Human Sexuality 152a
Human Sexuality 152a
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Reviews for Human Sexuality 152a
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Date Created: 05/15/14
Soc 152 Midterm 3 Review We will not cover contraception in this review so look over lecture notes the book and the chart on Gauchospace CHAPTER 14 SEXUAL DISORDERS The Prevalence of Sexual Disorders is Controversial 1 M and W sexual problems differ a Sexual problems affect relationships 2 A multidisciplinary approach to treatment is preferred a Primary disorder lifelong b Secondary disorder appears after some period of normal function c Situational disorder appears in some circumstances but not in others Premature Ejaculation is Men s Number One Sex Problem 1 PE ejaculation that occurs before the man wants it too 2 There are different kinds of PE a May be primary secondary or situational b The causes of PE are not well understood i Traditional view was that it results from learning Psych theories more plausible for situational PE biological more plausible for lifelong 3 Drug treatment may be effective SSRI s or Antidepressants 4 Sex therapy may help men to regulate excitation a Stop start procedure technique involves alternating between stimulating and not stimulating the penis b Kigl exercises may also be useful c Look at squeeze and tease techniques Delayed Ejaculation Can Be a Side Effect of Several Drugs 1 Delayed Ejaculation difficult or inability to achieve orgasm or ejaculation aka male orgasmic disorder 2 Fairly uncommon 3 May result from neurological damage use of certain drugs or psychological CEIUSCS Erectile Dysfunction p Has Many Causes and Treatments 1 ED recurrent inability to achieve an adequate penile erection sufficient enough to accomplish a desired sexual behavior a Is much more common as men age 2 ED can have physical and or psychological causes a Behavioral lifestyle factors medical 0rig napng 3tmFr 5 P k 1 W conditions drugs injuries Re 6 U di 539fi ght 3btainabe froim psychological factors developmental WW W39 rt nSt Ck39 3m 0 I F 393 l T 39 V 1ssues quot V39a9m 39 3 Simple measures may alleviate the problem a Lifestyle changes ie quitting smoking or losing weight 4 Viagra and similar drugs have become the leading treatments a Simply swallowing a Viagra like tablet does not produce an erection there has to be seXual eXcitation as well b Must not be taken in conjunction with certain other substances ie poppers quot3quot x c Can cause a variety of undesirable 6 side effects headache facial flushing m39 visual disturbances S 5 Locally applied drugs a Require only that the erectile tissue be functional b Prostaglandin E hormone that is injected into the penis to produce an erection i Delivered by self injection into corpora cavernosa 6 ED can be treated with devices and implants know advantages and disadvantages a Vacuum constriction system creates a partial vacuum around the penis thus drawing blood into the erectile tissue b Penile implants either permanent or in atable 7 Psychological treatments may be useful a Sex therapy i Goal is to reduce anxiegg Sensate focus 0 Efforts to resolve relationship problems iv May be combined with drug treatment Sexual Pain is Uncommon in Men 1 May be associated with infections or phimosis problems with retracting of foreskin Female Sexual Arousal Disorder 1 Female sexual arousal disorder overlapping term for insufficient psychological arousal in women such as to make sex unpleasant or painful 2 Involves insufficient genital response Insufficient lubrication during sex is common 4 W can also experience erectile dysfunction lack of clitoral erection a Eos Clitoral Therapy Device miniature version of the vacuum system used to treat male ED 5 Viagra use in W has not produced any significant results 6 Persistent genital arousal disorder frequent unwanted or near continuous physiological arousal very rare P Dyspareunia Pain During Coitus 1 Far more common in women 2 Many reasons for sexual pain in W see list on pg 453 3 Treatment for dyspareunia depends on the diagnosis antibiotics lubrication prolonging foreplay etc 4 Vaginismus inability to experience coitus due to 39 Spasms of the muscles surrounding the outer vagina 39 Pain 39 Fear of pain a May make intercourse impossible i Favored treatment mix of psycho sex therapy exercises Often has psychological causes Vaginal dilators inserted into vagina while doing relaxation exercises Difficulty in Reaching Orgasm Anorgasmia is Very Common Among Women 1 Psychotherapy and directed masturbation may be helpful a May or may not have any obvious biological cause b Clinician or therapist will suggest different strategies depending on the details of the problem ie directed masturbation See pg 457458 for more techniques Too Much Interest in Sex Can Cause Problems 1 Especially with discrepant sexual desire 2 Hypersexuality excessive sexual desire 3 Is excessive sexual behavior an addiction or a compulsion a May take over peoples lives b Often associated with paraphilic behaviors c Sexual addiction Idea that a person may be addicted to certain forms of sexual behavior similar to that of substance see stages on pg 459 d The use of the term addiction is controversial e Some prefer to use the term compulsive sexual behavior i Can often be treated with SSRIs Hypoactive Sexual Desire Disorder low or absent interest in sex is Not Necessarily a Problem 1 1 in 3 women and 1 in Q men lack any interest in sex 2 Hormone treatment may restore sexual desire a Psychological factors probably play a significant role in HSDD for M Estrogen or Androgen treatment may improve sexual desire in W 4 Sex therapy may be helpful for low sexual desire in W a Therapists often use a combo of cognitive behavioral approaches 5 Read about new views towards women s response cycle on pages 463464 S PGS 1725 1944 CHAPTER 6 Attitudes Towards Kissing Vary esp in Non Western Societies Petting and Fondling Refers to a Variety of Noncoital Behaviors 1 Foreplayafterplay 2 Necking petting heavy petting Fondling can be used to describe any of these behaviors 3 Outercourse dry humping tribadism rubbing vulvas Oral Sex is Increasingly Popular 1 Fellatio oral stimulation of the penis a May run lips up and down the shaft or use the tongue to stimulate sensitive portions eg corona and frenulum b Good communication is key to avoid gagging and rniscommunications about whether the receiver is okay with having ejaculate in the mouth c Men typically enjoy fellatio more than women d Demographic differences ie more educated people tend to enjoy it more you are in college what do you think 2 Cunnilingus oral stimulation of the vulva a Explore vulva with lips and tongue b For some women this is the only Way in which they can regularly achieve orgasm 3 69 mutual oral sex in a head to genitals fashion 4 Anilingu mouth anal contact Most Sexual Encounters Include Coitus 1 Wide variety of positions different positions achieve different goals 2 Man Above Position traditional favorite a Woman lies on her back with her legs parted and the man places himself missionary position b Know advantages and disadvantages i eg May provide more erotic stimulation to the man more than the woman 3 Woman movement has encouraged alternative positions a Woman above position i Gives woman greater control woman H 2 may receive more erotic stimulation 4 p F b Side by side position i Relatively relaxed prolongs sexual encounter c Rear entry coitus doggy style i No direct stimulation of clitoris but may be desirable for G spot stimulation Anal Sex May be a Part of Either Heterosexual or Male Homosexual Behavior 1 Anal sex penetration of the anus by the penis 2 Not rare in heterosexual sex 3 Usually necessary to go slowly and learn to relax sphincter as Well as use lubricant 4 The anus can also be penetrated with objects other than a penis ie a dildo a finger etc a Inserting any large hard or sharp object may be very dangerous M and W May Have Different Preferences for Sexual Encounters 1 Ideal duration of foreplay is same in M and W but the real duration is much shorter 2 A man may delay ejaculation by a number of methods going slowly less stimulating positions premature ejaculation techniques 3 Woman woman sex is marked by a greater duration as well as a greater variegg of behaviors a Gay and lesbian couples may find it easier to express sexual desires and needs due to dealing with same sex organ behaviors Sex Toys are Used to Enhance Sexual Pleasure 1 Vibrators electrically powered device used to provide sexual stimulation a See lecture notes b Both M and W can use vibrators either during masturbation or as a variation in sexual activity 2 Dildos sex toys designed for penetration of the vagina or anus a Strap on dildos are designed for sex between women b Cleanliness is an important issue c Use gently and with lube 3 Others anal beads erotic dolls Some Cultures Have Discussed Sexual Behavior More Openly than Others 1 Sex education in schools is a controversial topic especially in America 2 Kama Sutra love guide the classic work on how to make love 3 The Aka people are an example of a sex positive society a Engage in sex about 3x a week b Seminal nurture i Fetus needs repeated exposure to semen in order to grow c Attach no value to masturbation d Page 187 box 65 In Southern Africa men want women to have dry vaginas while having sex Women rub sand and dirt Many Disabled People Have Active Sex Lives 1 Disabilities do not generally interfere with sexual desire 2 Arthritis is the Number One Disability Affecting Sex I500 of US population 3 Spinal Cord Injuries Present a Major Challenge to Sexual Expression i use parts of the body whose movement and sensation are not impaired Unirnpaired partner may have to do more of the Work Page 189 Box Man was disabled due to confined to an iron lung Had a seX surrogate come to nish seXual desires 4 Many intellectually disabled people are competent to make sexual choices