Deck 14: Sexual Function Difficulties, Dissatisfaction, Enhancement, and Therapy

Question 1

A very common male sexual difficulty treated by therapists before the introduction of Viagra was

A)orgasmic difficulties.
B)relationship disorders.
C)male erectile disorder.
D)hyperactive sexual desire.

Answer 1

C

Question 2

Less than ___ % of happy,sexually satisfied couples described having similar desire,arousal,orgasm,and pleasure during a particular sexual episode.

A)15
B)25
C)50
D)75

Answer 2

C

Question 3

A common cause of hypoactive sexual desire among gay men and lesbians is

A)difficulty with sexual orientation.
B)a hormonal disturbance.
C)a history of STDs.
D)gender bias.

Answer 3

A

Question 4

For about ___ % of the sexual experiences,one partner described the sex as positive,whereas the other considered as "OK."

A)15
B)25
C)50
D)75

Question 5

What are the main sources of hypoactive sexual desire disorder?

A)psychological distress and interpersonal difficulties
B)satiation and distraction
C)guilt and shame
D)distraction and dissociation

Question 6

The DSM-IV-TR identifies sexual dysfunction as

A)a pathological inability to regulate arousal states,to delay or achieve ejaculation,and/or to control orgasms.
B)a disturbance in desire and changes characterizing the sexual response cycle that causes marked distress and interpersonal difficulty.
C)psychological or physical impairments to achieving sexual fulfillment.
D)a diminution of sexual functioning in one of the four phases of sexual response.

Question 7

Nicole avoids intercourse with her husband at all costs.When she feels his interest increasing,she is filled with anxiety and dread.Just a kiss elicits a terrible feeling inside her.A sex therapist is likely to describe Nicole as suffering from

A)hypoactive sexual desire.
B)sexual aversion disorder.
C)vaginismus.
D)anorgasmia.

Question 8

The modern term for impotence is

A)male arousal disorder.
B)male erectile disorder.
C)vasocongestive deficiency disorder.
D)pre-erectile anxiety disorder.

Question 9

"A New View of Women's Sexual Problems" is a radical approach to looking at sexual problems because it

A)discusses only medical issues.
B)focuses on lesbian health issue relationships.
C)considers how social,political,and relationship issues affect sexual satisfaction.
D)translates the DSM-IV-TR categories into laypeople's language.

Question 10

Daniel is a 30-year old heterosexual man who is uninterested in sex.When he meets a woman who expresses interest in him,he does not pursue the relationship.He is not anxious about sexual situations,merely disinterested.What would you diagnose Daniel as having?

A)sexual aversion
B)erectile dysfunction
C)anorgasmia
D)hypoactive sexual desire

Question 11

The term "frigid" has been replaced with the less prejudicial description

A)female sexual arousal disorder.
B)sensate deficit disorder.
C)female sexual dysphoria.
D)arousal aversion disorder.

Question 12

Which of the following factors is NOT associated with hypoactive sexual desire?

A)drug use
B)illness
C)hormone deficiency
D)pregnancy

Question 13

All of the following are sexual dysfunctions EXCEPT

A)vaginismus.
B)female orgasmic disorder.
C)male impotence disorder.
D)sexual aversion disorder.

Question 14

Which of the following statements is FALSE regarding male sexual difficulty?

A)Older men have more erectile problems.
B)Male college students report having fewer sexual difficulties than high school graduates.
C)Men reporting same-sex activity have greater levels of sexual desire.
D)Men with premature ejaculation do not experience a diminished quality of life.

Question 15

The term sexual dissatisfaction is a useful term because

A)dissatisfaction is a less stigmatized term than dysfunction.
B)it acknowledges sexual scripts as individual and avoids a definition of "normal."
C)it is a standard medical diagnosis identified in the DSM-IV-TR.
D)dissatisfaction is more understandable than dysfunction to the general public.

Question 16

According to the study by McCarthy & McCarthy (2003,2009),____ percent of sexual experiences were considered unremarkable,even though there were no sexual function problems.If the couple had to do it over again,they probably would have chosen something else to do.

A)15
B)25
C)50
D)75

Question 17

According to the Working Group for a New View of Women's Sexual Problems,DSM has shortcomings as applied to women.Which of these is one of those shortcomings?

A)an overemphasis on the physical differences between men and women
B)the use of clinical impressions,as opposed to actual data
C)the unacknowledged role of relationships in sexuality
D)a bias toward labeling women's experiences as abnormal

Question 18

Which of the following has NOT been identified as a possible origin of sexual aversion?

A)a history of sexual trauma
B)very negative parental attitudes
C)gender identity confusion
D)insensitivity in erogenous zones

Question 19

Which of the following is FALSE according to the National Health and Social Life Survey?

A)The prevalence of erectile problems increases with age.
B)In women,older age was associated with a decreased likelihood of achieving orgasm.
C)Men in a relationship reported more pleasure and fewer sexual problems than men whose last sexual event was with a nonrelationship partner.
D)Women whose last sexual event was with a relationship partner reported greater problems with arousal and lubrication.

Question 20

Among lesbians,what is the major focus of sexual aversion?

A)the use of erotic aids
B)mutual masturbation
C)cunnilingus
D)analingus

Question 21

The Persistent Sexual Arousal Syndrome describes

A)male college students' reports of prolonged and persistent sexual arousal.
B)women's reports of prolonged and persistent sexual arousal.
C)the medical side effects of Viagra.
D)All of the above.

Question 22

A woman with a sexual dysfunction that involves the orgasm stage is probably suffering from

A)female orgasmic disorder.
B)vaginismus.
C)sexual aversion.
D)hypoactive sexual desire.

Question 23

All of the following have been found to cause erectile dysfunctions among men EXCEPT

A)diabetes.
B)heart disease.
C)alcoholism.
D)arthritis.

Question 24

A condition in which calcium deposits and tough fibrous tissue develop in the corpora cavernosa within the penis is called

A)Cowper's syndrome.
B)Peyronie's disease.
C)priapism.
D)dyspareunia.

Question 25

After low sexual desire,the most common sexual dysfunction seen by sex therapists among females is

A)vaginismus.
B)dyspareunia.
C)female orgasmic disorder.
D)hypoactive sexual desire.

Question 26

A sexual function problem that was not included in the DSM-IV-TR but is described in the professional literature is

A)persistent sexual arousal syndrome.
B)vaginismus.
C)masturbation addiction.
D)premature ejaculation.

Question 27

Alejandro has had an erection for several hours.It is very painful.He likely is experiencing

A)Peyronie's disease.
B)priapism.
C)anodyspareunia.
D)urethritis.

Question 28

Persistent or recurrent genital pain that is associated with intercourse is called

A)dyspareunia.
B)amenorrhea.
C)PID.
D)vulvitis.

Question 29

The technical term for painful intercourse is

A)vaginismus.
B)dyspareunia.
C)anorgasmia.
D)penetration disorder.

Question 30

Zach is not able to ejaculate easily.Often it takes him 40 minutes or more of concentrated thrusting before he ejaculates.Zach most likely has the male orgasm disorder known as

A)priapism.
B)inhibited ejaculation.
C)delayed ejaculation.
D)retrograde ejaculatory disorder.

Question 31

In the Australian Study of Health and Relationships,which sexual behavior was found to be most helpful for the woman to experience orgasm?

A)vaginal intercourse
B)manual stimulation
C)intercourse with manual or oral stimulation
D)the use of a vibrator

Question 32

If a man is able to ejaculate only after extremely prolonged thrusting,the condition can be identified as

A)inhibited ejaculation disorder.
B)delayed ejaculation disorder.
C)retrograde ejaculation.
D)regressive ejaculatory disorder.

Question 33

An inability to attain or maintain an erection during intercourse is diagnostically referred to as

A)impotence.
B)vasocongestive failure.
C)erectile dysfunction.
D)delayed ejaculation.

Question 34

Grace has been unable to have intercourse with her husband.When they try,the muscles around her vaginal opening tighten and she cannot be penetrated.Grace likely has

A)Peyronie's disease.
B)vaginitis.
C)Klinefelter's syndrome.
D)vaginismus.

Question 35

Regarding orgasms,the Australian Study of Health and Relationships found that

A)less than half of males reported always having had an orgasm.
B)nearly three-quarters of men experienced orgasm in encounters that included vaginal intercourse.
C)less than half of women who engaged only in vaginal intercourse experienced orgasm.
D)women who had sex with a new partner were more likely to experience orgasm than those in long-term relationships with their partners.

Question 36

In the Australian Study of Health and Relationships,what percentage of women had an orgasm in their last sexual encounter?

A)95%
B)81%
C)69%
D)43%

Question 37

Persistent and recurrent ejaculation with minimal sexual stimulation before or shortly after penetration,that also causes marked distress or interpersonal difficulty is called

A)priapism.
B)inhibited ejaculation.
C)premature ejaculation.
D)retrograde ejaculatory disorder.

Question 38

Bill has a severe curvature of the penis.His doctor has diagnosed him with

A)Peyronie's disease.
B)priapism.
C)anodyspareunia.
D)urethritis.

Question 39

Which of the following is a male orgasmic disorder?

A)delayed ejaculation
B)biphasic ejaculatory disorder
C)sexual aversion disorder
D)male anorgasmia

Question 40

According to the study by Keesling (2006)cited in your text,the number one reason why some women have difficulty with orgasm is

A)concerns about getting pregnant.
B)lack of experience with self-touch.
C)worries about the children hearing them.
D)physical pain.

Question 41

Which therapeutic approach is most effective in treating difficulties such as premature ejaculation and erectile difficulties

A)psychoanalytic
B)cognitive-behavioral
C)psychosexual
D)pharmacological

Question 42

Which of the following statements about the work of William Masters and Virginia Johnson is accurate?

A)They saw sexual problems as an individual problem that had to be dealt with individually.
B)They believed that neurotic (anxiety-based)problems were at the core of sexual difficulties.
C)They believed that basic personality change was necessary for sexual problems to disappear.
D)They applied both cognitive concepts and behavior modification techniques to sexual difficulties.

Question 43

Sandra and Montel are nervous about entering therapy at the Masters and Johnson Institute.The therapist told them to go home,remove their clothing and pleasure each other everywhere except the genitals and breasts.This is called

A)spectatoring
B)mirroring
C)milling
D)sensate focus

Question 44

Internalized homophobia can be defined as

A)a fear of emotional intimacy with the same sex.
B)a fear of physical intimacy with the same sex.
C)self-hatred because of one's homosexuality.
D)a fear of sharing same-sex feelings with others.

Question 45

While making love,Raul often evaluates "how well" things are going.This distraction often leads to lack of orgasm.This tendency to become involved in judging performance is called

A)inhibited orgasm.
B)spectatoring.
C)anorgasmia.
D)sensate focus.

Question 46

Which item best describes the concept of sensate focus?

A)Devoting one day to each sense;observing and studying how each contributes to the erotic experience.
B)Giving and receiving pleasure to each other without a sexual or coital goal.
C)Slowing down the pace of intercourse so that each step is fully experienced.
D)Expanding the repertoire of foreplay activities before penetration.

Question 47

In order to "resurrect sex," David Schnarch suggests that partners should

A)put other relationship problems on the back burner.
B)ground themselves in what they find attractive about each other.
C)focus on the sexual behaviors that have been satisfying in the past.
D)try sexual behaviors that feel like a stretch.

Question 48

Why do many sex therapists recommend an occasional ban on intercourse (for heterosexual couples)or a comparable activity (for lesbian and gay couples)?

A)Anticipation,delays,and obstacles can serve to intensify desire and arousal.
B)Doing so will enhance nonverbal communication between the partners.
C)Partners can use the time to reflect on the negative feedback they have received during earlier discussions about the relationship.
D)Masturbatory fantasies tend to be ignored when couples concentrate on orgasms.

Question 49

How do people know if they are having "good sex?"

A)both partners are orgasmic
B)you feel good about yourself,your partner,and what you're doing
C)both partners agree on how often they have sex and what they will do
D)the frequency of sexual activity is within normal limits

Question 50

Eric enters therapy concerned about his lack of sexual interest and desire.He thinks it might be the result of being molested while he was a child.Which therapeutic approach is a sex therapist likely to use to help Eric?

A)aversion techniques
B)social skills training
C)cognitive-behavioral
D)psychosexual

Question 51

Prolonged and painful erections that occur when blood is unable to drain from the penis,is called

A)anorgasmia.
B)priapism.
C)permoerection.
D)Peyronie's disease.

Question 52

Wolfgang is a married heterosexual man who has been having problems maintaining an erection.He decides to seek help for his problem.He goes to a cognitive-behavioral therapist.At the first meeting,which of the following will Wolfgang be asked to do?

A)commit to individual sessions for about 12 weeks
B)bring his wife to the sessions with him
C)be very honest and forthright about his early childhood experiences
D)analyze his commitment to his relationship with his wife

Question 53

Gays and lesbians may lack effective sexual behavior because they

A)grew up without appropriate sexual information.
B)are performing sexual acts that are not natural.
C)internalized homophobia.
D)are more interested in their own sexual pleasure.

Question 54

A weak pubococcygeus muscle may result in which disorder in women?

A)anorgasmia
B)vaginismus
C)dyspareunia
D)endometriosis

Question 55

Anodyspareunia is

A)pain experienced during masturbation.
B)pain experienced during anal intercourse.
C)pain experienced during oral-genital stimulation.
D)a failure to climax with oral-genital stimulation.

Question 56

Which of these is one of Zilbergeld's conditions for "good sex"?

A)you feel confident
B)you feel relaxed
C)you feel open to experience
D)All of these are conditions for "good sex" according to Zilbergeld.

Question 57

Which of the following is TRUE regarding women's satisfaction and orgasm according to the National Health and Social Life Survey?

A)Most women are not satisfied unless they have had an orgasm.
B)Most women are not satisfied if they have vaginal intercourse,but are sexually satisfied with cunnilingus.
C)Women who are the most satisfied are women who do not masturbate on a regular basis.
D)Women do not have to experience an orgasm to feel satisfied with sex.

Question 58

Whenever Tom and Connie attempt intercourse,penetration is impossible because of the contraction of muscles around the vaginal entrance.This condition is known as

A)dyspareunia.
B)sexual aversion.
C)hypoactive sexual desire or HSD.
D)vaginismus.

Question 59

Which of the following are typical homework exercises for couples in a sexual enhancement program?

A)mirror examination
B)masturbation
C)erotic aids
D)All of these.

Question 60

Why is the Masters and Johnson approach to treating sexual problems considered so innovative?

A)They applied Freudian theory to sexual problems.
B)They were able to trace the origin of sexual difficulties to childhood problems.
C)They proposed that sexual problems stemmed from ignorance,faulty techniques,or relationship problems.
D)Their ideas applied the findings of Alfred Kinsey's research to treating problems with sexual functioning.

Question 61

In the treatment for erectile difficulties,couples are taught that the first step in treatment is

A)the removal of fears and anxieties.
B)learning to objectively observe one's own sexual responses.
C)learning to concentrate on one's partner's arousal rather than one's own.
D)understanding the physiology of the erection.

Question 62

Which one of the following is helpful in the treatment of early ejaculation?

A)the use of dilators
B)rear entry coitus
C)erotic fantasy
D)the squeeze technique

Question 63

The most widely used treatments for vaginal pain are

A)lubrication and hormone replacement therapy.
B)psychotherapy and lubrication.
C)behavioral therapy and hormone replacement therapy.
D)decreasing the levels of estrogen and lubrication.

Question 64

A man who used to be called "impotent" is now said to have an erectile dysfunction.

Question 65

Which muscles do the Kegel exercises strengthen?

A)the clitorals
B)the pubococcygeus
C)the deltoids
D)the gluteus maximus

Question 66

When vaginal pain is caused by menopause-related symptoms,a possible solution is

A)vaginal dilators.
B)sex therapy.
C)surgery.
D)lubricants.

Question 67

Another name for male erectile disorder is erectile dysfunction.

Question 68

Which of the following is NOT a means for treating erectile dysfunction in men?

A)microsurgery
B)injectable medication
C)penile prosthesis
D)anti-coagulant tablets

Question 69

Which of these is a common therapeutic method used on couples in the early stages of sex therapy?

A)masturbation.
B)sensate focus.
C)woman-on-top coital position.
D)directed fantasy.

Question 70

The core idea of the treatment for erectile difficulties is to have the man

A)experience more power and control in the course of foreplay and coitus.
B)spend more time pleasuring his partner.
C)experience success with maintaining erections in sexual situations that are not orgasm-oriented.
D)condition his arousal to various fantasies and objects so that he can become erect by thinking about them.

Question 71

Which of the following is NOT one of the ways that sexual issues for gay couples differ from heterosexual couples?

A)Although gay men and lesbian women may have the same difficulties as their heterosexual counterparts,the context in which they occur differs.
B)Gay and lesbian couples cannot get help from sex therapists because their sexual activities don't meet the technical definition of sex.
C)Gay and lesbian couples must deal with both societal and internalized homophobia.
D)Gay men must deal with the association between sex and HIV infection.

Question 72

Female orgasmic disorder is the most common sexual dysfunction among women.

Question 73

Almost all heterosexual men (95%)experienced orgasm in encounters that included vaginal intercourse.

Question 74

Many sex therapists believe that sexual arousal is more of a psychological process in women than in men.

Question 75

Once a woman has had an orgasm,it is uncommon that she will lose that ability.

Question 76

Which of the following is NOT a common erection myth?

A)Erection is something that is achieved.
B)Men are always ready.
C)There is only one shot at an erection during a sexual encounter.
D)It is the partner's fault if a man does not have an erection.

Question 77

Viagra improves erectile function by

A)increasing blood pressure in the penis.
B)causing contractions of the penile muscles.
C)stimulating the muscles of the pelvic floor.
D)expanding the erectile tissues in the penis.

Question 78

Which therapeutic approach centers on providing insight and understanding as to why people resist experiencing pleasure?

A)psychosexual therapy
B)cognitive-behavioral therapy
C)PLISSIT therapy
D)self-help groups

Question 79

A pattern of difficulty in the psychophysiological aspects of sexual functioning is called a sexual dysfunction.

Question 80

Which sexual problem is treated by having the man's partner manipulate his penis to bring him the most pleasure possible,and then later proceeding to vaginal or anal intercourse?

A)erectile difficulties
B)premature ejaculation
C)male orgasmic disorder
D)hypoactive sexual desire or HSD