Sexual Dx part 2

• DE


  toward feelings
• PARAPHILIAS


  Abnormal expression of sexuality or unusual/bizarre sexual activities to achieve sexual gratification for at least 6 months. More common in males
• Etiology


  Unresolved conflicts during early-stage psychosexual development
• TRANSSEXUALISM


  • Desire to acquire sexual characteristics of opposite sex
  • People with sex reassignment
• TRANSVESTISM


  • Using or wearing under garments or clothing of opposite sex, "Transvestite or cross-dressers
• EXHIBITIONISM


  • Showing/exposing the genitals to public or strangers (non-suspecting)
• FETISHISM


  • Use of inanimate objects (sniffing undergarments)
• ANILLINGUS


  • Tongue brushing the anus
• CUNNILLINGUS


  • Tongue brushing the vulva
• FELLATIO


  • Inserting penis into the mouth
• PARTIALISM


  • Inserting penis into other parts of the body
• FROTTEURISM


  • Rubbing the genitalia to the body of a non-consenting person
• PEDOPHILIA


  • Sexual activity with children below 13 y.o. Doer at least 16 years old
• SCATALOGIA


  • Sex on the phone
• VOYEURISM


  • Observing others while undressing or engaging in sexual act "Peeping Tom"
• GENDER IDENTITY DISORDER/TRANSSEXUALISM


  Involves discomfort with one's sex or gender role of that sex. Includes the desire to live as the other sex or can involve feelings and reactions of the other sex. Characterized by preoccupation with getting rid of primary and secondary sexual characteristics, believe that they were born as the wrong sex, and they desire hormones and surgery to become the opposite sex.
• BISEXUALITY


  Attracted sexually to both sexes, identifies with both parents
• NURSING IMPLEMENTATIONS


  • Assessment of sexual history and precipitating event for sexual disorder
  • Encourage the client to explore personal beliefs
  • Provide a nonjudgmental attitude
  • Provide supportive psychotherapy
  • Initiate psychoanalysis as prescribed
• Appropriate Therapy for Sexual Disorders

  • Self-esteem Groups
  • Behavior Modification
• Pedophilia, urophilia, coprophilia, masochism, sadism, voyeurism are examples of paraphilias
• SEXUALITY


  One's sense of being a sexual individual includes how one looks, behaves, and relates to others
• Four Aspects of Sexuality

  • Genetic Identity-Person chromosomal gender
  • Gender Identity - person's perception of his or her own maleness or femaleness
  • Gender Role cultural attributes of one's gender
  • Sexual Orientation gender to which one is romantically attracted
• SEXUAL EXPRESSIONS


  • HETEROSEXUALITY (male & female)
  • HOMOSEXUALITY (male & male: female & female)
  • BISEXUALITY (attracted to both gender)
  • TRANSVESTISM (cross dressers: how you express your identity through wearing clothes of opposite sex)
• CRITERIA FOR ADAPTIVE SEXUAL RESPONSE

  • Between two consenting partners
  • Mutually satisfying to both
  • Not psychologically or physically harmful to either
  • Lacking in force or coercion
  • Conducted in private (maladaptive if PUBLIC)
• HUMAN SEXUAL RESPONSES


  • DESIRE PHASE
  • EXCITEMENT PHASE
  • PLATEAU PHASE
  • ORGASMIC PHASE
  • RESOLUTION PHASE
• SEXUAL DYSFUNCTION


  Inhibition of sexual appetite: psychological dysfunctions. Problem is in SEXUAL RESPONSES
• PARAPHILIAS


  Abnormal activities; sexual expressions that are bizarre or unusual
• PRIMARY SEXUAL DYSFUNCTIONS


  • Sexual Desire Disorders
  • Sexual Arousal Disorders
  • Orgasm Disorders
  • Sexual Pain Disorders
• SECONDARY SEXUAL DYSFUNCTIONS


  Refers to the sexual alterations with underlying medical conditions, e.g. DIABETES, HEART PROBLEM, or any medical conditions that hinder sex
• MANAGEMENT OF SEXUAL DYSFUNCTIONS

  • SILDENAFIL (VIAGRA) - DOC for Impotence/sexual arousal dis/ED
  • Treatment of underlying cause-treatment of DM, atherosclerosis
  • Surgical Implants to aid erection & use of vacuum pressure
  • Serotonergic anti-depressants (SSRIS) - may be helpful
  • Sexual Counseling for both partners
  • Administration of estrogen and androgen maybe effective in enhancing libido
  • Encouraging open-communication between sexual partners