Sexual%20Disorders

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Sexual Disorders

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• Paraphilias

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Paraphilias

• Definition - Sexual attraction to unusual objects
  or unusual sexual activities
• Person has acted on these urges, or experienced
  significant distress because of them
• Often multiple paraphilias, heavily male

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Fetish

• I. Fetish - reliance or preference on an
  inanimate object
• Recurrent and intense urges toward nonliving
  objects

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Tranvestism

• II. Tranvestism - preferred method of arousal is
  cross dressing

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Incest

• III. Incest is probably not a true sexual
  disorder
• Refers to sexual relations among close relatives
• Incest taboo - may have served important social
  and biological needs
• Some incest may be type of pedophilia

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Incest

• Most common form is brother-sister
• Next most common is father-daughter
• More pathological
• Base rates of sexual abuse much higher than often
  assumed
• Females 19, Males 8.6 for sexual victimization

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Pedophilia

• IV. Individuals who prefer or exclusively seek
  sexual gratification from prepubertal children
• For example, at least age 16, victim at least 5
  years younger

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Voyeurism

• V. Peeping
• Marked preference for sexual stimulation by
  watching others in a state of undress or having
  sexual relations
• Tend to be young, single, submissive and socially
  awkward

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Exhibitionism

• VI. Recurrent marked preference for exposing
  ones genitals
• Often an attempt to shock or embarrass the
  observer
• Generally immature, uninviting, have poor
  interpersonal relationships

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Sexual Sadism-Masochism

• VII. Sexual stimulation obtained from inflicting
  pain or humiliation, or receiving the same
• In both heterosexual and homosexual relationships

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Sexual Sadism-Masochism

• Generally begins in early adulthood, and some
  same comfortable with their sexual practices
• Often above average income and education

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Sexual Sadism

• Some sadists do murder and mutiliate
• Dietz, Hazelwood and Warren (1990)
• Fortunately, this is quite rare

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Other Paraphilias

• Frotteurism (rubbing)
• necrophilia (corpse)
• Telephone scatologia (talking dirty)
• Zoophilia (animals)

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Rape

• Sexual intercourse with an unwilling partner
• Forcible rape
• Statutory rape
• Some types of sadistic rape
• Threats, physical harm, mutiliation, even murder

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Rape

• Rape may be relatively common, with 25 of
  females experiencing assaults
• Most not reported
• Rape victims are often traumatized
• PTSD like experiences

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Rape

• Rapist characteristics
• Sadistic element, but non-consenting partner
• Psychopathic character structure
• Inadequate personality,fragile ego, many life
  failures

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Rape

• Acquaintance and date rape
• More common than one may expect
• Some traumatic impact

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Measurement in Sexual Arousal

• Males - Penile plethysmograph
• Females - Vaginal plethysmograph
• See researchers as Lawson, Adams or Barlow

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Sexual Dysfunction

• Stages of Sexual Arousal and Resolution
• Developed by Masters and Johnson
• Four Main Stages
• 1. Appetitive
• 2. Excitement
• 3. Organism
• 4. Resolution

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Sexual Dysfunction

• Masters and Johnson research was basic in nature
• Emphasized fundamental scientific methods

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Sexual Dysfunction

• Types of Sexual Disorders
• 1. Hypoactive sexual desire
• 2. Sexual aversion disorder
• 3. Male erectile disorder
• 4. Female sexual arousal disorder
• 5. Female orgasmic disorder
• 6. Male orgasmic disorder
• 7. Sexual pain disorder

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Treatment

• Supportive, specialized assessment
• Sometimes controversial
• Education and information is important
• Sexual deviation may carry characterological
  components