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56 Cards in this Set

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Delayed ejaculation, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, genito-pelvic pain/penetration disorder, male hypoactive sexual desire disorder, premature ejaculation and so on are known as?

Sexual dysfunctions

What are sexual dysfunctions?

A heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person's ability to respond sexually or to experience sexual pleasure.

In a case of multiple sexual dysfunctions being present, how many diagnostics should be made?

All dysfunctions should be diagnosed

Subtypes for sexual dysfunctions are used to?

designate the onset of the difficulty


Lifelong sexual dysfunctions are?

sexual problems that have been present from first sexual experiences

Acquired sexual dysfunctions are?

sexual dysfunctions developed after a period of relatively normal sexual function

Generalized sexual dysfunctions are?

sexual difficulties that are not limited to certain types of stimulation, situations, or partners

situational sexual dysfunctions are?

sexual difficulties that only occur with certain types of stimulation, situations, or partners

What factors should be carefully considered before a diagnostic of sexual dysfunction is made?

1.) partner factors


2.) relationship factors


3.) individual vulnerability factors, psychiatric comorbidity


4.) cultural or religious factors


5.) medical factors relevant to prognosis

True or false:


sexual function involves a complex interaction among biological, sociocultural, and pyschological factors

TRUE

What does a sexual dysfunction require above all else to be ruled a sexual mental disorder?

Requires ruling out problems that are better explained by a nonsexual mental disorder, by the effects of a substance, by a medical condition, or by severe relationship distress, partner violence, or other stressors.

If explainable by another non-sexual mental disorder, should a sexual dysfunction diagnosis be made?

No. Only the other diagnosis should be made.



Marked delay in ejaculation and marked infrequency or absence of ejaculation is criteria for?

Delayed ejaculation

How long must symptoms persist to meet criteria for a sexual dysfunction disorder?

Minimum duration requirement of 6 months

Delayed ejaculation is the ____ common male sexual complaint.

Least common

How likely is it to acquire delayed ejaculation?

Not very likely. There is minimal evidence concerning the course of acquired delayed ejaculation.

One of what three symptoms must be met to meet criteria for erectile disorder?

1. marked difficulty in obtaining an erection


2. marked difficulty maintaining an erection


3. marked decrease in erectile rigidity

Men with erectile disorder mostly have what type of self-esteem?

Low

Delayed ejaculation and erectile dysfunction increase after what age?

age 50

What is Alexithymia?

deficit in cognitive processing of emotions. it's common in men diagnosed with "psychogenic" erectile dysfunction

What symptoms must be present 75%-100% of the time on occasions of sexual activity to meet female orgasmic disorder criteria?

1. marked delay in, marked infrequency of, or absence of orgasm


2. markedly reduced intensity of orgasmic sensations

A woman without distress can meet female orgasmic disorder criteria

FALSE. Distress must be had to make diagnosis

List the symptoms indicative of lacking/reduced sexual interest/arousal in female sexual interest/arousal disorder

1. absent/reduced interest in sexual activity


2. absent/reduced sexual/erotic thoughts or fantasies


3. no/reduced initiation of sexual activity, and typically unreceptive to a partner's attempts to initiate


4. absent/reduced sexual excitement/pleasure during sexual activity in almost all or all sexual encounters


5. absent/reduced sexual interest/arousal in response to any internal/external sexual/erotic cues


6. absent/reduced genital or nongenital sensations during sexual activity in almost all or all sexual encounters



how many symptoms must be met to meet criteria for female sexual interest/arousal disorder?

three

What is desire discrepancy?

When a woman has lower desire for sexual activity than her partner

What self-identification removes the need of a diagnosis of female sexual interest/arousal disorder?

an individual identifying as asexual would not meet criteria

TRUE OR FALSE: rates of high sexual desire are consistent throughout all cultures

FALSE. there is marked variability in prevalence rates of low desire across cultures.

Genito-pelvis pain/penetration disorder refers to?

4 commonly comorbid symptom dimensions:


1. difficulty having intercourse


2. genito-pelvic pain


3. fear of pain or vaginal penetration


4. tension of the pelvis floor muscles

Define dyspareunia

difficult or painful sexual intercourse.

Define vaginismus

painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual intercourse).

Male hypoactive sexual desire disorder is?

persistently deficient sexual/erotic thoughts/fantasies/desires for sexual activity

TRUE OR FALSE:


Up to half of men with a past history of psychiatric symptoms have a moderate/severe loss of desire, compared with only 15% of those without such history

TRUE

Define premature ejaculation

a persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it

Premature ejaculation is most common in men with what types of disorders?

anxiety disorders

Approximately __% of sexual complaints are clinically significant

30%

Approximately __% of individuals on antipsychotic meds report sexual dysfunction

50%

What is natal gender?

individuals with gender dysphoria have a marked incongruence between the gender they have been assigned to and their experience/expressed gender

Disruptive, impulse-control, and conduct disorders include

conditions involving problems in the self-control of emotions and behaviors

disruptive, impulse-control, and conduct disorders are more common in which gender



male

Define oppositional defiant disorder

a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the categories (angry/irritable mood; argumentative/defiant behavior/vindictiveness)

What is the criteria of an angry/irritable mood?

often loses temper


is often touchy or easily annoyed


is often angry and resentful

what is the criteria of an argumentative/defiant behavior?

often argues with authority figures or, for children and adolescents, with adults


often actively defies or refuses to comply with requests from authority figures or with rules


often deliberately annoys others


often blames others for his or her mistakes or misbehavior

criteria for vindictiveness?

has been spiteful or vindictive at least twice within the past 6 months

TRUE OR FALSE:


Symptoms of oppositional defiant disorder cannot occur to some degree in the individual without this disorder

FALSE. Symptoms CAN occur without the diagnosis of an oppositional defiant disorder

Oppositional defiant disorder conveys risk for developing what disorders?

major depressive disorders and anxiety disorders

Recurrent behavioral outbursts representing a failure to control aggressive impulses is shown in?

Intermittent explosive disorder

Chronological age in intermittent explosive disorder is?

at LEAST 6 years

the impulsive aggressive outbursts in intermittent explosive disorder have a rapid onset and typically how long of a prodromal period?

little to no prodromal period

Describe conduct disorder

a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms and rules are violated by at least 3 of the 15 listed criteria

List of criteria in conduct disorder?

aggression to people and animals


destruction of property


deceitfulness/theft


serious violations of rules

Specifications of conduct disorder:

childhood-onset type (symptomatic before age 10)


adolescent-onset (not symptomatic before age 10)


unspecified onset (unable to tell if criteria met before age 10)




with limited prosocial emotions (lack of remorse or guilt, callous--lack of empathy, unconcerned about performance, shallow or deficient affect)

Many children with conduct disorder also display

ADHD or other neurodevelopmental difficulties

Pyromania is described as

the presence of multiple episodes of deliberate and purposeful fire setting

Pyromania occurs much more often in which gender?

Males, especially those with poorer social skills and learning difficulties

Kleptomania is ?

the recurrent failure to resist impulses to steal items even though the items are not needed for personal use or for their monetary value

Females outnumber men 3:1 in what diagnosis?

kleptomania