Deck 11: Sexual Dysfunctions Paraphilic Disorders and Gender Dysphoria

Question 1

Which of the following is NOT a sexual dysfunction associated with the desire/arousal phase of sexual activity?

A) female sexual interest/arousal disorder
B) delayed ejaculation
C) erectile disorder
D) male hypoactive sexual desire disorder

Answer 1

delayed ejaculation

Question 2

The female corollary to male hypoactive sexual desire disorder is female

A) sexual aversion disorder.
B) hypoactive sexual desire disorder.
C) hyperactive desire disorder.
D) sexual interest/arousal disorder.

Answer 2

sexual interest/arousal disorder.

Question 3

A diagnosis of ____ is often made when a sexual partner is dissatisfied because a male partner reached orgasm before they both wanted it to occur.

A) ejaculation dissatisfaction
B) premature ejaculation
C) erectile dysfunction
D) male orgasmic disorder

Answer 3

premature ejaculation

Question 4

When a man reach orgasm with very little stimulation or before he wishes, such as before penetration, he may have

A) ejaculation prematuris.
B) premature ejaculation.
C) erectile dysfunction.
D) male orgasmic disorder.

Question 5

In order to receive a diagnosis of male hypoactive sexual desire disorder, symptoms must be present for at least

A) 1 month.
B) 3 months.
C) 6 months.
D) 12 months.

Question 6

When would an erectile disorder diagnosis be inappropriate?

A) when a male can achieve an erection during sleep, but not in sexual activity
B) when a male can achieve an erection initially, but cannot maintain it long enough for penetration
C) when a male can attain at least a partial erection
D) when a male is not distressed about his inability to attain an erection

Question 7

Bianca is completely disinterested in sex. She has almost no sex drive. She is not married, and her boyfriend is also not really interested in sex. They enjoy each other's companionship, but rarely engage in sexual activity. Does Bianca have a sexual dysfunction?

A) Yes, because her lack of interest in sex is causing her distress.
B) No, because her sexual functioning is very normal for her age and stage in life.
C) No, because her lack of interest in sex is not causing problems interpersonally.
D) Yes, because her disinterest is distressing to her boyfriend and causing interpersonal problems.

Question 8

Men experiencing a lack of sexual interest or desire might have a diagnosis of ____ disorder, whereas women who are not interested in sexual activity might have a diagnosis of ____ disorder.

A) delayed ejaculation; genito-pelvic pain
B) erectile; female orgasmic
C) male hypoactive sexual desire; female sexual interest/arousal
D) hypoactive sexual desire; hypoactive sexual desire

Question 9

A diagnosis of hypoactive sexual desire disorder would not be made if a person was unable to have sex or had other problems that prevented all sexual activity. Hypoactive sexual desire disorder refers to someone who

A) wishes to have sex outside that relationship.
B) simply does not desire to have sex.
C) wishes to have sex with multiple partners within the relationship.
D) simply does not desire to have sex with the opposite gender.

Question 10

Cynthia had a desire for sexual activity, but when involved sexual activity, she had a noticeable lack of genital arousal. This problem is often referred to as

A) female sexual interest/arousal disorder.
B) male/female disarousal disorder.
C) physiological lag disorder.
D) female orgasmic disorder.

Question 11

Nancy has been sexually active for years, and is happily married. However, she does not think she has ever had an orgasm. Nancy may have

A) female sexual interest/arousal disorder.
B) female orgasmic disorder.
C) genito-pelvic pain disorder.
D) sensate focus dysfunction.

Question 12

George has suffered from various forms of impotence, which are collectively called

A) male hypoactive sexual desire disorder.
B) erectile disorder.
C) delayed ejaculation.
D) male orgasmic disorder.

Question 13

Problems that occur during the regular sexual activity are known as

A) sexual problems.
B) sexualis problemus.
C) sexual dysfunctions.
D) sexual perversions.

Question 14

Sexual dysfunctions in women that are involved in the phase of sexual activity in which sexual excitement builds are known as

A) sexual aversion disorder.
B) hypoactive sexual desire disorder.
C) female sexual interest/arousal disorder.
D) female orgasmic disorder.

Question 15

Sexual dysfunctions may involve all of the following EXCEPT

A) problems achieving orgasm.
B) difficulty maintaining sexual arousal.
C) low sexual desire.
D) unusual sexual behavior.

Question 16

Sexual dysfunctions that begin after a time when a person has had no problem in sexual relations are known as

A) chronic.
B) acute.
C) acquired.
D) lifelong.

Question 17

Jason has difficulty obtaining and maintaining an erection during sexual relations. He is most likely experiencing

A) male orgasmic disorder.
B) mental stimulation disorder.
C) erectile disorder.
D) male arousal disorder.

Question 18

Regular sexual activity usually means a cycle of

A) wishing to have sex.
B) being constantly aroused.
C) achieving orgasm.
D) all of these choices.

Question 19

Sexual dysfunctions may be categorized as

A) generalized or situational.
B) partner-dependent or partner-independent.
C) specific or situational.
D) primary or secondary.

Question 20

When a male experiences a late or absent orgasm during sexual relations, he may suffer from

A) delayed ejaculation.
B) male arousal disorder.
C) male intimacy disorder.
D) premature ejaculation.

Question 21

Sexual dysfunctions tend to ____ one another, and ____ with other mental disorders.

A) co-occur with; co-occur
B) be distinct from; are not connected
C) be isolated from; are not comorbid
D) feed on; interact

Question 22

Biological risk factors for sexual dysfunction can involve

A) genetic apathy and unattractiveness.
B) medication and substance use.
C) temperamental predispositions and hormones.
D) intensity affect diminishment and lethargy.

Question 23

Older European American women tend to report ____ than older African American women.

A) fewer disorders of arousal
B) more lack of interest in sex
C) lower levels of orgasmic disorders
D) higher levels of interest in sex

Question 24

Female sexual dysfunctions that involve pain during intercourse are referred to collectively as

A) vaginismus.
B) genito-pelvic pain/penetration disorder.
C) premature orgasm.
D) orgasmic disorder.

Question 25

One common contributor to impairment of the sexual response cycle is

A) anxiety or worry.
B) time of day.
C) time of month.
D) ability to fantasize.

Question 26

Alcohol use ____ sexual performance.

A) improves male and female
B) improves male but impairs female
C) impairs male but improves female
D) impairs male and female sexual performance

Question 27

Sexual dysfunctions are

A) common among men and women.
B) common among women, but not men.
C) common among men, but not women.
D) uncommon.

Question 28

Many cases of erectile disorder are not referred for treatment until

A) a couple desires to become pregnant.
B) a man is at risk for hypertension.
C) a man desires to begin a sexual relationship.
D) all of these choices.

Question 29

The prevalence of sexual dysfunction ____ with age.

A) remains stable
B) increases
C) decreases
D) varies, depending on the disorder

Question 30

Vaginismus and dyspareunia are now both considered part of a single disorder known as

A) genito-pelvic pain/penetration disorder.
B) female orgasmic disorder.
C) female sexual interest/arousal disorder.
D) female hypoactive sexual disorder.

Question 31

Stigma associated with sexual dysfunction often results in

A) failure to seek treatment for the dysfunction.
B) losing one's job.
C) being excluded from social gatherings.
D) seeking treatment from para-professionals who lack proper training.

Question 32

Men may experience ____ due to the use of antidepressant medication.

A) decreased refractory time
B) enhanced erectile capacity
C) more powerful orgasms
D) low sexual desire

Question 33

Relative to men, women are rarely diagnosed with

A) genito-pelvic pain/penetration disorder.
B) transvestic disorder.
C) disorders related to sexual arousal.
D) dyspareunia.

Question 34

Poor genital lubrication, diminished elasticity, scar tissue, infection, or anatomical problems may result in

A) orgasmic disorder.
B) genito-pelvic pain/penetration disorder.
C) stimulation disorders.
D) ejaculation disorders.

Question 35

Prevalence rates for sexual dysfunction are difficult to obtain because of the ____ nature of the problem and because people with sexual dysfunctions are not often referred for psychological treatments unless marital conflict or pain occurs.

A) chronic
B) acute
C) subjective
D) objective

Question 36

Men and women may distract themselves during sex to monitor their own performance. The ____ role involves greater concern with evaluating performance than enjoying relaxed sexual activity.

A) judge
B) spectator
C) participant
D) evaluator

Question 37

Sexual dysfunctions tend to co-occur with one another and with other mental disorders such as

A) obsessions and compulsions.
B) personality disorders and depression.
C) anxiety and depression.
D) personality disorders and OCD.

Question 38

Sexual dysfunctions and disorders are among the

A) most controversial diagnoses.
B) most accepted diagnoses.
C) most treated diagnoses.
D) most properly diagnosed diagnoses.

Question 39

Stigma associated with sexual dysfunction can also result from secondary problems, including

A) infertility.
B) marital problems.
C) divorce.
D) all of these choices.

Question 40

Jan has female orgasmic disorder. Her sex therapist discovers that during intercourse with partners, Jan is unable to enjoy the connection of the experience because she is so worried about whether her performance is "good enough" to please her partner. She is constantly evaluating his every response and using that to inform herself about how he might feel about her performance. Jan's experience during intercourse illustrates the psychological risk factor for sexual dysfunction known as

A) sensate focus.
B) fear of failure.
C) the spectator role.
D) frotteurism.

Question 41

Daryl and Linda had therapy a few years ago because of the pain she experienced upon penetration. Now they see their therapist a couple of times a year to check in and make sure they practice some of the techniques they learned in therapy so as to avoid another occurrence of sexual pain for Linda. This is an example of which prevention practice?

A) relapse prevention
B) initial dysfunction
C) partner blame
D) inhibition of attitudes

Question 42

Women from different cultures who experience sexual dissatisfaction may likely perceive its causes

A) quite similarly.
B) quite differently.
C) as measureable.
D) as misunderstood.

Question 43

Attitudes about erectile dysfunction are quite ____ across various cultures.

A) variable
B) similar
C) positive
D) ambivalent

Question 44

Among men, rates of sexual dysfunctions are generally highest in

A) Northern Europe
B) Southern Europe
C) South East Asia
D) the Middle East

Question 45

Which of the following early sexual experiences could be important in creating a sexual dysfunction?

A) dramatic and exciting sexual experience
B) traumatic sexual experience
C) wishful sexual experience
D) erotic sexual experience

Question 46

If you were performing an assessment of a client or couple dealing with sexual dysfunction, you would need information concerning relationship issues, such as marital conflict, medical history and current medications, stress, lifestyle changes, comorbid psychological problems, such as depression, and goals for treatment. This type of information would likely be gathered using which assessment method?

A) questionnaires
B) physiological assessment
C) self-monitoring
D) interviews

Question 47

Among American men, performance anxiety seems to affect ____ disproportionately.

A) Hispanics
B) African Americans
C) Asian Americans
D) European Americans

Question 48

Among women, those having ____ are most likely to report that they lack interest in sex.

A) less than a high school diploma
B) a high school diploma
C) some college
D) a college degree

Question 49

Jack wants his wife to have more interest in sex. If he constantly encourages her to have sex with him by sending flowers with sexual messages on them, buying her sexy lingerie, and other tactics, she will probably

A) have more interest in sex with Jack.
B) have even less interest in sex with Jack, but possibly more interest in sex generally.
C) have more interest in sex, but probably start an affair.
D) still not have more interest in sex.

Question 50

Which of the following family environmental factors could be important in creating a sexual dysfunction?

A) family's views of sex as "dirty" or repulsive
B) parents talking to their children about sex, sexuality, and relationships
C) parents discussing birth control options with their children
D) family environment where casual or hook-up sex is discouraged

Question 51

Self-report questionnaires with regard to sexual dysfunctions generally address issues of

A) sexual satisfaction and arousal.
B) medical history.
C) relationship issues.
D) self-esteem and self-identity

Question 52

Women from ____ are most likely to report an inability to orgasm.

A) Southeast Asia
B) East Asia
C) the Middle East
D) Southern Europe

Question 53

Beyond interviews and questionnaires, other important information of sexual dysfunction can be accessed through

A) attitude and belief scales.
B) performance of partner and self-scales.
C) degree of stress and level of health.
D) self-monitoring and physiological assessment.

Question 54

The "balancing scale" for sexual dysfunction cause separates the causes into ____ and ____ factors.

A) biological; sociological
B) medical; health
C) physical; psychological
D) physiological; general

Question 55

All of the following are considered psychological factors that encourage successful sexual functioning EXCEPT

A) good emotional health
B) positive sex attitude
C) good self-esteem
D) a lot of alcohol

Question 56

Causal factors for sexual dysfunction have also been organized along a "balancing scale" that tilts towards ____ depending on how the factors balance out.

A) fertility or infertility
B) normal sexuality or sexual perversion
C) successful or dysfunctional sexual performance
D) paraphilia or typical arousal patterns

Question 57

General knowledge about sex over time is important as many aging men experience ____, while many aging women experience ____.

A) marital problems; orgasm problems
B) greater stimulation need; less vaginal lubrication
C) stronger erections; vaginismus
D) erectile dysfunction; increased vaginal lubrication

Question 58

Prevention of sexual dysfunction has focused primarily on

A) early diagnosis.
B) improving prognosis.
C) relapse prevention.
D) performance enhancers.

Question 59

Sexual dysfunctions involve so many psychological and medical components that a ____ assessment is important.

A) selective
B) biological
C) psychosocial
D) comprehensive

Question 60

A therapist might ask a couple dealing with sexual dysfunction to record information about their daily sexual history by way of

A) physiological assessment.
B) psychological assessment.
C) self-monitoring.
D) questionnaires.

Question 61

Drugs such as Viagra and Cialis help to achieve an erection by

A) increasing blood flow to the penis.
B) restricting blood flow from the penis.
C) increasing size of spongy cells within the penis.
D) drawing blood into the penis.

Question 62

Medical approaches to addressing sexual dysfunctions are often accompanied by psychological approaches known as

A) therapy of the sexes.
B) intercourse therapy.
C) sex therapy.
D) orgasmic therapy.

Question 63

At present, medical treatment for sexual dysfunctions concentrates mostly on

A) penile implants.
B) penile vacuums.
C) medications for erectile disorder.
D) penis transplants.

Question 64

To achieve an erection, medication may be injected directly into the penis that causes

A) muscles in the penis to contract.
B) muscles in the penis to relax.
C) muscles in the scrotum to contract.
D) muscles in the scrotum to relax.

Question 65

A person whose sexual behavior or fantasies involves activities that are highly unusual but that do not cause distress or problems, is most accurately described as having a(n)

A) paraphilia.
B) paraphilic disorder.
C) pervasive/perverse disorder.
D) sexual obsession.

Question 66

For men and women with low sexual desire, sex therapy may consist of

A) attempting intercourse more than once a day.
B) banning sexual contact and rebuilding sexual repertoire.
C) banning sexual contact until agreements have been reached.
D) sexual activities with multiple couples.

Question 67

Pain during intercourse can be treated via

A) initially prohibiting intercourse.
B) relaxation training.
C) Kegel exercises.
D) all of these choices.

Question 68

A common technique that encourages partners to rebuild their sexual repertoire through a gradual progression from non-sexual touching to sexual contact is

A) having an affair.
B) using the stop-start procedure.
C) sensate focus.
D) video voyeurism.

Question 69

Joelle suffers from genito-pelvic pain/penetration disorder. Her doctor will probably recommend that she

A) perform Kegel exercises.
B) use the stop-start procedure.
C) start behavior therapy.
D) do all three of these: perform Kegels, use the stop-start procedure, and start behavior therapy.

Question 70

Nocturnal penile testing can be done

A) only at a sleep laboratory.
B) only at home.
C) at a sleep laboratory or at home.
D) only during sexual dreams.

Question 71

Psychological approaches for sexual problems may target

A) marital conflict and exhaustion.
B) trauma and depression.
C) anxiety and substance abuse.
D) all of these choices.

Question 72

Alex has erectile disorder, and has not responded to any of the drugs containing sildenafil. He is unwilling to have surgery, so his doctor suggests

A) implants.
B) Viagra.
C) a vacuum system.
D) the stop-start procedure.

Question 73

Some sexual problems, such as ____ tend to worsen over time, while other problems such as ____ tend to improve over time, and still other problems such as ____ may not change much at all over time without treatment.

A) erectile disorder; premature ejaculation; sexual pain
B) lack of interest; erectile disorder; premature ejaculation
C) premature ejaculation; erectile disorder; lack of interest
D) inhibition; sexual compulsion; orgasmic disorder

Question 74

If you find yourself struggling with sexual dysfunction, your textbook authors' advice would be to start with a comprehensive

A) psychological assessment.
B) psychological exam.
C) biological assessment.
D) medical exam.

Question 75

Which type of drug has been used to treat premature ejaculation?

A) anticonvulsants
B) antipsychotics
C) antidepressants
D) anti-anxiety medications

Question 76

When a partner practices effective masturbation and stimulation so that the orgasm is enhanced and brought about more quickly, he/she is engaging in

A) masturbation fantasy.
B) penile training.
C) clitoral stimulation awareness.
D) masturbation training.

Question 77

A common technique for treating premature ejaculation is

A) having an affair.
B) using the stop-start procedure.
C) sensate focus.
D) video voyeurism.

Question 78

Psychological treatments of sexual dysfunctions include

A) mental imagery, psychophysical pleasure, and communication.
B) sensate focus, empathy training, and fantasy satisfaction.
C) stop-start procedure, sensate focus, and masturbation training.
D) start-stop delay, sensual focus, and spontaneity.

Question 79

The primary biological intervention for erectile difficulty is

A) testosterone supplements.
B) hormone accelerators.
C) medications such as sildenafil.
D) penile blood packing.

Question 80

Jedediah is seeing his physician for a sexual dysfunction. His doctor indicates that antidepressant drugs have been successful in treating other patients with his same problem. What is likely the nature of Jedediah's sexual dysfunction?

A) premature ejaculation
B) delayed ejaculation
C) erectile disorder
D) male hypoactive sexual desire disorder