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Sexual Disorders
Ms . Puspasana Yumnam
M.Sc in Psychiatric Nursing
Classification
• Gender Identity disorder
• Psychological and behavioral disorders associated with sexual
development and maturation
• Disorder of sexual preference (paraphilias)
• Sexual dysfunction
Gender Identity disorder
• In these disorder , the sense of one’s masculinity or femininity
is disturbed.
• TRANSSEXUALISM: In this, there is a persistent and significant
sense of discomfort regarding one’s anatomic sex and a feeling
that it is inappropriate to one’s perceived gender.
• The person will be preoccupied with wish to get rid of one’s
genitals and secondary sexual characteristics of the other sex.
• Treatment: counseling / Sex reassignment surgery (SRS)
• GENDER IDENTITY DISORDER OF CHILDHOOD:
• This is a disorder similar to transsexualism , with a very early
age of onset.
• DUAL ROLE TRANSVESTISM :
• Characterized by wearing clothes of the opposite sex in order
to enjoy the temporary experience of membership of the
opposite sex but without any desire for permanent sex
change.
• INTERSEXUALITY:
• The patient have gross anatomical or physiological features of
the other sex
• Pseudohermaphorditism
• Turner’s syndrome
Psychologicaland Behavioral
DisordersAssociatedwith sexual
Developmentand maturation
• HOMOSEXUALITY:
• In this , sexual relationships are maintained between persons
of the same sex.
• Female homosexuals are called Lesbians and male
homosexuals are called gay .
Disorders of Sexual Preference
or Paraphilias
• In Paraphilias , sexual arousal occurs persistently and
significantly in response to objects, which are not a part of
normal sexual arousal .
• FETISHISM : Sexual arousal occurs with a non-living object
which is usually intimately associated with the human body .
Eg . Bras, underpants, gloves ,shoes etc
• TRANSVESTISM: Sexual arousal occurs by wearing clothes of
the opposite sex.
• SEXUAL SADISM: The person is sexually aroused by physical or
psychological humiliation , suffering or injury of the sexual
partner.
• SEXUAL MASOCHISM: The person is sexually aroused by
physical or psychological humiliation , suffering or injury
inflicted on self by others
• EXHIBITIONISM: the person is sexually aroused by exposure of
one’s genitalia to on unsuspecting stranger.
• VOYEURISM : persistent or recurrent tendency to observe
unsuspecting persons naked .
• FROTTEURISM: persistent or recurrent involvement in the act
of touching and rubbing against on unsuspecting , non –
consenting person.
• PEDOPHILIA: persistent or recurrent involvement of an adult
in sexual activity with prepubertal children.
• ZOOPHILIA : involving in sexual activity with animals .
Sexual Dysfunction
• Sexual dysfunction is a significant disturbance in the sexual
response cycle, which is not due to an underlying organic
cause
• 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 : involuntary spasm of lower
1/3 of vagina , interfering with coitus
• NON- ORGANIC DYSPAREUNIA : pain in the genital area
during coitus.
• TREATMENT : psychoanalysis, Hypnosis, Group psychotherapy
, Behavior therapy.
Nursing Intervention
• Assess patient’s sexual history and previous level of
satisfaction in sexual relationships.
• Assess for any medications which might be affecting libido.
• Both the patient and his/her partners may need additional
assistance if problems in sexual relationship are severe or
remain unresolved
• Refer for additional counseling or sex therapy if required.
• In all cases , an accepting and non judgmental attitude on the
part of the nurse is highly essential for successful resolution
of these problem
Bibiliography
• R Sreevani ‘s A Guide to Mental Health & Psychiatric Nursing;
Jaypee Publication , 4th EDITION

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Sexual Disorders.gender identity disorderspptx

  • 1. Sexual Disorders Ms . Puspasana Yumnam M.Sc in Psychiatric Nursing
  • 2. Classification • Gender Identity disorder • Psychological and behavioral disorders associated with sexual development and maturation • Disorder of sexual preference (paraphilias) • Sexual dysfunction
  • 3. Gender Identity disorder • In these disorder , the sense of one’s masculinity or femininity is disturbed. • TRANSSEXUALISM: In this, there is a persistent and significant sense of discomfort regarding one’s anatomic sex and a feeling that it is inappropriate to one’s perceived gender. • The person will be preoccupied with wish to get rid of one’s genitals and secondary sexual characteristics of the other sex. • Treatment: counseling / Sex reassignment surgery (SRS) • GENDER IDENTITY DISORDER OF CHILDHOOD: • This is a disorder similar to transsexualism , with a very early age of onset.
  • 4. • DUAL ROLE TRANSVESTISM : • Characterized by wearing clothes of the opposite sex in order to enjoy the temporary experience of membership of the opposite sex but without any desire for permanent sex change.
  • 5. • INTERSEXUALITY: • The patient have gross anatomical or physiological features of the other sex • Pseudohermaphorditism • Turner’s syndrome
  • 6. Psychologicaland Behavioral DisordersAssociatedwith sexual Developmentand maturation • HOMOSEXUALITY: • In this , sexual relationships are maintained between persons of the same sex. • Female homosexuals are called Lesbians and male homosexuals are called gay .
  • 7. Disorders of Sexual Preference or Paraphilias • In Paraphilias , sexual arousal occurs persistently and significantly in response to objects, which are not a part of normal sexual arousal . • FETISHISM : Sexual arousal occurs with a non-living object which is usually intimately associated with the human body . Eg . Bras, underpants, gloves ,shoes etc • TRANSVESTISM: Sexual arousal occurs by wearing clothes of the opposite sex. • SEXUAL SADISM: The person is sexually aroused by physical or psychological humiliation , suffering or injury of the sexual partner. • SEXUAL MASOCHISM: The person is sexually aroused by physical or psychological humiliation , suffering or injury inflicted on self by others
  • 8. • EXHIBITIONISM: the person is sexually aroused by exposure of one’s genitalia to on unsuspecting stranger. • VOYEURISM : persistent or recurrent tendency to observe unsuspecting persons naked . • FROTTEURISM: persistent or recurrent involvement in the act of touching and rubbing against on unsuspecting , non – consenting person. • PEDOPHILIA: persistent or recurrent involvement of an adult in sexual activity with prepubertal children. • ZOOPHILIA : involving in sexual activity with animals .
  • 9. Sexual Dysfunction • Sexual dysfunction is a significant disturbance in the sexual response cycle, which is not due to an underlying organic cause • 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 : involuntary spasm of lower 1/3 of vagina , interfering with coitus • NON- ORGANIC DYSPAREUNIA : pain in the genital area during coitus. • TREATMENT : psychoanalysis, Hypnosis, Group psychotherapy , Behavior therapy.
  • 10. Nursing Intervention • Assess patient’s sexual history and previous level of satisfaction in sexual relationships. • Assess for any medications which might be affecting libido. • Both the patient and his/her partners may need additional assistance if problems in sexual relationship are severe or remain unresolved • Refer for additional counseling or sex therapy if required. • In all cases , an accepting and non judgmental attitude on the part of the nurse is highly essential for successful resolution of these problem
  • 11. Bibiliography • R Sreevani ‘s A Guide to Mental Health & Psychiatric Nursing; Jaypee Publication , 4th EDITION