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Sexual Disorders
Chapter 16
37
Psychology
Undergraduate 2
12/05/2008

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Term
Sexual Dysfunctions
Definition
set of disorders in which people have trouble engaging in and enjoying sexual relationships with other people
Term
Sexual Response Cycle
Definition
Sexual Desire, Sexual Arousal, Plateau, Orgasm, and Resolution
Term
Vasocongestion
Definition
occurs in arousal phase; the filling of blood vessels and tissues with blood, aka engorgement; in males erection of the penis is caused by increased blood flow; in women vasocongestion causes the clitoris to enlarge, the labia to swell, and the vagina to moisten
Term
Myotonia
Definition
muscular tension; during the arousal phase many muscles in the body may become more tense, culminating in the muscular contraction known as orgasm
Term
refractory period
Definition
following ejaculation, it is a period of time when males cannot achieve a full erection and another orgasm, no matter the stimulus; only occurs in males
Term
Sexual Desire Disorders
Definition
lack of sexual desire is the most common complaint of people seeking sex therapy
Term
hypoactive sexual desire disorder
Definition
persistent lack of sexual fantasies and desire for sexual activity to the point that it causes him or her significant distress or interpersonal difficulties and is not due to transient life circumstances or another sexual dysfunction
Term
sexual aversion disorder
Definition
condition in which a person actively avoids sexual activities and experiences sex as unpleasant or anxiety-provoking
Term
female sexual arousal disorder
Definition
in women, recurrent inability to attain or maintain the swelling-lubrication response of sexual excitement
Term
male erectile disorder
Definition
aka impotence; in men, recurrent inability to attain or maintain an erection until the completion of sexual activity
Term
female orgasmic disorder
Definition
in women, recurrent delay in or absence of orgasm following adequate sexual excitement; much more common in postmenopausal women
Term
premature ejaculation
Definition
in men, inability to delay ejaculation as desired; must cause significant distress or interpersonal problems before it is considered a disorder
Term
male orgasmic disorder
Definition
in men, recurrent delay in or absence of orgasm following adequate sexual excitement; in most cases cannot ejaculate during intercourse but can with manual or oral stimulation
Term
Dyspareunia
Definition
genital pain associated with intercourse; rare in men; in women can be the result of dryness of the vagina (caused by antihistamines or other drugs), infection of the clitoris or vulval area, or injury to the vagina; in men involves painful erections or pain during thrusting
Term
Vaginismus
Definition
only in women; involuntary contractions of the muscles surrounding the vagina, which interferes with sexual functioning
Term
Biological Causes of Sexual Dysfunctions
Definition
-Medical Conditions (diabetes, cardiovascular disease, multiple sclerosis, renal failure, vascular disease, spinal cord injury, autonomic nervous system injury)
-Prescription Drugs (antihypertensive medications, antipsychotics, antidepressants, lithium, tranquilizers)
-Recreational drugs
-in Men: low levels of androgen hormones or high levels of estrogen and prolactin, genital or urinary tract infections
-in Women: low levels of estrogen, vaginal dryness or irritation, injuries during childbirth
Term
Psychological Causes
Definition
-Psychological disorders: depression, anxiety disorders, Schizophrenia
-Attitudes and cognitions: belief that sex is "dirty" or "disgusting", performance anxiety
Term
Sociocultural Problems
Definition
-relationship problems: lack of communication, differences in sexual expectations, conflicts unrelated to sex
-Trauma
-Cultural taboos against sex
Term
Peyronie's disease
Definition
aka prostatitis, rare condition that causes deposits of fibrous tissue in the penis; attributes to male pain during sex
Term
Performance Anxiety
Definition
anxiety over sexual performance that interferes with sexual functioning
Term
Sensate Focus Therapy
Definition
treatment for sexual dysfunction in which partners alternate bw giving and receiving stimulation in a relaxed, openly communicative atmosphere, in order to reduce performance anxiety and concern over achieving orgasm by learning each partner's sexual fulfillment needs
Term
Stop-Start Technique
Definition
for rapid ejaculation; the man or his partner stimulates his penis until he is ab to ejaculate; the man then relaxes and concentrates on the sensations in his body until his level of arousal declines; the goal of this technique is for the man to learn to identify the point of ejaculatory inevitability and to control his arousal level at that point
Term
squeeze technique
Definition
sex therapy for premature ejaculation; the man's partner stimulates him to an erection, and then when he signals that ejaculation is imminent, the partner applies a firm but gentle squeeze to his penis (either at the glands or at the base) for 3-4 seconds, the goal of this technique is for the man to learn to identify the point of ejaculatory inevitability and to control his arousal at that point
Term
Paraphilias
Definition
atypical sexual behaviors; involving nonhuman objects, non consenting adults, suffering or the humiliation of the person or the person's partner, or children
Term
Fetishism
Definition
a person uses inanimate objects as the preferred or exclusive source of sexual arousal
Term
Transvestism
Definition
in this fetish, a heterosexual man dresses in women's clothing as his primary means of being sexually aroused
Term
Sexual Sadism
Definition
sexual gratification is obtained through inflicting pain and humiliation on one's partner
Term
Sexual Masochism
Definition
sexual gratification is obtained through experiencing pain and humiliation at the hands of one's partner
Term
Voyeurism
Definition
sexual arousal is obtained by compulsively and secretly watching another person undressing, bathing, engaging in sex, or being naked
Term
Exhibitionism
Definition
sexual gratification is obtained by exposing one's genitals to involuntary observers
Term
Frotteurism
Definition
sexual gratification is obtained by rubbing one's genitals against or fondling the body parts of a nonconsenting person
Term
Pedophilia
Definition
adults obtain sexual gratification by engaging in sexual activities with young children
Term
aversion therapy
Definition
behavior modification used to extinguish sexual responses to objects or situations that a person with paraphilia finds arousing
Term
gender identity
Definition
one's perception of themselves as male or female
Term
gender role
Definition
a person's belief about how he or she should appropriately behave as a male or female in society
Term
sexual orientation
Definition
a person's preference for sexual partners of the same sex or of the opposite sex
Term
Gender Identity Disorder
Definition
aka transsexuals; a person believes they were born with the wrong sex's body and are truly members of the other sex, the person is fundamentally a member of the opposite sex
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