N402 EXAM 3: sexuality + gender dysphoria

birth through age 12

masculinity and femininity + gender roles are culturally-defined

by 2-2.5

children know their gender

by 4-5

engage in heterosexual play

late chilhood and preadolescence can be characterized by...

heterosexual and homosexual play

10-12 are preoccupied w...

pubertal changes, begining of romantic interest in oppostie gender

LGBTQIA

lesbian

gay

bisexual

transgender

queer

intersex

asexual

homosexual

same-sex relationship

bisexual

both genders

gender identity

knowing whether M or F

cisgender

identity is the same as assigned gender at birth

transgender

incongruence w gender identity and assigned gender at birth

gender dysphoria

the condition of feeling one's emotional and psychological identity as male or female to be opposite to one's biological sex.

predisposing factors to gender dysphoria

biological influences

- no significant evidence linking to hormone/chromosome variations

family

- gender roles are CULTURALLY influenced

- no clear evidence that psychological or family dynamics cause

paraphilia

sexual fantasies involving...

- nonhuman objects

- suffering/humiliation

- nonconsenting

paraphilic disorder is labled when..

fantasies/behaviors over 6 months

- cause significant distress/impairment in social, occupational, or other important areas of functioning

serial killer, cannibalism, necrophilia diagnoses w...

BPD

schizotypal disorders

psychotic disorders

paraphilic disoders behavior usually established in ___, peaks in age ____, declines by age ____

adolescence

15-25

50

exhibitionistic disorder

recurrent/instense arousal from exposing ones genitals to unsuspecting individual

- masturbation may occur

fetishistic disorder

recurrent/instense arousal from objects or specific non-genital body parts

frotteuristic disorder

recurrent/instense arousal from touching/rubbing against a nonconsenting person

- males

pedophilic disorder

recurrent/instense arousal to prepubescent or early pubescent children (fantasies/ urges)

- lasts over 6 mo

- molester is atleast 16 and 5 yrs older than victim

sexual masochism disorder

recurrent/instense arousal from being humuliated, beaten, bound, or made to suffer

- can be alone or w partner

sexual sadism disorder

recurrent/instense arousal from another individuals suffering

- attracted to a suffering victim

- restraints, beating, burning, raping, cutting, torture, killing themselves

transvestic disorder

recurrent/instense arousal from dressing in the clothes of the opposite gender

- man dressing in womens clothing when alone

voyeuristic disorder

recurrent/instense arousal from observing an unsuspecting individual who is naked, undressing, or engaging in sexual activity

- achieved through looking (no contact is made w person)

paraphilic disorder factors

- abnormalities in limbic system + temproal lobe

- abnormal levels of androgen

Tx for paraphilic disorder (biological)

blocking or decreasing level of androgens

- progestin --> block testosterone synthesis or block andorgen receptors

Tx for paraphilic disorder (psychoanalytic)

help identifying unresolves conflicts/traumas from early childhood, resolve the anxiety that prevents them from forming appropriate sexual relationships

Tx for paraphilic disorder (behavioral)

- aversion

- convert sensitization

- satiation (oversaturation - making them unexciting)

predisposing factors to sexual dysfunctions

biological

- decreased hormones

- meds

- cocaine or etoh

- medical/surgical conditions

- UTI

psychosical

- religion

- past sexual abuse

- family/job issues

- fear of pregnancy

- chronic stress/anxiety/depression

- sexual identity conflicts

- relationship difficulties

- aging concerns