Professional Documents
Culture Documents
Sexual
Sexual
Sexuality
Human sexuality:
biologic
psychologic
psychosocial
Definition of Terms
• Sexual identity : male or female ; anatomy
and physiology
• Gender identity: individual’s perception and
understanding of self.
• Gender role : person’s expressions of his/her
gender identity by way of behaviors,
attitudes, & emotions appropriate for the
gender.
• Sexual orientation: sexual
preference/feelings & attraction to the male &
female.
Sexual Disorders
The DSM of Mental Disorders
1. Sexual dysfunctions
2. Paraphilias
3. Gender identity disorders
1. Sexual Dysfunctions
A. Sexual desire disorder
B. Sexual arousal disorder
C. Orgasmic disorder
D. Sexual pain disorder
E. Sexual dysfunction d/t medical disorder
Sexual Dysfunction
• A disturbance in the process that
characterize the sexual response cycle or
by pain associated w/ sexual intercourse
• The dysfunction causes – disturbed
interpersonal relationships & marked
distress for the individual, the partner, or
both.
The Human Sexual Responses
Masters & Johnsons 1960’s
2. PARAPHILIAS
1. Exhibitionism
2. Fetishism
3. Frotteurism
4. Pedophilia
a) Male;
b) female;
c) both;
d) limited to incest;
e) exclusive type/non exclusive
5. Sexual Masochism
6. Sexual Sadism
7. Tranvestic fetishism
a) With gender dysphoria
8. Voyeurism
9. Paraphilia not otherwise specified
PARAPHILIAS
• Persistent, intense, and recurrent sexual urges,
fantasies, or behaviors that involve nonliving
objects, other non consenting persons
( children/adults), or humiliation or pain ; occur
at least 6 mos.
5. Sexual Masochism
- the act of being humiliated, beaten ,
bound, or otherwise made to suffer during
sexual activity while alone (masturbating)
or with others.
6. Sexual Sadism –
- acts in which physical or psychologic
suffering of the victim is sexually arousing
to the perpetrator.
7. Transvestic fetishism
- The act of cross dressing by a heterosexual males
- Does not meet the criteria for gender identity
disorder, non transexual type; or transexualism.
8. Voyeurism
- the act of observing an unsuspecting person who is
naked, in the act of disrobing, or engaging in sexual
activity to achieve sexual arousal.
Nsg. intervention
• The nurse needs to intervene immediately – vs acts out sexual
fantasies or obsessions – harmful dangerous to client and
others.
• Helping clients w/ sexual problems
• Monitor the family member for signs of physical/sexual abuse
• Interview the family to determine the factors associated w/
sexual problem
• Educate the client & family about the client’s disorder
• Teach r/t prescribed medications
• Assist – medical, psychiatric and stress treatment
• Teach the client & family –healthy human sexuality &
function- culture, spirituality etc.
• Offer expression of feelings towards the disorder.