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Chapter 14 Sexuality Difficulties and Solutions

Chapter 14 Sexuality Difficulties and Solutions. Defining Sexual Difficulties. Sexual satisfaction is subjective The way people are surveyed can skew results A sexual problem which occurs throughout life among all situations is generalized

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Chapter 14 Sexuality Difficulties and Solutions

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  1. Chapter 14Sexuality Difficulties and Solutions

  2. Defining Sexual Difficulties • Sexual satisfaction is subjective • The way people are surveyed can skew results • A sexual problem which occurs throughout life among all situations is generalized • A problem which only occurs intermittently is situational

  3. Desire Phase Difficulties • Hypoactive sexual desire disorder (HSD) • Lack of interest in sexual activity • Usually temporary • Often due to relationship problems, or internalized negative attitudes about sex • Very common • Sexual aversion disorder (SAD) • Extreme, irrational fear of sexual activity • Often due to sexual abuse or assault

  4. Excitement Phase Difficulties:Male Erectile Dysfunction • Lack of an erection for at least 3 months • ED occurs in one in five men older than 20 years • Most often caused by combination of biological, psychological, and social factors

  5. Orgasm Phase Difficulties:Male Orgasm Disorder • Premature ejaculation (PE) • Inability to control orgasm to either partners’ satisfaction • 20-30% men worldwide (ages 18-59) repeatedly experience PE

  6. Faking Orgasm • Common among women and men but usually discussed in reference to women • Reasons • Avoid disappointing or hurting partner • To get sex over with • Poor communication • Limited knowledge of sexual techniques • Overemphasized coitus, may contribute to inadequate stimulation for women. • Attempt to hide deteriorating relationship

  7. Origins of Sexual Difficulties:Physiological Factors • Hormonal, vascular, neurological • Good health habits = good sexual functioning • Chronic illnesses & disabilities • blindness and/or deafness

  8. Chapter 15Sexually Transmitted Diseases

  9. STDs & College-Age Population • Two thirds of STDs diagnosed occur among individuals under age 25 • 1 in 4 experienced adolescents are infected with one or more STDs each year • More than half of all reported cases of chlamydia and gonorrhea occur among 15 to 25 year olds • Half of new HIV infections occur among people younger than 25 years

  10. Brainstorming…

  11. Incidence of STDs:Why So High? • Engaging in risky behavior • Multiple partners • Unprotected (condomless) sex • Highest in adolescence & early adulthood, when incidence of STDs is highest • Oral contraceptives • Lack of public health measures and limited access STD prevention and treatment

  12. Preventing STDs:Guidelines for Lowering Risk • Get to know partners before sex • Obtain prior medical examinations • Multiple partners= every three months • Always use condoms & spermicide • Avoid multiple sexual partners • Inspect and wash genitals • Yours and your partner’s • Disclose your STD status

  13. Chapter 16Atypical Sexual Behavior

  14. What Constitutes Atypical Sexual Behavior? • Paraphilia: uncommon sexual expression • Classified as noncoercive vs. coercive paraphilias • Behaviors represent extremes on a continuum • More males reported & prosecuted • Clustering of paraphilias • Unconventional behavior may alienate others leading to difficulty in establishing relationships

  15. Non-Coercive Paraphilias:Fetishism • Sexual arousal primarily from body part or inanimate object • Symbolic transformation • Rarely harmful to others

  16. Coercive Paraphilias:Exhibitionism • Exposing genitals to unwilling other • Some offenders commit more serious crimes • Suggested response • Calmly ignore it • Leave immediately • Report to authorities ASAP

  17. Non-Coercive Paraphilias:Sexual Sadism & Sexual Masochism • Sadism: sexual arousal from giving physical or psychological pain • Masochism: sexual arousal from receiving pain / bondage • Difficult to label because some behaviors common

  18. Coercive Paraphilias:Obscene Phone Calls • Sexual arousal from response to call • Usually a shy, insecure male • Suggested response • Gently hang up, ignore re-call • Screen calls; call tracing • Report & ask for new number

  19. Coercive Paraphilias:Voyeurism • Sexual arousal from observing others undressing or engaging in sexual activity, without their consent • Offenders often feel inadequate & lack sociosexual skills; tend to be young men in 20s • More likely to observe strangers than acquaintances

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