Question 1

The controversy about gender reassignment surgery will likely continue because ____.

Accepted Answer

The answer of The controversy about gender reassignment surgery will...

Question 2

Brenda was a transsexual who had gender reassignment surgery. She now calls herself Brad. Research on the outcome of these operations suggests that she will ____.

Accepted Answer

Research indicates that female-to-male transsexuals (like Brenda, who now identifies as Brad) often report a higher level of satisfaction with their gender reassignment surgery compared to male-to-female transsexuals. This satisfaction can be attributed to various factors, including societal attitudes and the technical outcomes of the surgeries.

Question 3

Norman is diagnosed with gender dysphoria. We can confidently expect that as a child, he ____.

Accepted Answer

Children with gender dysphoria often avoid activities that are stereotypically associated with their assigned gender, such as rough-and-tumble play for boys.

Question 4

Which individual exhibits a paraphilia?

Accepted Answer

Paraphilia involves sexual arousal to atypical or extreme stimuli, beyond what is considered conventional or socially acceptable sexual behavior. Jake's arousal dependent on being tied up and spanked indicates a specific kind of paraphilia known as masochism, where sexual arousal is derived from being humiliated, beaten, bound, or otherwise made to suffer.

Question 5

When an object such as shoes or women's underwear is used during masturbation as the sole means of achieving sexual gratification and this practice is distressing, the diagnosis is ____.

Accepted Answer

Fetishistic disorder is characterized by a sexual focus on non-living objects or a highly specific focus on non-genital body parts, which becomes problematic or distressing for the individual. In this case, using objects like shoes or women's underwear exclusively for sexual gratification, if it causes distress, aligns with the definition of fetishistic disorder.

Question 6

Which psychological or social factor is thought to contribute to development of gender dysphoria in boys?

Accepted Answer

Parental encouragement of feminine behavior in boys has been suggested as a contributing factor to the development of gender dysphoria. This does not mean it is a direct cause, but it may play a role in the complex interplay of factors leading to gender dysphoria.

Question 7

What paraphilia is relatively common, and involves urges or fantasies about exposing one's genitals to strangers in order to cause shock in the observer.

Accepted Answer

Exhibitionistic disorder is characterized by intense sexual arousal from the exposure of one's genitals to an unsuspecting person, which aligns with the description given.

Question 8

Both transsexuals and transvestites cross-dress. What factor helps differentiate the two disorders?

Accepted Answer

Only transsexuals identify with the opposite gender, which is a key factor in differentiating them from transvestites. Transvestites do not necessarily wish to live as the opposite gender; they may cross-dress for various reasons, including but not limited to, sexual gratification, comfort, or self-expression.

Question 9

Connie's therapist attempts to replace the misconceptions and sexual myths that Connie has learned since childhood with accurate information about sexual anatomy and feelings. Which component of psychological treatment is the therapist using?

Accepted Answer

The therapist is using education as a component of psychological treatment by providing accurate information to replace misconceptions and myths about sexual anatomy and feelings. This approach aims to correct false beliefs and improve understanding.

Question 10

Wayne has neither homosexual fantasies nor an attraction to other men. He knows he is male, but he can only achieve sexual arousal by shopping for women's clothes, dressing in them, and masturbating in front of a mirror. An appropriate diagnosis for Wayne is ____.

Accepted Answer

Wayne's behavior aligns with transvestic disorder, characterized by sexual arousal from cross-dressing, without a desire to be of a different gender or exhibiting his behavior publicly, which excludes gender dysphoria, transsexualism, and exhibitionism.

Question 11

Research suggests that vaginismus among women ____.

Accepted Answer

The answer of Research suggests that vaginismus among women ____.
...

Question 12

Keith is diagnosed with transsexualism (gender dysphoria). How is the therapist likely to explain his disorder?

Accepted Answer

The answer of Keith is diagnosed with transsexualism (gender dysphoria)....

Question 13

The sexual disorders that involve intense sexual urges regarding situations, objects, or people that are not part of the usual arousal pattern leading to reciprocal and affectionate sexual activity are called ____.

Accepted Answer

Paraphilias are characterized by intense sexual urges, fantasies, or behaviors that involve unusual situations, objects, or activities not typically associated with normative reciprocal and affectionate sexual activity.

Question 14

A man has persistent fantasies about having sex with non-consenting people. Although he has not acted on them, these fantasies have lasted for almost a year and cause the man severe distress. What diagnosis is appropriate and why?

Accepted Answer

Paraphilia is characterized by intense sexual fantasies, urges, or behaviors involving non-consenting individuals, non-human objects, or suffering/humiliation of oneself or the partner that last for at least six months and cause significant distress or impairment in social, occupational, or other important areas of functioning. The man's distress over his persistent fantasies about non-consenting individuals fits the criteria for paraphilia, even though he has not acted on these fantasies.

Question 15

Which statement about treatment of transsexualism is accurate ?

Accepted Answer

Hormone therapy and gender reassignment surgery are both valuable therapies for transsexuals, depending on the individual's needs and preferences.

Question 16

Mary has a fetish for men's clothes and has two other forms of paraphilia as well. She is distressed with her fantasies and actions. These paraphilias have lasted several years. What aspect of Mary's case is unusual ?

Accepted Answer

Paraphilias are significantly more common in men than in women, making Mary's case unusual due to her gender. The other options are not unusual aspects of paraphilias; they can last for many years, it's not uncommon for a person to have more than one paraphilia, and distress is often a part of the experience for individuals with paraphilias.

Question 17

An individual who presents with a paraphilia is likely to ____.

Accepted Answer

Individuals with one paraphilia often have more than one paraphilia. There is no direct correlation between paraphilias and sexual orientation, gender, or specific life events, making the other options incorrect.

Question 18

Which of the following is considered to be a biological influence of gender dysphoria?

Accepted Answer

Abnormal levels of testosterone can influence the development of gender identity, potentially contributing to gender dysphoria.

Question 19

How successful is gender reassignment surgery for males transitioning to females?

Accepted Answer

Many individuals report satisfaction with gender reassignment surgery, but like any surgery, there can be side effects and complications.

Question 20

Brent has been diagnosed with transvestic disorder. Although he is married, he has long wanted a sex-change operation. He must dress as a woman to be able to have intercourse with his wife. If the diagnosis is accurate, what is unusual about Brent's case?

Accepted Answer

Transvestic disorder typically involves cross-dressing for sexual arousal and does not necessarily include a desire for a sex-change operation. This desire suggests a deeper gender dysphoria rather than just transvestic disorder.

Quiz 14: Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders