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SEXUAL DISORDER
 Sexual disorders are difficulties
experienced by any individual or couple
during any stage of a normal sexual
activity, including physical pleasure,
desire, preferences, arousal or orgasm.
 In ICD 10 gender identity disorders ,
disorders of sexual preference and sexual
development and orientation disorders
are listed under disorders of adult
personality and behavior.
CLASSIFIACTION
 GENDER IDENTITY DISORDER
 PSYCHOLOGICAL AND BEHAVIORAL
DISORDERS ASSOCIATED WITH SEXUAL
DEVELOPMENT AND MATURATION
 DISORDERS OF SEXUAL PREFERENCE
 SEXUAL DYSFUNCTION
GENDER IDENTITY DISORDERS
 Gender dysphoria
 Characterized by disturbance in ones
masculinity or feminity.
 The person feel that the gender assigned
to him by birth is not matching to him.
 Transsexualism
 Dual role transvestism
 Intersexuality
 Gender identity disorder of childhood.
TRANSSEXUALISM
TRANSSEXUALISM
 Is a disorder of gender identity
 Unhappiness and dissatisfaction with ones gender.
 Persistent and significant sense of discomfort with
ones anatomic sex and a feeling that it is
inappropriate to ones perceived gender.
 Preoccupied with a wish to get rid of ones genitals
and secondary sexual characteristics and to
adopt the characteristics of other sex.
 They are not comfortable in wearing the
clothes of their assigned gender and often
engage in wearing the clothes of opposite
sex.( cross dressing)
 Depression and anxiety are common.
INCIDENCE
 It is relatively rare
 1 in 30,000 in men
 1 in 100,000 in women
PREDISPOSING FACTORS
BIOLOGICAL THEORIES
PSYCHOSOCIAL THEORIES
BIOLOGICAL THEORIES
 Abnormalities in sex hormone levels
 Decreased level of testosterone in male
transsexuals
 Abnormally high level of testosterone in
female transsexuals
PSYCHOSOCIAL THEORIES
 Combination of biological and
environmental factors, family dynamics
TREATMENT
 Treatment is a complex process
 Counseling
 Sex reassignment surgery
 Hormonal therapy
 Male- estrogen
 Female_ testosterone
DUAL - ROLE
TRANSVESTISM
DUAL - ROLE TRANSVESTISM
 Chara. By wearing clothes of opposite sex
in order to enjoy the temporary
experience of membership of opposite
sex but with out any desire to permanent
sex change
INTERSEXUALITY
 Conditions in which person is born with a
reproductive or sexual anatomy that does
not seem to fit with the typical definitions
of male or female.
 Pseudohermaphroditism
GENDER IDENTITY DISORDER OF
CHILDHOOD
 Transsexualism with very early age of
onset.
PSYCHOLOGICAL AND
BEHAVIORAL DISORDERS
ASSOCIATED WITH SEXUAL
DEVELOPMENT AND
MATURATION
HOMOSEXUALITY
HOMOSEXUALITY
 Variation in sexual orientation
 Derived from Greek root- homo: same
 Sexual relationships are maintained
between persons of the same sex.
 Male homosexuals : gay
 Female homosexuals: lesbians
PREDISPOSING FACTORS
 BIOLOGICAL THEORIES
 PSYCHOSOCIAL THEORIES
BIOLOGICAL THEORIES
 Heredity : studies reveled a 52%
concordance for homosexual orientation
in monozygotic twins and 22% in dizygotic
twins.
 Hormonal influence: level of testosterone
may be lower and level of estrogen
higher in homosexual men.
PSYCHOSOCIAL THEORIES
 Homosexuality is due to the arrest of
normal psychosexual development
TREATMENT
 BEHAVIOR THERAPY
 SUPPORTIVE PSYCHOTHERAPY
DISORDERS OF SEXUAL
PREFERENCE
 Paraphilia
 Sexual arousal occurs persistently and
significantly in response to objects, which
are not a part of normal sexual arousal.
TYPES OF PARAPHILIA
FETISHISM
 Sexual arousal occurs in response to non
living objects which are usually intimately
associated with human body.
 Fetish object may include bras,
underpants, shoes, gloves etc.
TRANSVESTISM
 Sexual arousal occurs by wearing the
clothes of opposite sex.
SEXUAL SADISM
 Person is sexually aroused by physical and
psychological humiliation , injury or sufferings of
the sexual partner.
 Sadistic activities may be inflicted on a consenting
or non consenting partner.
 Sexual excitation occurs in response to sufferings
of the victim.
 Sadistic activities may include beating, burning,
cutting and even killing
SEXUAL MASOCHISM
 Person is sexually aroused by physical or
psychological humiliation or injury
inflicted on self by others.
 The masochist activities may be
fantasized and may be performed alone
or with a partner.
EXHIBITIONISM
 Person is sexually aroused by the
exposure of ones genitalia to an
unsuspecting stranger.
VOYEURISM
 Persistent and recurrent tendency to
observe unsuspecting persons naked and
engaged in sexual activity.
FROTTEURISM
 Persistent and recurrent involvement in
the act of touching and rubbing against
an unsuspecting and non consenting
person.
 Commit the act in crowded places and
they may provide rationalization for their
behavior.
 Waits in the crowd, identifies the victim,
then he follows her and allow the rush of
the crowd to push him against her.
PEDOPHILIA
 Persistent or recurrent involvement of an
adult in sexual activity with pre pubertal
children.
ZOOPHILIA
 Beastiality
 Involving in sexual activity with animals
ETIOLOGY
 BIOLOGICAL FACTORS
 PSYCHOANALYTIC THEORY
 BEHAVIORAL THEORY
BIOLOGICAL FACTORS
 Temporal lobe diseases like psychomotor
seizure, temporal lobe tumor.
 Abnormal level of androgen
PSYCHOANALYTIC THEORY
 Sexual disorders ( paraphelias) are due to
failure in the normal developmental
process towards normal heterosexual
adjustments.
BEHAVIORAL THEORY
 The individual engages in parapheliac
behavior depends on the type of
reinforcement he or she receives after the
behavior.
TREATMENT
 Behavior therapy
 Psychoanalysis
 Drug therapy
 Antipsychotics
SEXUAL DYSFUNCTION
 A significant disturbance in the sexual
response cycle, which is not due to an
underlying organic cause.
 FRIGIDITY
 IMPOTENCE
 PREMATURE EJACULATION
 NON-ORGANIC VAGINISMUS
 NON-ORGANIC DYSPAREUNIA
FRIGIDITY
 Absence of desire for sexual activity
IMPOTENCE
 Inability to have or sustain penile erection
till the completion of satisfactory sexual
activity.
PREMATURE EJACULATION
 Ejaculation before the completion of
satisfactory sexual activity for both
partners.
NON-ORGANIC VAGINISMUS
 An involuntary spasm of lower 1/3 of
vagina, interfering with coitus.
NON-ORGANIC DYSPAREUNIA
 Pain in the genital area of either male or
female during coitus.
NURSING CARE IN SEXUAL
DISORDERS
Sexual disorders

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