Prezi logo
Log in
Loading…

Zoom Abnormal Burke Ch 13 Sex

CS

Cyd Skinner

Transcript

Abnormal Psychology

Chapter 13, Sexual Dysfunctions and Gender Dysphoria

Overview of Sexual Dysfunctions

Overview of Sexual Dysfunction

https://www.semanticscholar.org/paper/A-biopsychosocial-approach-to-women%27s-sexual-and-at-Thomas-Thurston/e6b09161919eab00bf4a265ce38eac2a121ab91a/figure/2

  • Sexual Response Cycle

  • Changing Views Masters & Johnson +
  • Kinsey Report
  • Birth Control Pill
  • Legalized abortion
  • Pendulum swinging

  • Factors Affecting Sexual Responseiveness
  • Neurological, vascular, hormonal
  • Attitudes & beliefs
  • cultural/religious
  • family
  • previous sexual experience
  • Interpersonal factors
  • desire discrepancy

https://www.unitedurology.com/conditions-treatments/for-men/male-fertility-sexual-health/demystifying-erectile-dysfunction/the-anatomy-of-the-penis-how-an-erection-occurs/

https://en.wikipedia.org/wiki/Crus_of_clitoris

Types and Causes of Sexual Dysfunction

  • 6 months or longer
  • 75% of attempts or more
  • lifelong/acquired
  • generalized/situational

Types, Causes and Treatment of Sexual Dysfunction

Female Orgasmic Disorder

multiple causes:

antidepressants, alcohol, birth control pills, other meds

maybe be co-occuring with FSIAD

Again, if no distress, no disorder

Female Sexual Interest/Arousal Disorder

https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html

"no fixed standard of normalcy"

  • Textbook example of the "Mirror Approach"
  • If no distress, then no disorder
  • Biological, cognitive & emotional causes
  • Testosterone, hormone of desire
  • Depression

FSI/AD

FOD

GPPD

Genito-Pelvic Pain/Penetration Disorder

  • Dysfunction of pelvic floor muscles / Kegel exercises
  • Infections, decline in estrogen, etc
  • Anxiety, fear, low arousal, depression
  • Classical conditioning

No fantasies or desire, but wishes there were... If no distress, no disorder.

Male Hypoactive Sexual Desire Disorder MHSDD)

Erectile

Disorder (ED)

During partner sex, not masturbation (when it would be called erectile dysfunction)

  • Increases with age
  • Antidepressants, alcohol, nicotine - cardiovascular function
  • Performance anxiety, stress, depression, spectator role
  • Previous sexual experiences
  • Biopsychosocial causes possible
  • depression, anxiety, PTSD
  • Previous learning/experience
  • Interpersonal/relationship problems

MHSDD

ED

DE

PE

Delayed Ejaculation (DE)

Premature Ejaculation (PE)

  • How long = premature is very subjective... DSM says 1 minute.
  • Common on occasion/in youth.
  • Decreases with age
  • biological and psychological causes, learning
  • Least common of the male sexual dysfunctions
  • increases with age, biological and psychological causes

Treatment of Sexual Dysfunction

Female Orgasmic Disoder and Geniro-Pelvic Pain/Penetration Disorder

  • Relationships, anxiety management, masturbation training
  • educational

Masters & Johnson treatment program

  • Sensate focus

Female Sexual Interest/Arousal Disorder & Male Hypoactive Sexual Desire Disorder

  • CBT, sensate focus, masturbation training
  • Testosterone, Wellbutrin

Erectile Disorder

  • Viagra, et al
  • 'antidecline narrative'
  • vacuum pump, implants
  • testosterone replacement
  • relationship, CBT, therapies

Treatment of Sexual Dysfunction

Delayed and Premature Ejaculation

  • Delayed:
  • masturbation training/limiting
  • relaxation training
  • Premature:
  • squeeze, stop-start technique practice during masturbation
  • Couples therapy
  • Antidepressants, etc

Psychoeducation

  • Myths
  • Misinformation in sex ed classes
  • Instruction on and access to birth control

Gender DysphoriA

Gender Dysphoria

Gender nonconformity

  • by 3 y/o typically identify own gender identity
  • gender roles and stereotypes
  • sex is the biology, gender is the psychology
  • transgender
  • gender is not a simple binary

Cross-cultural views

multiple genders have existed in other times/cultures

DSM use of "Dysphoria" (distress/dysfunction)

Gender variation is not a disorder

Causes is multifactoral, but all evidence points to biological

Adult and/or Child diagnosis

typically shows in early childhood

depression, anxiety, suicide, ADHA - symptoms may resolve when gender affirmed

Treatment supportive of identified gender

may include puberty blocking meds/hormone replacement

Typically surgical interventions wait until 18 y/o

Sexual orientation questions may be mistaken for gender identity questions

Psychological intervention is supportive of gender identity, not an attempt to "fix" it.

Incredibly high surgical satisfaction rates.