Sexual Dysfunction, Paraphilic Disorders, & Gender Dysphoria part 2

Sex as an Act

Encompasses multiple forms of intimacy.  

Sexual Interests

Thoughts, ideas, or behaviors one finds arousing that do NOT harm or violate the consent or boundaries of others.

Biological status assigned at birth: male, female, intersex

Does not inform one’s gender identity. 

Sex & gender

Does not provide any information on an individual's sexual orientation. 

Transgender embodiment services

the various medical treatments and procedures that alter an individual's primary and/or secondary sexual characteristics

Gender affirming surgery

any form of surgical procedure performed in order to better reflect and embody gender identity and expression

On average, women orgasm during sex

 46% of the time

On average, men orgasm during sex

85% of the time

Some studies suggest that 1 in 5 women

have never orgasmed in their life.

On average 20 min for women vs. 5 min for men 

the orgasm gap

18%

• orgasm from penetrative, vaginal intercourse

36%

orgasm from clitoral stimulation 

53%

orgasm from cunnilingus 

What is Consent

Requires a continued & ongoing enthusiastic yes – not the absence of no:

• Clearly & freely communicated

• Cannot be given by individuals who are: Underage; Intoxicated; Incapacitated by drug or alcohol; Asleep; Unconscious

• If someone agrees to an activity under pressure of intimidation or threat, that is not considered  consent because it was not given freely.

• Unequal power dynamics also prevent consent from being given freely.

Act of Violence

Sexual assault

• Engaging in any sexual behavior without consent. This ranges from flashing, public masturbation, touching, kissing, forcing acts, to non-consensual penetration of any kind (known as rape: includes penetration of any body part: oral, vaginal, anal, etc.)

Voyeuristic Disorder 

A. Over a period of at least 6 months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors.

B. The individual has acted on these sexual urges with a nonconsenting person, or  the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

C. The individual experiencing the arousal and/or acting on the urges is at least 18 years of age.

DSM-5-TR Paraphilic Disorders 

Any sexual-arousal-related behavior or thought pattern that causes dysfunction (impairment), distress, deviance, and/or danger (AKA: acts of violence, for example: engaging in any activity where involved parties do not consent). 

Exhibitionistic Disorder 

A. Over a period of at least 6 months, recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors.

B.The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.