Deck 11: Schizophrenia and Related Disorders

Question 1

A person who is biologically male but identifies as a woman and would like to live as a woman is:

A) a sexual masochist.
B) transgender.
C) a transvestite.
D) a homosexual.

Answer 1

transgender.

Question 2

From a psychological perspective,early ejaculation is usually the result of:

A) sexual aversion.
B) sexual impotence.
C) organic problems.
D) sexual inexperience.

Answer 2

sexual inexperience.

Question 3

A normal healthy man experiences:

A) 20 to 30 minutes of penile erection during a night of sleep.
B) most nocturnal tumescence during deep (delta)sleep.
C) brief,fleeting nighttime erections.
D) erections during REM sleep.

Answer 3

erections during REM sleep.

Question 4

A person who has paraphilia:

A) does not respond sexually to any type of stimulus.
B) responds sexually to a socially inappropriate object or situation.
C) is unable to experience sexual arousal.
D) is unable to achieve sexual satisfaction.

Question 5

The campus bra bandit steals women's underwear from the campus laundry and then masturbates into the underwear.The MOST accurate diagnosis of this behavior would be:

A) no diagnosis; this behavior falls within normal limits.
B) fetishism.
C) transvestic fetishism.
D) exhibitionistic fetishism.

Question 6

Cross-dressing is another term for:

A) homosexuality.
B) transvestic disorder.
C) orgasmic reorientation.
D) satiation.

Question 7

Eduardo has a troublesome foot fetish.In therapy,he imagines a shoe and then immediately imagines an aversive stimulus.The behavioral approach being used is:

A) covert sensitization.
B) relapse-prevention training.
C) flooding.
D) contingency management.

Question 8

The fact that insurance companies in the United States generally covered Viagra but not birth control pills until required to do so by state law supports the idea that:

A) birth control pills carry more medical risks than Viagra.
B) private funds need to cover women's sexual health,but not men's sexual health.
C) society sets different standards for sexually active men than for women.
D) the United States lags behind other countries (such as Japan)in recognizing women's sexuality.

Question 9

Exhibitionists engage in that type of behavior because they:

A) were sexually abused as children.
B) are trying to solicit sexual contact.
C) are unable to experience sexual relations.
D) desire a shock reaction from their victim.

Question 10

Individuals who have a strong sense that their gender identity is different from their birth anatomy are known as:

A) transgender.
B) homosexual.
C) cisgender.
D) fluid.

Question 11

Transgender people who experience extreme distress over the incongruence of their gender identity and/or find themselves impaired by it in their social relationships,at work,or at school have:

A) gender dysphoria.
B) transvestic disorder.
C) cisgender disorder.
D) fluid gender.

Question 12

In treating erectile disorder,the tease technique involves:

A) three or more episodes of intercourse each night for a month.
B) stimulating the penis but stopping stimulation once erection occurs.
C) stimulating the penis until ejaculation,followed by a pause and then another period of stimulation.
D) stimulating the penis,but before ejaculation can occur,squeezing the penis below the head to prevent ejaculation.

Question 13

Akshay has been experiencing erectile disorder.His therapist thinks the disorder has a sociocultural cause.What could be the cause of Akshay's erectile disorder?

A) Diabetes
B) Loss of a job
C) Mild depression
D) Performance anxiety

Question 14

What percentage of 17-year-old boys have had heterosexual intercourse?

A) 5 percent
B) 10 percent
C) 24 percent
D) 44 percent

Question 15

What percentage of 16-year-old males masturbate at least occasionally?

A) 15 percent
B) 35 percent
C) 55 percent
D) 75 percent

Question 16

Married women are more likely to be orgasmic when they have:

A) unhappy marriages.
B) a weak emotional attachment to their first sex partner.
C) an attraction to their current partner's occupation.
D) marital happiness and a current attraction to their partner's body.

Question 17

How does Viagra work?

A) It increases blood flow into the penis.
B) It draws blood flow out of the penis to create a vacuum.
C) It increases testosterone levels.
D) It creates new cognitions about sex.

Question 18

Linda had normal sexual functioning for many years.However,over time she began to have trouble becoming aroused,no matter what the situation.This type of dysfunction would be called:

A) lifelong and situational.
B) acquired and situational.
C) lifelong and generalized.
D) acquired and generalized.

Question 19

A man has been taught to masturbate almost to orgasm,and then to insert his penis for intercourse.He is being treated for:

A) early ejaculation.
B) dyspareunia.
C) delayed ejaculation.
D) gender identity disorder.

Question 20

EMTs need to be sure to ask someone who is taking nitroglycerin if that person also has taken:

A) estrogen.
B) sildenafil.
C) testosterone.
D) antidepressants.

Question 21

Which hormone can cause decreased sexual desire when present in low but not high levels?

A) estrogen
B) prolactin
C) testosterone
D) progesterone

Question 22

If,during intercourse,a woman repeatedly stimulates her male partner to the point when he almost reaches orgasm at which point the stimulation is stopped,he is probably being treated for:

A) erectile dysfunction.
B) early ejaculation.
C) orgasmic dysfunction.
D) dyspareunia.

Question 23

Compared with erectile disorder,early ejaculation is:

A) common among older men.
B) likely to have a physical explanation.
C) likely related to a low testosterone level.
D) common among men of all ages.

Question 24

According to DSM-5,all excitement disorders have in common the diagnostic requirement that the difficulty:

A) begins in adolescence or early adulthood.
B) causes significant distress or impairment.
C) is apparent in all sexual encounters.
D) lasts at least one year.

Question 25

Which condition would MOST likely be treated with masturbatory satiation?

A) transvestism
B) premature ejaculation
C) a fetish
D) erectile dysfunction

Question 26

An orgasm is a release of sexual tension through:

A) vascular congestion.
B) muscle contraction.
C) cardiac relaxation.
D) psychological desire.

Question 27

A person with _____ is repeatedly and intensely sexually aroused by the act of being humiliated,beaten,or made to suffer.

A) sexual masochism disorder
B) masturbatory satiation
C) frotteuristic disorder
D) pedophilic disorder

Question 28

According to DSM-5,someone who initiates sexual contact with children is:

A) experiencing a paraphilia,but only if the person is also mentally ill.
B) experiencing a paraphilia but only if the behavior causes the person significant distress.
C) experiencing a paraphilia,but only if the behavior is illegal.
D) experiencing a paraphilia regardless of how troubled the individual may be.

Question 29

Which disorder is NOT listed in DSM-5 but might be in future DSM editions,following additional study?

A) pedophilic disorder
B) gender dysphoria
C) male orgasmic disorder
D) hypersexuality

Question 30

What is the MOST common outcome of gender dysphoria in childhood?

A) It develops into pedophilia.
B) It disappears by adolescence or adulthood.
C) It is a precursor to transsexualism.
D) It is a precursor to transvestite fetishism.

Question 31

The study of sexuality that led to a revolution in the treatment of sexual dysfunction was done by:

A) Helen Singer Kaplan.
B) Sigmund Freud and Carl Jung.
C) William Masters and Virginia Johnson.
D) Jerry Friedman and Joseph LoPiccolo.

Question 32

Which occupation is MOST similar to what Masters and Johnson identified as the spectator role in sexual behavior?

A) priest
B) airline pilot
C) actor
D) judge

Question 33

Individuals whose gender identity matches their assigned gender are called:

A) transgender.
B) trans.
C) cisgender.
D) fluid.

Question 34

Bjorn has a paraphilic disorder.His therapist considers giving him a prescription for an antiandrogen because the disorder is caused by:

A) too much estrogen in the body.
B) an inappropriate sex drive.
C) a deficiency in the production of testosterone.
D) a hormonal imbalance that occurred during the prenatal period.

Question 35

According to Masters and Johnson,the resolution phase of the sexual response cycle is more gradual in women when they:

A) do not experience orgasm.
B) do not experience arousal.
C) experience a sexual aversion.
D) have experienced multiple orgasms.

Question 36

Parents who want to decrease the likelihood that their young daughters will experience orgasmic disorder as adults should:

A) not be affectionate with each other.
B) expose their daughters to positive attitudes about sex.
C) make sure their daughters have early sexual experiences.
D) punish their daughters for masturbation.

Question 37

Jonas has a sexual dysfunction.Which phase of the sexual response cycle would he NOT experience difficulty with?

A) the excitement phase
B) the resolution phase
C) the orgasm phase
D) the desire phase

Question 38

Why might some clinicians favor removing gender dysphoria from the DSM?

A) They don't understand the psychological distress transgender people experience.
B) They believe transgender people are less likely to experience psychological distress.
C) They believe the stigma of being transgender is what leads to distress.
D) A good treatment protocol has not been developed.

Question 39

Bailey is sexually assertive and comfortable with masturbation.Which is TRUE about Bailey?

A) She has a higher chance of experiencing sexual dysfunction.
B) She will likely have orgasms more regularly.
C) She has a higher chance of experiencing vaginismus.
D) She is more likely to have both an arousal disorder and an orgasmic disorder.

Question 40

A man derives sexual arousal exclusively from dressing in women's clothing.MOST likely,that person would be diagnosed as:

A) normal and healthy.
B) an exhibitionist.
C) having transvestic disorder.
D) having gender dysphoria.

Question 41

Martina has vivid sexual fantasies,but she is unable to experience either clitoral or labial swelling.She also cannot experience vaginal lubrication.What would be the MOST likely diagnosis?

A) vaginismus
B) frigidity
C) female orgasmic disorder
D) female sexual interest/arousal disorder

Question 42

In psychodynamic theory,the therapeutic goal in treating sexual dysfunction is to:

A) cause broad personality changes.
B) systematically use free association.
C) overcome a learned aversion to sexual material.
D) keep a dream diary for dream interpretation.

Question 43

In order to identify when in a sexual encounter anxiety about sex first arose,Joonhee is imagining sexual scenes.What therapeutic technique is Joonhee engaging in?

A) affectual awareness
B) systematic desensitization
C) covert sensitization
D) sexual satiation

Question 44

Lucian is a 22-year-old who has entered into his first sexual relationship.He is seeing a sex therapist because he is experiencing a sexual dysfunction.What is Lucian MOST likely suffering from?

A) dyspareunia
B) inhibited ejaculation
C) early ejaculation
D) male hypoactive sexual desire disorder

Question 45

LaTisha experiences little sexual response to erotic cues and physical stimulation.She is MOST likely experiencing:

A) female sexual interest/arousal disorder.
B) hypersexuality.
C) vaginismus.
D) gender dysphoria.

Question 46

A man awakens after eight hours of normal sleep and has an unbroken snap gauge band.There is a good chance that the man has a:

A) physical basis for his erectile problems.
B) socioculturally related erectile disorder.
C) psychologically related erectile disorder.
D) normal sex life.

Question 47

Antonio has many chronic conditions,including clogged arteries,diabetes,and kidney failure.Because of these conditions,Antonio is at increased risk of experiencing:

A) erectile disorder.
B) early ejaculation
C) dyspareunia.
D) vaginismus.

Question 48

Which does NOT belong with the others?

A) sensate focus
B) aversion therapy
C) nondemand pleasuring
D) petting

Question 49

Which drug,when used at low levels,may raise the sex drive?

A) alcohol
B) cocaine
C) amphetamines
D) pain medication

Question 50

The idea that both partners share the accountability for sexual dysfunction is known as:

A) couple therapy.
B) mutual responsibility.
C) nondemand pleasuring.
D) interactionary dysfunction.

Question 51

DSM-5 recommends a diagnosis of paraphilia only when associated behaviors,fantasies,or urges last at least:

A) six months.
B) one year.
C) two years.
D) three years.

Question 52

What is thought to be the cause of vaginismus,the involuntary contraction of vaginal muscles?

A) conditioning of a fear response
B) nervous system damage from diabetes
C) neurological damage in the cerebellum
D) a learned aversion to sexual behavior in general

Question 53

Yosef is repeatedly stimulated to erection by Nora,but each time an erection occurs,it is allowed to subside without Yosef experiencing an ejaculation.This is known as the _____ technique.

A) phase
B) sneeze
C) tease
D) squeeze

Question 54

What is the term for the use of and attraction to inanimate objects as a preferred method of achieving sexual excitement?

A) fetishism
B) pedophilia
C) voyeurism
D) exhibitionism

Question 55

Delayed ejaculation appears MOST likely to be caused by disruptions in the _____ system.

A) neurological
B) urological
C) digestive
D) muscular

Question 56

Which statement is MOST accurate about female orgasm?

A) Approximately 50 percent of women experience orgasmic disorder.
B) Approximately 25 percent of women have never experienced an orgasm.
C) Women who are comfortable masturbating are more likely to experience orgasm.
D) Women who rely on clitoral stimulation for orgasm are considered unhealthy.

Question 57

Peacocking is a way to attract sexual partners and is done by:

A) dressing with flair.
B) dancing.
C) maintaining eye contact.
D) concentrating on pleasure.

Question 58

In a person who has an unusually long resolution phase of the sexual response cycle,which of these is MOST likely?

A) The person is a man.
B) The person is a teenager.
C) The person did not have an orgasm.
D) The person was never aroused.

Question 59

Who is MOST likely to receive gender-affirming surgery?

A) someone experiencing premature ejaculation
B) someone experiencing erectile dysfunction
C) someone experiencing gender dysphoria
D) someone who has a homosexual orientation

Question 60

Charlotte has low sexual desire.Her therapist thinks her reduced sex drive could have a sociocultural cause.Which of these would not be a possible explanation?

A) a partner who lacks sexual skills
B) the loss of a job
C) infertility problems
D) the use of pain medication

Question 61

Erectile dysfunction occurs during the _____ phase of sexual arousal.

A) excitement
B) orgasmic
C) desire
D) resolution

Question 62

In the United States,over the past several decades,the typical duration of sexual intercourse has:

A) increased,as has the distress of those suffering from early ejaculation.
B) increased,while the distress of those suffering from early ejaculation has decreased.
C) decreased,while the distress of those suffering from early ejaculation has increased.
D) decreased,as has the distress of those suffering from early ejaculation.

Question 63

The MOST common fetish is:

A) hats.
B) dolls.
C) shoes.
D) trains.

Question 64

Engle is not able to reach orgasm with a partner,either through sexual intercourse or through the partner's manual stimulation.However,Engle easily orgasms when masturbating.Engle MOST likely would be diagnosed with a(n)_____ orgasmic disorder.

A) lifelong
B) acquired
C) generalized
D) situational

Question 65

A person feels that he or she was assigned to the wrong sex and identified with the opposite gender.What statement most accurately describes that person?

A) The individual has gender dysphoria.
B) The individual is homosexual.
C) The individual experiences a fetishism.
D) The individual is experiencing sexual dysfunction.

Question 66

Why are people who go to strip clubs generally NOT considered to be voyeurs?

A) The nudity of the performers is not complete.
B) There is no sense that people who go there are doing something frowned on by society.
C) The performers are consenting to being seen by the audience.
D) The performers are exhibitionists and it's impossible for someone to simultaneously be an exhibitionist and a voyeur.

Question 67

What age group is the largest group of sexters?

A) teenagers
B) young adults
C) middle-aged adults
D) elderly adults

Question 68

Which finding would argue AGAINST the idea that low sexual desire in women is caused by societal treatment of women?

A) The same drugs that interfere with ejaculation in men cause low sexual desire in women.
B) A sexually restrictive history is equally common among women with and without low sexual desire.
C) Clitoral orgasms are just as common and pleasurable as vaginal orgasms.
D) Erotic fantasies are more common in women with low sexual desire than in those without it.

Question 69

Which does NOT belong with the others?

A) graduated dilators
B) masturbatory satiation
C) covert sensitization
D) aversion therapy

Question 70

Theoretically,why do SSRIs help treat early ejaculation?

A) Men who ejaculate early often become depressed.
B) SSRIs reduce serotonin levels,thus increasing arousal.
C) SSRIs inhibit the anxiety that is often related to early ejaculation.
D) SSRIs reduce arousal and orgasm and help men delay ejaculation.

Question 71

A man experiencing the process of erection and partial elevation of the testes is in which stage of sexual response?

A) the excitement phase
B) the desire phase
C) the orgasm phase
D) the refraction phase

Question 72

A technique used to treat pedophiles is to have them identify the situations that trigger pedophilic fantasies and then learn to avoid the situations or cope with them more effectively.This technique is called:

A) orgasmic reorientation.
B) antiandrogenic drug therapy.
C) aversion therapy.
D) relapse-prevention training.

Question 73

To be classified as having male hypoactive sexual desire disorder,a man would have a reduced interest in sex and engage in little sexual activity,with these conditions lasting:

A) a week.
B) a month
C) six months.
D) a year.

Question 74

William does not have any penile erections while he is sleeping,which indicates:

A) a normal response.
B) nocturnal penile tumescence.
C) performance anxiety.
D) a biologically based erectile dysfunction.

Question 75

According to Masters and Johnson,performance anxiety may result in a man:

A) failing to break a snap gauge band.
B) breaking a snap gauge band.
C) experiencing severe depression after sexual activity.
D) adopting a spectator role during sexual activity.

Question 76

Which statement about pedophiles is MOST supported by current research?

A) Most pedophiles have at least one other psychological disorder.
B) The majority of pedophiles develop their sexual pattern of need as adults.
C) Pedophiles most commonly target boys as their victims.
D) There is a clear biological cause for pedophilia.

Question 77

When people with gender dysphoria take hormones,it is in an attempt to:

A) enhance their gender of birth.
B) facilitate their living as the other gender.
C) reduce their sex drives.
D) change their external genitals.

Question 78

Research shows that sexual dysfunctions among homosexual couples:

A) are virtually nonexistent.
B) generally are more severe than among heterosexual couples.
C) include two distinct categories not included among heterosexual dysfunctions.
D) are the same as those seen in heterosexual couples.

Question 79

Priscilla is twenty-three years old and usually has a fairly high sex drive.Recently,she has experienced an unexpected drop in sex drive,although she doesn't have any new medical problems.What would be an important question to ask her before recommending psychotherapy?

A) "Have you been exposed to high levels of testosterone lately?"
B) "Have you recently started taking birth control pills?"
C) "Have you recently stopped using marijuana?"
D) "Have you experienced lower levels of prolactin lately?"

Question 80

In females,the labia swells during which phase of the sexual response cycle?

A) the desire phase
B) the arousal phase
C) the orgasm phase
D) the resolution phase