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Chapter 11 sexual disorders
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Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Human sexual response
Plateau
Orgasm
Male Female
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Increase with age
Associate with one another
Associate with anxiety and depression
May link to medical, substance, and cultural factors
Common
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Negative moodAnd expectancyabout gaining an erection
Focus onconsequencesof inability toperform
Increased physical arousal
Intense focus onconsequencesof inability toperform
Erectiledysfunction andavoidance of sex
Demands or expectations for sexual performance
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Items from the Female Sexual Function Index
Over the past 4 weeks, how often did you feel sexual desire or interest?
5 = Almost always or always
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
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Good relationship quality
High partner motivation
Lack of comorbid disorders
Positive outcomes
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Emotions
Cognitions
Behaviors
Normal
Regular arousal and desire to have typicalsexual behavior.
Thoughts about typical sexual behavior.
Engaging in typical sexual behavior.
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Emotions
Cognitions
Behaviors
NormalMild
Mild physical arousal when thinking about unusualsexual behavior.
Thoughts about unusual sexual behavior.
Surfing Internet sites that cater to unusualsexual behavior.
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Emotions
Cognitions
Behaviors
NormalMildModerate
Strong physical arousal when fantasizing aboutunusual sexual behavior.
Sexual fantasies that lead to urges toward highlyunusual sexual behaviors.
Spending substantial time on the Internet or inadult bookstores, especially regarding unusual sexual behavior.
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Emotions
Cognitions
Behaviors
NormalMildModerateSexual Disorder – Less Severe
Intense physical arousal when fantasizing aboutor 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.
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Emotions
Cognitions
Behaviors
NormalMildModerateSexual Disorder – Less SevereSexual 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.
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Child molestation 35%
Voyeurism 19%
Exhibitionism 13%
Fetishism 12%
Frotteurism 10%
Transvestic fetishism 6%
Sexual masochism and sadism 2%
Deviant sexual interest Prevalence
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Frontal lobe
Cingulate gyrus
Hypothalamus
Amygdala
Hippocampus
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Family variables
Learning experience
Cognitive distortions
Poor social skills
Offender has an unrelated victim (Yes = 1; No, related victims only = 0)
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
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)
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Masturbatory procedures
Cognitive therapy
Aversive techniques
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
78.6 – 95.6% respond positively to treatment
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder
Sexual Dysfunctions
Normal Sexual Desires and Sexual Disorders/Paraphilias
Normal Gender Development and Gender Identity Disorder