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Ch. 11: Sexual Disorders and Gender Identity Disorder. “SEXUAL BAGGAGE”. Sexual Disorders. 2 categories : Sexual Dysfunctions DYS-Function Sexual Paraphilias PARA PHILIA. Gender Identity Disorder. Sexual Dysfunctions.
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Ch. 11: Sexual Disorders and Gender Identity Disorder “SEXUAL BAGGAGE”
Sexual Disorders • 2 categories: • Sexual Dysfunctions • DYS-Function • Sexual Paraphilias • PARA • PHILIA
Sexual Dysfunctions • 31% of men and 43% of women in the U.S. experience it during their lives. • very distressing • sexual frustration • guilt • loss of self-esteem and • interpersonal problems
Human Sexual Response • 4 Stages: • Desire • Excitement • Orgasm • Resolution DESIRE EXCITEMENT ORGASM RESOLUTION
Etiology of Sexual Dysfunctions • A combination of: • Biological, • Psychological, • & Socio-Cultural factors.
Course of Sexual Dysfunctions • Chronic • Acute • Across situations • Situational
Disorders of Sexual Desire • Desire Phase of Human Sexual Response
Disorders of Sexual Desire • Hypoactive Sexual Desire Disorder • 16% of Male & • 33% of Female • Sexual Aversion Disorder • Quite rare in men and somewhat more common in women. • Biological, Psychological, and Socio-cultural factors.
Disorders of Excitement • Excitement Phase of Human Sexual Response
Disorders of Excitement • Female sexual arousal disorder • 10% of females • Tied to orgasmic disorder • Male erectile disorder (formerly “impotence”) • 10% of males • Biological, Psychological, and Socio-cultural factors.
Disorders of Orgasm • Orgasm Phase of Human Sexual Response
Disorders of Orgasm • Premature ejaculation • About 30% of men at some time • Male orgasmic disorder • 8% of males. • Female orgasmic disorder • Almost 25% of women
Disorders of Sexual Pain • These are the sexual pain disorders: • Vaginismus • It is a learned fear response due to painful intercourse. • <1% of Females • Dyspareunia • 14% of Females • 3% of Males
Paraphilias DSM-IV TR: • At least 6 months of: • Recurrent, intense, sexually arousing fantasies, sexual urges, or behaviors involving: • nonhuman objects, • the suffering or humiliation of oneself or one's partner, • children or other non-consenting persons.
Fetishism • Recurrent intense sexual urges, sexually arousing fantasies, or behaviors that involve the use of a nonliving object. • Onset: adolescence • One example: http://www.youtube.com/watch?v=csJF-e1Y61E
Transvestic Fetishism • Not GID, not Transsexualism
Exhibitionism • A paraphilia in which persons have repeated sexually arousing urges or fantasies about exposing their genitals to another person, and may act upon those urges.
Voyeurism • A paraphilia in which a person has repeated and intense sexual desire to observe unsuspecting people in secret as they undress or to spy on couples having intercourse, and may act upon these desires.
Frotteurism • Characterized by fantasies, urges, or behaviors involving touching and rubbing against a non-consenting person. • Almost always male.
Pedophilia • A paraphilia characterized by fantasies, urges, or behaviors involving sexual activity with a prepubescent child, usually 13 years of age or younger. • Evidence suggests that two-thirds of victims are female.
Sexual Masochism & Sadism • MASOCHISM: characterized by repeated and intense sexual urges, fantasies, and behaviors that involve being humiliated, beaten, bound, or otherwise made to suffer. • SADISM: characterized by repeated and intense sexual urges, fantasies, and behaviors that involve inflicting suffering on others.
And so many more… • NECROPHILIA • ZOOPHILIA • COPROPHILIA • HYPOXYPHILIA • UROPHILIA • GERONTOPHILIA • SOMNOPHILIA • KLISMAPHILIA • EMETOPHILIA
A word of caution… • The definitions of paraphilias, like those of sexual dysfunctions, are strongly influenced by the norms of the particular society in which they occur… • IN CLASS EXERCISE (for attendance credit): • Write down on a piece of paper, with your name on it, your answer to the following question: In your opinion, what sexual paraphilias should be considered disorders and why? Which shouldn’t and why?
Gender Identity Disorder • People with this disorder persistently feel that they have been assigned to the wrong biological sex. • They would like to remove their primary and secondary sex characteristics and acquire the characteristics of the opposite sex • Men with GID outnumber women 2 to 1 • People with GID often experience anxiety or depression and may have thoughts of suicide • Onset & Etiology