HDFS3440 Chapter 14
HDFS3440 Chapter 14 3440
Popular in Human Sexuality
Popular in Human Development
This 4 page Class Notes was uploaded by Caroline Bacevice on Saturday April 25, 2015. The Class Notes belongs to 3440 at Ohio State University taught by Katye Miller in Spring2015. Since its upload, it has received 52 views. For similar materials see Human Sexuality in Human Development at Ohio State University.
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Date Created: 04/25/15
HDFS 3440 Chapter 14 Specific Sexual Difficulties DesirePhase Difficulties o Hypoactive Sexual Desire Disorder Lack of interest prior to and during sexual activity 0 Desire Discrepancy 41 of men and 29 of women want more sex in a relationship 0 Sexual Aversion Disorder extreme and irrational fear of sexual activity ExcitementPhase Difficulties 0 Female Sexual Arousal Disorder I Genital Persistent inability to attain or maintain the lubricationswelling response I Subjective Absent or diminished awareness of physical arousal I Combined genital and subjective absent or diminished subjective and physical sexual arousal 0 Persistent Genital Arousal Disorder Spontaneous intrusive and unwanted genital arousal 0 Male Erectile Disorder Consistent or recurring lack of an erection sufficiently rigid for penetrative sex for a period of at least three months OrgasmPhase Difficulties 0 Female Orgasmic Disorder The absence marked delay or diminished intensity of orgasms 0 Female Orgasm During Intercourse I Many more women experience orgasm from masturbation manual stimulation by a partner and oral sex than women who experience it during intercourse 0 Male Orgasmic Disorder The inability of a man to ejaculate during sexual stimulation from his partner 0 Premature Ejaculation A pattern of ejaculations within 1 minute and an inability to delay ejaculation resulting in a man s impairing his or his partner s pleasure o Faking Orgasms typically discussed in reference to women Dyspareunia Pain or physical discomfort during sexual intercourse o Dyspareunia in Men I Peyronie s Disease Abnormal fibrous tissue and calcium deposits in the penis I Vestibulodynia A small area at the entrance of the vagina that causes severe pain o Dyspareunia in Women I GenitoPelvis Pain Penetration Disorder Pain with partial vaginal entry during intercourse and after intercourse o Vaginismus Involuntary spasmodic contractions of the muscles of the outer third of the vagina Origins of Sexual Difficulties Physiological Factors 0 Good Health Habits Good Sexual Functioning I Good health is closely tied to sexual health I Body fat around the abdomen reduces testosterone levels in men I Men who are obese are 90 more likely to develop erectile disorder 0 Chronic Illness I Diabetes Nerve damage and circulatory problems form diabetes cause about 50 of diabetic men to have a reduction in or loss of capacity for erection Some experience retrograde ejaculation ejaculating into the bladder Women with diabetes are likely to have problems with sexual desire lubrication and orgasm I Cancer Chemotherapy and radiation can cause hair loss skin changes nausea fatigue and permanent hormone changesall negatively affect sexual feelings Cancer of the reproductive organs have the worst impact I Multiple Sclerosis Most MS patients experience changes in their sexual functioning I Strokes Stroke survivors frequently report a decline in their frequency of sexual interest arousal and activity 0 Medication Effects on Sexual Functioning I Psychiatric Medications Antidepressants SSRIs caused reduced sexual interest and arousal and delayed or absent orgasm in up to 60 of users I Antihypertensive Medications cause problems with desire arousal and orgasm I Miscellaneous Medications Various medications can cause decreased desire and arousal functions lack of orgasm and delayed ejaculation o Disabilities I Spinal Cord Injury Does not necessarily impair sexual desire and psychological arousal but may have impaired physical ability for arousal and orgasm Sex counseling focuses on sensory amplification developing heightened sexual responsiveness in the inner arm breasts neck or some other area that has retained some feeling I Cerebral Palsy Genital stimulation is unaffected by cerebral palsy However people with CP may require help of someone who can assist in preparation and positioning for sexual relations I Blindness and Deafness Can affect a person s sexuality primarily when the visual or hearing deficits interfere with learning the subtleties of social interaction skills and with a person s independence 0 Enhancement Strategies for People with Chronic Illnesses and Disabilities I Couples can best cope with the sexual limitations of illness or disability by accepting those limitations and developing the options that remain Cultural In uences 0 Negative Childhood Learning I People learn basic important attitudes about sexuality during childhood by viewing how parents perceive sexuality I Children notice how their parents touch and feel about one another which can equate to how that child will react one day I People who have religions that guilt sex report lower levels of sexual satisfaction 0 The Sexual Double Standard I Opposing sexual expectations for women and men are still prevalent in US society and can negatively affect sexuality I Sexual intimacy that transcends gender role stereotypes moves beyond caricatures of men and women and express the richness of humanness o A Narrow Definition of Sexuality I Research indicates that women are more likely to orgasm when they engage in a variety of sexual behaviors and when oral sex or vaginal sex is included 0 Performance Anxiety I People are watching themselves during sex more than they are experiencing sex I Performance pressure and an inability to be selfish and pursue one s own heightened arousal instead of focusing on the partners pleasure is a result of inhibited orgasm in both men and women Individual Factors 0 Sexual Knowledge and Attitudes I Our knowledge and attitudes about sex have a direct in uence on our sexual expression 0 Self Concept I Refers to the feelings and beliefs we have about ourselves I Self esteem and self confidence correlate with higher sexual satisfaction I Body image strongly affects sexuality 0 Emotional Difficulties I Unhappiness with life correlates with sexual problems I Emotional intelligence appears to have a significant effect on sexuality 0 Sexual Abuse and Assault I All essential conditions for a positive sexual interaction are absent in sexual abuse I Not all sexual abuse results in sexual problems in adulthood I However there are some serious sexual consequences for survivors Relationship Factors 0 Ineffective Communication I Sexual satisfaction is correlated with the use of sexual terms and a greater degree of self disclosure about sexual preferences 0 Fears About Pregnancy or Sexually Transmitted Infections I Many fear unwanted pregnancy and that can interfere with sexual enjoyment On the other hand couples who are trying to conceive and failing also have a strain I Anxiety about contracting a STI can interfere with sexual arousal 0 Sexual Orientation I Some homosexual people attempt to live heterosexual lives despite their lack of desire in such relationships
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