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Ch11sexualdis2

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Chapter 11 sexual disorders

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Ch11sexualdis2

  1. 1. Sexual Dysfunctions<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Normal Gender Development and Gender Identity Disorder<br />
  2. 2. Human sexual response<br />Male<br />Female<br />Orgasm<br />Plateau<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  3. 3. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  4. 4. Common<br />Increase with age<br />Associate with one another<br />Associate with anxiety and depression<br />May link to medical, substance, and cultural factors<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  5. 5. Demands or expectations for sexual performance<br />Negative mood<br />And expectancy<br />about gaining an erection<br />Focus on<br />consequences<br />of inability to<br />perform<br />Increased physical arousal<br />Intense focus on<br />consequences<br />of inability to<br />perform<br />Erectile<br />dysfunction and<br />avoidance of sex<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  6. 6. Items from the Female Sexual Function Index<br />5 = Almost always or always<br />Over the past 4 weeks, how often did you feel sexual desire or interest?<br />4 = Most times (more than half the time)<br />3 = Sometimes (about half the time)<br />2 = A few times (less than half the time)<br />1 = Almost never or never<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  7. 7. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  8. 8. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  9. 9. Positive outcomes<br />Good relationship quality<br />High partner motivation<br />Lack of comorbid disorders<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  10. 10. Normal<br />Regular arousal and desire to have typical<br />sexual behavior.<br />Thoughts about typical sexual behavior.<br />Engaging in typical sexual behavior.<br />Emotions<br />Cognitions<br />Behaviors<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  11. 11. Normal<br />Mild<br />Mild physical arousal when thinking about unusual<br />sexual behavior.<br />Thoughts about unusual sexual behavior.<br />Surfing Internet sites that cater to unusual<br />sexual behavior.<br />Emotions<br />Cognitions<br />Behaviors<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  12. 12. Normal<br />Mild<br />Moderate<br />Strong physical arousal when fantasizing about<br />unusual sexual behavior.<br />Sexual fantasies that lead to urges toward highly<br />unusual sexual behaviors.<br />Spending substantial time on the Internet or in<br />adult bookstores, especially regarding unusual <br />sexual behavior.<br />Emotions<br />Cognitions<br />Behaviors<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  13. 13. Normal<br />Mild<br />Moderate<br />Sexual Disorder – Less Severe<br />Intense physical arousal when fantasizing about<br />or engaging in unusual sexual behavior.<br />Sexual fantasies about unusual sexual behavior that become central to a person’s life and create distress.<br />Inability to concentrate or have regular sexual relationships. Engaging in some unusual sexual behavior.<br />Emotions<br />Cognitions<br />Behaviors<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  14. 14. Normal<br />Mild<br />Moderate<br />Sexual Disorder – Less Severe<br />Sexual Disorder – More Severe<br />Extreme physical arousal when fantasizing about <br />or engaging in unusual sexual behavior.<br />Obsession-like sexual fantasies about unusual sexual behavior that cause great distress.<br />Engaging in or being arrested for highly unusual sexual behavior such as inappropriate contact with a child.<br />Emotions<br />Cognitions<br />Behaviors<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  15. 15. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  16. 16. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  17. 17. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  18. 18. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  19. 19. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  20. 20. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  21. 21. Deviant sexual interest Prevalence<br />Child molestation 35%<br />Voyeurism 19%<br />Exhibitionism 13%<br />Fetishism 12%<br />Frotteurism 10%<br />Transvestic fetishism 6%<br />Sexual masochism and sadism 2%<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  22. 22. Frontal lobe<br />Cingulate gyrus<br />Hypothalamus<br />Amygdala<br />Hippocampus<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  23. 23. Poor social skills<br />Family variables<br />Learning experience<br />Cognitive distortions<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  24. 24. Items from the Screening Scale for Pedophilic Interests <br />Offender has male victim (Yes = 2; No, female victims only = 0) <br />Offender has more than one victim (Yes = 1; No, single victim only = 0)<br />Offender has a victim aged 11 or younger (Yes = 1; No, child victims were 12 or 13 years old = 0)<br />Offender has an unrelated victim (Yes = 1; No, related victims only = 0)<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  25. 25. Aversive techniques<br />Masturbatory procedures<br />Cognitive therapy<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  26. 26. 78.6 – 95.6% respond positively to treatment<br />Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  27. 27. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  28. 28. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />
  29. 29. Normal Gender Development and Gender Identity Disorder<br />Normal Sexual Desires and Sexual Disorders/Paraphilias<br />Sexual Dysfunctions<br />

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