Sexual Disorders and Dysfunctions PDF

SEGMENT II. SEXUAL DISORDER OR SEXUAL DYSFUNCTION What is the symptoms of sexual dysfunction? IN MEN: a\. In ability to achieve or maintain an erection stale for intercourse (erectile dysfunction). b\. Absent or delay ejaculation despite adequate sexual stimulation (retarded ejaculation). c\. I...

SEGMENT II. SEXUAL DISORDER OR SEXUAL DYSFUNCTION What is the symptoms of sexual dysfunction? IN MEN: a\. In ability to achieve or maintain an erection stale for intercourse (erectile dysfunction). b\. Absent or delay ejaculation despite adequate sexual stimulation (retarded ejaculation). c\. Inability to control the timing of ejaculation (early or premature ejaculation). IN WOMEN: a\. Inability to achieve orgasm. b\. Inadequate vaginal lubrication before and during intercourse. c\. Inability to relax the vaginal muscles enough to allow intercourse. IN MEN AND WOMEN: a\. Lack of interest or desire for sex b\. Inability to become aroused c\. Pain with intercourse WHAT IS THE HUMAN SEXUAL RESPONSE CYCLE? ◆ The sexual response cycle refers to the sequence of physical and emotional changes that occur as a person become sexually aroused and participates in sexually stimulating activities, including intercourse and maturation. The sexual response cycle has four phases: desire (libido), arousal, (excitement) orgasm and resolution. both men and women experience these phases, although the timing usually is different. The term was coined by William II. Master and Virginia E. Johnson In their 1966 book human sexual response the cycle is: MAJOR CATEGORIES OF SEXUAL DISORDER 1\. Sexual dysfunction II\. Paraphilias III\. Gender identity disorder Category I. sexual dysfunction ◆ Sexual dysfunction is a persistent or recurrent problem that causes marked distress and interpersonal difficulty and that may involve any or some combination of the following: sexual arousal or the pleasure associated with se, or orgasm. It is a disturbance in any phase of the human sexual response cycle. TYPES OF SEXUAL DYSFUNCTION A. dysfunction of sexual desire(during the excitement phase): 1\. Hypoactive sexual disorder -it is marked by lack or no sexual drive or interest in sexual activity. It is characterized by a persistent, upsetting loss of sexual desire. 2\. Sexual aversion disorder -It is characterized by a desire to avoid genital contact with a sexual partner. It refer to persistent feelings of fear, anxiety, or disgust about engaging in sex B. Dysfunction of sexual arousal (during the arousal /plateau phase): 1\. male erectile disorder -it refer to the inability to maintain or achieve an erection (previously called as impotence) 2\. Female sexual arousal disorder \- It refer to none responsiveness to erotic stimulation both physically and emotionally (previously called as frigidity) Hyper sexuality: 1\. Nymphomania (or furor uterinus) -a female psychological disorder characterized y an overactive libido and an obsession with se (etymology of the word is nymph). 2\. Satyriasis -in males the disorder is called satyriasis and the etymology is satyr. CATEGORY II. PARAPHILIAS \> Paraphilia (In Greek para \"over\" and philia \"friendship\" is a rare mental health disorder term recently used to indicate sexual arousal in response to sexual objects or situation that are not part of societal normative arousal/activity patterns, or which may interfere with the capacity for reciprocal affectionate sexual activity. The disorder is characterized by 6 month period of recurrent, intense, arousing fantasies or sexual argues involving a specific act, depending on the paraphilia. Common form of paraphilia\.... 1\. EXHIBITION This is also known as flashing, is behavior by a person that involves that exposure of private parts of his/her body to another person in a situation when they would not normally be exposed. When the term is used to refer to the psychological compulsion for such exposure, it maybe called apodysophilia or a lady Godiva syndrome. Types of exposure A. flashing -it is the display of bare breasts and/or buttocks by a woman with an up and down lifting of the shift and/or bra or person exposing and/or stroking hos or her genital. B. Mooning -it refer to the displaying of the are buttocks while ending down y the pulling down od trouser and under wear. This act is more often done for the sake of humor and/or mockery than for sexual excitement. C. anasyrma-it refers to the lifting up of the skirt when not wearing underwear, to exposes genitals. D. Martymachia -is a paraphilia which involve sexual attraction to having others watch the execution of a sexual act. 2.FETISHISM People with the fetish experience sexual urges and behavior which are associated with non living object. For e:the object of the fetish could e an article of female clothing. Like the female underwear usually the fetish begins in adolescence and tends to e quite Chronic into adult life. sexual fetishism, fist descried as such y Sigmund Freud. types of fetishism A. sexual transvestic fetishism (transventism/cross dressing)- Transvestic fetishism begins in adolescence, usually around the onset of puberty, most practitioners are male who are arouse by wearing, fondling, or seeing female clothing. Lingerie (bras, panties, girdles, corset and slips) stockings, shoes or boots may all e the fetishistic object. B. Foot fetishistic- It s a pronounced fetishistic sexual interest in human feet. It is also one of the most common fetishistic interest among humans. A foot fetishist can be sexually aroused viewing, handling, licking, tickling, sniffing or kissing the feet and toes of another person, or y having another person dig the same to hid/her own feet. C. Tickling Fetishism- A sexual fetish related to gaining a specific sexual trill from either tickling sex partner or being subjected to tickling themselves, usually to int of helpless laughter. Often this involves some form or restraint to prevent escape and/or accidentally hurting the ticker. D. Wet And Messy Fetish (Wam) -A for of sexual fetishism that has a person getting f aroused y substances applied on the body like mud, shaving foam, custard pudding, chocolate sauce, etc. it could also involve wet cloths or any combination of the above. E. pygmalionism- It is a sexual deviation whereby a person has sexual desire for statues F. incendiarism- It is a sexual deviation whereby a person derive sexual pleasure from setting fire. 3\. Frotteurism (frottage)- Frotteurism is the act obtaining sexual arousal and gratification y ruing ones genitals against other in public places or crowds or sexual urges are related to the touching or rubbing if their body against a non- consenting unfamiliar woman. 4\. scatologia -It is also called coprolalia, deviant sexual practice in which sexual pleasure is obtained through impulsive use of obscene language. The affected person commonly satisfies his desires through obscene telephone calls (telephone scatologia) usually to strangers related terms are copropraxia performing obscene or forbidden gestures and coprographia making obscene writing or drawing 5\. necrophilia- Is also called thanatophilia and necrolagnia is the sexual attraction to copse. The word is artificially derive from ancient Greek (nekros; corpse, or dead), and (philia, friendship). 6\. coprophilia -Coprophilia (from Greek Kopros-excrement and filia-liking, fondness), also called scatophilia or scat, is the paraphilia involving sexual pleasure from feces. 7.zoophilia -Is the practice of sex between human and animals (also known as bestaility bestosexual) it came from the Greek (zoion, animal) and (philia friendship or love) also know as zoo sexuality a person who practice zoophilia is know zoophile. 8\. Urophilia (uralagnia) -A paraphilia of the fetishism talismanis type in which seuoeotic arousal and facilitation or attainment or orgsm is responsive to eing uriiated upon. Or swallowing urine ourone, urine +pholia 9\. mysophilia- is obtaining sexual arousal and gratification y filth or filth surrounding, out simply, this is getting horny from smelling, chewing or ruing aging dirty underwear mysos, uncleanes\_ phili 10 hypoyphilia- is the desire to achieve an altered sates of consciousness an enhancement t the epicene in orgasm. In this disorder, this individual may se a drug such nitrous oxide to produce hypoxia or a high due to a kick of oxygen to the rain, autoerotic asphyxation is also associated with hypoxic states it is classified as a form of sexual masochism CATEGORY III GENDER IDENTITY DISORDER TRANSSEXUALISM Gender identity disorder or gender dysphoria refers it a disturbance of gender identification in which the affected person has a overwhelming desire to change their anatomic e or insist that they are of the opposite se, with persistent discomfort about their assigned se or out filling its usual gender role the disorder may e become apparent in childhood or not appear until adolescence or adulthood. I individuals may attempt to live a, member of the opposite se and may seek hormonal and surgical treatment to ring their anatomy into conformity with their belief. CATEGORY OF SEXUAL ABNORMALITIES 1\. Heterosexual -This refers to sexual desire towards the opposite se. this is normal sexual behavior, cocially and medically acceptable. 2.homosexual -this refer to a relationship or having a sexual desire toward member his/her own gender. The term homosexual can e applied to a either man or woman, but female homosexual are usually called lesbian. Kinds of homosexual A. overt- Person who are conscious of their homosexual cravings, and who make no attempts to disguise their intention. They make advance toward member of their own gender B. Latent- Person who may or may not e aware of the tendency in that direction but are inclined to repress the urge to give away to their homosexual yearning. 3.Infantosexual -This refer to sexual desire towards and immature person such as pedophilia. 4\. bestosexual- This refer to sexual gratification towards an animal. This is similar to bestiality and zoophilia 5\. Autoseual (self gratification or masturbation) -It is a form \"seld ause\" or solitary vice carried without the cooperation of another person or the induction of a state or reaction of the genital organs and the achievement of orgasm y manual or mechanical stimulation. 6\. gerontophobia- This refer to a sexual desire with elder person 7\. necrophilia- This refer to asexual perversion characterize by erotic desire or actual seual intercourse with corpses. 8\. incest- This refer to sexual relation between person who, y reason of blood relationship cannot. legally marry. B. Sexual abnormalities as to instinctual strength of sexual urge: 1\. over sex A. satyriasis- this refer to an excessive sexual desire of men to intercourse. This person is called satyr. B. Nymphomania-this refer to the strong sexual feeling of women the person is called nymph but it commonly called hot or fighter. 2\. under sex: A. Sexual anesthesis- This refer to the absence of sexual desire or arousal during sexual act in women. B. Dyspareunia- It refer to the painful sexual act in women. C. vaginismus- It refer to the painful spasm of the vagina during sexual act C. sexual abnormalities as to mode of sexual recession or sexual satisfaction: 1\. oralism- This refer to the use of the mouth as way of sexual gratification. This includes of the following: a\. Fellatio(irrumation)- The female agent receive the penis of man into her mouth and y friction with the lips and tongue coupled with the act sucking the sexual organ. B. Cunnilingus -The sexual gratification is attained by licking or sucking the eternal female genitalia, C.anilism (anilingus)- It is a form of perversion wherein a person derive excitement by licking the anus of another person of either sex. 2\. sado-masochism (algolagnia)- This refer to a painful or cruel act as a factor for gratification. The example of this is flagellation, it a sexual deviation associated specifically with the act of whipping or being whipped. A. sadism(active algolagnia)- This refers to a form or sexual perversion in which the infliction of pain on another is necessary or sometimes the sole factor in sexual enjoyment. Masochism (passive algonia)- This refer to the attainment of pain and humiliation from the opposite sex as the primary factor for sexual gratification. 3\. fetishism- It is a form of sexual perversion where in the real or presence of an object or bodily D. SEXUAL ABNORMALITIES AS TO PART OF THE BODY: 1\. Sadomy- this refer to a sexual act through anus of another human being. 2\. Uranism-This refer to attainment of sexual gratification by fingering, fondling with the breast, licking parts of the body, etc. 3\. Frottage (frotteurism)- it is a form of sexual gratification characterized by compulsive desire person to rub his sex organ against some parts of the body of another. 4\. Partialism- it is a from of sexual deviation wherein person has special affinity to a certain part of the female body. Sexual libido may develop the breast, buttock, foot legs, etc. of womenboth satyriasis and phonoia are general expression of compulsive neurosis. E. SEXUAL ABNORMALITIES AS TO STIMULUS: 1\. Voyeurism-It is a form of sexual perversion characterized y a compulsion to peep to see persons undress or perform other personal activities. The offender is sometimes called peeping tom usually after peeping the person saturates in excess. 2\. Mixoscopia (scoptophilia) -It refer to a perversion wherein sexual pleasure is attained y watching couple undress or during their se intimacies. F. SEXUAL ABNORMALITIES AS TO NUMBER OF SEX PARTNER 1\. Triolism (from French word, trios which means three)- It is a form of sexual perversion in in which three person are participating in the sexual orgies. The combination may consist of two men and woman or two women and a man. Triolist (a person) becomes aroused and gratified y the \"sharing\" 2\. Pluralism- It is a form of sexual deviation in which group of person participate in the sexual orgies. Tow or more couple may perform sexual act in a room and they may even agree to exchange partner for \"variety sake\" during \"sexual festival\" G. SEXUAL ABNORMALITIES AS TO REVERSAL: 1\. Transvestism(sexo-esthetic inversion, psychical hermaphroditism, or metamorphosis, or metamorphosis sexualis paranoiac) -it is a form of deviation wherein a male individual derives pleasure from wearing the female apparel. This condition is found sometimes in females who desire to address themselves in male attire. A female transvestite may imagine that she possesses a penis. 2\. Transexualism -the dominant desire in some person to identify with the opposite se as completely as possible to discard forever their anatomical se refers to transexualism. 3\. Intersexuality -it is a genetic defeat wherein an individual show intermingling, in varying degrees, of the characteristic of both sees including physical form, reproductive organs, and sexual behavior. WHAT IS INTERSEXUALITY? ◆ Intersexuality is the condition in which an individual has both male and female anatomical characteristics to varying degrees or in which the appearance of the genitalia is ambiguous or differs from that characteristic of the gonadal or genetic. CLASSIFICATION OF INTERSEXUAL 1\. Gonadal Agenesis- the sex organs(testes or ovaries) have never developed. 2\. Gonadal Dysgenesis- the external sexual structures are present but at puberty the testes or the ovaries fail to develop. 3\. True Hermaphroditism- a sate of bisexuality, having both ovaries and testicles. The nuclear sex is usually female, the character may e neutral or whichever is dominant. 4\. Pseudohermaphrodite- SEXUAL DISORDER AND CRIMINALITY ◆ Sexual assault is a serious social problem, with high victimization rates among children (10% of boys and 20% of girls), and adult women (10-20%). Many sexual offender also engage in nonsexual activities, the same factors that predict general recidivism, among nonsexual criminal may also predict sexual recidivism among sexual offender. All sexual offending is, y definition, socially deviant, but not all sexual offenders have deviant sexual interests or preferences. Some date rapists, for example, may prefer consensual sexual activities but misperceive their partners\' sexual interest ( no means yes\"). In contrast, the sexual lives of somebody boy object pedophiles maybe completely focused on their preferred victim type. Offenders with the most deviant sexual histories tend to show deviant or abnormal sexual interest on phallometric assessment. Specially, deviant sexual interests are most prevalent among those victimize strangers, use over face, select boy victims, or select much younger (o much older) than themselves.the se organ is anatomically of one se but the sex character is that of the opposite sex