Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Chapter 14: Sexual Function Difficulties, Dissatisfaction, Enhancement, and Therapy © Radius Images/Alamy Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Sexual Function Difficulties, Dissatisfaction, Enhancement, and Therapy Sexual function difficulties: Definitions, types, and prevalencePhysical causes of sexual function difficulties and dissatisfactionPsychology causes of sexual function difficulties and dissatisfactionSexual function enhancementTreating sexual function difficulties Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Sexual Function Difficulties: Definitions, Types, and Prevalence Sexual function dissatisfaction – Alternative term to sexual dysfunctionCommon outcome of a difficulty in sexual functioningClassifications of difficulties and dissatisfaction based on medical and feminist modelsDSM-IV-TRWorking Group for a New View of Women’s Sexual Problems Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Sexual Function Difficulties: Definitions, Types, and Prevalence DSM-IV-TR definition of sexual dysfunctionDisturbance in sexual desire and in the psychophysiological changes that characterize the sexual response cycle and cause marked distress and interpersonal difficultyWorking group for a new view of women’s sexual problems - Women-centered definitionAs discontent or dissatisfaction with any emotional, physical, or relational aspect of sexual experience Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Table 1: DSM-5 Sexual Dysfunctions/Disorders Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Figure 1: Percentage of Sexually Active Men and Women in Britain, Aged 16-74; Reporting Selected Sexual Problems Lasting 3 Months or More in the Past Year Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Figure 1: Percentage of Sexually Active Men and Women in Britain, Aged 16-74; Reporting Selected Sexual Problems Lasting 3 Months or More in the Past Year Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Figure 2: Percentage of Self-Reported Sexual Functioning at Most Recent Partnered Sexual Event Among U.S. Adults Aged 18-59. Copyright 2016 © McGraw-Hill Education. Permission required for reproduction or display Figure 2: Percentage of Self-Reported Sexual Function Difficulties in the Past 12 Months Among U.S. Adults Aged 18-59, by Gender and Age Copyright 2016 © McGraw-Hill Education. Permission required for.

1. Copyright 2016 © McGraw-Hill Education. Permission required
for reproduction or display
Chapter 14: Sexual Function Difficulties, Dissatisfaction,
Enhancement,
and Therapy
© Radius Images/Alamy
Copyright 2016 © McGraw-Hill Education. Permission required
for reproduction or display
Sexual Function Difficulties,
Dissatisfaction, Enhancement, and Therapy
Sexual function difficulties: Definitions, types,
and prevalencePhysical causes of sexual function difficulties
and dissatisfactionPsychology causes of sexual function
difficulties and dissatisfactionSexual function
enhancementTreating sexual function difficulties
Copyright 2016 © McGraw-Hill Education. Permission required
for reproduction or display
Sexual Function Difficulties:

2. Definitions, Types, and Prevalence
Sexual function dissatisfaction – Alternative term
to sexual dysfunctionCommon outcome of a difficulty in sexual
functioningClassifications of difficulties and dissatisfaction
based on medical and feminist modelsDSM-IV-TRWorking
Group for a New View of Women’s Sexual Problems
Copyright 2016 © McGraw-Hill Education. Permission required
for reproduction or display
Sexual Function Difficulties:
Definitions, Types, and Prevalence
DSM-IV-TR definition of sexual
dysfunctionDisturbance in sexual desire and in the
psychophysiological changes that characterize the sexual
response cycle and cause marked distress and interpersonal
difficultyWorking group for a new view of women’s sexual
problems - Women-centered definitionAs discontent or
dissatisfaction with any emotional, physical, or relational aspect
of sexual experience
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for reproduction or display
Table 1: DSM-5 Sexual
Dysfunctions/Disorders

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for reproduction or display
Figure 1: Percentage of Sexually Active Men and Women in
Britain, Aged 16-74; Reporting Selected Sexual Problems
Lasting 3 Months or More in the Past Year
Copyright 2016 © McGraw-Hill Education. Permission required
for reproduction or display
Figure 1: Percentage of Sexually Active Men and Women in
Britain, Aged 16-74; Reporting Selected Sexual Problems
Lasting 3 Months or More in the Past Year
Copyright 2016 © McGraw-Hill Education. Permission required
for reproduction or display
Figure 2: Percentage of Self-Reported Sexual Functioning at
Most Recent Partnered Sexual Event Among U.S. Adults Aged
18-59.
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for reproduction or display
Figure 2: Percentage of Self-Reported Sexual Function
Difficulties in the Past 12 Months Among U.S. Adults Aged 18-
59, by Gender and Age
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4. Figure 4: Percentage of Finnish Adults Who Indicated That
They Feel Sexual Desire at Least a Few Times a Week
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Figure 5: Percentage of Finnish Adults Who Indicated That If
They Could Choose Freely They Would Like to Have
Intercourse at Least Twice a Week
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Other DisordersAnodyspareunia - Pain occurring during anal
intercoursePeyronie’s disease - Condition in which calcium
deposits and tough fibrous tissue develop in the corpora
cavernosa within the penisPriapism - Prolonged and painful
erection, occurring when blood is unable to drain from the penis
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Physical Causes of Sexual Function Difficulties and
Dissatisfaction in Men Diabetes AlcoholismLumbar disc disease
Multiple sclerosisAtherosclerosisSpinal cord injuries Prostate-
cancer treatmentSmokingBicycle-induced sexual
difficultiesDiseases of the heart and circulatory system
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5. Physical Causes of Sexual Function Difficulties and
Dissatisfaction in Women Diabetes and heart diseaseHormone
deficiencies and neurological disordersGeneral poor health,
extreme fatigue, drug use, and alcoholismSpinal cord injuries
Multiple sclerosisDyspareuniaWeak pubococcygeus - Pelvic
floor muscle surrounding the urethra and the
vaginaEndometriosis, ovarian, uterine tumors, and cysts
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Psychological Causes of Sexual Function Difficulties and
Dissatisfaction Immediate causesFatigue and stressIneffective
sexual behaviorSexual anxieties
Spectatoring - Person becomes a spectator of her or his own
sexual performanceExcessive need to please a partnerConflict
within selfInternalized homophobia - Self-hatred because of
one’s homosexualityRelationship causes
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Sexual Function EnhancementImproving the quality of a sexual
relationshipDeveloping self awarenessWhat is good sex?
We feel good about ourselves, our partners, our relationships,
and our sexual behaviorsDiscovering your conditions for good
sex Doing homework exercises
Mirror examination
Body relaxation and exploration
Masturbation
Develop your own erotic “sexual voice”
Kegel exercises
Erotic aids or sex toys

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Sexual Function EnhancementIntensifying erotic
pleasureDeveloping bridges to desireSexual arousalAlternatives
to intercourseChanging a sexual relationshipFocus on the tasks
of daily living that you shareExpand your repertoire of sexual
behaviorsAddress issues with partnerDeal with unresolved
personal issuesDo not become overly concerned with possible
sexual problemsEmbrace a deeper connection
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Treating Sexual
Function Difficulties
Masters and Johnson: A cognitive-behavioral
approachThe majority of sexual function problems are the result
of sexual ignorance, faulty techniques, or relationship
problemsTreated difficulties using a combination of cognitive
and behavioral techniquesTreated couples rather than
individualsSensate focus - Focus on touch and the giving and
receiving of pleasure
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Table 2: Strategies to Cope
With Sexual Difficulties

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Treating Sexual
Function Difficulties
Treating male function difficultiesErection
difficultiesEarly ejaculationSqueeze technique - Penis is
brought manually to a full erectionMale orgasmic
disorderTreating female function difficultiesFemale orgasmic
disordersVaginismus
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Common Erection MythsErection is something that is
achievedMen are sex machines, always ready, always
hardDuring a sexual encounter, you get only one shot at an
erectionI blew it last time; I will never get it up againIf I can’t
have an erection, my partner can’t be sexually satisfied
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Treating Sexual
Function Difficulties
Kaplan: Psychosexual therapyModified Masters
and Johnson’s behavioral treatment program to include

8. psychosexual therapyOther nonmedical approachesPLISSIT
model of therapy
Permission, limited information, specific suggestions, and
intensive model of therapySelf-help and group therapy
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Table 3: Women’s Most Frequent Activities to Facilitate
Orgasm During Intercourse
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Treating Sexual
Function Difficulties
Medical approachesLubricating jelly or estrogen
therapyMicrosurgery to improve a blood
flowViagraHomeopathic products
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Gay, Lesbian, and
Bisexual Sex Therapy
Different issues than heterosexualsHomophobia,
societal and internal, may be an issueSex and HIV
infectionRequire sex therapists to expand their understanding
and treatment of sexual function problems

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Final ThoughtsSexual function difficulties: Definitions, types,
and prevalencePhysical causes of sexual function difficulties
and dissatisfactionPsychology causes of sexual function
difficulties and dissatisfactionSexual function
enhancementTreating sexual function difficulties
1. The Principles of Pleasure Trailer
(If you have Netflix, you can watch the documentary on your
own account. If you don’t have a Netflix account, you can find
the entire documentary in the recording.
use these questions to create (2-3 paragraphs) for your Live
Session Reflection assignment:
· Title of the documentary
· What is the purpose of the documentary?
· What is the main message the director wants to get across to
the audience?
· Did you know anything about the subject before you watched
the documentary?
· What did you expect to see?
· What have you learned from it?
· Was there anything that surprised you?
· What are the drawbacks of the documentary?
2. Dropping Sperm Count in Western Countries 7:44 min
(Minimum 3 paragraphs)
ABC News’ Trevor Ault looks at male infertility and research
that finds sperm counts have dropped by 50% since the 1970s.
3. Entire Group Videos: Please write your reflection on all 3

10. videos as one topic.
The Gottman Institute – Four Horsemen of the Apocalypse 2:13
min
The Gottman Institute – The Emotional Bank Account 2:19 min
The Gottman Institute – The Easiest Way to Improve Your
Relationship 2:09 min
Title: Sexual Function Difficulties, Dissatisfaction,
Enhancement, and Therapy
Write a 6 to 7-page APA style research paper based on the topic
you have picked for your “Human Sexuality” power point
presentation. One page is for the title page, and one page is for
the references. Your actual paper should be between 4-5
full pages.
Your audience of focuse for the presentation is a group of
people that need more information about certain “human
sexuality” topic. In this paper explain why you choose this topic
and why it is important to this group. Include citations from
journal articles, the course book, or other scholastic sources. A
minimum of
6 sources is required