Human Sexuality Final Exam

Studies have found that __________ of all couples have had, or will eventually have, sexual problems at some time in their relationships.
a. 15%
b. one-third
c. half or more
d. 100%

c

Couples often have sexual problems due to differences in
a. the frequency with which sex is desired
b. desired types of sexual activities
c. expectations about sex
d. all of the above

d

Barbara and Tim have been arguing. Barbara wants to have sexual intercourse four to five times a week in a variety of positions, while Tim wants sex twice a week and only in the missionary position. We should say that
a. Barbara is oversexed
b. Tim is undersexed
c. the couple have a sex problem
d. Barbara is happier with her sexuality than Tim

c

Cognitive-behavioral therapy focuses on
a. the specific behavioral problem
b. insight into the historical cause of the problem
c. insight about the function of the problem in the current relationship
d.all of the above

a. the specific behavioral problem

a

Which of these therapies best recognizes that sexual problems frequently have multiple causes and that solutions must be multidisciplinary?
a. biopsychosocial approach
b. cognitive-behavioral therapy
c. couples therapy
d. medical model

a

Which of these therapies will be used to improve communication and resolve conflicts?
a. biopsychosocial approach
b. cognitive-behavioral therapy
c. couples therapy
d. medical model

c

Which sequence of events BEST characterizes the treatment program used by most sex therapists today?
a. sexual intercourse, mutual touching exercises, specific exercises, medical and sexual history
b. medical and sexual history, mutual touching exercises, specific exercises, sexual intercourse
c. medical and sexual history, specific exercises, mutual touching exercises, sexual intercourse
d. medical and sexual history, sexual intercourse, mutual touching exercises, specific exercises

b

Most sex therapists today have their clients engage in sensate focus as part of the therapy program. This refers to
a. exercises that teach couples how to get maximum sensations in different positions of intercourse
b. focusing on sensations produced during masturbation and reproducing them during intercourse
c. non-demand pleasuring exercises intended to help a couple increase their erotic awareness through touching of all parts of each other's body except for genitals and breasts
d. exercises designed to increase the erotic pleasure of sexual intercourse by focusing on the mutual stimulation of each other's genitals

c

Sensate focus exercises are
a. non-demand mutual pleasuring techniques
b. genital sensation focus exercises
c. self-awareness exercises
d. all of the above

a

John and Martha are in sexual therapy. The therapist has determined that John rushes to begin intercourse as soon as touching begins. John might greatly benefit by several days of
a. self-awareness exercises
b. systematic desensitization
c. psychosexual therapy
d. sensate focus

d

Most cases of hypoactive sexual desire in men are the result of
a. primary asexuality
b. low testosterone levels
c. psychological factors
d. mental illness

c

The sexual problem that therapists have the most difficulty treating successfully is
a. erectile disorder
b. premature ejaculation
c. hypoactive sexual desire
d. anorgasmia

c

__________ is the term preferred today by most therapists to refer to a man's inability to attain or maintain an erection.
a. Erectile disorder
b. Impotency
c. Dyspareunia
d. Premature ejaculation

a

Robert is trying to have an affair, but whenever he gets alone and undressed with his new girlfriend, he thinks about his wife and cannot attain an erection. Robert is experiencing
a. primary erectile disorder
b. situational erectile disorder
c. global erectile disorder
d. ejaculatory incompetence

b

Which of these statements regarding erectile problems is FALSE?
a. erectile problems are inevitable with advancing age
b. 10-20% of men aged 30 to 49 had erectile problems lasting at least a few months during the previous year
c. it often isn't easy to attribute an erectile problem to solely organic or psychological factors
d. most men will experience erectile failure sometime in their lives

a

The most common psychological cause of erectile disorder is
a. ritualization
b. personality disorder
c. sensate focusing
d. performance anxiety

d

If a person is spectatoring, he or she is
a. observing and evaluating his or her own sexual responses
b. watching others have sex
c. watching himself or herself in mirrors
d. observing and evaluating the sexual performance of their partner

a

In the teasing procedure for treatment of erectile disorder, the partner is instructed to
a. undress slowly in front of the man, but not to have physical contact
b. touch all parts of his body except his penis
c. stop fondling the man's penis after he gets an erection
d. tell the man about her sexual fantasies

c

Experience has shown that the best therapy for men with erectile dysfunction is probably
a. the medical approach (e.g., Viagra)
b. cognitive-behavioral therapy
c. couples therapy
d. the biopsychosocial approach

d

The most common sexual problem for men is probably
a. erectile disorder
b. premature ejaculation
c. sexual cephalalgia
d. inhibited orgasm

b

Many therapists define premature ejaculation as
a. absence of reasonable voluntary control of ejaculation
b. ejaculation before sexual intercourse begins
c. ejaculation within three minutes of beginning sexual intercourse
d. ejaculation before one's partner reaches orgasm in half or more of their sexual encounters

a

The squeeze technique is designed to allow men to
a. learn how to achieve erections
b. achieve orgasms
c. have intercourse without pain
d. delay ejaculation

d

__________ refers to a difficulty reaching orgasm and ejaculating in a woman's vagina.
a. Premature ejaculation
b. Orgasmic disorder
c. Inhibited sexual desire
d. Vaginismus

b

Male orgasmic disorder is often treated with
a. the squeeze technique
b. a Heimlich maneuver
c. a bridge maneuver
d. stop-start

c

Which of the following statements about dyspareunia in men is FALSE?
a. it is a sexual problem that can be experienced by both men and women
b. the major symptom is pain during intercourse
c. if it is not cured, it can lead to other sexual problems
d. it is usually caused by psychological problems

d

__________ is a rare condition in which the penis remains erect for prolonged periods of time.
a. Priapism
b. Peyronie's disease
c. Phimosis
d. Inhibited male orgasm

a

Sexual cephalalgia refers to
a. thinking too much about sex
b. severe headaches during sex
c. being fixated in the cephalic stage of psychosexual development
d. having an allergic reaction to sex

b

Which of these is typical for individuals who have severe headaches during sex?
a. they are often women with severe anxieties
b. they are often somewhat hypertensive, mildly obese men
c. the headaches are usually associated with other sexual disorders
d. they usually occur just as intercourse begins

b

Sexual interest/arousal disorder should be considered a "problem" only if a woman
a. is not initiating at least two sexual experiences a month
b. is not receptive to sexual activity
c. is experiencing personal distress because of it
d. is having a phobic aversion to sex

c

Marie has no interest in having sex with her husband or with anyone else, even though there is nothing physically wrong with her. This could have been caused by
a. relationship problems
b. a sexually repressive upbringing
c. a past traumatic event, such as rape or molestation
d. any of the above

d

Today, the most successful therapy for female sexual interest/arousal disorders usually includes
a. psychotherapy
b. medical approaches
c. behavioral-cognitive techniques alone
d. couples therapy

d

About _____ of American women aged 18 to 59 report being unable to achieve orgasm for at least several months of the previous year.
a. 10%
b. one fourth
c. one third
d. one half

b

In order to better enable a woman to achieve orgasm during sexual intercourse, her partner should
a. engage in lengthy foreplay
b. be sure the woman receives clitoral stimulation
c. use a woman-on-top position
d. all of the above

d

If a woman says that she does not have much physical sensation during intercourse, a sex therapist would probably advise her partner to stimulate her ________ during intercourse.
a. breasts
b. vagina
c. clitoris
d. uterus

c

Sex therapists agree that
a. women in good health should not require direct clitoral stimulation to reach orgasm
b. vaginal orgasms resulting from stimulation by the penis are preferred to clitoral orgasms
c. manual stimulation of the clitoris by a woman during intercourse is not cheating
d. the most fulfilling way for a woman to reach orgasm is during sexual intercourse

c

Which of these can cause orgasmic disorder in women?
a. a religious upbringing that associates sex with sin
b. performance anxiety
c. relationship problems
d. any of the above

d

Which of these is LEAST likely to be used by a therapist treating a woman who has difficulty reaching orgasm?
a. sensate focus
b. couples therapy
c. rapid pelvic thrusting of the penis
d. lengthy foreplay

c

Which of these positions of sexual intercourse is usually assigned first by therapists to clients with sexual problems?
a. man-on-top
b. rear vaginal entry
c. woman-on-top
d. standing face-to-face

c

For many women, sexual satisfaction is closely related to
a. the size of their partners' penis
b. how often they have sex
c. how happy they are in their overall relationship
d. all of the above

c

For most women, the best predictor of sexual satisfaction is
a. frequency of sex
b. number of orgasms
c. variety of sexual behaviors
d. a good emotional relationship with the partner

d

Sexual problems are considered to be "primary" if the problem
a. has an organic (physical) cause
b. is the only sexual problem the individual is experiencing
c. has resulted in the partner also having sexual problems
d. has always existed

d

Pain experienced during attempted intercourse that is caused by involuntary contractions of the muscles surrounding the outer third of the vagina is called
a. dysmenorrhea
b. vaginitis
c. vaginismus
d. sexual cephalalgia

c

Which of these statements regarding vaginismus is FALSE?
a. it is usually caused by anxieties about having sexual intercourse
b. it refers to pain experienced during attempted intercourse
c. it is usually caused by underlying physical factors
d. it has a very high rate of successful treatment

c

The therapy usually recommended for __________ is gradual dilation of the vagina with a set of increasingly larger objects.
a. inhibited sexual desire
b. vaginismus
c. frigidity (orgasmic dysfunction)
d. dyspareunia

b

A hypersexual individual is distinguished from other people by the __________ of their sexual behaviors.
a. frequency
b. duration
c. type or variety
d. compulsiveness

d

The definition used in this book for hypersexuality (Goodman, 1992) is similar to the definition in DSM-5 for
a. psychoactive substance abuse
b. exhibitionism
c. sexual molester
d. hypertension

a

The model of sex therapy presented in Chapter 13 is based primarily on Western middle-class emphasis on
a. morality
b. sex for physical pleasure
c. sex for emotional expression
d. sex for spiritual growth

b

Compared to Western cultures, many Asian cultures place a greater emphasis on ___________ during sex.
a. spiritual union
b. mutual physical pleasure
c. sensate focus
d. orgasm

a

Intercourse means
a. sex
b. coitus
c. procreate
d. communication

d

For many couples, communication about sex is often hampered by
a. inexperience with discussing sex
b. belief in stereotypic gender roles
c. power differences in the relationship
d. all of the above

d

When referring to sex with one another, a couple should
a. use the words "screw" or "f*ck"
b. refer to it as sexual intercourse
c. refer to it as "making love"
d. use a vocabulary with which they are both comfortable

d

When discussing a sexual difference or problem with your partner, you should
a. emphasize what is wrong
b. accentuate the positive
c. do so right after sex
d. do so right before sex

b

When discussing a sexual problem with your partner, you should
a. take the responsibility for your own pleasure
b. express your concerns in general terms so you don't offend your partner
c. lay the blame on your partner
d. expect your partner to take responsibility for your pleasure

a

If you criticize your partner, make sure you criticize his or her
a. behavior
b. character
c. personality
d. none of the above

a

When expressing your desires to your partner, you should begin sentences with
a. "You...."
b. "We...."
c. "I...."
d. "Why (don't you)...."

c

To find out about your partner's desires and needs, you should
a. ask questions that can be answered with one word
b. ask questions that are open-ended
c. start with self-disclosure
d. b and c

d

The ______________ pattern of communication can be very damaging to a relationship.
a. mutually constructive
b. avoidance
c. demand/withdraw
d. all of the above

c

John Gottman has found that ______________ is the best predictor of whether or not a relationship will survive.
a. the frequency of sexual relations
b. the timing of sexual relations
c. the ratio of positive and negative emotional interactions
d. all of the above

c

Whether or not a behavior is considered abnormal depends on
a. where it is observed
b. when it is observed
c. who engages in the behavior
d. all of the above

d

The psychological approach calls a behavior unconventional if
a. only a small number of people engage in it
b. it is not customary within a society
c. it causes problems functioning efficiently in ordinary social or occupational roles
d. it varies from culture to culture

c

A paraphiliac is best defined as a person
a. who has fantasies about abnormal sex acts
b. who occasionally engages in unconventional behaviors
c. whose sexual arousal depends on repeatedly engaging in or fantasizing about unconventional sexual behavior
d. all of the above

c

Bob is aroused by all aspects of sexual relations with his partner, but occasionally likes to tie her to the bedpost during sex. This is an example of a
a. paraphilia
b. deviant behavior
c. variant
d. statistical perversion

c

A group of paraphilias often seen together are called courtship disorders. These include
a. voyeurism, exhibitionism, frotteurism, and telephone scatophilia
b. fetishism, transvestism, frotteurism, and telephone scatophilia
c. sadism, masochism, bestiality, and pedophilia
d. coprophilia, urophilia, and mysophilia

a

Voyeurs
a. often seek arousal by going to topless/bottomless shows
b. are aroused when their victims notice them
c. prefer to remain unseen while watching victims without their consent or knowledge
d. are aroused by going to nudist colonies

c

Voyeurism is a disorder of the __________ phase of the normal courtship sequence.
a. finding
b. affiliative
c. tactile
d. copulatory

a

Exhibitionism is a disorder of the __________ phase of the normal courtship sequence.
a. finding
b. affiliative
c. tactile
d. copulatory

b

Which of these statements about exhibitionists is TRUE?
a. they typically feel inadequate and fear rejection
b. many expose themselves in the same location
c. most prefer to keep their victims at a distance of at least several feet
d. all of the above

d

An exhibitionist's sexual arousal usually
a. decreases if his victim shows shock and disgust
b. decreases if he thinks about getting caught
c. increases if his victim shows shock and disgust
d. increases if his victim approaches him

c

Telephone scatophilia is a disorder of the __________ phase of the normal courtship sequence.
a. finding
b. affiliative
c. tactile
d. copulatory

b

Obscene phone callers
a. are similar in many respects to exhibitionists
b. usually have good sexual relationships, in contrast to exhibitionists
c. usually do not get aroused when their victims express shock, in contrast to exhibitionists
d. usually are interested in raping their victims, in contrast to exhibitionists

a

If you should be the target of an exhibitionist or an obscene phone caller, how should you respond?
a. act shocked
b. act angry
c. act disgusted and tell them so
d. completely ignore him

d

Frotteurism is a disorder of the __________ phase of the normal courtship sequence.
a. finding
b. affiliative
c. tactile
d. copulatory

c

Pedophilia is a condition in which an adult repeatedly seeks sexual relations with a child younger than _____ years old.
a. 13
b. 15
c. 18
d. 21

a

__________ is frequently found to exist in individuals diagnosed with courtship disorders.
a. Fetishism
b. Transvestism
c. Sadomasochism
d. Pedophilia

d

A man can only become sexually aroused when he is fondling or thinking about a woman's shoes. He has
a. an inferiority complex
b. a fixation
c. a shoe simplex
d. a fetish

d

A man can only become sexually aroused when he is fondling or thinking about women's feet. His condition is called
a. transvestism
b. erotic fetishism
c. partialism
d. frotteurism

c

Which of the following individuals would a clinician most likely classify as having a fetish?
a. a man who is aroused by women's large breasts
b. a man who likes his wife to wear lacy panties and brassieres
c. a man who masturbates while looking at pornography
d. a man who cannot reach orgasm unless his wife is wearing a pink garter

d

Transvestism is most closely related to
a. fetishism
b. exhibitionism
c. voyeurism
d. none of the above

a

Which of these statements regarding transvestites is TRUE? A transvestite is
a. a person who achieves sexual arousal primarily by dressing as a member of the opposite sex
b. usually a person with homosexual tendencies
c. a person with a confused gender identity
d. all of the above

a

Which of the following would a clinician most likely classify as a transvestite?
a. a professional female impersonator
b. a heterosexual man who usually wears women's panties
c. a man who is considering transsexual surgery
d. all of the above

b

Urophilia, coprophilia, mysophilia, and klismaphilia might be considered specific types of
a. variants
b. exhibitionism
c. psychoses
d. fetishes

d

Coprophiliacs and urophiliacs are sexually aroused by
a. copulation
b. looking at genitals
c. body fluids and excrement
d. underarm and facial hair

c

Hank's preferred means of sexual arousal is having prostitutes give him an enema. Hank's condition is called
a. urophilia
b. coprophilia
c. mysophilia
d. klismaphilia

d

Donald lives in the country and prefers having sex with lambs, rather than with women. Donald's behavior is BEST described as
a. bestiality
b. zoophilia
c. sadism
d. animal husbandry

b

In his famous survey of 1948, Kinsey found that _____% of men reported having had sex with an animal.
a. 0-1
b. 1-2
c. 8
d. 25

c

__________ refers to achieving sexual arousal primarily by having pain inflicted on oneself.
a. Sadism
b. Masochism
c. Scoptophilia
d. Bondage

b

The distinctive feature in most sadomasochistic relations is
a. inflicting and receiving pain
b. physical abuse
c. domination and submission
d. scarification

c

A subtype of masochism in which individuals achieve sexual arousal by restricting breathing is called
a. klismaphilia
b. mysophilia
c. necrophilia
d. asphyxiophilia

d

Herman the mortician can get an erection and have sexual intercourse with his wife only if she first takes an ice-cold shower, sprinkles herself with baby powder to appear very white, and then lies very still as if she were dead. Herman probably is a(n)
a. coprophiliac
b. necrophiliac
c. sadist
d. klismaphiliac

b

Which of the following paraphilias are related to one another?
a. voyeurism, exhibitionism, telephone scatologia, and frotteurism
b. fetishism and transvestism
c. sadism and masochism
d. all of the above are true

d

According to Freudian theory, paraphilias are the result of
a. arrested psychosexual development
b. an overly powerful superego
c. a set of learned responses under the control of reinforcers in the environment
d. regression to the anal stage of psychosexual development

a

The large majority of paraphiliacs are
a. men
b. homosexual
c. fetishists
d. all of the above

a

What do the objects that produce sexual arousal for the fetishist, voyeur, pedophile, zoophiliac, and necrophiliac all have in common?
a. all of them have a female odor
b. all of them are used for sexual arousal only if a female partner is unavailable
c. all of them are active and respond vigorously and loudly
d. all of them are non-rejecting

d

Rock prefers having sex with his pet poodle rather than with women, while Kirk prefers masturbating with a size 38-D cup bra, and Wally likes to rub up against female executives in crowded elevators. What do these men have in common?
a. they are all neurotic
b. they all have fetishes
c. they all probably have sexual problems in normal adult relationships
d. they all probably have hormone deficiencies

c

Paraphilias have much in common with
a. anxiety disorders
b. borderline personality disorders
c. compulsive disorders
d. depressive disorders

c

Paraphilias are
a. usually easy to treat because most paraphiliacs want to be cured of their deviant behavior
b. relatively easy to treat compared to other problems like erectile and orgasmic dysfunctions
c. usually difficult to treat because most people with paraphilias do not want to be cured
d. usually difficult to treat with the behavioral modification techniques used for other sexual problems, but usually easy to treat with psychotherapy

c

Which of the following constitute sexual assault, according to your textbook?
a. sex obtained through physical force
b. sex with someone who is unconscious
c. sex obtained through manipulation or pressure
d. all of the above

d

Which of the following statements is NOT true?
a. Sexual assault can occur between romantic partners
b. Men can be the victims of sexual assault
c. Women cannot be the perpetrators of sexual assault
d. Sexual assault includes forced penetration by a foreign object

c

Until very recently, rape was defined by U.S. federal authorities as
a. forcible penile-vaginal penetration
b. nonconsensual oral, anal, or vaginal penetration
c. aggravated assault with a deadly weapon
d. sexual coercion

a

Today, rape is defined in the United States as
a. forcible penile-vaginal penetration
b. nonconsensual oral, anal, or vaginal penetration
c. aggravated assault with a deadly weapon
d. sexual coercion

b