SEXUAL DISORDER

» These are disorders that are related to human sexuality due to psychological
causes
» Types:
1. Alteration in gender identity
2. Alteration in sexual orientation
3. Alteration in sexual behavior
4. Alteration in sexual functioning
5. Painful sexual disorders

ALTERATION IN GENDER IDENTITY

1. Transexualism
• Persistent discomfort about one’s sex assignment
• Caused by confused learning about gender roles
• Feeling of being trapped in the wrong body
2. Gender Identity Disorder of Childhood
• Persistent and intense distress at one’s sexual identity
• Client insist that he/she is an opposite sex
• Assertion that he/she will grow up to have transsexual surgery
3. Nontranssexual Cross Gender Disorder
• Persistent discomfort about one’s sex but with no preoccupation with
getting rid
of the genitalia

ALTERATION IN SEXUAL ORIENTATION

1. Ego-Dystonic Homosexuality
• Weak heterosexual arousal with desire to have heterosexual relationship
• Client experience inappropriate homosexual arousal pattern

ALTERATION IN SEXUAL BEHAVIOR

1. Sexual Acting Out
- Disturbed conduct or poor impulse control
- May create a sexually provocative remarks
- Have extramarital affairs and promiscuous
- Have high sexual drive
- Presence of inadequate coping and interpersonal skills
2. Paraphilias
- Sexual urges or fantasies that are directed toward nonhuman objects pain
to self, partner, or children, or other non-consenting individuals
- This may be asymptomatic
- Behavior often followed by guilt, shame. low-esteem, or anxiety
- Not due to other mental disorder
Types of Paraphilias:

1. Fetishism- substitution of an inanimate object for the genitals

2. Transvestism- wearing clothes of the opposite sex to achieve sexual pleasure
3. Exhibitionism- sexual pleasure obtained by exposing the genitals
4. Pedophilia- attraction to children as sex objects
5. Voyeurism- sexual gratification obtained by watching the sexual plays of others
6. Frotteurism- sexual obtained by touching or rubbing against a non-consenting
person
7. Telephone Scatologia- sexual gratification form during telephone conversation
8. Dendrophilia – sexual gratification in woods

ALTERATION IN SEXUAL FUNCTIONING

1. Sexual Dysfunction- individuals is unsatisfied in his sexual function
2. Hypoactive sexual desire- absence of sexual fantasies and desires
3. Sexual aversion- avoidance of genital sexual contact with partner
4. Sexual arousal disorder- failure to attain and maintain erection in males
• Lack of lubrication
• Persistent or recurrent lack of subjective sense of sexual excitement and
pleasure

PAINFUL SEXUAL DISORDERS

1. Vaginismus- an involuntary vaginal spasm at penetration
• protection against anticipated pain associated with sexual trauma, intense guilt,
or high religion offense
2. Dyspareunia- painful sexual intercourse