Sexual Disorders.gender identity disorderspptx

Gender identity disorder, paraphilias , sexual dysfunction

1. Sexual Disorders Ms . Puspasana Yumnam M.Sc in Psychiatric Nursing

2. Classification Gender Identity disorder Psychological and behavioral disorders associated with sexual development and maturation Disorder of sexual preference ( paraphilias ) Sexual dysfunction

3. Gender Identity disorder In these disorder , the sense of one’s masculinity or femininity is disturbed. TRANSSEXUALISM : In this, there is a persistent and significant sense of discomfort regarding one’s anatomic sex and a feeling that it is inappropriate to one’s perceived gender. The person will be preoccupied with wish to get rid of one’s genitals and secondary sexual characteristics of the other sex. Treatment : counseling / Sex reassignment surgery (SRS) GENDER IDENTITY DISORDER OF CHILDHOOD: This is a disorder similar to transsexualism , with a very early age of onset.

4. DUAL ROLE TRANSVESTISM : Characterized by wearing clothes of the opposite sex in order to enjoy the temporary experience of membership of the opposite sex but without any desire for permanent sex change.

5. INTERSEXUALITY: The patient have gross anatomical or physiological features of the other sex Pseudohermaphorditism Turner’s syndrome

6. Psychological and Behavioral Disorders Associated with sexual Development and maturation HOMOSEXUALITY: In this , sexual relationships are maintained between persons of the same sex. Female homosexuals are called Lesbians and male homosexuals are called gay .

7. Disorders of Sexual Preference or Paraphilias In Paraphilias , sexual arousal occurs persistently and significantly in response to objects, which are not a part of normal sexual arousal . FETISHISM : Sexual arousal occurs with a non-living object which is usually intimately associated with the human body . Eg . Bras, underpants, gloves ,shoes etc TRANSVESTISM : Sexual arousal occurs by wearing clothes of the opposite sex. SEXUAL SADISM : The person is sexually aroused by physical or psychological humiliation , suffering or injury of the sexual partner. SEXUAL MASOCHISM : The person is sexually aroused by physical or psychological humiliation , suffering or injury inflicted on self by others

8. EXHIBITIONISM : the person is sexually aroused by exposure of one’s genitalia to on unsuspecting stranger. VOYEURISM : persistent or recurrent tendency to observe unsuspecting persons naked . FROTTEURISM : persistent or recurrent involvement in the act of touching and rubbing against on unsuspecting , non – consenting person. PEDOPHILIA : persistent or recurrent involvement of an adult in sexual activity with prepubertal children. ZOOPHILIA : involving in sexual activity with animals .

9. Sexual Dysfunction Sexual dysfunction is a significant disturbance in t he sexual response cycle, which is not due to an underlying organic cause FRIGIDITY : Absence of desire for sexual activity IMPOTENCE : Inability to have or sustain penile erection till the completion of satisfactory sexual activity PREMATURE EJACULATION : Ejaculation before the completion of satisfactory sexual activity for both partners NON-ORGANIC VAGINISMUS : involuntary spasm of lower 1/3 of vagina , interfering with coitus NON- ORGANIC DYSPAREUNIA : pain in the genital area during coitus. TREATMENT : psychoanalysis, Hypnosis, Group psychotherapy , Behavior therapy.

10. Nursing Intervention Assess patient’s sexual history and previous level of satisfaction in sexual relationships. Assess for any medications which might be affecting libido. Both the patient and his/her partners may need additional assistance if problems in sexual relationship are severe or remain unresolved Refer for additional counseling or sex therapy if required. In all cases , an accepting and non judgmental attitude on the part of the nurse is highly essential for successful resolution of these problem

11. Bibiliography R Sreevani ‘s A Guide to Mental Health & Psychiatric Nursing; Jaypee Publication , 4 th EDITION