Deck 13: Sexual Disorders

Question 1

________ desire disorder is characterized by males having little desire for sex.

A)Hyposexual
B)Hyperactive sexual
C)Male hypersexual
D)Male hypoactive sexual

Answer 1

Male hypoactive sexual

Question 2

Sarah no longer has desire for sex and has barely had any sexual relations with her husband since her daughter, Amy, was born.Before her daughter's birth, Sarah had a healthy sexual appetite.Sarah is most likely experiencing ________ disorder.

A)generalized sexual desire
B)female orgasmic
C)acquired female sexual interest/arousal
D)lifetime female sexual interest/arousal

Answer 2

acquired female sexual interest/arousal

Question 3

Which of the following is not a cognition typical of men with sexual dysfunction?

A)all-or-nothing beliefs about erection quality
B)the sense of despair over not having orgasm
C)rigid views about satisfying one's partner
D)viewing foreplay as a waste of time

Answer 3

the sense of despair over not having orgasm

Question 4

Ethan has been having trouble attaining an erection lately.In the past, he had no such difficulty, and he can't seem to figure out the cause for his sudden impotence.Ethan will most likely receive a diagnosis of

A)lifelong erectile disorder.
B)temporary delayed ejaculation.
C)acquired erectile disorder.
D)chronic delayed ejaculation.

Question 5

Women with low sexual desire are:

A)less likely than men to report anxiety, depression, and life stress.
B)more likely than men to report anxiety, depression, and life stress.
C)as likely as men to report anxiety, depression, and life stress.
D)not likely to report anxiety, depression, or other psychopathologies on account of this symptom.

Question 6

Men with the ________ form of erectile disorder have never been able to sustain an erection for a desired period of time.

A)recurrent
B)situational
C)lifelong
D)acquired

Question 7

Researchers estimate a prevalence rate of women between 45 and 64 years of age to be ________ percent.

A)12.3
B)15.9
C)18.1
D)19.9

Question 8

"I either satisfy my partner or I don't," is an example of ________ in relation to male sexual dysfunction.

A)depression
B)anxiety
C)negative cognition
D)self-loathing

Question 9

Some men report never having had much interest in sex, either with other people or privately, as in the viewing of erotic films, masturbation, or fantasy.According to the DSM-5, these men are most likely diagnosed with ________ disorder.

A)lifelong male hypoactive sexual desire
B)situational sexual desire
C)acquired male hypoactive sexual desire
D)generalized sexual desire

Question 10

________ is the discharge of the neuromuscular tension built up during the excitement and plateau phases.

A)Arousal
B)Desire
C)Orgasm
D)Plateau

Question 11

A criterion for female orgasmic disorder is that a woman must have difficulty reaching orgasm in at least ________ percent of sexual encounters.

A)25
B)50
C)75
D)90

Question 12

A female who does not experience the normal physiological changes that make up the excitement or arousal phase of the sexual response cycle is most likely exhibiting symptoms of ________ disorder.

A)sexual aversion
B)female sexual interest/arousal
C)female orgasmic
D)generalized sexual desire

Question 13

What is the prevalence rate ror diagnosable levels of low desire in women between 18 and 44 years of age?

A)2 percent
B)8.2 percent
C)11.2 percent
D)14.9 percent

Question 14

The ________ phase of the sexual response cycle combines a psychological experience of pleasure and the physiological changes known as vasocongestion and myotonia.

A)plateau
B)orgasm
C)desire
D)arousal

Question 15

The recurrent inability of a man to attain or maintain an erection until the completion of sexual activity is referred to as

A)male dysfunction disorder.
B)delayed ejaculation.
C)male sexual arousal disorder.
D)erectile disorder.

Question 16

Erectile disorder is sometimes referred to as

A)incapacity.
B)impotence.
C)sexual stress.
D)anorgasmia.

Question 17

Claudia finds that she reaches the sexual excitement phase of the sexual response cycle but has difficulty moving past that stage.She is most likely experiencing

A)aversion disorder.
B)anorgasmia.
C)arousal disorder.
D)impotence.

Question 18

A diagnosis of male hypoactive sexual desire would be made when a male:

A)does not initiate sex because of the inability to have an orgasm.
B)experiences a lack of sexual desire specifically due to overexertion and exhaustion.
C)is obsessed with thoughts about sex, thereby letting it interfere with daily functioning, for a consistent period of six months.
D)has little desire for sex, does not fantasize about sex, and may be unresponsive when a partner initiates sex.

Question 19

Women with ________ disorder report absent or significantly reduced interest in sexual activity, in initiation of sex, and in sexual responsiveness to erotic cues.

A)female sexual desire/interest
B)female sexual interest/arousal
C)genito-pelvic pain/penetration
D)female orgasmic

Question 20

During the ________ phase of the sexual response cycle, excitement remains at a high but stable level.

A)plateau
B)orgasm
C)desire
D)resolution

Question 21

Which of the following is true of hormones and sexual dysfunction?

A)High levels of testosterone and low levels of estrogen and prolactin cause sexual dysfunction in men.
B)High levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in women.
C)Low levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in men.
D)Low levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in women.

Question 22

Approximately ________ percent of women experience muscle tightening with the anticipation of vaginal insertion.

A)1 to 3
B)5 to 17
C)20 to 25
D)28 to 39

Question 23

Which of the following is NOT typically regarded as a cause of vaginal dryness or irritation in women who experience sexual pain?

A)Indigestion
B)Contraceptive use
C)Vaginal infections
D)Antihistamines

Question 24

Which of the following statements is true of female hormones and sexual dysfunction?

A)Estrogen problems in women may result in low arousal due to reduced vaginal lubrication.
B)Postmenopausal women often complain of lowered sexual desire and arousal on account of an increase in estrogen levels.
C)A radical hysterectomy can help reduce vaginal dryness, which is associated with high levels of estrogen.
D)Androgens play a role in the functioning of vaginal tissue, but are not associated with sexual desire and mood.

Question 25

Albert has a history of alcohol dependence and abuse.He now has difficulties experiencing pleasure during sex and sustaining an erection.Albert's psychiatrist would most likely diagnose him with ________ dysfunction.

A)medical sexual
B)dependence-related sexual
C)sexual arousal
D)substance-induced sexual

Question 26

Approximately ________ percent of women experience report frequent pain during intercourse.

A)1 to 3
B)5 to 17
C)8 to 15
D)12 to 39

Question 27

A loss of sexual desire and functioning is:

A)not related to psychological disorders.
B)common in people with high levels of the androgen hormones.
C)rarely observed among people with anxiety disorders.
D)common in people with schizophrenia.

Question 28

Fred and Jennifer are having marital difficulties.He says that her negative attitude toward sex is frustrating.Jennifer admits that she thinks of sex as dirty and sinful but can't seem to change the way she thinks.All of the following psychological factors may contribute to Jennifer's negative perception of sexual intercourse EXCEPT

A)socioeconomic status.
B)distrust of others.
C)poor body image.
D)a sense of shame about sex.

Question 29

________ can be used to study sexual arousal in men, while a(n)________ is used to study sexual arousal in women.

A)Strain gauges; photoplethysmograph
B)Oximeters; strain gauge
C)Photoplethysmographs; strain gauge
D)Photoplethysmographs; oximeter

Question 30

Ricardo's wife has been complaining about their sex life.She feels he is experiencing difficulty controlling his orgasms and ejaculates with minimal sexual stimulation.Ricardo is likely experiencing ________.

A)sexual aversion disorder
B)impotence
C)premature ejaculation
D)hypersexual arousal

Question 31

The statements, "What if I can't get an erection? I'll die of embarrassment!" and "I've got to have an orgasm, or he'll think I don't love him!" are both indicative of

A)sexual aversion.
B)performance anxiety.
C)spectatoring.
D)hypoactive sexual desire.

Question 32

Robert has been experiencing a sexual dysfunction and is seeking medical treatment.Which of the following would be the least likely explanation for his problems?

A)High levels of testosterone
B)Diabetes
C)Cardiovascular disease
D)Low levels of estrogen and prolactin

Question 33

One the most common biological contributors to sexual dysfunction is

A)gastroenteritis.
B)diabetes.
C)hypertension.
D)multiple sclerosis.

Question 34

The most common form of orgasmic disorder in men is

A)premature ejaculation.
B)anorgasmia.
C)erectile dysfunction.
D)sexual aversion disorder.

Question 35

Genito-pelvic pain/penetration disorder may involve:

A)suppressed arousal.
B)muscle tightening.
C)the inability to reach orgasm.
D)the deformation of the sex organ.

Question 36

Which of the following prescription drugs would most likely NOT diminish sexual drive and arousal and interfere with orgasm?

A)An antidepressant
B)An antipsychotic
C)A statin
D)An antihypertensive

Question 37

The DSM-5 states the criteria for the diagnosis of premature (early)ejaculation by specifying that a man must ejaculate within ________ of beginning sexual activity and before the man wishes it on ________ of occasions over a period of at least ________.

A)3 minutes; 75 percent; 6 months
B)3 minutes; 50 percent; 1 year
C)1 minute; 50 percent; 1 year
D)1 minute; 75 percent; 6 months

Question 38

Clay persistently ejaculates with minimal sexual stimulation, before he wishes to ejaculate.He is probably experiencing

A)premature (early)ejaculation.
B)anorgasmia.
C)erectile dysfunction.
D)male sexual aversion disorder.

Question 39

As many as ________ percent of cases of erectile disorder are caused by medical conditions such as cardiovascular disease, multiple sclerosis, kidney failure, and spinal cord injury.

A)10
B)20
C)30
D)40

Question 40

Most men diagnosed with delayed ejaculation:

A)can ejaculate during intercourse.
B)can ejaculate with manual or oral stimulation.
C)can't ejaculate with oral or manual stimulation.
D)can't ejaculate at all.

Question 41

Which of the following statements regarding testosterone replacement therapy for sexual dysfunction is true?

A)A Testosterone replacement therapy can be very effective for men whose low level of sexual desire or arousal are linked to low levels of testosterone.
B)In randomized control trials, testosterone replacement therapy has been shown to be ineffective in treating men with low levels of arousal or sexual desire.
C)In randomized control trials, testosterone appears to be effective in women with low levels of desire or arousal, particularly in post-menopausal women.
D)Hair loss is a common side effect in testosterone replacement therapy.

Question 42

Which of the following statements is true of sexual activity among older adults?

A)Sexual activity usually comes to a halt after an individual reaches 65 years of age.
B)Although men need testosterone to maintain sexual desire, women do not.
C)In almost all cases of sexual dysfunction in older adults, the cause is age itself.
D)Among older adults, discomfort with one's own aging can contribute to sexual problems.

Question 43

Gideon has erectile disorder.His doctor has recommended ________, which is a popular treatment for this problem.

A)Zoloft
B)Anafranil
C)Prozac
D)Viagra

Question 44

Spectatoring involves:

A)voyeurs watching people engage in sex without the other party's consent or awareness.
B)exhibitionists revealing themselves to large groups of people at the same time.
C)individuals anxiously attending to reactions and performance during sex as if they were spectators.
D)individuals replicating sexual behaviors based on what they see as spectators of mass media.

Question 45

Which of the following statements is true regarding cultural aspects of sexual dysfunction?

A)Non-Western men tend to complain more about premature ejaculation than men from Western cultures.
B)Western men tend to complain more about premature ejaculation more than men from non-Western cultures.
C)Premature ejaculation is a primary concern among men across cultures.
D)With the advent of pharmacological treatment, men no longer worry about erectile dysfunction in any part of the world.

Question 46

Which of the following statements is true of relationship problems and sexual dysfunction?

A)Women are more likely than men to decide when to initiate sex, how long to engage in foreplay, and what position to use during intercourse.
B)Conflicts between partners that are not directly related to their sexual activity usually do not affect their sexual relationship.
C)Anorgasmia in women may be tied to lack of communication between a woman and her male partner.
D)Among people seeking treatment for sexual problems, men are more likely to report higher levels of psychological distress than women.

Question 47

A depersonalization syndrome known as ________, thought to result from semen loss, has been reported by several Asian cultures.This syndrome involves acute anxiety, a feeling of panic and impending death, and a delusion that the penis is shrinking into the body and disappearing.

A)koro
B)amok
C)ataque de nervios
D)mal de ojo

Question 48

Tobias has been having trouble performing adequately during sexual encounters.He finds himself worrying before and during sex, which seems to exacerbate his problems with performance.Which of the following psychological factors best explains Tobias's symptoms?

A)Premature ejaculation
B)Spectatorship
C)Letting go
D)Performance anxiety

Question 49

Rose anxiously attends to her reactions and performance during sex by checking her position, rhythm, and breathing.Rose's behavior is referred to as

A)anorgasmia.
B)spectatoring.
C)voyeurism.
D)displacement.

Question 50

The idea that the loss of semen can be detrimental to health is not accepted in Western cultures but is relevant to traditional:

A)Chinese and Japanese cultures.
B)Japanese and Iranian cultures.
C)Iranian and Indian cultures.
D)Indian and Chinese cultures.

Question 51

Which of the following is NOT a likely reason why men and women of a lower socioeconomic status experience more sexual dysfunctions?

A)Greater psychological stress
B)Worse physical health
C)Less education about their bodies
D)Less imbalance of power in relationships

Question 52

Which of the following is a popular biological treatment for erectile disorder?

A)Serax
B)Viagra
C)Luvox
D)Turnial

Question 53

Whereas Western women often seek treatment for sexual desire problems, women from non-Western and more male-centric cultures seek treatment for

A)arousal difficulties.
B)hormonal imbalances.
C)substance abuse.
D)genito-pelvic pain/penetration disorder.

Question 54

________, a pharmacological treatment for women with sexual dysfunction, has been dubbed the "female Viagra."

A)Flibanserin
B)Sildenafil
C)Bupropion
D)Testosterone

Question 55

One type of personal trauma often associated with sexual desire disorders in women is

A)anxiety disorders.
B)the loss of a loved one.
C)medical illness.
D)sexual assault.

Question 56

Surveys in the United States have indicated that:

A)less educated and poorer men and women tend to experience fewer sexual dysfunctions.
B)less educated and poorer men and women tend to experience more sexual dysfunctions.
C)educated, middle-class men experience more sexual dysfunctions than educated, middle-class women.
D)educated, middle-class women experience more sexual dysfunctions than educated, middle-class men.

Question 57

Most women:

A)dislike oral-clitoral stimulation.
B)achieve orgasm by coitus alone.
C)need oral or manual stimulation of the clitoris to achieve orgasm.
D)never achieve orgasm through clitoral or manual stimulation.

Question 58

Certain drugs can be used in conjunction with antidepressants to reduce their sexual side effects.One drug that has proven helpful in this regard is

A)Viagra.
B)Bupropion.
C)Clozapine.
D)Levitra.

Question 59

Mechanical interventions are available for men with erectile dysfunction.One such device is a hydraulic inflatable device, which allows a man to create an erection by pumping ________ into rods inserted in the penis.

A)water
B)testosterone
C)blood
D)saline

Question 60

Mario has a history of dysthymic disorder.He has been taking medication for several years and he has been experiencing low sexual arousal and erectile problems.His friends have suggested that his sexual dysfunction is probably a side effect of his medication.If this is true, which type of medication is Mario most likely taking for his dysthymic disorder?

A)Monoamine oxidase inhibitors (MAOIs)
B)Selective serotonin reuptake inhibitors (SSRIs)
C)Levitra
D)Bupropion

Question 61

________ therapies have been researched more than other types of therapy and have been shown to be effective for several types of sexual dysfunction.

A)Family systems
B)Psychodynamic
C)Cognitive-behavioral
D)Social

Question 62

The stop-start technique is used primarily to help:

A)men with delayed ejaculation reach orgasm faster and more consistently.
B)men who have premature (early)ejaculations to learn to control their ejaculations.
C)women with anorgasmia gain some control over their vaginal contractions.
D)women with genito-pelvic pain/penetration disorder control the pain they experience during intercourse.

Question 63

Luke and Tracy are attending counseling for their marital difficulties.Luke is reluctant to discuss their sex life with a "total stranger." Tracy insists that the therapist will be able to help them.The therapist probably began their session by doing all of the following EXCEPT:

A)helping the couple discover experiences, thoughts, and feelings that are contributing to their sexual problem.
B)encouraging the couple to avoid sensitive areas concerning their sexual behavior, especially during intimate moments.
C)assessing Luke and Tracy's attitudes and beliefs.
D)gathering a personal history of Luke and Tracy.

Question 64

Rodney is experiencing premature (early)ejaculation and his primary care physician has suggested several antidepressants that may be helpful.Which of the following antidepressants is most likely to be effective?

A)Anafranil
B)Mellaril
C)Clozapine
D)Chlorpromazine

Question 65

Sex therapy often includes teaching or encouraging clients to masturbate.This technique can be especially helpful for:

A)older adults.
B)anorgasmic women.
C)men with low levels of testosterone.
D)men with substance-induced sexual dysfunction.

Question 66

The goal of the stop-start technique is for the:

A)man to gain control over his ejaculations and to enjoy the sensation of being in the woman's vagina.
B)woman to gain control over her vaginismus and for the man to gain control over his ejaculations.
C)woman to gain control over her dyspareunia and to enjoy the sensation of having the man's penis in her vagina.
D)man and woman to control their respective orgasms so they can climax together.

Question 67

Deconditioning a woman's particular automatic response is an especially effective treatment for

A)female sexual interest/arousal disorder.
B)lack of lubrication.
C)pelvic muscle tightening.
D)anorgasmia.

Question 68

Which of the following is true about the treatment for sexual dysfunctions?

A)Patients who are troubled by sexual dysfunction are generally referred to mental health services for treatment.
B)Patients who are troubled by sexual dysfunction are offered psychotherapy as well as medical treatment.
C)Most people who are troubled by sexual dysfunction receive no treatment, and the problem only exacerbates.
D)Most people who are troubled by sexual dysfunction receive only medication, and no psychological services.

Question 69

Partners often differ in their ________ for sexual encounters-their expectations about what will take place during a sexual encounter and about what each partner's responsibilities are.

A)ideas
B)preferences
C)scripts
D)tendencies

Question 70

Which of the following statements is true about sensate focus therapy?

A)In the early phases of this therapy, partners are instructed to focus on intercourse.
B)Intercourse between partners is forbidden only if the problem is a female arousal disorder.
C)Clients are told to focus intently on the pleasure created by the exercises, not on intercourse.
D)The client with the problem is instructed not to be selfish and to focus on satisfying his or her partner.

Question 71

When one member of a couple has a sexual dysfunction, it may be the result of problems in the couple's relationship, or it may be contributing to problems in the relationship.For this reason, many therapists prefer to treat sexual dysfunctions:

A)in the context of the couple's relationship.
B)as an individual's problem as opposed to a relationship problem.
C)by focusing on the individual suffering the sexual dysfunction.
D)by focusing on the partner of the individual with the dysfunction.

Question 72

The focus of sensate focus therapy is:

A)comfort.
B)achieving orgasm.
C)better performance.
D)sustaining pleasure.

Question 73

While implementing ________, a person applies pressure to the tip of the partner's penis when ejaculation is imminent.

A)stimulation therapy
B)the stop-start technique
C)sensate focus therapy
D)the squeeze technique

Question 74

Which of the following statements is true about gay, lesbian, and bisexual people?

A)Gay, lesbian, and bisexual people experience sexual dysfunctions for different reasons than those of heterosexual people.
B)Many problems in sexual functioning experienced by gay, lesbian, and bisexual people may have to do with society's attitudes toward them.
C)Most of the sex therapy treatments can't be readily adapted for gay, lesbian, or bisexual couples.
D)The American Psychiatric Association continues to view homosexuality as a psychological disorder.

Question 75

In sex therapy, the client's cognitions while engaging in new sexual exercises are:

A)rarely discussed.
B)usually not revealed to the therapist.
C)used as material for discussion in therapy sessions.
D)not evaluated as this may further inhibit the person.

Question 76

Women who consider hormone replacement therapy to increase sexual desire should be warned that the therapy could:

A)produce erratic moods.
B)have masculinizing effects.
C)result in binge-eating behaviors.
D)prevent pregnancies.

Question 77

Which premature (early)ejaculation treatment technique is used less often because it is harder to teach clients in sex therapy?

A)Stimulation therapy
B)Stop-start technique
C)Sensate focus therapy
D)Squeeze technique

Question 78

Which of the following statements about people with minority sexual orientation is true?

A)Treatments for sexual dysfunction in lesbian, gay, and bisexual people must be customized to meet their needs.
B)Most of the sex therapy treatments used for heterosexual people can be used by gay, lesbian, or bisexual people.
C)There are no developmental influences to distinguish bisexual, gay, and lesbian people from heterosexual people.
D)Bisexual, lesbian, and gay people have entirely different experiences of sexual dysfunction from heterosexual people.

Question 79

Some couples in long-term relationships have abandoned ________ rituals, activities that arouse sexual interest in both partners.

A)love
B)seduction
C)mating
D)courtship

Question 80

If a woman is in ________ therapy, the therapist might explore the origins of the woman's attitudes about masturbation in her early relationships.

A)family systems
B)psychodynamic
C)cognitive-behavioral
D)social