Dr. Sami Adil • Sexual identity: based on the person’s sexual characteristics, such as external and internal genitalia, hormonal characteristics, and secondary sexual characteristics. • Gender identity: based on person’s sense of maleness of femaleness, established by the age of 3 and believed to have been determined by parents. • Gender role: the external behavioral patterns that reflect the person’s inner sense of gender identity. • Sexual orientation: based on the person’s choice of love object; may be heterosexual (opposite sex), homosexual (same sex), bisexual (both sexes, or asexual (no sex). Masturbation • “masturbation insanity”. • Not a disease, nor as a sign of a disease. • Some references states that: “All men and women masturbate.” • Genital self-stimulation begins at the age of 15 to 19 months, with no sexual fantasies present. • Commonly seen among adolescents, married couples, and the elderly. Excessive only if it interferes with daily functioning. Homosexuality
• Removed from the DSM in 1980 as a mental illness.
• Freud …. arrest of psychosexual develop. • may be due to genetic and biologic causes. MZ DZ