Made By Daryan Van Der Wath
Chapter 10:
Sexual dysfunctions, paraphilic disorder & gender dysphoria
“normal” vs “abnormal” depends on the person, motivation and context (normative
statistics, culture considerations and gender differences)
Development of sexual orientation: interaction of bio-psycho-social influences
Heterosexual behaviour (opposite gender) vs Homosexual behaviour (same gender)
Overview of Sexual Dysfunctions
Sexual dysfunctions à sexual disorder in which a person finds it difficult to
function adequately while having sex
• Must be present for longer than 6 months to make diagnosis
• Impairment or distress
Classification of sexual dysfunctions:
• Lifelong vs acquired
• Generalised vs situational
• Psychological factors alone
• Psychological factors combined with medical condition
Assessing Sexual behaviour is done via Interviews, medical factors and
psychophysiological assessment
Types of disorder Men Women
Desire Male hypoactive sexual disorder Female sexual interest/arousal
(little or no desire to have sex) disorder (little of no desire to have
sex)
Arousal Erectile disorder (difficulty Female sexual interest/arousal
attaining or maintaining erections) disorder (little or no desire to have
sex)
Orgasm Delayed ejaculation; Premature Female orgasmic disorder
(early) ejaculation
Pain Genito-pelvic pain/penetration
disorder (pain, anxiety and tension
associated with sexual activity;
vaginismus (muscle spasms in
the vagina that interfere with
penetration)
Stages of Orgasms:
1. Desire phase
2. Arousal phase
Not for resale or distribution 1
Chapter 10:
Sexual dysfunctions, paraphilic disorder & gender dysphoria
“normal” vs “abnormal” depends on the person, motivation and context (normative
statistics, culture considerations and gender differences)
Development of sexual orientation: interaction of bio-psycho-social influences
Heterosexual behaviour (opposite gender) vs Homosexual behaviour (same gender)
Overview of Sexual Dysfunctions
Sexual dysfunctions à sexual disorder in which a person finds it difficult to
function adequately while having sex
• Must be present for longer than 6 months to make diagnosis
• Impairment or distress
Classification of sexual dysfunctions:
• Lifelong vs acquired
• Generalised vs situational
• Psychological factors alone
• Psychological factors combined with medical condition
Assessing Sexual behaviour is done via Interviews, medical factors and
psychophysiological assessment
Types of disorder Men Women
Desire Male hypoactive sexual disorder Female sexual interest/arousal
(little or no desire to have sex) disorder (little of no desire to have
sex)
Arousal Erectile disorder (difficulty Female sexual interest/arousal
attaining or maintaining erections) disorder (little or no desire to have
sex)
Orgasm Delayed ejaculation; Premature Female orgasmic disorder
(early) ejaculation
Pain Genito-pelvic pain/penetration
disorder (pain, anxiety and tension
associated with sexual activity;
vaginismus (muscle spasms in
the vagina that interfere with
penetration)
Stages of Orgasms:
1. Desire phase
2. Arousal phase
Not for resale or distribution 1
