10: Sexual Deviations and Dysfunctions
- Page ID
- 219755
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)- 10.1: Why It Matters- Sexual Deviations and Dysfunctions
- This page examines sexual deviations and dysfunctions, highlighting variations in gender and sexual behavior. It discusses the impact of historical research on modern perspectives, reducing stigma and enhancing treatment options like couple therapy. Despite advancements, many sexual dysfunctions go unrecognized.
- 10.2: Introduction to Sex and Gender
- This page explores human sexuality as distinct from biological sex and gender identity, detailing its expression and the role of sociocultural factors. It discusses sexual orientation, gender dysphoria, and the biological mechanisms shaping sexual behavior and motivation.
- 10.3: Sexual Behavior
- This page discusses the biological mechanisms of sexual behavior and motivation, emphasizing the roles of key brain structures like the hypothalamus and amygdala. It highlights significant research by Kinsey and Masters and Johnson that shaped understanding of human sexuality, including the sexual response cycle's four phases. Furthermore, the page defines various sexual orientations and includes contributions from multiple authors, with a focus on educational purposes in psychology.
- 10.4: Sexual Orientation and Gender Identity
- This page defines and distinguishes between sexual orientation, gender identity, and biological sex, stressing that sexual orientation is not a choice and highlighting the harmful nature of conversion therapy. It discusses cultural variations in gender, citing examples and the complexities illustrated by the case of David Reimer. It underscores the importance of understanding individual identities and the need for sensitivity in medical practices.
- 10.5: Gender Dysphoria
- This page discusses gender dysphoria (GD), reclassified from gender identity disorder in 2013, highlighting its symptoms, impacts on individuals, and controversies surrounding its classification. GD affects various age groups, often leading to mental health issues. The etiology of GD is complex, involving biological, psychological, and social factors, with high comorbidity with other psychiatric conditions.
- 10.6: Perspectives and Treatments Related to Gender Dysphoria
- This page explores gender dysphoria and its evolution from stigma to acceptance of medical interventions. It covers surgical options like facial feminization and chest surgeries, outlines psychological support, and emphasizes personalized care while rejecting harmful therapies. The complexities of consent, particularly for minors, are discussed, along with the historical context of transition surgeries.
- 10.7: Introduction to Sexual Dysfunctions
- This page emphasizes the significance of sexual health, outlining various sexual dysfunctions, such as desire, arousal, orgasm, and pain disorders. It discusses their characteristics, causes, and potential treatments, highlighting the complexity of human sexuality and its effects on societal norms and survival.
- 10.8: Sexual Dysfunction Disorders
- This page focuses on sexual dysfunction disorders, classified into four main types: desire, arousal, orgasm, and pain disorders, as per DSM-5. It highlights key conditions like male hypoactive sexual desire disorder, female sexual interest/arousal disorder, erectile disorder, and genito-pelvic pain/penetration disorder (GPPPD), which combines dyspareunia and vaginismus. Causes of these disorders may be biological or psychological, often leading to significant distress and impacting relationships.
- 10.9: Treating Sexual Dysfunction Disorders
- This page covers various perspectives on sexual dysfunction disorders, including emotional, biological, and sociocultural factors influencing the conditions. Emotional issues like anxiety and trauma play significant roles, compounded by medical factors. Treatment methods include Cognitive Sexual Therapy (CST), sex therapy, and pharmacological options, with an emphasis on confidentiality. While some dysfunctions lack specific treatments, others may benefit from education and relaxation techniques.
- 10.10: Introduction to Sexual Deviations
- This page discusses paraphilias, or atypical sexual interests, which vary by culture and are not inherently pathological. Popularized by John Money, the term challenges stigma and reflects the broader spectrum of human sexuality. The DSM-5 identifies eight paraphilias, noting they can lead to harm or distress in specific contexts. Importantly, homosexuality is no longer classified as a paraphilia, emphasizing a shift in the understanding of sexual diversity.
- 10.11: Paraphilic Disorders
- This page covers the complexity and diversity of paraphilias, emphasizing that not all paraphilias are disorders according to DSM-5 unless they cause distress or harm. Key behaviors explored include transvestic fetishism, exhibitionism, voyeurism, and frotteurism. The text also delves into sexual masochism and sadism disorders, their prevalence, and underlying psychological traits.
- 10.12: Pedophilic Disorder
- This page explores the complex issue of pedophilia and child sexual abuse. It highlights the classification of pedophilia as a disorder, prevalence estimates, the psychological impact on victims, and various treatment options. Barriers to seeking help are emphasized, including stigma and legal consequences. The text clarifies definitions and classifications of offenders, noting that not all child molesters are pedophiles.
- 10.13: Sexual Violence, Crime, and Abuse
- This page addresses the complex issues of rape and sexual abuse, focusing on its prevalence among youth, especially young girls, and the gender disparities in victimization rates. It discusses the psychological effects of child sexual abuse and examines patterns of abuse within religious institutions, notably the Catholic Church. Additionally, it outlines classifications of sexual offenses, relevant U.S.
- 10.14: Psychological Perspectives and Treatments for Sexual Deviations
- This page discusses treatments for sexual disorders, including reducing anxiety and obsessive thoughts through SSRIs and antiandrogens, and emphasizing a holistic approach with psychological and pharmacological support. It highlights strategies for managing sexually violent offenders, including behavior modification and the impact of motivational factors.
- 10.15: Case Studies- Examining Sexual Deviations and Dysfunctions
- This page examines case studies of sexual deviations and dysfunctions, highlighting issues in diagnosing paraphilias through examples of inappropriate behaviors and abusive relationships. It critiques the DSM-5's definitions of paraphilic disorders, arguing they may pathologize nonnormative sexual practices, and discusses the psychological implications of these diagnoses. The text also proposes treatment approaches for those facing challenges related to these disorders.
- 10.16: Putting It Together- Sexual Deviations and Dysfunctions
- This page discusses sexual deviations and dysfunctions, including gender dysphoria, sexual function disorders, and paraphilic disorders. It explores distress linked to gender identity mismatch and details conditions like male hypoactive sexual desire disorder and female sexual interest/arousal disorder. Additionally, it covers paraphilias, such as fetishism and sexual sadism, while addressing the implications of sexual violence and abuse.