Question 1

Based on research contained within your text book, which of the following statements is true?

Accepted Answer

Research suggests that after sex confirmation surgery, transwomen are more likely than transmen to experience issues with sexual desire. Factors that contribute to this may include hormonal changes, surgical complications, and psychological factors.

Question 2

According to your text book, if a sexual problem is classified as an acquired sexual dysfunction, it is more likely to have what type of cause?

Accepted Answer

Acquired sexual dysfunctions are problems that develop after a period of normal sexual function, which suggests a psychological or interpersonal cause rather than a purely biological one.

Question 3

Which of the following statements is true?

Accepted Answer

According to the current diagnostic criteria in the DSM-5, a person needs to have experienced symptoms 75% to 100% of the time for at least 6 months to meet the criteria for a desire/arousal disorder.

Question 4

What symptoms are associated with sexual interest/arousal disorders?

Accepted Answer

All of these symptoms are commonly associated with sexual interest/arousal disorders. Absent or reduced sexual thoughts or fantasies, reduced genital sensations during sexual activity, and absent or reduced pleasure during sexual activity are all symptoms that can be present in individuals with this disorder.

Question 5

Criteria for sexual interest/arousal disorder includes all of the following, EXCEPT:

Accepted Answer

The correct answer is D) marked delay in, or absence of, orgasm. This is because the criteria for sexual interest/arousal disorder focus on the lack of sexual interest or arousal, rather than issues with orgasm, which are categorized under different sexual dysfunction disorders.

Question 6

Erectile disorders in younger men are more likely to be _______ based, whereas erectile dysfunctions in older men are more likely to be _______ based.

Accepted Answer

Erectile disorders in younger men are often psychologically based, due to factors such as stress or anxiety, while in older men, they are more likely to be physically based, often due to health issues like heart disease or diabetes.

Question 7

What is the name for a substance that increases, or is believed to increase, a person's sexual desire?

Accepted Answer

The term for a substance that increases sexual desire is an aphrodisiac. Choices A, C, and D are not specific to sexual desire.

Question 8

Ben enters sex therapy and shares with his therapist that he is having difficulty maintaining an erection, but only during oral sex. When he is masturbating or having vaginal intercourse, he maintains his erection with no problems. How would his therapist likely classify this problem?

Accepted Answer

Ben's difficulty maintaining an erection is specific to oral sex, which makes it a situational sexual dysfunction. He is able to maintain his erection during other sexual activities, indicating that there may be a psychological or situational factor specifically related to oral sex that is affecting his ability to maintain an erection.

Question 9

Jermaine has decided to seek treatment because he has never been able to ejaculate through masturbation, even as a young boy. He thought the problem may be due to lack of a partner, but now he has a partner and is still not able to ejaculate. Which of the following best describes Jermaine's reason for seeking treatment?

Accepted Answer

Jermaine has never been able to ejaculate through masturbation, even as a young boy, indicating that this is a lifelong issue. The fact that he now has a partner and is still unable to ejaculate further supports the idea that this is a lifelong sexual dysfunction.

Question 10

How does the EROS device work to treat sexual arousal and desire disorders?

Accepted Answer

The EROS device works by increasing blood flow to the clitoris through a vacuum suction which can help with sexual arousal and desire disorders in women.

Question 11

According to your text, the reason that aphrodisiacs can be effective is because:

Accepted Answer

The effectiveness of aphrodisiacs is largely due to the placebo effect. If a person believes that a substance will increase their sexual desire or performance, they may experience a boost in confidence and arousal simply from the expectation. This can lead to a self-fulfilling prophecy and the perception that the aphrodisiac is working, even if it doesn't have a direct physiological effect on the body.

Question 12

If a couple is experiencing a discrepancy in desire, who would be more likely to be identified as having a sexual problem?

Accepted Answer

Typically, when there is a discrepancy in desire between partners, the partner with the lower level of sexual desire is identified as having a sexual problem. This is because our culture tends to view sexual desire as a "normal" or "healthy" state, and therefore those who lack it are seen as deviant or problematic. However, it's important to note that both partners may be impacted by the discrepancy in desire and may benefit from seeking help or counseling.

Question 13

The DSM-5 includes a group of criteria to explore various issues to determine how best to treat a sexual dysfunction. All of the following are used to assess a dysfunction, EXCEPT for:

Accepted Answer

The DSM-5 includes medical, relationship, and cultural factors as part of the criteria to assess sexual dysfunction, but contraceptive factors are not included. Contraceptive use is not considered a factor in the diagnosis or treatment of sexual dysfunction.

Question 14

Brad is able to maintain an erection and ejaculate during masturbation. Before his breakup with his previous partner, he was also able to maintain an erection and ejaculate during sex. He now has a new partner and has not been able to maintain an erection during sex. What is a more likely cause for his problem?

Accepted Answer

Since Brad was able to maintain an erection and ejaculate during masturbation and with his previous partner, it is less likely that he has a medical issue such as an STI or cardiovascular problem. Additionally, there is no indication that his penis size or shape is causing discomfort. Therefore, it is more likely that he is experiencing performance fears or is comparing his encounters with his new partner to his previous partner, which is impacting his ability to maintain an erection during sex.

Question 15

What has recent research found related to the use of Viagra for female sexual arousal and desire disorders?

Accepted Answer

Recent research has found that Viagra does not provide significant benefits in the treatment of female sexual arousal and desire disorders. While the drug has been effective in treating male sexual dysfunction, female sexual problems are more complex and may require different treatment strategies. Additionally, there are potential side effects of Viagra use in women, including nausea, headache, and facial flushing. Therefore, Viagra is not recommended for use in treating female sexual problems.

Question 16

Kiana sought sex therapy due to her low or absent interest in sexual activity. Which of the following would be the most appropriate diagnosis for Kiana?

Accepted Answer

The low or absent interest in sexual activity described by Kiana is a symptom of hypoactive sexual desire. Dyspareunia refers to pain during intercourse, sexual aversion is a fear or disgust towards sexual activity, and hypersexuality is excessive or uncontrollable sexual desire.

Question 17

In men, what disorder is classified as a sexual arousal disorder?

Accepted Answer

Erectile disorder is classified as a sexual arousal disorder in men. It refers to the inability to achieve or maintain a sufficient erection for sexual activity.

Question 18

What was a major criticism of how the Diagnostic and Statistical Manual ( DSM ) classified sexual dysfunctions, which ultimately led to changes within the DSM-5 ?

Accepted Answer

The major criticism was that previous editions of the DSM classified sexual dysfunctions based on where in the sexual response cycle the symptoms occurred, which was seen as too limiting and not reflective of the complexity of sexual dysfunctions. This led to changes in the DSM-5 to address these concerns.

Question 19

Ever since giving birth to her second child, Jing is no longer able to orgasm during intercourse. She is able to orgasm during masturbation and she used to be able to orgasm through intercourse. How would her problem likely be classified?

Accepted Answer

Jing's problem is situational (only occurring during intercourse) and acquired (she used to be able to orgasm through intercourse before giving birth to her second child).

Question 20

What is the first thing that most sex therapists do when beginning treatment of most sexual dysfunctions?

Accepted Answer

Obtaining a medical history is typically the first step in treating sexual dysfunctions as it can help identify any underlying physical or medical conditions that may be contributing to the problem. Once medical factors have been ruled out or addressed, therapists can then move on to addressing psychological or relational factors.

Quiz 14: Challenges to Sexual Functioning