1. SEXUAL VARIANTS, ABUSE AND DYSFUNCTIONS
TOPIC 11
SEXUAL VARIANTS, ABUSE AND DYSFUNCTIONS

2. introduction
Early medical and scientific approaches to sexual behavior were heavily influenced by religious doctrines and prevailing cultural values.
Anything that varied from the purpose of sexual behavior which is biological reproduction was considered a form psychopathology and was usually subject to severe moral and legal sanctions.

3. SOCIOCULTURAL INFLUENCES ON SEXUAL PRACTISE AND STANDARDS
Homosexuality and American Psychiatry
Homosexuality as a sickness
Homosexuality as a Nonpathological Variations

4. Sexual and gender variants
Paraphilias
People with paraphilia have recurrent intense sexually arousing fantasies, sexual urges or behaviors
To meet DSM-IV-TR criteria, the patterns must last at least 6 months

5. Types of paraphilias Fetishism Transvestic fateshism Voyeurism
Exhibitionism
Sexual sadism
Sexual masochism
Pedophilia

6. GENDER IDENTITY
Our sense of ourselves as being either male or female is known as gender identity

7. GENDER IDENTITY DISORDER IN CHILDHOOD
Always reflects the child’s physical anatomy
Must be distinguished from sex roles
Boys with gender identity disorder show a marked preoccupation with traditionally feminine activities which is opposite for girls with gender identity disorder.
Treatment
Psychotherapy

8. Transsexualsm Also known as gender dysphoria.
Most of them report that they were aware of these feelings very early in childhood.
Treatment
Change the person’s identity to match his or her anatomy or change anatomy to match the person’s gender identity

9. SEXUAL ABUSE
Sexual contact that involves physical or psychological coercion or at least one individual who cannot reasonably consent to the contact.
Childhood Sexual Abuse
Pedophilia
Incest
Rape

10. SEXUAL ABUSE Treatment and Recidivism of Sex Offenders Psychotherapies
Biological and Surgical Treatments

11. SEXUAL DYSFUNCTIONS
Inhibitions of sexual desire and interference with the physiological responses leading to organism

12. CRITERIA FOR DIFFERENT SEXUAL DYSFUNCTIONS
General criteria for all dysfunctions
The disturbance causes marked distress or interpersonal difficulty
The sexual dysfunction is not better accounted for by another Axis I disorder and is not due to direct effects of a substance or general medical conditions
Specifiers include: Lifelong vs Acquired Types and Generalized vs Situational Types

13. CRITERIA FOR DIFFERENT SEXUAL DYSFUNCTIONS
Specific criteria for different dysfunctions
Sexual desire disorders
Sexual Arousal Disorder
Orgasmics Disorder
Sexual Pain disorder

14. Dysfunctions of sexual desire Dysfunctions of sexual arousal
Male erectile disorder
Female sexual arousal disorder
Orgasmic Disorder
Premature Ejaculation
Male Orgasmic Disorder (retarded ejaculation)
Female Orgasmic Disorder (never experience orgasm)
Dysfunctions involving sexual pain
Vaginismus
Dyspareunia