CHAPTER - PowerPoint Presentation

Slide1

CHAPTER 8SEXUAL DISORDERS

-Two

major categories of sexual disorders:

Paraphilia

& sexual

dysfunction

.

*

Paraphilia:

Arousal

in response to sexual objects or situations that are not part of normative arousal activity for reciprocal, affectionate sexual

activity.

*

Sexual dysfunction:

I

mpairment

or disturbance in any of the phases of the sexual response cycle. These include disorders of desire, arousal, orgasm,

& disorders

that relate to

experience

of genital pain during intercourse.

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I. Paraphilias:

1.Exhibitionism

:

R

ecurrent

, intense sexual urges &

sexually arousing fantasies, of at least 6 month’s duration, involving,

exposing

of one’s genitals to a stranger.

-Masturbation may occur during

exhibitionism

.

-

O

nly

occurs in men,

victims

are women in 99% of

cases.Slide3

2.Voyeurism: involves the act of observing unsuspecting people, usually strangers, who are either naked, disrobing

, or engaging in sexual activity.  

-Sexual

excitement is achieved through the act of

looking and

no contact with

person is attempted

.

-Masturbation

usually accompanies the window peeping but may occur later

when the

individual fantasizes about the voyeuristic act.Slide4

3.Fotteurism: Involves touching or rubbing against a non-consenting person. Sexual excitement is derived from the actual touching or not from the coercive nature of the act. Slide5

4.Fetishism: Recurrent, intense sexual urges & sexually arousing fantasies, of at least 6 months duration, involving the use of nonliving objects

.

-

Common

fetish objects include bras, women’s under pants,

stocking,

shoes, boots or other wearing apparel.

-

The fetish object is generally used during masturbation or incorporated into sexual activity with another person to produce sexual

excitation.

-

When

the fetish involves cross-dressing, the disorder is called transvestite fetishism

.Slide6

5.Pedophilia: Involves sexual activity with a prepubescent characteristic.

-

The age of the molester is 16 years old, & is at least 5 years older than the child.

-

This category of paraphilia is the most common of sexual assaults

.Slide7

6.Sexual masochism: Involves the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer.

-In all instances, sexual excitation occurs in response to the suffering of the victim.

-Examples include rape, beating, torture, or even killing.Slide8

7.Sexual sadism: involves acts (real not simulated in which the psychological or physical suffering (including humiliation) of the victim sexually exciting.

-

The sadistic activities may be fantasized or acted on with a consenting or non-consenting partner.

-

In all instances, sexual excitation occurs in response to the suffering of the victim.

-

Examples include rape, beating, torture, or even killing. Slide9

II. Sexual dysfunction-M

ay

occur in any phase of the sexual response cycle.

*Types

of sexual

dysfunction:

1.Sexual

desire disorders:

a. Hypoactive

sexual desire disorder:

persistent or recurrent deface or absence of sexual fantasies and desire for sexual activity.

-The complaint is more common among women than

men.Slide10

b. Sexual aversion disorder: persistent or recurrent extreme aversion to, and avoidance of, all or almost all, genital sexual contact with a sexual partner.Slide11

2.Sexual Arousal disorders

a. Female

sexual arousal disorder:

-One of the following should be present for diagnosis: 

1.Persistent or recurrent partial or completed failure to attain or maintain the lubrication-swelling response of sexual excitement until completion of the sexual activity.

2.Persistent

or recurrent lack of a subjective sense of sexual excitement and pleasure in a woman during sexual activity.Slide12

b. Male sexual arousal disorder: (erectile dysfunction or impotence)Either of the following criteria may be present to make this diagnosis:

-Persistent or recurrent partial or complete failure in a man to attain or maintain erection until completion of sexual activity.

-Persistent or recurrent lack of a subjective sense of sexual excitement and pleasure in a man during sexual activity.Slide13

c. Orgasm disorder1. Inhibited female orgasm (

Anorgasmia

):

-Recurrent and persistent inhibition of the female orgasm after a period of sexual excitement judged adequate in intensity and duration to produce such a response.

2. Inhibited

male orgasm (Retarded Ejaculation

):

-The man is unable to ejaculate; even he has a firm erection and has had more than adequate stimulation.

-The severity of the problem may range from only occasion problems ejaculating to a history of never having experience of orgasm.

 Slide14

3.Premature ejaculation:-Persistent or recurrent ejaculation minimal sexual stimulation or before, on, or shortly after penetration and before the person wishes it.

Slide15

d. Sexual pain disorder1.Dyspareunia

Recurrent or persistent genital pain in either a man or woman before, during, or after sexual intercourse that is not associated with

vaginismus

or with lack of lubrication.

2.Vaginismus

:

-An involuntary constriction of the

outer

 third

of

the vagina that prevents intercourse.