Ebook Pocket handbook of clinical psychiatry (6/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Pocket handbook of clinical psychiatry (6/E): Part 2
Ebook Pocket handbook of clinical psychiatry (6/E): Part 2
18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2e sexual act. Il is defined by disturbance in the subjective sense of pleasure or desire associated with sex, or by the objective performance. In the Diagnostic and Statistical Manual of Menial Disorders, fifth edition (DSM-5), the sexual dysfunctions include male hypoactive sexual desire disorder, Ebook Pocket handbook of clinical psychiatry (6/E): Part 2female sexual interest/arousal disorder, erectile disorder, female orgasmic disorder, delayed ejaculation, premature (early) ejaculation, genito-pelviEbook Pocket handbook of clinical psychiatry (6/E): Part 2
c pain/penetration disorder, substance/’medication-induced sexual dysfunction, other specified sexual dysfunction, and unspecified sexual dysfunction.18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2esult from psychological factors, physiologic factors, or combined factors. As per DSM-5 dysfunction due to a general medical condition, substance use, or adverse effects of medication should be noted. Sexual dysfunction may be diagnosed in conjunction with another psychiatric disorder (depressive d Ebook Pocket handbook of clinical psychiatry (6/E): Part 2isorders, anxiety disorders, personality disorders, and schizophrenia).I.Desire, Interest, and Arousal DisordersA. Male hypoactive sexual desire disorEbook Pocket handbook of clinical psychiatry (6/E): Part 2
der. Characterized by a lack or absence of sexual fantasies and desire for minimum duration of 6 months. Men may have never experienced erotic/sexual 18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2 with only 2% aged 16 to 44 affected by this disorder.Patients with desire problems often use inhibition of desire defensively, to protect against unconscious fears about sex. Lack of desire can also result from chronic stress, anxiety, or depression or the use of various psychotropic drugs and othe Ebook Pocket handbook of clinical psychiatry (6/E): Part 2r drugs that depress the central nervous system (CNS). In sex therapy clinic populations, lack of desire is one of the most common complaints among maEbook Pocket handbook of clinical psychiatry (6/E): Part 2
rried couples, with women moreaffected than men.The diagnosis should not be made unless the lack of desire is a source of distress to a patient. See T18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2stepwise from desire to arousal, but experience desire synchronous!}' with, or even following feelings of arousal. Consequently, women may experience either/or both inability to feel interest or arousal, difficulty achieving orgasm or experience pain. Usual complaints include decrease or paucity of Ebook Pocket handbook of clinical psychiatry (6/E): Part 2erotic feelings, thoughts and fantasies; a decreased impulse to initiate sex; a decreased or absent receptivity to partner overtures and an inabilityEbook Pocket handbook of clinical psychiatry (6/E): Part 2
to respond to partner stimulation.Fl Table 18-1.... Male Hypoactive Sexual Desire DisorderReduced or no sexual appetite or libido for >6 monthsMany fa18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2orrelated with genital lubrication in both normal and dysfunctional women. A woman complaining of lack of arousal may lubricate vaginally, but may not experience a subjective sense of excitement. The prevalence is generally underestimated. In one study of subjectively happily married couples, 33% of Ebook Pocket handbook of clinical psychiatry (6/E): Part 2 women described arousal problems. Difficulty in maintaining excitement can reflect psychological conflicts (e.g., anxiety, guilt, and fear) or physioEbook Pocket handbook of clinical psychiatry (6/E): Part 2
logic changes. Alterations in testosterone, estrogen, prolactin, and thyroxin levels have been implicated in female sexual arousal disorder. In additi18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2vant to acquired interest/arousal disorder. In one study of couples with markedly decreased sexual interaction, the most prevalent etiology was marital discord. See Table 18-2.c. Male erectile disorder. In lifelong male erectile disorder one has never been able to obtain an erection while in acquire Ebook Pocket handbook of clinical psychiatry (6/E): Part 2d type one has successfully achieved penetration at some time in his sexual life.Erectile disorder is reported in 10% to 20% of all men and is the chiEbook Pocket handbook of clinical psychiatry (6/E): Part 2
ef complaint of more than 50% of all men treated for sexual disorders.Lifelong male erectile disorder is rare; it occurs in about 1% of men younger th18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2en between ages of 60 and 70.Male erectile disorder can be organic or psychological, or a combination but in young and middle-aged men the cause is usually psychological. A history of spontaneous erections, morning erections, or good erections with masturbation or with partners other than the usual Ebook Pocket handbook of clinical psychiatry (6/E): Part 2one indicates functional impotence. Psychological causes of erectile dysfunction include a punitive conscience or superego, an inability to trust, orEbook Pocket handbook of clinical psychiatry (6/E): Part 2
feelings of inadequacy. Erectile dysfunction also may reflect relationship difficulties between partners. See Table 18-3.Table 18-2JMk Female Sexual I18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2ative scenarios•Decreased receptivity to and engagement in sex•Decreased enjoyment of sexual situations•Decreased responsiveness to sexual cues•Decrease in genital and nongenital reactions to sexCannot be a sequela of severe relationship distress or significant stressorsTable 18-3..... Erectile Diso Ebook Pocket handbook of clinical psychiatry (6/E): Part 2rderDifficulty achieving or maintaining an erection, or in attaining erectile stiffness throughout almost all sexual efforts for >6 monthsCannot be aEbook Pocket handbook of clinical psychiatry (6/E): Part 2
sequela of severe relationship distress or significant stressorsII.Orgasm DisordersA. Female orgasmic disorder. Female orgasmic disorder (anorgasmia o18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the Ebook Pocket handbook of clinical psychiatry (6/E): Part 2gasmic disorder, one has never experienced an orgasm by any kind of stimulation while in acquired orgasmic disorder one has previously experienced at least one orgasm. The disorder is mote common among unmarried women. The estimated proportion of married women over age 35 who never have achieved org Ebook Pocket handbook of clinical psychiatry (6/E): Part 2asm is 5%. The proportion is higher in unmarried women and younger women. The overall prevalence of inhibited female orgasm is 30%. PsychologicalfactoEbook Pocket handbook of clinical psychiatry (6/E): Part 2
rs associated with inhibited orgasm include fears of impregnation or rejection by the sex partner, hostility toward men, feelings of guilt about sexua18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the18 □Sexual Dysfunction and Gender DysphoriaSexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during theGọi ngay
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