sexual disorders

sexual dysfunctions

disruption of the sexual response cycle or pain during intercourse

paraphilias

sexual desire involving unusual gratification

gender dysphoria

dissatisfaction with ones own biological sex and a desire to change to the opposite sex

what are the stages of the normal human sexual response cycle DAPOR DAPOR DAPOR

Desire: in the mood

arousal/excitement: physiological signs of arousal

plateau: continued state of arousal before orgasm

orgasm: sexual pleasure peaks, sexual tension is released

resolution: decreasing in arousal, return to normal state

• for men— refractory period. can’t be aroused

• women don’t have a refectory period, they plateau

DESIRE DISORDERS

includes Male hypoactive sexual desire disorder

Male hypoactive sexual desire disorder

persistent absence of sexual needs or desires. must persist for 6.months

is this distressing for the person

no, its often just a disconnect between two partners for their sexual needs

treatment for desire disorders

sensate focus, erotic sensations, relationship quality, testosterone.

SEXUAL AROUSAL DISORDERS

female sexual interest/arousal disorder; male erectile disorder

female sexual interest/arousal disorde

deficits in sexual interest or biological/subjective arousal. must be present for 6. months

male erectile disorder (impotence)

persistent inability to maintain erection for at least 6 months. occurs for at least 75% of sexual encounters

treatment for arousal disorders

decrease anxiety and promote pleasure (sensate focus, squeeze technique) and increase stimulations

what biological treatments would be given to men versus women

men: injections (chemicals in member that leads to erection), constriction bands (keep blood in member), viagra

women: lubricants

ORGASMIC DISORDERS

female orgasmic disorder, premature ejaculation, delayed ejaculation

female orgasmic disorder

persistent absence of orgasm EVEN IF the woman is thoroughly aroused. needs to happen at least 75% of SE

treatment for female orgasmic disorder

increase tone of pubococcugeal muscles (when you pee you can constrict — those muscles ) contracting and releasing

premature ejeculation

ejectulation within ONE MINUTE of vaginal penetration AND before the person wishes it

25-40% of men will experience this. pretty common

treatment for premature ejaculation

mounting quality — the buildup of an orgasm

semans “start stop” technique — allows increase of arousal

delayed ejaculation

delay or absence of ejaculation

PARAPHILIC DISORDERS

involve intense sexual urges that involve unusual objects, activities or situations that cause significant distress and impede functioning

must last for at least 6 months

exhibitstionistic disorder

fantasies that involve the person exposing their genitals to an unsuspecting stranger

pedophilic disorder

fantasies of children 13 or under. the person themselves must be at least 16 and must be at least 5 years older than the child they’re preying on

voyeristic disorder

a peeping tom. must be 18 years old. at least 6 years of the person only observing an unsuspecting person whose naked. they don’t wish to have intercourse with them, the “peeping” is what gives them pleasure. getting caught increases it

sexual masochism disorder

fantasies involving being humiliated or suffering by their partner

sexual sadism disorder

fantasizes real situations where the person is (often humiliating) the victim. is seen as sexually exciting to the person.

what are there three counter conditioning strategies typically used to treat individuals with paraphilias

counter conditioning establishes an aversive relationship between the focus of the paraphilia and orgasm

• covert sensitization

• masturbatory satiation

• orgasmic reorientation

covert sensitization DESIRE — UNDESIRABLE NORMAL

masterbating to their desire then switching to something aversive to make it less desirable (feet then mom walking in on him)

masturbatory satiation NORMAL — DESIRE

masterbating FIRST to a normal stimulus (their wife) then switch to their paraphillic object for about an hour. uses habituation to make it unpleasant

orgasmic reorientation DESIRE — NORMAL

getting themselves aroused by using their paraphilia object then masterbaiting to a normal stimulus (their wife)