HLT 200: Human Sexuality Chapter 7


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HLT 200: Human Sexuality Chapter 7

  1. 1. Human Sexuality Chapter 7
  2. 2. Evaluating a Sexual Problem 3-Dimensional Model <ul><li>3-dimensional model of sexual problems – a method of classifying or diagnosing sexual problems according to their duration , context and frequency (p. 226) </li></ul><ul><ul><li>Duration: Primary or Secondary </li></ul></ul><ul><ul><ul><li>Duration – how long the person has been experiencing the problem </li></ul></ul></ul><ul><ul><ul><ul><li>Primary – has always existed in the person’s sexual life </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Secondary – occurs now but not present at some point in past sexual experiences </li></ul></ul></ul></ul><ul><ul><li>Context: Global or Situational </li></ul></ul><ul><ul><ul><li>Context – the settings the person experiences the problem </li></ul></ul></ul><ul><ul><ul><ul><li>Global – occurs in all settings </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Situational – occurs in specific settings but not in other </li></ul></ul></ul></ul><ul><ul><li>Frequency: Total or Partial </li></ul></ul><ul><ul><ul><li>Frequency – </li></ul></ul></ul><ul><ul><ul><ul><li>Total – occurs every time in a given setting </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Partial – does not occur every time in a particular setting, but often enough to cause distress </li></ul></ul></ul></ul><ul><ul><li>SEE Table 7.3 and understand the examples </li></ul></ul>
  3. 3. 4 Sources of Most Sexual Problems <ul><li>1. Biological or physiological causes – when the body is incapable of responding appropriately regardless of the partner, setting, and/or sexual activities (p. 228-229) </li></ul><ul><ul><li>Besides actual physical limitations such as neurological, hormonal, and circulatory deficiencies </li></ul></ul><ul><ul><ul><li>Drugs are included in this category </li></ul></ul></ul><ul><ul><ul><ul><li>Alcohol is the most common “antisex drug” </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Nicotine interferes with erection in men and possibly arousal in women </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Why? Because it causes plaque build up in the arteries, thus reducing blood flow to the genitals </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Drugs for depression may inhibit orgasm </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Prozac, Zoloft, Paxil, Luvox, Lexipro ,Celexa and etc. </li></ul></ul></ul></ul></ul><ul><ul><ul><li>SEE Table 7.4 </li></ul></ul></ul><ul><li>2. Psychological causes – when the body is physically effected by psychological causes (pp. 229-230) </li></ul><ul><ul><li>Ex. of psychological causes </li></ul></ul><ul><ul><ul><li>stress, fear, guilt, anxiety, depression and etc. </li></ul></ul></ul><ul><ul><li>Ex. of the body reactions </li></ul></ul><ul><ul><ul><li>no erection, no arousal, no orgasm, an etc. </li></ul></ul></ul><ul><ul><li>SEE Table 7.5 </li></ul></ul>
  4. 4. 4 Sources of Most Sexual Problems <ul><li>3. Relationship Issues – when the body is physically effected by relationship factors (pp. 230-232) </li></ul><ul><ul><li>6 areas that affect the sexual side of a relationship </li></ul></ul><ul><ul><ul><li>1. Loss of Trust </li></ul></ul></ul><ul><ul><ul><li>2. Poor Communication </li></ul></ul></ul><ul><ul><ul><li>3. Anger and Resentment </li></ul></ul></ul><ul><ul><ul><li>4. Conflicting Sexual Expectations </li></ul></ul></ul><ul><ul><ul><li>5. Lack of Respect </li></ul></ul></ul><ul><ul><ul><li>6. Loss of Love </li></ul></ul></ul><ul><li>4. Cultural Expectations – when the body is physically affected because of cultural differences (pp. 233-234) </li></ul><ul><ul><li>Different cultures differ in their attitudes and expectations about sex and romance </li></ul></ul><ul><ul><ul><li>Possibly causing sexual and relationship problems </li></ul></ul></ul>
  5. 5. General Guidelines for Solving Sexual Problem <ul><li>Sensate focus – a sex therapy technique that requires a couple to redirect emphasis way from intercourse and focus on their capacity for mutual sensuality (pp. 235-236) </li></ul><ul><ul><li>Not equating sex with intercourse </li></ul></ul><ul><li>Masturbation as treatment – a sex therapy strategy in which the therapist advises the client on how to use masturbation activities to help overcome a sexual problem (pp. 236-237) </li></ul><ul><ul><li>People who are experiencing a sexual problem with their partner rarely encounter the same problem when masturbating </li></ul></ul><ul><ul><li>It allows one to become more aware of their own bodily sensations </li></ul></ul><ul><ul><li>Helps partners explain what stimulation feels best </li></ul></ul><ul><ul><li>It serves as a sexual release while couples work on the sexual problems </li></ul></ul><ul><ul><li>Individuals can work on specific sexual difficulty without a partner or issues they are not comfortable exploring with a partner </li></ul></ul><ul><ul><li>Although directed masturbation may help, it is not for all people, whereas they may not feel comfortable about it </li></ul></ul>
  6. 6. General Guidelines for Solving Sexual Problem <ul><li>Communication – significant in the success or failure of sexual relationships (pp. 237-238) </li></ul><ul><ul><li>If you don’t communicate your sexual desires, likes, dislikes, preferences and feelings to your partner, how is he or she suppose to know them </li></ul></ul><ul><ul><li>Nonverbal communication </li></ul></ul><ul><ul><ul><li>Moans, groans and body movement are often vague and easily misread </li></ul></ul></ul><ul><ul><ul><ul><li>For example, you might think a moan is a moan of pleasure, but it may be a sign of encouragement to do something more intensely because it feels good, or a request to stop because it is to stimulating, or even painful </li></ul></ul></ul></ul>
  7. 7. Specific Problems & Solutions <ul><li>Problems with sexual desire (pp. 238-242) </li></ul><ul><ul><li>Hypoactive sexual desire (HSD) – a persistently low level or lack of sexual fantasies or desire for sexual activity </li></ul></ul><ul><li>Problems with sexual arousal (pp. 243-251) </li></ul><ul><ul><li>Male erectile disorder – recurring or persistent difficulty in achieving or maintaining an erection </li></ul></ul><ul><ul><ul><li>Difficulties with erections at some point is normal </li></ul></ul></ul><ul><ul><ul><li>SEE pp. 243-247 </li></ul></ul></ul><ul><ul><ul><li>SEE table 7.7, p. 248 </li></ul></ul></ul><ul><ul><li>Female Sexual Arousal Disorder – a woman’s frequent or persistent inability to attain or maintain sexual arousal </li></ul></ul><ul><ul><ul><li>May stem from biological, psychological, relationship, or cultural causes or any combination </li></ul></ul></ul><ul><ul><ul><li>SEE pp. 247-251 </li></ul></ul></ul><ul><ul><ul><li>SEE Table 7.8, p. 250 </li></ul></ul></ul>
  8. 8. Specific Problems & Solutions <ul><li>Problems with orgasm (pp. 251-257) </li></ul><ul><ul><li>Female orgasmic disorder – a sexual problem in which a woman rarely or never reaches orgasm or whose orgasms are delayed </li></ul></ul><ul><ul><ul><li>SEE – pp. 251-253 </li></ul></ul></ul><ul><ul><ul><li>Preorgasmic – a woman who has never experienced an orgasm under any conditions </li></ul></ul></ul><ul><ul><ul><ul><li>IMPORTANT Definition – because it implies that all women have the capacity for orgasm even if they have never had one </li></ul></ul></ul></ul><ul><ul><ul><li>SEE – Table 7.10 (p. 261) </li></ul></ul></ul><ul><ul><li>Male orgasmic disorder – a frequent or recurring delay or delay or inhibition of orgasm and ejaculation </li></ul></ul><ul><ul><ul><li>SEE p. 257 </li></ul></ul></ul><ul><ul><ul><li>A relatively rare disorder </li></ul></ul></ul><ul><ul><ul><li>Premature ejaculation – a man’s tendency to have an orgasm suddenly with little penile stimulation , typically just before, or shortly after penetration of the penis into the vagina </li></ul></ul></ul><ul><ul><ul><ul><li>SEE pp. 253-257 </li></ul></ul></ul></ul>
  9. 9. Specific Problems & Solutions <ul><li>Painful sex (pp. 257-260) </li></ul><ul><ul><li>IF SEX HURTS, SOMETHING IS PROBABLY WRONG </li></ul></ul><ul><ul><li>Dyspareunia –painful sexual intercourse, usually experienced as pain in the vagina, the vaginal opening, or deeper in the abdominal cavity during or just after intercourse </li></ul></ul><ul><ul><ul><li>One of the most common sexual problems in women </li></ul></ul></ul><ul><ul><ul><li>Most common cause is lack of adequate vaginal lubrication </li></ul></ul></ul><ul><ul><ul><li>Relatively rare in men </li></ul></ul></ul><ul><ul><ul><ul><li>It involves external or internal pain relating to the penis, testicles, or other deeper areas in the reproductive tract </li></ul></ul></ul></ul><ul><ul><li>Vaginismus – pain in a women just prior to intercourse or other vaginal insertion </li></ul></ul><ul><ul><ul><li>Due to involuntary contractions and spasms of the pelvic muscles controlling the opening to and outer third of the vagina </li></ul></ul></ul><ul><ul><ul><ul><li>Causes it the powerful link between mind and body </li></ul></ul></ul></ul>