Exam 8: Gender Dysphoria, Sexual Dysfunctions, and Paraphilic Disorders

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Transsexualism is a type of gender dysphoria.

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In men, the effects of age on sexual functioning may be seen in

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Discuss the sex differences in human sexual response as outlined in the text.

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All surveys of sexual practices indicate that men engage in more frequent sexual activity than do women. Most people assume that males have a stronger biological drive (craving for sexual activity and pleasure) than women, but that is not necessarily true. Men think about sex more often, are more frequently sexually aroused, have more frequent and different fantasies, desire sex more often, desire more partners, masturbate more often, are less able or willing to go without sex, more often initiate sex, less often refuse sex, use more resources to get sex, make more sacrifices for sex, have a more favorable attitude toward and enjoy a wider variety of sexual practices, and rate themselves as having stronger sex drives than women. However, women have a higher capacity for sex, are biologically capable of engaging in sexual behavior for a longer period of time, are capable of more orgasms than men, and do not have a refractory period.
There are also differences in how each sex defines sexual drive. For many men sexual desire is defined primarily by physical pleasure and sexual intercourse. However, women appear to define sexual desire more broadly and include in their definition the need for emotional intimacy. Female sexual responses may be more complicated than a biological-affective drive marked by sexual thoughts, fantasies, and a conscious urge to engage in sexual activity. Thus, sexual desire may exist equally in both sexes when different definitions are applied.

Testosterone replacement therapy may be effective for both men and women in overcoming some sexual dysfunctions.

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Few studies have addressed the validity of the diagnostic category "vaginismus."

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Until about 25 years ago, a homosexual orientation

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Those who have gender dysphoria may be at comorbid risk for anxiety, depression, and

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People who suffer from paraphilia often have more than one type.

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The sexual dysfunction most often responsive to pharmacologic treatment is

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Premature ejaculation is the most common male sexual dysfunction.

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Pedophilic disorder is only found among men.

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Under stressful conditions, erectile dysfunction may be the result of a self-fulfilling prophecy.

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In nonsexual areas of functioning, people with paraphilic disorders are often

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There are sex differences in the strength of same-sex attraction, such that

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Mark is a college student who engages in a secret behavior. During university football games, rubbing his body against that of an unsuspecting female sexually arouses him. This contact causes him to become sexually aroused but he typically ends the incident by saying, "excuse me." What behavior is Mark most likely to be engaging in?

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Which of the following is considered to be a "high victim" sexual behavior?

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Antiandrogen medications are used to treat some forms of paraphilia. They work by

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Vaginismus occurs

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Pelvic surgery, chemotherapy, and radiation treatment have been associated with dyspareunia and hypoactive sexual desire.

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Many women cannot have sexual intercourse due to pain in the outer part of their vagina. Such women may not allow gynecologists to perform a pelvic exam because a speculum cannot be inserted without causing extreme pain from muscle spasms. Which of the following disorders do these women most likely have?

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