Sexual disorder and its types . pptx

PRESENTED BY
POOJA SEN
NURSING LECTURER (MHN)

OBJECTIVES
1) Define sexuality and abnormal behavior.
2) List out the classification of sexual disorders.
3) Describe each classification in detail.
4) Explain the role of nurse with intervention for patient
with sexual disorder.

SEXUALITY
One of the most personal area of life. Each of us is
sexual being with preferences and fantasies that may
Suprise or even shock us from time to time. Usually
these are part of normal sexual functioning . But when
our fantasies or desire begin to affect or other in
unwanted or harmful ways , they begin to qualify as
abnormal.

WHAT IS ABNORMAL SEXUAL
BEHAVIOR ???
A sexual behavior is a psychological disorder if :
 It causes harm to other people.
 It causes an individual to experience
persistent or recurrent distress.

I. GENDER IDENTITY DISORDER
A person with a gender identity disorder is a
person who strongly identifies with the other
sex.
Individual may identify with
opposite sex to the believing that he/she is a
member of other sex who is trapped in wrong
body.

TYPES OF G I D
1. TRANSSEXUALISM
In this the person will be preoccupied with the wish to
get rid of one’s genitals and secondary sex
characteristics of the other sex.

2. GENDER IDENTITY DISORDER OF
CHILDHOOD
It is similar to transsexualism , with a very
early age of onset.

3. DUAL ROLE TRANSVESTISM
It is characterized by wearing clothes of
the opposite sex in order to enjoy the
temporary experience of membership of
the opposite sex but without any desire for
permanent sex change.

4. INTERSEXUALITY
The patient have gross
anatomical or physiological
features of the other sex.

5. GENDERQUEER
They are those who are both man and
women , or neither man nor woman, or
moving between genders.

CAUSES
• Psychiatric and biological cause.
• Hormonal changes.
• Exposure to progesterone or estrogenic drugs.
•Congenital adrenal hyperplasia RARE.
• Chromosomal abnormalities.

TREATMENT
1. Counselling
2. Puberty blockers
3. Surgery : S R S or sex change
operation

HOMOSEXUALITY
It is a romantic attraction or sexual behavior
between the members of same sex or gender.
Female homosexual : “ LESBIANS”
Male homosexual : “ GAY”

CAUSES
 Parental relationship with offspring.
 Sexual abuse.
 Xenoestrogens and Xenoandrogens ( sex steroids
change the brain’s gender preference).

TREATMENT
 Behavior therapy : Aversion therapy,
systematic desensitization
 Supportive psychotherapy.
 Psychoanalytic psychotherapy.
 Sex therapy.

CHARECTERISTICS OF PERSON WITH A
PARAPHILIA
 Usually last for 6 months.
 Always thinking to carry out their unusual
behavior.
 Overly obsessed that if the individual
cannot get to their desired object , they get
stressed.

COUNTI....
 It causes intense personal distress or
impairment in social, work and other areas
of life functioning.
 Except for sexual masochism, almost all
cases of paraphilia involve MEN.

TRANSVESTISM
Sexual arousal occurs by wearing
clothes of the opposite sex.

CAUSES
 Childhood trauma : Sexual abuse
 Objects or situations can become sexually
arousing if they frequently and repeatedly
associated with a pleasurable sexual activity.

TREATMENT
 Counseling
 Behavior therapy : Aversion therapy
 Medication : Antipsychotics used for severe
aggression associated with
paraphilia.

SEXUAL DYSFUNCTION
These are the disorders in which people cannot
respond normally in key areas of sexual
functioning.
They are typically very distressing and often
leads to sexual frustration, guilt, loss of self
esteem and interpersonal problems.

FOUR PHASES OF SEXUAL
RESPONSE CYCLE
1. AROUSAL / DEESIRE PHASE.
2. PLATEAU/ EXCITEMENT PHASE.
3. ORGASM PHASE.
4. RESOLUTION PHASE.

FRIGIDITY
Absence of desire for sexual activity.

IMPOTENCE
It is characterized by an inability to have
or sustain penile erection till the completion
of satisfactory sexual activity.

CAUSES
o Biological factors.
o Psychological factors.
o Prior or current depression or anxiety
disorders .
o Physical factors : AGE of person

TREATMENT
MEDICATION :
e.g : Bupropion, Fibanserin
(an atypical antidepressant to improve sexual arousability)
PSYCHOTHERAPY
• Focus on education.
• Cognitive restructuring of dysfunctional beliefs about sexuality.

CONTI...
ANXIETY REDUCTION:
Systematic desensitization and vivo(real life) desensitization
combine with skills training, psycho education about her body.

NURSING INTERVENTION
 Assess patient's sexual history.
 Note cultural, social, ethnic , racial and religious factors.
 Assess for any medications which might be affecting
libido.
 Provide information regarding sexuality and sexual
functioning, correct misconception if necessary.

CONTI....
 Both the patient and his /her partner may need
additional assistance if problem is severe or remain
unresolved.
 Refer for additional counselling or sex
therapy.
 In all cases , an accepting and non-judgemental attitude
should be there.

1) SEXUAL ORIENTATION AND GENDER
IDENTITY RELATED PEER VICTIMIZATION IN
ADOLESCENCE
AUTHOR
Kate L. Collier, Gabriel Van Beusekom, Henny M.W. Bos.
PUBLISHED ON
20 April 2014
ABSTRACT
This article reviews research on psychosocial and health
outcomes associated with peer victimization related to
adolescent sexual orientation and gender identity.

They identified 39 relevant studies between 1996 and 2012
which are conducted in 12 different countries.
RESULT
Peer victimization relayed to sexual orientation and gender
identity is associated with disruptions in educational trajectories,
traumatic stress and alcohol and substance use.

2) PREVALENCE OF SEXUAL
DYSFUNCTION IN MALE SUBJECTS
WITH ALCOHOL DEPENDENCE
AUTHOR
Bijil. Arackel, Vivek, Benegal
PUBLISHED ONLINE
21 March 2010
ABSTRACT
AIM: To assess the prevalence of sexual dysfunction
in a clinical sample of subjects with alcohol
dependence.

METHOD: 100 MALE ADMITTED IN DEADDICTION CENTRE
WITH DIAGNOSIS OF ALCOHOL DEPENDENCE
SYNDROME WITH SIMPLE WITHDRAWAL
SYMPTOMS WERE ASSESSED FOR SEXUAL
DYSFUNCTION USING SEXUAL DYSFUNCTION
CHECKLIST
RESULT : 72% had one or more sexual dysfunction
the most significant predictor common
being premature ejaculation, low sexual
desire and erectile dysfunction.

BIBLIOGRAPHY
BOOKS :
1)Townsend C. Mary, psychiatric mental health
nursing, first edition,2015,jaypee brothers,
new delhi, page no 622-639 .
2) Neerja KP, essentials of mental health and
psychiatric nursing, first edition,2011,jaypee
brothers ,new delhi, page no 189-191.
3) Sreevani.R, a guide to mental health and
psychiatric nursing,3rd
edition,2010,jaypee
brothers, new delhi, page no 212-214.

WEBSITES :
1) https://en.m.wikipedia.org/wiki/Sexual-
dysfunction
2) https://psychcentral.com/sex/
3) https://www.mentalhelp.net/articles/sexual-
disorders/

JOURNALS
1) https://www.andrologyaustralia.org/
journal-articles/sexual-dysfunction-in-
young-men
2 ) https://www.journals.elsevier.com/the-
journal-of-sexual-medicine
3)https://www.ncbi.nlm.nih.gov/m/pubmed/
11441517/

Sexual disorder and its types . pptx

Sexual disorder and its types . pptx

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