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Variations in Sexual Behavior
Introductory Comments
1. Term: used to be called sexual perversion or deviance
Paraphilias: love of the unusual (in things sexual)
2. Current professional consensus is that paraphilia is not directly related to psychopathology (with exception of necrophilia)
3. Clear gender bias: more me than women
4. What does it mean to be normal anyway?
5. Generalizations are not based on representitive data (stigmas prevent a good sample group from being taken)
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Variations in Sexual Behavior
Fetishism
Definition: involves obtaining sexual excitement primarily or exclusively from an inadament object or particular body part
- Types:
- 1. Media
- -key to the turn on in the material of which the object is made (rubber, silk, etc)
- 2. Form
- -Key is the shape of the object (shoe)
Part of the desire is brekaing the rules. The turn on might be greater if the object has been worn or is stolen
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Variations in Sexual Behavior
Transvestism (TV)
Definition: Someone who becomes primarily sexually stimulated or gratified by wearing clothing typical of the other gender (cross dressing)
There is a clear gender bias-it is more scandelous for a ma to wear women's clothing
- Typically
- -cross dressing is periodic
- -individual is typically heterosexual
- -individual is typically married
- -male
- Don't confuse with transexuals!
- Transexual: trapped in the wrong body and want to change it, or partially change it (male to female have a higher satisfaction of sexual reassignment)
- Transgender: some feel like a third gender.
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Variations in Sexual Behavior
Voyeurism
Definition: involves obtaining sexual pleasure or arousal by observing people without their consent either partially clothed or participating in sexual activity
- Typical
- -attached to masturbation
- -male
- -not dangerous
- -sense of invading someone's privacy
- Warning signs of a dangerous person:
- -breaking and entering
- -drawing attention to self
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Variations in Sexual Behavior
Exhibitionism
Definition: Typically a ma who obtains sexual arousal or gratification by exposing his genitals to an unwilling victim
-act as if they want to get caught
-highestt rate of paraphilia arrest
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Variations in Sexual Behavior
Sadism/Masochism
definition: combination of humiliation and pain. Sadists are turned on by afflicting pain or humiliation and masochists enjoy recieving this
- symbolic form is more common
- clear domination theme
- key dynamic of the turn on is the master/slave relationship
- very specific about form of pain and script
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Sexual Dysfuction
Introductory Comments
1. sexual dysfuction is almost always an issue of excitement, plateu or orgasm
2. a primary disorder has always existed and a secondary disorder is more recent
3. marital stress leads to sexual dysfuction. sexual dysfunction may or may not lead to marital stress
- 4. issue of anxiety
- - spectatoring: detachment from the sexual experience
- -performance anxiety
- *Newer View: Spectatoring is still problematic. Anxiety can help or hider sexual experience. If there is no history of sexual dysfunction, anxiety might actually help or facilitate
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Sexual Dysfunction
Male Disorders
Erectile Dysfunction
- Definition: the inability to maintain an erection firm enough for sexual intercourse
- -complete absence
- -partial erection
- -losing an erection
- -loss of an erection situationally
- Frequency:
- -every man will experience it at least one time in his life
- -dysfunction is marked by masters and johnson as someone who has trouble at lease 25% of the time
- -10.4% of nation
- Causes:
- -obesity, odds go up 200%
- -lack of exercise, 50%
- -smoker, 60%
- 3 Categories:
- a. Organic: anatomically wrong in neuro conrol or reproductive system (erection during sleep cycle can rule this out)
- b. Functional: impact of drgus, alcohal, physical exhaustion as well (viagra)
- c. Psychogenic: related to anger, anxiety, or stress
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Sexual Dysfunction
Male Disorders
Premature Ejaculation
Possible Definitions: previously measured as time taken to ejaculate, number of thrusts taken, is the man ejaculated before his partner at least 50% of the time
Current definition: lacking reasonable voluntary control over ejaculation
-about 28.5% of men report this problem
- Solutions:
- Problematic: avoidance, rush their partner, desenstivize the man, mental detachment
- Effective:
- 1. Squeeze Method
- - during foreplay place fingers on frenum and front of glans
- -4 second squeeze, 4-6 times before insertion
- 2. Basiler squeeze
- -same technique but at base of penis
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Sexual Dysfunction
Male disorders
Retarded Ejaculation/ejaculatory incompetence
Definition: Process of coming to ejaculation is slow or non-existent
-Mainly psychological in its origin but may be related to diabetes and drugs
retrograde ejaculation: problem in prostate leads to ejaculation into the bladder
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Sexual Dysfunction
Female Disorders
Orgasmic Dysfunction
24.1 of women
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Sexual Dysfunction
Frmale Disorders
Inhibited sexual desire/hypoactive sexual desire
30.9% of women
may also apply to men
most often a discrepancy between partners sexual desire
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Sexual Dysfunctions
Female Disorders
Painful Intercourse (dyspareunia)
reduced lubrication can cause pain
disorders of vaginal opening
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Sexual Dysfunction
Female Disorders
Vaginismus
Involuntary contraction of vaginal muscles making penetration difficult or impossible
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Sexual Dysfunctions
Treatment
- Sensate focusing
- - desensitization therapy
Stage 1. Touching bodies, no gentials, get to know partners bdy better, no intercourse (unilateral, one partner at a time)
Stage 2. Touching expanded to sexual areas. No intercourse. Find out what partner likes (unilateral)
Stage 3. Touching is simultaneous
Stage 4. Sexual Intercourse, probably woman above position
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