sexual dysfunctions and paraphillic disorders

What are the different sexual dysfunctions, specific to males and females, criteria and

duration?

• marked by persistent inability to function normally in some area of sexual response cycle, problems with desire, arousal/excitement, and/or orgasm, or sexual pain problems

  • desire: little to no desire to have sex

  • arousal/excitement: difficulty having or maintaining an erection/lack of physiological arousal

  • orgasm: premature or delayed ejaculation; unable to have orgasm

  • pain (mainly in women): genito-pelvic pain/penetration (pain, anxiety, inability to allow penetration)

Are sexual dysfunctions common?

40-50% of women and 20-30% of men

What are potential causes of sexual dysfunctions?

• biological: hormones, NTs, drugs, meds, illness, injury

• psychological factors: stress, anxeity, depression, OCD, attitudes, fears, inhibition, body dissatisfaction, memories of trauma, performance anxiety and spectator role

How are the different sexual dysfunctions treated? What are the basic treatment

strategies?

sex therapy, psychotherapy, medical interventions, and behavioral changes

What are the various paraphilic disorders? Be able to describe the key features of each.

fetishistic disorder

recurrent intense sexual urges or fantasies involving use of non living object or nongenital body part, often to exclusion of all other stimuli, accompanied by clinically significant distress of impairment

transvestic disorder

transvetism is cross dressing

fantasies, urges, or behaviors involving dressing in clothes of the opposite sex to achieve sexual arousal, does not involve transgender feelings

typically heterosexual male who began crossdressing in childhood

exhibitionist disorder

arousal from exposure of genitals in public setting; sexual contact rarely initiated or desired

usually begins before age 18 and most comming in males

voyeuristic disorder

repeated and intense sexual urges to observe people as they undress or to spy on couples having intercourse risk of discovery often adds to excitement

usually begins before age 18, may include masturbation, 12% males, 4% females

frotteuristic disorder

recurrent and intense fantasies, urges, or behaviors involving touching or rubbing against nonconsenting persons

almost always male, person fantasizes during act he is having caring relationship with victim

pedophilic disorder

sexual urges or fantasies about watching, touching, or engaging in sexual acts with prepubescent children

pedo at least 16 and five years older than the victim

sexual masochism disorder

involving act or thought or being humiliatee, beaten, bound, or otherwise made to suffer, accompanied by distress or impairment

sexual sadism disorder

involving thought or act of psychological or physical suffering of victim

Do all paraphilic disorders have to cause distress in the individual to be diagnosable?

What else may be required for a diagnosis?

If the individual does not feel personal distress, they can still be diagnosed if their paraphilia involves harm or risk of harm to others (e.g., non-consenting individuals)

What are hypoxyphilia and autoerotic asphyxia?

a dangerous, potentially lethal sexual practice involving the intentional restriction of oxygen to the brain to enhance sexual arousal