Question 1

The case of John, whose parents decided to raise him as a girl after a circumcision injury, is presented in your text. Despite hormone replacement therapy and his parents' efforts to raise him as a girl, John never felt like a girl. This case shows that

Accepted Answer

The case of John supports the idea that biology plays a strong role in gender identity, as even significant environmental efforts could not override his innate sense of being male.

Question 2

Gender dysphoria is characterized by a strong and persistent cross-gender identification and

Accepted Answer

Gender dysphoria involves a persistent and strong identification with a gender that is different from one's biological sex, leading to discomfort with one's own biological sex. This discomfort can manifest in various ways, but it is not primarily driven by a desire for cultural advantages, sexual arousal, or fetishistic interests.

Question 3

Psychological approaches to the treatment of gender dysphoria in children have typically focused on reinforcing same-sex activities and friendships, spending time with the same-sex parent, and

Accepted Answer

Having play dates with same-sex peers has been shown to be an effective psychological approach to the treatment of gender dysphoria in children. This approach helps the child to develop a sense of identity with peers of the same sex and reinforces same-sex friendships and activities. Immersing the child in cultural stereotypes of male and female (A) or using cartoons to teach appropriate gender roles (C) may not be appropriate or effective approaches for treating gender dysphoria. Play therapy (D) may be a useful tool for assessing the child's gender identity but may not be effective as the primary approach to treatment.

Question 4

Those who have gender dysphoria may be at comorbid risk for anxiety, depression, and

Accepted Answer

The answer of Those who have gender dysphoria may be...

Question 5

Monique is seven years old and prefers wearing her older brother's clothes to the frilly dresses her mother wants her to wear. She has gone so far as to repeatedly insist that she is a boy and she chooses only male playmates at school. Most likely, Monique is showing the childhood correlates of

Accepted Answer

Monique's behavior is consistent with childhood gender dysphoria, which is characterized by a persistent and strong desire to be of the opposite gender, a preference for clothing and toys typically associated with the opposite gender, and a preference for playmates of the opposite gender. Monique's behavior does not meet the criteria for transvestic fetishism, as she does not experience sexual arousal from wearing her brother's clothes. Transgender behavior disorder and transsexual gender disorder are outdated terms that are no longer used in the diagnostic criteria for gender dysphoria.

Question 6

A hormonal condition in which too much of the hormone androgen is produced during the prenatal period and the first few years of life is known as congenital adrenal hyperplasia (CAH). This condition causes

Accepted Answer

Congenital adrenal hyperplasia (CAH) leads to an overproduction of androgens, which are male sex hormones. This can cause early and exaggerated male sex characteristics in both sexes, not just in boys.

Question 7

Sheldon has been married for two years and his wife is on the verge of leaving him. Within the last 6 months, he has not been sexually intimate with her. He admits that he rarely thinks about sex, has sexual fantasies, or masturbates. Before this recent decline in sexual interest, Sheldon reports that his marriage was "strong, loving and highly sexual." Which of the following disorders fits Sheldon's clinical picture?

Accepted Answer

Sheldon's description fits the criteria for male hypoactive sexual desire disorder, which involves a persistent or recurrent deficiency or absence of sexual fantasies or desire for sexual activity. His lack of interest in sex has also been present for at least 6 months, which is one of the diagnostic criteria for the disorder. The other options do not fit Sheldon's clinical picture as well - male erectile disorder involves difficulty achieving or maintaining an erection, sexual aversion disorder involves aversion or disgust towards sexual activity, and sexual dysfunction disorder is not a specific disorder but rather an umbrella term for a range of sexual difficulties.

Question 8

Frank asked his boss for a meeting yesterday, during which he explained that he would be returning to work next week dressed in women's clothes, and at that point, would like to be called Frances. He explained that this was an important part of a process for the treatment of his

Accepted Answer

Frank's desire to dress in women's clothes and be addressed as Frances is an indication of gender dysphoria. Gender dysphoria is a condition in which a person experiences discomfort or distress because there is a mismatch between their sex assigned at birth and their gender identity. It is not related to homosexuality, gender fetishism, or hermaphroditism.

Question 9

Unlike other disorders of sexual functioning, ___________ might be considered by some men to be an advantage to their partner in that it allows them to continue to function sexually for an extended period of time.

Accepted Answer

Delayed ejaculation might be considered by some men to be an advantage to their partner in that it allows them to continue to function sexually for an extended period of time. Hypoactive sexual desire, male erectile disorder, and dyspareunia are not advantages for sexual functioning.

Question 10

Select the statement below about premature ejaculation that is FALSE.

Accepted Answer

Premature ejaculation is not termed "secondary" when related to substance abuse. "Secondary" refers to cases where the condition develops later in life after experiencing normal sexual functioning.

Question 11

Different studies investigating patient satisfaction with sex reassignment surgery have shown that at least _______ percent responded positively to the intervention.

Accepted Answer

Several studies have reported high levels of patient satisfaction with sex reassignment surgery, with response rates ranging from 86 to 95 percent. Therefore, the best choice is D, which is the highest percentage option.

Question 12

Chuck has been experiencing high levels of stress because of financial losses in his company. He and his wife, Melissa, have had a satisfying sexual relationship until recently. Now Chuck typically experiences an ejaculation within a minute of initiating sex. Chuck is most likely to be suffering from

Accepted Answer

Chuck's recent onset of rapid ejaculation, following a period of normal sexual functioning and in the context of high stress, is indicative of secondary premature ejaculation. This condition occurs after a period of normal ejaculatory control and can be triggered by stress or psychological factors, unlike primary premature ejaculation, which is present from a person's first sexual experiences.

Question 13

Sex reassignment surgery

Accepted Answer

Sex reassignment surgery can include both medical procedures (such as hormone therapy and surgeries) and behavioral procedures (such as therapy and counseling). It is considered an effective intervention for relieving gender dysphoria and improving the quality of life for transgender individuals. It is not typically chosen by transvestites, who do not identify as a different gender but may enjoy wearing clothes typically associated with the opposite gender.

Question 14

Although western cultures recognize only two gender categories, some other countries have more classifications. For example, in India, "hijra"

Accepted Answer

In India, hijra are not viewed as male or female but possess elements of both. They are often considered to be a third gender or a non-binary gender category.

Question 15

Sex reassignment surgery eliminates gender dysphoria, improves both body satisfaction and interpersonal relationships, and

Accepted Answer

Sex reassignment surgery has been shown to reduce anxiety and depression in transgender individuals. This is likely because it helps alleviate the distress caused by gender dysphoria and improves overall well-being. However, it is not a simple procedure and involves significant alteration of the reproductive organs. Additionally, while it may improve sexual satisfaction for some individuals, it does not necessarily lead to better sexual performance for all.

Question 16

In the U.S., _____% of men and _____% of women ages 19 to 59 express dissatisfaction with their level of sexual desire.

Accepted Answer

The answer of In the U.S., _____% of men and...

Question 17

Which of the following is indicative of transgender behavior in adolescents?

Accepted Answer

Females refusing to wear dresses or other feminine attire is indicative of transgender behavior in adolescents.

Question 18

In the first stage of the sex reassignment process, the individual lives in the new gender role for at least

Accepted Answer

The answer of In the first stage of the sex...

Question 19

An absence or impairment of some aspect of sexual response is called

Accepted Answer

The term "sexual dysfunction" is used to describe a wide range of sexual problems, including a lack or impairment of sexual response or desire. A, B, and C are more specific terms that refer to particular types of sexual dysfunction.

Question 20

Approximately _______ percent of gay men report anodyspareunia during receptive anal sex.

Accepted Answer

Approximately 14% of gay men report anodyspareunia during receptive anal sex.

Quiz 8: Gender Dysphoria, Sexual Dysfunctions, and Paraphilic Disorders