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Chapter 13—Sexual Disorders
Sexual Dysfunctions—where people have trouble engaging in and enjoying sexual relationships; must be more than occasional and must cause significant distress or interpersonal difficulty 1. Sexual desire disorders a. Hypoactive sexual desire disorder—have little desire for sex i. Types: 1. Onset: a. Lifelong hypoactive—people report never having had much interest in sex (rare) b. Acquired hypoactive—used to enjoy sex but has lost interest in it (most cases) 2. Generalized vs. Situational c. Generalized sexual desire disorder—does not desire sexual activity for most of his/her life d. Situational sexual desire disorder—does not desire sex with his/her partner but has sexual fantasies about other people ii. Diagnosis: 3. Not given if lack of desire is result of transient circumstances 4. Inhibited desire can be either generalized to all partners and situations or specific to certain partners or types of stimulation iii. Epidemiology: 5. Prevalence—very common problem for which people seek treatment e. Women: 9.5%, 26% postmenopausal i. Women more likely than men to report anxiety, depression, and life stress ii. More connected to relationship problems in women than in men f. Men: 5-13%, higher rates among older men iv. HSSD may be changed to sexual interest/arousal disorder in women/men in DSM-5 b. Sexual aversion disorder—actively avoid sexual activities, may feel sickened/experience acute anxiety when they do engage in sex; some people have general aversion to ALL sexual activities (even kissing/touching) 2. Sexual arousal disorder—when people do not experience the physiological changes that make up the excitement or arousal phase of the sexual response cycle c.
Sexual Dysfunctions—where people have trouble engaging in and enjoying sexual relationships; must be more than occasional and must cause significant distress or interpersonal difficulty 1. Sexual desire disorders a. Hypoactive sexual desire disorder—have little desire for sex i. Types: 1. Onset: a. Lifelong hypoactive—people report never having had much interest in sex (rare) b. Acquired hypoactive—used to enjoy sex but has lost interest in it (most cases) 2. Generalized vs. Situational c. Generalized sexual desire disorder—does not desire sexual activity for most of his/her life d. Situational sexual desire disorder—does not desire sex with his/her partner but has sexual fantasies about other people ii. Diagnosis: 3. Not given if lack of desire is result of transient circumstances 4. Inhibited desire can be either generalized to all partners and situations or specific to certain partners or types of stimulation iii. Epidemiology: 5. Prevalence—very common problem for which people seek treatment e. Women: 9.5%, 26% postmenopausal i. Women more likely than men to report anxiety, depression, and life stress ii. More connected to relationship problems in women than in men f. Men: 5-13%, higher rates among older men iv. HSSD may be changed to sexual interest/arousal disorder in women/men in DSM-5 b. Sexual aversion disorder—actively avoid sexual activities, may feel sickened/experience acute anxiety when they do engage in sex; some people have general aversion to ALL sexual activities (even kissing/touching) 2. Sexual arousal disorder—when people do not experience the physiological changes that make up the excitement or arousal phase of the sexual response cycle c.