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Paraphilias/Sex.Dysfunction
NU 350 test 3 (1.5)
50
Nursing
Undergraduate 3
02/28/2010

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Cards

Term
What is sexual dysfunction?
Definition
A disturbance in the desire, excitement, or the orgasmic phase of the sexual response cycle or pain during intercourse
Term
What is Master’s & Johnson’s sexual response cycle?
Definition
Excitement
Plateau
Orgasm
Resolution
Term
What is Kaplan’s sexual response cycle?
Definition
Desire
Excitement
Orgasm
Term
What are the physiological causes of sexual dysfunction?
Definition
Age-related
CV
Neurologic
Gynecological
Endocrine
Medications
Term
What are the labs to test for physiological causes of sexual dysfunction?
Definition
Thyroid
CBC (RBC): Anemia
Testosterone
Estrogen
Term
What are the psychological causes of sexual dysfunction?
Definition
Rape
Stress
Depression
Low self-esteem
Body image disorders
Trauma (psychological)
Might not be performing like you were before event
Might be worried about pregnancy
Term
What are the sexual desire disorders?
Definition
Hypoactive sexual desire
Sexual aversion disorder
Term
What are the goals for hypoactive sexual desire?
Definition
To enhance sexual desire according to the baseline for the client
Term
What are the treatments for hypoactive sexual desire?
Definition
^ testosterone
Helping them to find out what is more pleasing to them
Focus on communication between couple
Underlying medical condition
Term
What is a common reaction in sexual aversion disorder?
Definition
Might have a panic reaction to genital contact
Anxiety/repulsion
Term
What are the treatments for sexual aversion disorder?
Definition
Underlying medical condition
Systematic desensitization
Might need one on one therapy
SSRI’s or TCA’s if panic (however side effect v desire)
Term
What are the sexual arousal disorders?
Definition
Female sexual arousal (Frigidity)
Male erectile disorder (impotence)
Term
What is a possible cause for female sexual arousal?
Definition
Blood circulation
Term
What are the treatments for female sexual arousal?
Definition
Sensate focusing: working a lot on the desire phase to help the arousal
Lubercation
Device: helps to pump blood to the clitoris
Term
What are the two types for male erectile disorder?
Definition
Primary
Secondary
Term
What is primary male erectile disorder?
Definition
Person has never had an erection
Term
What is secondary male erectile disorder?
Definition
Has been successful in the past
Term
What is treatment for male erectile disorder?
Definition
Underlying medical cause
Viagra/cialisis
Sensate focusing: cuddling, kissing, taking pressure off
Term
What are the side effects of Viagra/cialisis?
Definition
HA
Pain
Flushing of the skin/face
Nasocongestion
GI upsent
Pripesium
Term
What are the types of orgasmic disorders?
Definition
Female and Male inability to achieve
Premature ejaculation
Term
What is the main treatment for females and males who are unable to achieve orgasm?
Definition
Education
Term
What are the possible causes of premature ejaculation?
Definition
Might be supersensitive to touch
Learned behavior (let’s do a quickie)
Term
What are the treatments for premature ejaculation?
Definition
Squeeze technique
Distraction
Anafrinal
Term
What are the sexual pain disorders?
Definition
Dyspareunia
Vaginismus
Term
What is dyspareunia?
Definition
Painful intercourse (before, during, or after)
Term
What are the causes of dyspareunia?
Definition
Infections, postsurgical scarring
Term
What is the treatment for dyspareunia?
Definition
Physiological first
Sensate focus
Distraction
Education
Term
What is vaginismus
Definition
Painful, involuntary spasms in the outer 3rd of the vagina anytime there is a penetration
Term
What is the treatment for vaginismus?
Definition
Start small and work larger
Term
What is the role of the nurse in sexual dysfunctions?
Definition
Be comfortable with discussing sexual health with patient
Be knowledge about the normal sexual response cycle
Be aware of cultural practices
Take a good sexual history
Follow up with a medical history
Know the resources
Not within scope of practice to perform sex therapy
Term
What are the preferences for paraphilias?
Definition
Non-human object
Humans in which you can inflict suffering or humiliation
Non-consisting partners
Term
What do you often find paraphilias secondary to?
Definition
Depression
Medical problems
Substance abuse
Term
What are the ranges of severity of paraphilias?
Definition
Mild: urge but don’t act
Moderate: occasionally act out
Severe: consistently act on the urges
Term
What are potential causes for paraphilias?
Definition
Emotional: child abuse, symbolism
Too many androgens/testosterone
Learned as expected norm
Term
What is fetishism?
Definition
Sexual arousal elicited by inanimate objects or specific body parts
Term
What is autoerotic asphyxia?
Definition
Constriction of the neck to enhance a masturbation experience, often leads to accidental death
Term
What is sexual masochism?
Definition
Erotic interest in receiving psychological or physical pain, real or fantasized
Term
What is sexual sadism?
Definition
Erotic interest in inflicting psychological or physical pain, real or fantasized
Term
What is transvestic fetishism?
Definition
Sexual arousal elicited by cross-dressing (most often a heterosexual male dressing in female clothes)
Term
What is exhibitionism?
Definition
Intentional exposure of the genitals to a stranger or unsuspecting person; may be accompanied by arousal and masturbation either during or after exposure
Term
What is voyeurism?
Definition
Secret observation of an unsuspecting person (usually a woman) engaged in a private act (undressing or having sex). Often masturbates during or after the viewing
Term
What is fotteurism?
Definition
Intense sexual arousal elicited by rubbing the genitals against a non-consenting person
Term
What are obscene phone callers?
Definition
Calling a non-consenting person and making sexual noises, using profanity, attempting to seduce, or describing sexual activity. The caller often masturbates during or after the call
Term
What is pedophilia?
Definition
Sexual interest in a child; behavior ranges from exposure, voyeurism, and explicit talking to touching, oral sex, and intercourse.
Term
What ages are considered for pedophilia?
Definition
Must be at least 16 and the person must be five years younger
Term
What are sexual addictions?
Definition
Over 50% of waking hours are about sex, thinking or acting in the form of porn, masturbation, or having affairs
Term
What are characteristics of sexual addictions?
Definition
Progressive in nature
To numb pain and avoid problems
Leading a double life
People want to stop but are unable
Term
What is the treatment for sexual addictions?
Definition
Groups
Clinics
Often follow the 12 steps
Equine therapy
Couple therapy
Term
What is general treatment for paraphilias?
Definition
Group therapy
Underlying medical cause
Medication
Europe: castration
Term
What should a nurse do in relation to paraphilias?
Definition
Assess attitude and values
Teach normal relations between males and females: role model
Problems with assertiveness
Self-esteem issues
Help gain a better understanding of how their behavior affects themselves and others
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