Deck 18: Sexual Disorders and Sex Therapy

Question 1

Students from which groups are more likely than Euro-Canadian students to experience sexual problems?

A)Asian ethnocultural community
B)Chinese and other Asian ethnocultural community
C)Brazilian community
D)Chinese community

Answer 1

B

Question 2

Kegel exercises should be done only by women who have experienced childbirth.

Answer 2

False

Question 3

One of the breakthroughs in drug therapy which restores erections to many men is the drug Viagra.

Answer 3

True

Question 4

When we examine the prevalence of hypoactive sexual desire,surveys of the population show that this is a relatively common problem for BOTH men and women,but more so for women.

Question 5

It is quite possible that we all participate in spectatoring to some degree.As a result,this process causes a serious sexual disorder in all of us-voyeurism.

Question 6

For every sexual disorder,there is an effective treatment given the time and effort.

Question 7

Female painful intercourse is most often the result of an ambivalent attitude toward sexuality.

Question 8

A 'good' definition of what rapid ejaculation is can be self-defined where the man is concerned that his lack of ejaculatory control is interfering with his ability to form an intimate relationship.

Question 9

Anorgasmia is a sexual disorder limited to women.

Question 10

Although there are many reasons to cause delayed ejaculation the most commonly,though,it is associated with psychological factors

Question 11

A woman who cannot become aroused as a result of interacting with her partner,but can become aroused in other situations has a(n)________ sexual disorder.

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

Question 12

Much of sex therapy is based on behaviour therapy,especially that modelled after the work of Masters and Johnson.

Question 13

One of the best examples of a prescription drug that can cause erectile difficulties is an antihypertensive drug for high blood pressure.

Question 14

The New View of Women's Sexual Problems is against the idea that sexual difficulties can be caused by medical issues.

Question 15

It appears that the drug that truly contains aphrodisiac properties is Cialis.

Question 16

Couple therapy is an important type of sex therapy because it focuses upon the relationship where many sexual disorders originate.

Question 17

In the last twenty years,sexual disorders have been found to be caused almost completely by some underlying physical factor.

Question 18

The New View of Women's Sexual Problems proposes a classification scheme for women's sexual problems that is not at all supported by women's experiences.

Question 19

Viagra enhances female orgasm through intercourse by facilitating clitoral erection.

Question 20

Probably the greatest shortcoming in the field of sex therapy is the lack of carefully controlled studies of success and failure of the various methods and techniques as they apply to all sexual dysfunctions.

Question 21

The most effective form of therapy for women who have a primary orgasmic disorder is

A)masturbation.
B)performing Kegel exercises.
C)bibliotherapy.
D)medication.

Question 22

The most common of the disorders among men who seek sex therapy is

A)erectile disorder.
B)inhibited ejaculation.
C)being sexually challenged as a result of libido decline.
D)rapid ejaculation.

Question 23

Max and his girlfriend Paige have been dating for four years.Within the past six months,however,Max is no longer interested in sexual activity and has no desire to have sex.He avoids romantic dinners,walks in the park,and going to the drive-in to see movies;all of which used to be "turn-ons" for him.Which of the following disorders does he most likely have?

A)inhibited sexual excitement
B)dyspareunia
C)hypoactive sexual desire
D)hypothyroidism

Question 24

June is seeking therapy because she does not feel like she becomes sexually aroused during sexual activity.However,physiological measures of arousal indicate that she does actually become sexually aroused as demonstrated in an ability to lubricate.Annie is also seeking therapy for problems with sexual arousal.For Annie,she feels like she is sexually aroused but she does not seem to produce enough vaginal lubrication to make sexual intercourse pleasurable.These women are

A)experiencing different sexual disorders given their reported problems.
B)both experiencing sexual arousal disorder despite their differences.
C)engaging in sexual activity with partners who are not responsive to their needs.
D)going to struggle with sexual activity their entire lives.

Question 25

A person who begins to feel desire after sexual activity starts is experiencing

A)inhibited desire
B)responsive desire
C)hyperactive sexual desire
D)discrepancy of sexual desire

Question 26

With lots of practice,Chris has become more comfortable talking to partners about sex,before,during and after sexual activity.Chris's conversational skills are likely to

A)decrease the chance that Chris will experience a sexual problem.
B)increase the chance that Chris will experience a sexual problem.
C)have nothing to do with whether or not Chris will experience a sexual problem.
D)make Chris a better sexual partner.

Question 27

What statement describes a hypoactive sexual desire?

A)It is found in both men and women.
B)It is found more often in men than in women.
C)Best kept separate from a definition of sexual discrepancy disorder.
D)An age-old problem,but really dating only back to the time of Freud.

Question 28

Which of the following is the most common sexual issue reported by women?

A)vaginismus
B)dyspareunia
C)too little sexual desire
D)the inability to orgasm

Question 29

Men who suffer from a male orgasmic disorder sometimes

A)feel pain in the epididymis.
B)adopt the practice of "faking" orgasm in order to be done.
C)have surplus testosterone.
D)are sought out by women as "super-lovers."

Question 30

Which of the following is NOT a cause of erectile disorder?

A)diabetes mellitus
B)circulatory problems
C)severe stress or fatigue
D)dyspareunia

Question 31

A man who has always experienced pain on his glans during sexual intercourse has a ______ sexual disorder.

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

Question 32

The inability to have an erection or to maintain one is known as

A)rapid ejaculation.
B)dyspareunia.
C)hyperactive sexual desire.
D)erectile disorder.

Question 33

In male orgasmic disorder

A)the sperm are underdeveloped.
B)very little stimulation is required for orgasm to occur.
C)the semen is more acid than is typical,causing reduced sperm motility.
D)the man cannot orgasm even though he has had more than adequate stimulation.

Question 34

A 'home remedy' developed by males dealing with rapid ejaculation and RECOMMENDED by Hyde,DeLamater,and Byers was doing something

A)sex-neutral,such as counting backwards from 100.
B)sexually incongruous,as thinking of your grandmother or reciting a prayer.
C)sex-negative,as thinking of a monster.
D)sex-positive,as thinking that "we're in no hurry."

Question 35

A sexual desire discrepancy refers to a case in which the partners have considerably different

A)"types" of persons to which they are attracted.
B)levels of sexual desire.
C)levels of ability to orgasm.
D)abilities to attract sexual partners.

Question 36

In the most common version of male orgasmic disorder,the man

A)orgasms as a result of hand or mouth stimulation but not during intercourse.
B)cannot orgasm as a result of oral stimulation.
C)cannot orgasm with hand stimulation.
D)orgasms during intercourse only.

Question 37

Approximately _______ percent of Canadian men reported having a current problem with ejaculating too early.

A)3
B)13
C)24
D)33

Question 38

Kaplan's (1974)definition of rapid ejaculation is

A)dependent upon self-definition.
B)absence of voluntary control over ejaculation.
C)ejaculation before 10 pelvic thrusts.
D)ejaculation before the penis has been inserted into the vagina.

Question 39

Which of the following is most likely to lead to rapid ejaculation in a man?

A)vascular pathology
B)cardiac pathology
C)diabetes mellitus
D)psychological factors

Question 40

Lately John has difficulty in 'achieving' an erection.He had no difficulty a year ago.John probably has what is known as

A)fear of vaginismus.
B)a lifelong erectile disorder.
C)an acquired erectile disorder.
D)rapid aging of the penis.

Question 41

The lay term "frigidity" is rejected by sex therapists because it has derogatory connotations and is imprecise.They prefer to call it all of the following EXCEPT

A)orgasmic dysfunction
B)anorgasmia
C)inhibited female orgasm
D)retarded orgasm

Question 42

Painful intercourse in women is caused primarily by

A)psychological factors.
B)some kind of physical disorder of the vagina or the vaginal entrance.
C)having experienced sexual abuse when young or sexual assault as an adult.
D)having a sexual partner with a penis that is too large.

Question 43

What is the sexual dysfunction in females that is most often caused by physical factors?

A)dyspareunia
B)vaginismus
C)inhibited sexual desire
D)orgasmic dysfunction

Question 44

Allergic reactions (e.g.to douches),endometriosis,cysts,and pelvic infections may be direct causes of

A)vaginismus
B)dyspareunia
C)anorgasmia
D)orgasmic disorder

Question 45

At high dosage levels,alcohol acts as a ______ and sexual arousal is ______,both in men and women.

A)depressant;suppressed
B)depressant;increased
C)stimulant;suppressed
D)stimulant;increased

Question 46

According to Fisher et al.(1999),what percent of Canadian women report that they do not have an orgasm during intercourse?

A)1
B)11
C)21
D)31

Question 47

A sociobiologist could argue that this sexual disorder is an asset in the process of evolution that would help in reproduction.This sexual disorder is

A)erectile dysfunction
B)rapid ejaculation
C)vaginismus
D)dyspareunia

Question 48

The term that describes the sexual disorder in which a woman has never in her life had an orgasm is

A)dyspareunia
B)lifelong orgasmic disorder
C)hypoactive sexual desire
D)rapid ejaculation

Question 49

In a 1999 study by Fisher et al.,younger women were ________ likely to report infrequent orgasms than were older women.

A)more
B)less
C)equally
D)far less

Question 50

Which of the following is NOT a cause for Vaginismus?

A)Organic factors.
B)Individual psychological factors.
C)Interpersonal factors.
D)High expectations.

Question 51

A relatively large number of individuals in middle and old age have this disease,which causes an erectile disorder in about 1/3 of men.What is the disease?

A)Male-pattern baldness.
B)Nearsightedness.
C)Farsightedness.
D)Diabetes.

Question 52

What is the most commonly cause of male orgasmic disorder?

A)Psychological factors.
B)Spinal cord injury.
C)Prostate surgery.
D)Mitral valve prolapse.

Question 53

There is some debate about whether ________ is a disorder at all and a corresponding doubt about whether it requires therapy.

A)situational rapid ejaculation
B)situational female orgasmic disorder
C)inhibited male orgasm
D)hyperactive sexual desire

Question 54

Spastic contractions of the outer third of the vagina which may make intercourse impossible are characteristic of the condition called

A)situational anorgasmia
B)preorgasmia
C)acquired frigidity
D)vaginismus

Question 55

In women with dyspareunia,the pain is NOT felt in which of the following areas?

A)In the pelvis.
B)In the vagina.
C)Around the introitus.
D)In the breasts.

Question 56

Which of the following is NOT a sexual dysfunction due to the long-term effects of chronic alcohol abuse?

A)erectile disorder
B)hypoactive sexual desire
C)delayed ejaculation
D)rapid ejaculation

Question 57

Cases of painful intercourse

A)are more common in women than men.
B)are often accompanied by rapid ejaculation in males.
C)arise as a result of hostility towards one partner.
D)are best treated by making the person aware that there can be no physical reason for their pain.

Question 58

Worldwide,approximately what percentage of women have never experienced an orgasm in their lifetime?

A)10 percent
B)15 percent
C)20 percent
D)25 percent

Question 59

A woman who had coital orgasms at some time in her life but no longer does so would be classified as experiencing

A)discrepant sexual desire
B)lifelong orgasmic disorder
C)acquired orgasmic disorder
D)situational orgasmic disorder

Question 60

Male orgasmic disorder may be caused by all of the following physical problems EXCEPT

A)multiple sclerosis
B)spinal cord injury
C)prostate surgery
D)glaucoma

Question 61

An interpersonal factor that can interfere with sexual functioning or cause sexual problems is

A)becoming very close to one another by sharing intimate feelings in the context of a sexual relationship.
B)becoming very sexual,but not sharing intimate feelings.
C)performing all kinds of sexual behaviours for the other person.
D)not withholding sex nor using it as a weapon.

Question 62

Let's say that a male may drink and eat too much at a party.He is sexually desirous,but is unable to have an erection with his sexual partner.As a consequence,he wonders if it will happen again.In order to work his courage up,he has a 'few' drinks before his next attempt at sexual intercourse-and sure enough,no erection.This happens again the next time.Now his prophecy is fulfilled.This is an example of the maintaining psychological cause of

A)spectatoring.
B)failure of partners to communicate.
C)failure to engage in effective,sexually stimulating arousal.
D)fear of failure and anxiety.

Question 63

Most,if not all,of the therapy techniques developed by Masters and Johnson are based on which of the following therapies?

A)psychoanalytic therapy
B)behavioural therapy
C)social learning therapy
D)social scripts therapy

Question 64

Beth loves the show Sex and the City.She especially likes how the character Samantha is so sexually open and in charge of her own sexual pleasure.She strives to be like Samantha in her own sexual life.In so doing,she often finds herself evaluating what she is doing in the middle of sex-and how the other person is responding-almost as if she is watching herself on TV.Beth's experience is

A)anxiety caused by fear of failure.
B)called spectatoring.
C)caused by a failure of the partner to communicate.
D)one-way myths and misinformation affect sexuality.

Question 65

A sexually functional male will probably respond with _________ in arousal if anxious.In a sexually dysfunctional male,anxiety will _________ arousal.

A)a decrease;decrease
B)an increase;decrease
C)a decrease;increase
D)an increase;increase

Question 66

A maintaining cause of sexual dysfunction could be

A)failure of the partners to communicate.
B)an inability to get an erection the first time intercourse is ever attempted.
C)having experienced a seductive parent while growing up.
D)experiencing severe punishment by one's parents for masturbating when growing up.

Question 67

Which of the following behaviours is an alarming consequence of pairing non-prescription drug use with sexuality,and is especially prevalent in users of crystal meth?

A)swollen genitalia
B)engaging in risky sexual behaviours
C)increased fertility
D)increased enzyme regulation

Question 68

Sue Ann and Ginny are practising exercises that their sex therapist has prescribed to them to help with Sue Ann's trouble with sexual arousal.Today,Ginny is focused on Sue Ann,touching her and caressing her all over her body but avoiding her genitals.Sue Ann in turn is practising her verbal communication with Ginny,telling her what she likes and how much she likes it.Sue Ann and Ginny's therapist has prescribed

A)teasing behaviour
B)sensate focus exercises
C)spectatoring
D)cognitive restructuring

Question 69

Which maintaining cause of sexual disorders refers to thoughts that distract the person from focusing on the erotic experience?

A)anxiety
B)fear of failure
C)cognitive interference
D)unexpressed communication

Question 70

It appears that when you have a little of this drug,there is often an enhancement of one's libido,but when you have a great deal,it acts as a performance depressant.This drug is

A)acetaminophen
B)alcohol
C)an atypical antipsychotic
D)heroin

Question 71

When negative thoughts interfere with a person having an enjoyable sexual experience,this is

A)cognitive interference.
B)spectatoring.
C)being immersed in the act.
D)sensate focusing.

Question 72

When women with sexual disorders were exposed to a frightening movie in a laboratory setting and then told that their genitals were aroused sexually,

A)their genitals really began to respond sexually.
B)nothing happened as compared to a control group that was not told anything.
C)they were cured,but only when this was done in the presence of men to whom they were physically attracted.
D)they were cured,but only if the frightening movie showed some type of violence toward women.

Question 73

Barlow's (1986)research suggests that when men with sexual disorders are in a sexual situation,the increased activity of the autonomic nervous system

A)is perceived as sexual arousal.
B)is perceived as anxiety.
C)that typically occurs does not occur.
D)occurs,but does not reach a level sufficient to produce appropriate physiological responses.

Question 74

______ factors are ongoing life circumstances,personal characteristics,and characteristics of lovemaking that help explain why a sexual problem continues.

A)Predisposing
B)Biasing
C)Maintaining
D)Occupying

Question 75

Learning exercises that are based on touching and being touched and being a 'giver' and then a 'getter,' is what Masters and Johnson termed

A)hypo-intimacy
B)hyper-intimacy
C)sensate focus
D)emotional reconfiguration and restructuring

Question 76

Factors that contribute to the development of a sexual disorder (e.g.sexual assault)are classified under the category of _________ factors.

A)immediate
B)situational
C)predisposing
D)psychodynamic

Question 77

The most important aspect of sensate focus is that

A)it teaches how to reach orgasm quickly and easily without being distracted by other things.
B)one does not necessarily have to reach orgasm in order to enjoy sex.
C)it shows the participants that touching is not as important a form of communication as talking.
D)it shows the participants that the 'receiving' role is more important than the 'giving' role.

Question 78

Which of the following is NOT listed by your authors as a maintaining psychological cause of sexual disorders?

A)myths or misinformation
B)negative attitudes
C)relationship distress
D)excessive communication that disallows spontaneity in sexual situations

Question 79

Which of the following events would be most likely to affect the sexual functioning of a person and result in a sexual disorder?

A)growing up in a religious family and being taught that sex is dirty and sinful
B)an enjoyable first act of intercourse with a peer,but at a young age
C)using contraceptives during the first act of intercourse
D)having a very strong libido and being paired for a short period of time with a person who has a very low libido

Question 80

Masters and Johnson reported their lowest failure rate in treating:

A)primary erectile disorder
B)masturbation failure
C)dyspareunia
D)rapid ejaculation