SEXUAL

DISORDERS
3 CATEGORIES OF SEXUAL
DISORDER (DSM IV)

1. SEXUAL DYSFUNCTION
2. PARAPHILIAS
3. GENDER IDENTITY DISORDER
SEXUAL DYSFUNCTION

Characterized by inhibitions of sexual appetite or psycho

physiologic changes that compromise the sexual
response cycle.

4 PHASES OF SEXUAL RESPONSE CYCLE

1. DESIRE PHASE
2. EXCITEMENT PHASE
3. ORGASM PHASE
4. RESOLUTION PHASE
A. SEXUAL DESIRE DISORDER

 effectively stop the sexual response cycle from

beginning
 individuals with this disorder have little or no
sexual desire or have aversion to sexual contact.
B. SEXUAL AROUSAL DISORDER

 Sidetrackthe sexual response cycle at the

excitement phase
 individuals with this disorder cannot maintain
the physiologic requirements for sexual
intercourse
 women cannot maintain the lubrication- swelling
response of sexual excitement, and men cannot
maintain an erection.
C. ORGASM DISORDER

 Arrest
the progression of the cycle in the
orgasm phase
 Individuals with this disorders cannot
complete the sexual response cycle because of
the inability to achieve an orgasm
 in premature ejaculation, a man reaches
orgasm with minimal sexual stimulation,
frustrating both himself and his partner.
D. SEXUAL PAIN DISORDER

 can abort the sexual response cycle at any phase

 individuals with these disorders suffer genitalia
pain (dysparunia) before, during or after sexual
intercourse.
 Vaginismus (involuntary spasm of the outer third
of the vagina) interferes with sexual intercourse
 PARAPHILIAS

a condition in which a sexual instinct is

expressed in ways that are socially prohibited or
unacceptable, or are biologically undesirable.
 paraphillias may be male or female and
 paraphiliac activity may be limited to a period of
stress rather than following a chronic repetitive
pattern
 PARTIALISM

 person focuses on one part of the body to the exclusion

of all other parts.
“ORALISM”, activities use as sole source of sexual
gratification, person cannot have coitus or refuses to have
coitus
 Cunnilingus (Oral contact with the external female
genitalia)
 Fellatio (Oral contact with the penis)
 Analigus (oral contact with the anus)
 ZOOPHILIA

 Animals, which may be trained to participate, are

preferentially incorporated into arousal fantasies or
sexual activities, including intercourse, masturbation,
and oral genital contact.
 COPROPHILIA

 attractionto sexual pleasure associated with the desire

to defecate on a partner, to be defecated on, or to eat
feces (coprophagia)
 coprolalia (compulsive utterance of obscene words)
 Associate dwith anal fixation
 KLISMAPHILIA

 Use of enemas as part of sexual stimulation

 Anal fixation

UROPHILIA
 interested in sexual pleasure associated with the
desire to urinate on a partner or to be urinated on
 form of urethral eroticism
 MASTURBATION

 becomes pathologic when it is the only type of

sexual activity performe, when it is done with such
frequency as to indicate a compulsion or sexual
dysfunction, or when it is consistently preferref to
sex with partner
 3-4 times a week
 HYPOXYPHILIA

 Desireto achieve an altered state of

consciousness secondary to hypoxia while
experiencing orgasm
 May use volatile nitrite or nitrous oxide.
 FETISHISM

 characterized by either intense sexually arousing

fantasies, urges, or behaviors in which the individual uses a
nonliving object (e.g., woman’s high heeled shoe, stockings)
in a sexual manner

Typically, the individual requires this object to become sexually

aroused and is therefore unable to be aroused without it.

To be considered diagnosable, the fantasies, urges, or

behaviors must cause significant distress in the individual or be
disruptive to his or her everyday functioning.
 EXHIBITIONISM

 Exhibitionismis a mental disorder characterized

by a compulsion to display one's genitals to an
unsuspecting stranger.

Exhibitionism is described in theDSM-IV-TRas the

exposure of one's genitals to a stranger, usually
with no intention of further sexual activity with the
other person
 VOYEURISM
 ("peeping,"or watching an unsuspecting person or
people, usually strangers, undressing or engaging in
sexual activity) as a "hands-off" paraphilia.
This contrasts with the "hands-on disorders" which
involve physical contact with other persons.

PEDOPHILIA

A sexual preference for children

 SADISM

 Sexual sadism refers to the derivation of sexual pleasure from the

infliction of pain, suffering and/or humiliation upon another person.

The pain and suffering of the victim, which may be both physical and
psychological, is pivotal to the sexual arousal and pleasure
CHARACTERISTIC:

1. Recurrent, intense sexually arousing fantasies, sexual

urges, or behaviours involving acts (real, not simulated)
in which the psychological or physical suffering
(including humiliation) of the victim is sexually exciting
for the person, have been present for at least 6
months.

2. The fantasies, sexual urges, or behaviours cause

clinically significant stress or impairment in social,
occupational or other important areas of
 MASOCHISM

The deriving of sexual gratification, or the tendency to

derive sexual gratification, from being physically or
emotionally abused.
The deriving of pleasure, or the tendency to derive
pleasure, from being humiliated or mistreated, either by
another or by oneself.
A willingness or tendency to subject oneself to
unpleasant or trying experiences.
Psychosexual disorder in which an individual achieves
erotic release by being subjected to pain or humiliation.
 TRANSEXUAL

A transsexual (sometimes transexual) person

establishes a permanent identity with the opposite
gender to their assigned sex.
 Transsexual men and women make or desire to
make a transition from their birth sex to that of the
opposite sex, with some type of medical alteration
(gender reassignment therapy) to their body.
 The stereotypical explanation is of a "woman
trapped in a man's body" or vice versa, although many
members of the transsexual community, as well as
some outside the community, reject this formulation.
 FROTTEURISM

 This disorder is characterized by either intense sexually

arousing fantasies, urges, or behaviors in which the
individual touches or rubs against an non-consenting
person in a sexual manner.
 This often occurs in somewhat conspicuous situations
such as on a crowded bus or subway.
 To be considered diagnosable, the fantasies, urges, or
behaviors must cause significant distress in the individual
or be disruptive to his or her everyday functioning.