Sexual disorders

SEXUAL DISORDERS- PARAPHILIAS

1. SEXUAL DISORDER

2. Sexual disorders are difficulties
experienced by any individual or couple
during any stage of a normal sexual
activity, including physical pleasure,
desire, preferences, arousal or orgasm.

3. In ICD 10 gender identity disorders ,
disorders of sexual preference and sexual
development and orientation disorders
are listed under disorders of adult
personality and behavior.

4. CLASSIFIACTION
GENDER IDENTITY DISORDER
PSYCHOLOGICAL AND BEHAVIORAL
DISORDERS ASSOCIATED WITH SEXUAL
DEVELOPMENT AND MATURATION
DISORDERS OF SEXUAL PREFERENCE
SEXUAL DYSFUNCTION

5. GENDER IDENTITY DISORDERS
Gender dysphoria
Characterized by disturbance in ones
masculinity or feminity.
The person feel that the gender assigned
to him by birth is not matching to him.

6. Transsexualism
Dual role transvestism
Intersexuality
Gender identity disorder of childhood.

7. TRANSSEXUALISM

8. TRANSSEXUALISM
Is a disorder of gender identity
Unhappiness and dissatisfaction with ones gender.
Persistent and significant sense of discomfort with
ones anatomic sex and a feeling that it is
inappropriate to ones perceived gender.
Preoccupied with a wish to get rid of ones genitals
and secondary sexual characteristics and to
adopt the characteristics of other sex.

9. They are not comfortable in wearing the
clothes of their assigned gender and often
engage in wearing the clothes of opposite
sex.( cross dressing)
Depression and anxiety are common.

10. INCIDENCE
It is relatively rare
1 in 30,000 in men
1 in 100,000 in women

11. PREDISPOSING FACTORS
BIOLOGICAL THEORIES
PSYCHOSOCIAL THEORIES

12. BIOLOGICAL THEORIES
Abnormalities in sex hormone levels
Decreased level of testosterone in male
transsexuals
Abnormally high level of testosterone in
female transsexuals

13. PSYCHOSOCIAL THEORIES
Combination of biological and
environmental factors, family dynamics

14. TREATMENT
Treatment is a complex process
Counseling
Sex reassignment surgery
Hormonal therapy
Male- estrogen
Female_ testosterone

15. DUAL - ROLE
TRANSVESTISM

16. DUAL - ROLE TRANSVESTISM
Chara. By wearing clothes of opposite sex
in order to enjoy the temporary
experience of membership of opposite
sex but with out any desire to permanent
sex change

17. INTERSEXUALITY

18. Conditions in which person is born with a
reproductive or sexual anatomy that does
not seem to fit with the typical definitions
of male or female.
Pseudohermaphroditism

19. GENDER IDENTITY DISORDER OF
CHILDHOOD
Transsexualism with very early age of
onset.

20. PSYCHOLOGICAL AND
BEHAVIORAL DISORDERS
ASSOCIATED WITH SEXUAL
DEVELOPMENT AND
MATURATION
HOMOSEXUALITY

21. HOMOSEXUALITY
Variation in sexual orientation
Derived from Greek root- homo: same
Sexual relationships are maintained
between persons of the same sex.
Male homosexuals : gay
Female homosexuals: lesbians

22. PREDISPOSING FACTORS
BIOLOGICAL THEORIES
PSYCHOSOCIAL THEORIES

23. BIOLOGICAL THEORIES
Heredity : studies reveled a 52%
concordance for homosexual orientation
in monozygotic twins and 22% in dizygotic
twins.
Hormonal influence: level of testosterone
may be lower and level of estrogen
higher in homosexual men.

24. PSYCHOSOCIAL THEORIES
Homosexuality is due to the arrest of
normal psychosexual development

25. TREATMENT
BEHAVIOR THERAPY
SUPPORTIVE PSYCHOTHERAPY

26. DISORDERS OF SEXUAL
PREFERENCE

27. Paraphilia
Sexual arousal occurs persistently and
significantly in response to objects, which
are not a part of normal sexual arousal.

28. TYPES OF PARAPHILIA

29. FETISHISM
Sexual arousal occurs in response to non
living objects which are usually intimately
associated with human body.
Fetish object may include bras,
underpants, shoes, gloves etc.

30. TRANSVESTISM
Sexual arousal occurs by wearing the
clothes of opposite sex.

31. SEXUAL SADISM
Person is sexually aroused by physical and
psychological humiliation , injury or sufferings of
the sexual partner.
Sadistic activities may be inflicted on a consenting
or non consenting partner.
Sexual excitation occurs in response to sufferings
of the victim.
Sadistic activities may include beating, burning,
cutting and even killing

32. SEXUAL MASOCHISM
Person is sexually aroused by physical or
psychological humiliation or injury
inflicted on self by others.
The masochist activities may be
fantasized and may be performed alone
or with a partner.

33. EXHIBITIONISM
Person is sexually aroused by the
exposure of ones genitalia to an
unsuspecting stranger.

34. VOYEURISM
Persistent and recurrent tendency to
observe unsuspecting persons naked and
engaged in sexual activity.

35. FROTTEURISM
Persistent and recurrent involvement in
the act of touching and rubbing against
an unsuspecting and non consenting
person.
Commit the act in crowded places and
they may provide rationalization for their
behavior.
Waits in the crowd, identifies the victim,
then he follows her and allow the rush of
the crowd to push him against her.

36. PEDOPHILIA
Persistent or recurrent involvement of an
adult in sexual activity with pre pubertal
children.

37. ZOOPHILIA
Beastiality
Involving in sexual activity with animals

38. ETIOLOGY
BIOLOGICAL FACTORS
PSYCHOANALYTIC THEORY
BEHAVIORAL THEORY

39. BIOLOGICAL FACTORS
Temporal lobe diseases like psychomotor
seizure, temporal lobe tumor.
Abnormal level of androgen

40. PSYCHOANALYTIC THEORY
Sexual disorders ( paraphelias) are due to
failure in the normal developmental
process towards normal heterosexual
adjustments.

41. BEHAVIORAL THEORY
The individual engages in parapheliac
behavior depends on the type of
reinforcement he or she receives after the
behavior.

42. TREATMENT
Behavior therapy
Psychoanalysis
Drug therapy
Antipsychotics

43. SEXUAL DYSFUNCTION
A significant disturbance in the sexual
response cycle, which is not due to an
underlying organic cause.

44. FRIGIDITY
IMPOTENCE
PREMATURE EJACULATION
NON-ORGANIC VAGINISMUS
NON-ORGANIC DYSPAREUNIA

45. FRIGIDITY
Absence of desire for sexual activity

46. IMPOTENCE
Inability to have or sustain penile erection
till the completion of satisfactory sexual
activity.

47. PREMATURE EJACULATION
Ejaculation before the completion of
satisfactory sexual activity for both
partners.

48. NON-ORGANIC VAGINISMUS
An involuntary spasm of lower 1/3 of
vagina, interfering with coitus.

49. NON-ORGANIC DYSPAREUNIA
Pain in the genital area of either male or
female during coitus.

50. NURSING CARE IN SEXUAL
DISORDERS