CHAPTER 7 SEXUAL DISORDERS © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

WHAT IS ABNORMAL SEXUAL BEHAVIOR? Attitudes and behaviors related to sexuality are continually evolving over time Sexual perversity © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

PARAPHILIAS © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

PARAPHILIAS Individual has recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving: Nonhuman objects Children or other nonconsenting persons The suffering or humiliation of self or partner Inability to experience sexual gratification in the absence of the desired stimulus Lasts at least for six months © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

TABLE 7.1- PARAPHILIC DISORDERS © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

PEDOPHILIA An adult's sexual urges are directed toward children 2/3 of all sexual assault victims are children & adolescents Nearly 2/3 of victims are female Vast majority of perpetrators are male About 1/3 of offenders are relatives of the victimized children © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

EXHIBITIONISTIC DISORDER A person has intense sexual urges and arousing fantasies involving the exposure of genitals to a stranger © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

VOYEURISTIC DISORDER From French voir (“to see”) The individual has a compulsion to derive sexual gratification from: Observing the nudity or sexual activity of others © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

FETISHISTIC DISORDER The individual is preoccupied with an object Depends on the object rather than sexual intimacy with a partner for achieving sexual gratification Behavior is not fetishistic when involving an object specifically designed for sexual excitation Vibrator © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

FETISHISTIC DISORDER Partialism : The person is interested solely in sexual gratification from a specific body part Feet © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

FROTTEURISTIC DISORDER From French frotter (“to rub”) The individual has intense sexual urges and sexually arousing fantasies of rubbing against or fondling an unsuspecting stranger © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL MASOCHISM Attraction to achieving sexual gratification by having painful stimulation applied to one's own body © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL SADISM Deriving sexual gratification from activities that harm, or from urges to harm, another person © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

TRANSVESTIC DISORDER Transvestic fetishism : A man has an uncontrollable craving to dress in women's clothing in order to derive sexual gratification Transvestic disorder: Diagnosis applied to individuals who engage in transvestic behavior and have the symptoms of a paraphilic disorder © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

THEORIES AND TREATMENT OF PARAPHILIC DISORDERS Biological perspectives Castration Psychotherapeutic medications Psychological perspectives Lovemaps Group therapy The cognitive behavioral perspective Relapse prevention © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL DYSFUNCTIONS © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL DYSFUNCTIONS Abnormality in an individual’s sexual responsiveness and reactions Feelings of significant distress or impairment Lifelong or acquired Generalized or situational © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL AROUSAL DISORDERS Hypoactive sexual desire disorder Female sexual arousal disorder © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL AROUSAL DISORDERS Sexual aversion disorder Male erectile disorder © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

ORGASMIC DISORDER Female orgasmic disorder Male orgasmic disorder © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

PREMATURE EJACULATION A man reaches orgasm well before he wishes to, perhaps even prior to penetration © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL PAIN DISORDERS Dyspareunia : Affecting both males and females that involves recurrent or persistent genital pain before, during, or after sexual intercourse Vaginismus : Recurrent or persistent involuntary spasms of the musculature of the outer part of the vagina © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

SEXUAL DYSFUNCTIONS: THEORIES AND TREATMENT Biological perspective Erectile dysfunction - Medications to treat include the prescription drugs Viagra, Levitra, and Cialis Hormonal replacement therapy Application of corticosteroids and physical therapy © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

THEORIES AND TREATMENT Psychological perspectives Macho myth Sensate focus © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

GENDER DYSPHORIA © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

GENDER DYSPHORIA Gender identity: A person’s inner sense of maleness or femaleness Gender identity disorder : Discrepancy between an individual's gender identity and assigned sex © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

GENDER DYSPHORIA: THEORIES AND TREATMENT New approaches Based on transgender theory that emphasizes a more fluid view of gender than the binary male-female dichotomy Even though transgenderism will be “depathologized” if DSM-5 makes the proposed changes: Clients continue to face transphobia © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

THE BIOPSYCHOSOCIAL PERSPECTIVE Clinicians are increasingly developing models that incorporate integrated treatment DSM-5’s sweeping changes reflects: Expansion of the empirical approaches to sexual disorders Adoption of a broader, more inclusive, and socioculturally sensitive approach to their understanding and treatment © 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.

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