1. Chapter 13 Sexual Disorders

2. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 2

3. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 3

4. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 4 Sexual Dysfunction Disorders Sexual desire disorders Sexual arousal disorders Orgasmic disorders Sexual pain disorders

5. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 5 Sexual Dysfunction Disorders Sexual Desire Disorders Sexual Arousal Disorders Hypoactive sexual desire disorder Sexual aversion disorder Female sexual arousal disorder Male erectile disorder

6. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 6 Sexual Dysfunction Disorders, continued Sexual Pain Disorders Vaginismus Dyspareunia Orgasmic Disorders Female orgasmic disorder Premature ejaculation Male orgasmic disorder

7. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 7 Causes of Sexual Dysfunctions Biological causes: “sexual dysfunction due to a general medical condition” Psychological causes  Psychological disorders  Attitudes and cognitions  Interpersonal factors  Trauma Cultural factors

8. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 8 Treatments for Sexual Dysfunctions Biological therapies Psychotherapy

9. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 9 Paraphilias

10. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 10 Causes of Paraphilias Biological theories Behavioral theories Social learning Cognitive factors

11. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 11

12. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 12 Treatment for Paraphilias Biological interventions Aversion therapy Desensitization Cognitive interventions Group therapy

13. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 13 Hypersexual Disorder: A Proposal for DSM-5 sexual fantasies, desires, and arranging and taking part in sexual encounters take up much of a person’s time repeatedly engages in these sexual urges, fantasies, and behaviors in response to dysphoric mood states repeatedly engages in sexual fantasies, urges, and behaviors in response to stressful life events repeatedly tried and failed in efforts to control or reduce sexual fantasies, urges, and behaviors repeatedly engages in sexual behavior while disregarding the risk for physical or emotional harm to the self or others sexual fantasies, urges, and behaviors must cause significant distress or impairment, and must not be due to a drug of abuse or a medication

14. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 14 Gender Identity Disorder

15. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 15 Treatment of Gender Identity Disorder Psychotherapy Cross-sex hormone therapy Full-time real-life experience in the desired gender role Sex reassignment surgery

16. Copyright © 2011 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 13 16 Sexuality and the Biopsychosocial Model