likely to occur in those who have been through menopause and have adequate sexual desire
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o Menopause can lead to inadequate lubrication during sexual activity o Frequently occurs along with desire and/or orgasm problems - Male erectile disorder o Persistent or recurrent inability to attain or maintain an adequate erection until the end of sexual activity o Biological causes unlikely if full erection occurs apart from intercourse (nocturnal penile strain gauge). o
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