Chapter 11 sexual disorders

1. Sexual Dysfunctions Normal Sexual Desires and Sexual Disorders/Paraphilias Normal Gender Development and Gender Identity Disorder

2. Human sexual response Male Female Orgasm Plateau Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

3. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

4. Common Increase with age Associate with one another Associate with anxiety and depression May link to medical, substance, and cultural factors Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

5. Demands or expectations for sexual performance Negative mood And expectancy about gaining an erection Focus on consequences of inability to perform Increased physical arousal Intense focus on consequences of inability to perform Erectile dysfunction and avoidance of sex Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

6. Items from the Female Sexual Function Index 5 = Almost always or always Over the past 4 weeks, how often did you feel sexual desire or interest? 4 = Most times (more than half the time) 3 = Sometimes (about half the time) 2 = A few times (less than half the time) 1 = Almost never or never Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

7. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

8. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

9. Positive outcomes Good relationship quality High partner motivation Lack of comorbid disorders Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

10. Normal Regular arousal and desire to have typical sexual behavior. Thoughts about typical sexual behavior. Engaging in typical sexual behavior. Emotions Cognitions Behaviors Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

11. Normal Mild Mild physical arousal when thinking about unusual sexual behavior. Thoughts about unusual sexual behavior. Surfing Internet sites that cater to unusual sexual behavior. Emotions Cognitions Behaviors Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

12. Normal Mild Moderate Strong physical arousal when fantasizing about unusual sexual behavior. Sexual fantasies that lead to urges toward highly unusual sexual behaviors. Spending substantial time on the Internet or in adult bookstores, especially regarding unusual sexual behavior. Emotions Cognitions Behaviors Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

13. Normal Mild Moderate Sexual Disorder – Less Severe Intense physical arousal when fantasizing about or engaging in unusual sexual behavior. Sexual fantasies about unusual sexual behavior that become central to a person’s life and create distress. Inability to concentrate or have regular sexual relationships. Engaging in some unusual sexual behavior. Emotions Cognitions Behaviors Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

14. Normal Mild Moderate Sexual Disorder – Less Severe Sexual Disorder – More Severe Extreme physical arousal when fantasizing about or engaging in unusual sexual behavior. Obsession-like sexual fantasies about unusual sexual behavior that cause great distress. Engaging in or being arrested for highly unusual sexual behavior such as inappropriate contact with a child. Emotions Cognitions Behaviors Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

15. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

16. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

17. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

18. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

19. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

20. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

21. Deviant sexual interest Prevalence Child molestation 35% Voyeurism 19% Exhibitionism 13% Fetishism 12% Frotteurism 10% Transvestic fetishism 6% Sexual masochism and sadism 2% Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

22. Frontal lobe Cingulate gyrus Hypothalamus Amygdala Hippocampus Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

23. Poor social skills Family variables Learning experience Cognitive distortions Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

24. Items from the Screening Scale for Pedophilic Interests Offender has male victim (Yes = 2; No, female victims only = 0) Offender has more than one victim (Yes = 1; No, single victim only = 0) Offender has a victim aged 11 or younger (Yes = 1; No, child victims were 12 or 13 years old = 0) Offender has an unrelated victim (Yes = 1; No, related victims only = 0) Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

25. Aversive techniques Masturbatory procedures Cognitive therapy Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

26. 78.6 – 95.6% respond positively to treatment Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

27. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

28. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions

29. Normal Gender Development and Gender Identity Disorder Normal Sexual Desires and Sexual Disorders/Paraphilias Sexual Dysfunctions