Quiz Questions

1. What are the categories of DSM sexual disorders?

a.
b.
c.
d.

Sexual dysfunciton
Paraphilia
Gender identity disoder
a and b

2. Which is NOT in the DSM?

a.
b.
c.
d.

Gender identity disorder

Pedophilia
Homosexuality
Frotteurism

More Quiz Questions

3. Which is characterized by rubbing against a
nonconsenting person?
a. exhibitionism
b. voyeurism
c. sexual masochism
d. frotteurism
4. What is male orgasmic disorder?
a. ejaculation w/ minimal sexual contact
b. delayed or absent orgasm
c. either a or b

Last Quiz Questions

5. Which involves being humiliated,
beaten, bound, etc.?
a.
b.
c.
d.

exhibitionism
frotteurism
masochism
voyeurism

Paraphilias
Recurrent, intense sexually arousing
fantasies, urges, or behaviors involving
nonhumans, suffering of self or partner,
children. (For some these are necessary for
erotic arousal & always inc. in sexual activity;
for other these occur episodically.)

Types of Paraphilias
Exhibitionism - exposing genitals to
(unsuspecting) stranger(s), most
common sex crime in U.S., rare outside,
involves shock & risk, often distant from
victim, needs to display masculinity w/o
having to perform

Other Paraphilias
Voyeurism - illegal, secretive nature is
arousing, most dont ever commit more
serious sex crimes (but Bundy did)
Fetishism - involving (nonliving) objects,
depression, anxiety, loneliness

More Types of Paraphilias

Sexual sadism - involves psychological
or physical suffering
Sexual masochism - involves act (real,
not simulated) of being humiliated,
beaten, bound, otherwise made to
suffer

More on Paraphilias
Transvestic fetishism - cross-dressing
for sexual arousal in heterosexual male
(for over 6 mo.)
Frotteurism - rubbing against
nonconsenter

Pedophilia
Molestation of prepubescent child, most
heavily punished paraphilia
Most conflicted re sexuality vs. religion
Feel guilty, doomed
Lack confidence, uneasy in social &
sexual situations w/ adults

Etiology of Paraphilias
Over 90% committed by males
Classical conditioning - pairing of
stimulus w/ sexual arousal
Social learning - hx of inappropriate
sexual & aggressive experiences, poor
social skills, hostility toward women

Tx of Paraphilias
Most research done on sex offenders
(atypical group)
Cognitive-behavioral tx predominates
Aversion tx - harmless shock
Empathy training - inc. role reversal
Desensitization & social skills trg. - unlearn
anxiety & approach more appropriate
partners ( in appropriate manner)

Gender Identity Disorder

Strong, persistent identification w/ other sex
Persistent discomfort w/ sex,
inappropriateness in gender role
R/O physical intersex condition
As child

Cross dressing
Cross sex roles
Played w/ other sex
Insisting is other sex

Sexual Response Cycle

Desire - inc. fantasies
Excitement - subjective pleasure,
physiological changes
Orgasm - peaking of pleasure, ejaculation or
vaginal wall contractions
Resolution - differs for sexes, refractory
period
Sexual Dysfunctions at any of first 3

Sexual Desire Disorders

Most common sexual dysfunction, may be on
rise, others may be secondary (Kaplan)
Hypoactive Sexual Desire Disorder - little or
no interest in sex (for age, etc.)
Sexual Aversion Disorder - disgust, fear,
revulsion to one of all aspects of sex, often
result of sexual abuse, assault

Sexual Arousal Disorders

Female Sexual Arousal Disorder - persistent,
recurrent inability to attain or maintain
lubrication-swelling responsee
Male Erectile Disorder (impotence) recurrent inability to attain or maintain
erection til end of activity, may be secondary
to alcohol, diabetes, distinguish from
occasional problem in gaining or sustaining
erection

Orgasmic Disorders
Female Orgasmic Disorder - no orgasm
when stimulation adequate, 1 in 4 have
difficulty reaching orgasm
Premature Ejaculation
Retarded Ejaculation - usually no
orgasm w/ partner, only masturbation

Sexual Pain Disorders

Dyspareunia - genital pain upon
intercourse, rare in men, can be from
vaginal dryness, antihistamines, injury
or irritation
Vaginismus - involuntary contraction of
muscles of outer third of vagina (5-17%
of women)

Sexual Dysfunction Tx
(Masters & Johnson)
Sensate focus is tx of choice for impaired
excitement in females, erectile dysfunction in
males
Pleasuring
Genital stimulation
Nondemand intercourse (no pressure for orgasm)

Female orgasmic disorder treated w/

masturbation homework
Squeeze technique for premature ejaculation