Term
| Hypoactive Sexual Desire Disorder |
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Definition
A) Persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity. The judgment of deficiency or absence is made by the clinician, taking into account factors that affect sexual functioning, such as age and the context of the person’s life.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The sexual dysfunction is not better accounted for by another Axis I disorder (expect another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance or a general medical condition.
Specify type: Lifelong Type / Acquired Type Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) genital sexual contact with a sexual partner.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The sexual dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction).
Specify type: Lifelong Type / Acquired Type
Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
| Female Sexual Arousal Disorder |
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Definition
A) Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual excitement.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The sexual dysfunction is not better accounted for by another Axis I disorder (expect another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance or a general medical condition.
Specify type: Lifelong Type / Acquired Type/ Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The erectile dysfunction is not better accounted for by another Axis I disorder (other than a Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance or a general medical condition.
Specify type: Lifelong Type / Acquired Type
Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase. Women exhibit wide variability in the type or intensity of stimulation that triggers orgasm. The diagnosis of Female Orgasmic Disorder should be based on the clinician’s judgment that the woman’s orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The orgasmic dysfunction is not better accounted for by Another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance or a general medical condition.
Specify type: Lifelong Type / Acquired Type
Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person’s age, judges to be adequate in focus, intensity, and duration.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The orgasmic dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance or a general medical condition.
Specify type: Lifelong Type / Acquired Type/ Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of the sexual partner or situation, and recent frequency of sexual activity.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The premature ejaculation is not due exclusively to the direct effects of a substance (withdrawal from opioids).
Specify type: Lifelong Type / Acquired Type/ Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Recurrent or persistent genital pain associated with sexual intercourse in either a male or a female.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The disturbance is not caused exclusively by Vaginismus or lack of lubrication, is not better accounted for by another Axis I disorder (except another Sexual Dysfunction), and is not due exclusively to the direct physiological effects of a substance or a general medical condition.
Specify type: Lifelong Type / Acquired Type/ Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
B) The disturbance causes marked distress or interpersonal difficulty.
C) The disturbance is not better accounted for by another Axis I disorder (Somatization Disorder) and is not due exclusively to the direct physiological effects of a general medical condition.
Specify type: Lifelong Type / Acquired Type
Generalized Type / Situational Type/ Due to Psychological Factors / Due to Combined Factors |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one’s genitals to an unsuspecting stranger.
B) The person has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty. |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the use of nonliving objects (female undergarments).
B) The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
C) The fetish objects are not limited to articles of female clothing used in cross-dressing (as in Transvestic Fetishism) or devices designed for the purpose of tactile genital stimulation). |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a nonconsenting person.
B) The person has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty. |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger).
B) The person has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.
C) The person is at least age 16 years and at least 5 years older than the child or children in Criterion A.
Note: Do not include an individual in late adolescence involved in an ongoing sexual relationship with a 12- or 13-year-old.
Specify if: Sexually attracted to Males, Females, or Both
Specify if: Limited to incest
Specify if: Exclusive Type (attracted only to children) or Nonexclusive Type |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act (real, not stimulated) of being humiliated, beaten, bound, or otherwise made to suffer.
B) The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving acts (real, not stimulated) in which the psychological or physical suffering (including humiliation) of the victim is sexually exciting to the person.
B) The person has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause marked distress or interpersonal difficulty. |
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Term
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Definition
A) Over a period of at least 6 months, in a heterosexual male, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing.
B) The fantasies, sexual urges, or behaviors cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify if: With Gender Dysphoria: if the person has persistent discomfort with gender role or identity |
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Term
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Definition
A) Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity.
B) The person has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty. |
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Term
| Gender Identity Disorder NOS |
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Definition
Examples include:
1 – Intersex conditions (partial androgen insensitivity syndrome or congenital adrenal hyperplasia) and accompanying gender dysphoria
2 – Transient, stress-related cross-dressing behavior
3 – Persistent preoccupation with castration or penectomy |
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Term
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Definition
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Term
| Effects of sexual dysfunction on the family |
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Definition
~ Hurt, rejection, alarm and anger in response to person's problems
~ Low desire/erectile problems and premature ejaculation taken as rejection by partner; lack of self-esteem in men
~More variable effects with awareness of own problems in inhibition of desire or orgasm in women taken as rejection by partner |
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Term
| Effects of paraphilias on the family |
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Definition
~ Direct effects include devastation by affected person's and spouse's disappointment anger with each offense
~ Spouses's guilt for not satisfying affected person; guilt for staying in relationship
~ Subtle and pervasive shame, fear, secrecy, and confusion for family, especially children. |
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Term
| Effects of gender identity disorder on the family |
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Definition
~ Powerlessness, confusion, and emotional devastation with recognizing difficulties of ambiguous genitalia in child.
~ Stress on family of child with sexual id confusion |
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Term
| Family maintenance of sexual dysfunction symptoms |
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Definition
~ closely associated with relational problems; merging of sex therapy and marital therapy
~ Connection to trust, loyalty conflict |
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Term
| Family maintenance of paraphilia symptoms |
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Definition
| ~ Enabling and further isolation of index person as possible result of attempt to help |
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Term
| Family maintenance of gender ID disorders |
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Definition
| ~ Possible connections to limited paternal influence and strong maternal influence, with associated relational imbalance and dissatisfaction |
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Term
| Functions of sexual dysfunction symptoms within the family |
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Definition
~ Regulation of intimacy, power, and affective expression
~ Request for help |
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Term
| Functions of paraphilia symptoms within the family |
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Definition
| ~ Tendency to create secrecy and distance in relationship; possible renewed marital closeness when connected to understanding of compulsion and to limit setting. |
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Term
| Function of gender ID symptoms in the family |
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Definition
~ Stabilizes family characterized by paternal distance and maternal distress
~ May wake up family to their need for change |
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Term
| Adverse consequences of changing sexual dysfunctions |
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Definition
| ~ Facing underlying relational problems |
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Term
| Adverse consequences of paraphilias change |
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Definition
~ Weight gain and other antiandrogen side effects
~ Increased conflict because fixing sexual problem does not fix relationship. |
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Term
| Adverse consequences of gender identity change |
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Definition
| ~ Difficulty in accepting sexual identity that was formerly unacknowledged or kept secret. |
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