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Understanding Sexual Dysfunction

The document summarizes a chapter about sexual dysfunction and paraphilias from a nursing textbook. It defines paraphilias as sexual urges directed towards non-consenting or inappropriate targets. It lists 21 specific types of paraphilias and their characteristics. It also defines sexual dysfunctions as problems in the sexual response cycle, including lowered desire, difficulty with arousal or orgasm, and painful intercourse. It notes biological, psychological and interpersonal causes. The summary provides an overview of content covered in the chapter for nursing students, including assessment, causes, types of issues, and holistic nursing management of clients with sexual concerns.

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0% found this document useful (0 votes)
56 views3 pages

Understanding Sexual Dysfunction

The document summarizes a chapter about sexual dysfunction and paraphilias from a nursing textbook. It defines paraphilias as sexual urges directed towards non-consenting or inappropriate targets. It lists 21 specific types of paraphilias and their characteristics. It also defines sexual dysfunctions as problems in the sexual response cycle, including lowered desire, difficulty with arousal or orgasm, and painful intercourse. It notes biological, psychological and interpersonal causes. The summary provides an overview of content covered in the chapter for nursing students, including assessment, causes, types of issues, and holistic nursing management of clients with sexual concerns.

Uploaded by

Cheetah Gemma
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Saint Mary’s University

Bayombong, Nueva Vizcaya


School of Health & Natural Sciences

NURSING DEPARTMENT
Course No. NCM 117 Lecture
Subject: Care of Client with Maladaptive Patterns of Behavior, Acute and Chronic
Yr. Level: BSN 3
Contact Hours/Credit Units: 4 fours/week(4units)_____________________________________

CHAPTER 17

SEXUAL DYSFUNCTION

l. Introduction

Sexual dysfunction should be assessed by a nonjudgmental health care provider using the
same history-taking and physical examination techniques for any other symptoms complex.

ll. Learning Objectives

1. Apply the moral and ethical-legal principles in dealing with the care of client with sexual
dysfunction.
2. Obtain a comprehensive psychiatric history and conduct a thorough assessment of mental
status of a client with sexual dysfunction.
3. Formulate a holistic nursing care plan for client with sexual dysfunction.
4. Execute a safe, appropriate mental health activity for client with sexual dysfunction.
5. Utilize effectively the therapeutic use of self in caring client with sexual dysfunction.

lll. Core Content of the Chapter

Sexual Aberrations

Paraphilias:
- sexual urges, fantasies and behaviors that are directed towards nonhuman objects.
- infliction of pain or humiliation to self, partner children or other nonconsenting individuals.
- onset may begin in childhood or early adolescence and more defined in adulthood.
- more among males during the preschool age/oedipal period.

Causes:
- hereditary tendencies
- environmental factors
- defense against unsatisfying relationship
- labelling
- guilt leading to sexual acting out
- preferred choice as a life-style.
Types of Paraphilias:
1. Fetishism – An object used to achieve sexual excitement and gratification.
2. Transvestism – A person wearing clothes of the opposite sex.
3. Exhibitionism - A repetitive act of exposing one’s genital to unsuspecting stranger.
4. Mixoscopia/Voyeurism – A person observing/peeping those who are naked, disrobing or
engaged in sexual activity
5. Sadism – A terrorizing act that involves pain, brutality, torture to gain pleasure.
6. Masochism - The need to be humiliated, accepting physical pain to experience sexual
excitement.
7. Protteurism - Touching or rubbing against a nonconsenting person.
8. Necrophilia – A sexual gratification engaging in a sexual relation with a corpse.
9. Necrosadism – A sexual stimulation and orgasm by mutilating corpses.
10. Transsexualism - The desire to acquire the sexual characteristics of the opposite sex.
11. Zoophilia - Arousal or desire for sexual contact with animals.
12. Bestiality – A sexual contact with animals.
13. Telephone scatologia – A gratification from or during lewdness on the telephone.
14. Pygmalionism - Aroused sexually by statues of females.
15. Sodomy - Oral intercourse between males.
16. Pedophilia - Pathological sexual interact with children.
17. Partialism - Exclusively focusing on the body parts that generates sexual arousal.
18. Coprophilia - Sexual arousal on contact with feces.
19. Klismaphilia - Sexual arousal generated by the use of enemas.
20. Urophilia - Sexual arousal on contact with urine.
21. Ephebophilia - Fondling and other type of sexual activities with children who are developing
secondary sexual characteristics.
22. Paraphilic coercive disorder – Aggressive act of sexual assault involving intercourse against
the persons will or without consent.

Sexual Dysfunction
- Is the inhibition or interference with the phases of the sexual response cycle.
(Excitement, Plateau, Orgasm and Resolution)
- Acquired and lifelong
Causes:
1. Biophysiological (diabetes, alcoholism, renal failure, drugs)
2. Intrapsychic (rape, cultural/religious taboos, stress, low self-esteem, altered body
image)
3. Interpersonal (hostility, poor communication, tension)

Types of Sexual Dysfunction


1. Sexual desire disorder – There is no sexual desire or aversion to sexual contact.
2. Sexual arousal disorder - The female cannot maintain the lubrication-swelling response of
sexual excitement and man cannot maintain an erection.
3. Orgasm disorder – The inability to complete the sexual response cycle. (Premature ejaculation)
4. Sexual pain disorder - Dyspareunia before, during and after sexual intercourse.
Vaginismus involuntary spasm in the outer third of the vagina.
5. Gender Identity Disorder - discomfort with one’s sex

Nursing Management: - Acceptance - Emphatic - Nonjudgmental


Intervention: - Psychotherapy - Antiandrogen - SSRI - Agents to lower testosterone level
IV. Activity:
Short Quiz

V. Bibliography:
Videbeck, S. (2020). Psychiatric-Mental Health Nursing. Wolters
Keltner, N., Bostrom C., & McGuiness T. (2012). Psychiatric Nursing. Elsevier Inc.

Prepared by:

Mrs. Rosalie C. Carreon, RN, MSN


Nursing Department

Common questions

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Paraphilias are often attributed to a combination of hereditary predispositions and environmental influences. They can arise from unsatisfying relationships or as a defense mechanism, and may become a lifestyle choice . In contrast, sexual dysfunction encompasses broader categories, which can be attributed to biophysiological factors such as diabetes, alcoholism, renal failure, and certain medications; intrapsychic causes like stress, cultural or religious taboos, and low self-esteem; and interpersonal issues such as poor communication and tension . Thus, while paraphilias often have specific triggers related to psychological and personal experiences, sexual dysfunction involves a wider array of both physiological and psychological factors.

Healthcare providers can use therapeutic self by building a trusting and empathetic relationship with clients. This involves actively listening to their experiences without judgment, ensuring their privacy, and responding with understanding . Practitioners should create a safe space for clients to discuss sensitive topics and tailor their communication strategies to match the clients' comfort levels, using reflective techniques to assist clients in exploring their feelings about their sexual health . This personalized care can empower clients and facilitate more effective interventions for managing sexual dysfunction.

Nursing care for clients with sexual dysfunction requires the application of ethical and moral principles, which include nonjudgmental assessment and holistic care. Nurses must uphold the client's confidentiality and prioritize the client's autonomy and dignity by providing non-biased support and interventions . The care plan should integrate empathy and professionalism, ensuring that the treatment is personalized and sensitive to the client's cultural and emotional needs, hence avoiding any form of discrimination or stigma .

Environmental factors can play a significant role in the development of sexual paraphilias by shaping individual experiences and perceptions of sexuality. For example, paraphilias like fetishism and voyeurism may begin in childhood or adolescence as individuals respond to certain stimuli or experiences that later become sexually arousing . Exposure to inconsistent or permissive sexual environments can lead to the reinforcement of these behaviors. Additionally, if early sexual experiences are associated with non-normative objects or acts, this can contribute to the development of paraphilias like transvestism or exhibitionism, where comfort or gratification is derived from those objects or situations .

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