Give me one of the reasons why sexual issues might occur. What reason does the text give for them? What can be done for it as treatment? How do you think society views this particular issue?
or
What myths have you heard about STI’s? Who did you hear these from? What does the text state about why STI’s are such a large issue in our society? Your response should be 250 words
Chapter 7: Sexual Problems and Solutions ROGER R. HOCK
Historical Perspectives
?Little published literature before 1960s and a quagmire of myths
?Sexual difficulties were attributed to demonic possession or Freudian issues.
?William Masters and Virginia Johnson revolutionized our understanding.
What Is a Sexual Problem?
?Formal Diagnoses of Sexual Problems The DSM-IV and the DSM-5
?How Common are Sexual Problems?
?Evaluating a Sexual Problem: A Three-Dimensional Model
? Duration: Primary or Secondary
? Context: Global or Situational
? Frequency: Partial or Total
Sources of Sexual Problems
?Medical and Biological Causes
? Neurological
? Hormonal
? Vascular
? Use and Abuse of Recreational Drugs
? SSRIs
Although alcohol may reduce inhibitions against sexual behavior, it may also interfere with sexual responding.
Sources of Sexual Problems
?Individual Psychological Causes
? Frequency
? Types
? Fear of . . .
? Anxiety about . . .
? Guilt over . . .
? Stress due to . . .
? Other psychological causes
One of the most common causes of sexual problems today is the stress and anxiety of our fast-paced, multitasking
lives.
Sources of Sexual Problems
? Relationship Issues
? Loss of Trust
? Poor Communication
? Anger and Resentment
? Conflicting Sexual Expectations
? Lack of Respect
? Loss of Love
? Interactions Among the Above Six Factors
Figure 7.1 The Circle of
Relationship Issues and Sexual
Problems
Any single relationship factor
on the circle may lead to, or be
caused by, any other factor,
which may in turn cause
another relationship problem,
and so on, until sexual intimacy
is lost.
General Guidelines for Solving Sexual
Problems
?Sensate Focus
? Self-Discovery: A sex therapists instructions for sensate focus exercises
?Masturbation as Treatment
? Directed masturbation
?Communication
? Self-Discovery: Touch mirroring: A potential problem with nonverbal communication
Specific Problems and Solutions:
the DSM-5 Revisited
? Sexual Desire
? Hypoactive Sexual Desire (HSD)
? Description
? Causes
? Solutions
? Sexual Arousal in Men
? Male Erectile Disorder
? Description
? Causes
? Solutions
? Self-Discovery: Self-Screening for Erectile Dysfunction
Specific Problems and Solutions:
the DSM-5 Revisited
? Sexual Arousal in Women
? Female Sexual Arousal Disorder
? Description
? Causes
? Solutions
? Orgasm
? Male Orgasmic Disorder
? Delayed or Inhibited Ejaculation
? Description
? Causes and solutions
? Premature Ejaculation
? Description
? Causes
? Solutions
? The squeeze or start-stop techniques
Specific Problems and Solutions:
the DSM-5 Revisited
? Orgasm
? Female Orgasmic Disorder
? Description
? Causes
? Solutions
? Painful Sex
? Dyspareunia
? Deep Dyspareunia
? Endometriosis
? Pelvic Inflammatory Disease (PID)
? Causes and solutions
? Dyspareunia in Men
Specific Problems and Solutions:
the DSM-5 Revisited
? Painful Sex
? Vaginismus
? Description
? Causes
? Solutions
? A New View of Female Sexual Problems
? Recall the New View of womens sexual responding from Chapter 3
? Reverse the current trend to Medicalize sexual problems
