Exam Preview for 1806: Sexual Dysfunctions: DSM-V Diagnoses and Fou

Sexual Dysfunctions: DSM-V Diagnoses and Foundational Knowledge

Please note: exam questions are subject to change.

1. What is an argument for including the distress criterion in sexual dysfunctions? Sexual dysfunctions should include operational criteria that are purely objective. Sexual difficulty and sexual distress appear to be associated with different factors. The distress criterion enables the identification of clinically significant sexual difficulties. The lack of specificity of criteria combined with the distress criterion result in false positives.
2. Which statement best describes the relationship between child sexual abuse and sexual dysfunctions? There is no significant relationship between child sexual abuse and sexual dysfunctions. Women with a history of child sexual abuse report a higher proportion of sexual dysfunction than men with a history of child sexual abuse. Men with a history of child sexual abuse report a higher proportion of sexual dysfunction than women with a history of child sexual abuse. None of the above.
3. What is a clear problem when assessing for low desire, particularly in females? There is little consensus on how sexual desire is defined, and parameters of low, acceptable, and excessive desire are socially constructed and loosely defined. There is a clear, objective definition of desire based in physiological factors. Women typically describe desire in the same ways – primarily based in interpersonal aspects of desire. Desire for sex is typically the primary motivation for sexual behavior in women, but not in men.
4. Which of the following are NOT a possible etiology for comorbid depression and sexual dysfunction? antidepressant medication can result in sexual dysfunction sexual dysfunction can lead to depression depression can lead to low sex drive depression is not typically comorbid with sexual dysfunction
5. Which of the following best describes the assumptions of sensate focus? mindfully focusing on sensations can relieve anxiety that interferes with sexual functioning. identifying and challenging cognitive distortions about sex can reduce sexual dysfunction. focusing on sensations for someone else can reduce the discomfort associated with sensorial absorption. creating distance between activity and sensation could induce productive levels of dissociation to reduce sexual dysfunction.
6. In Lewis et al.’s (2010) systematic review, what were the most common sexual dysfunctions in women and in men? genito-pelvic pain for both women and men orgasmic disorder for women and premature ejaculation for men sexual interest/arousal disorder for women and delayed ejaculation for men sexual interest/arousal disorder for women and erectile disorder for men
7. What is an important consideration when assessing the etiology of a sexual dysfunction and when considering appropriate referrals? Mental health professionals often believe that sexual dysfunctions have a purely organic etiology. Mental health professionals often may not consider the organic and/or medication-induced etiologies of sexual dysfunctions. Mental health professionals usually are part of multidisciplinary teams and therefore immediately collaborate with medical professionals when it comes to sexual dysfunctions. None of the above.
8. Which of the following is NOT a DSM-V female sexual dysfunction? orgasmic disorder hypoactive sexual desire disorder sexual interest/arousal disorder genito-pelvic pain/penetration disorder
9. What is an important consideration to take into account when working with transgender individuals? Transgender individuals, irrespective of their genitals, often have differing sexual problems than cisgender individuals. Transgender individuals often have similar sexual problems to cisgender individuals who have the same sex assigned at birth. Transgender individuals often have similar sexual problems to cisgender individuals who have the same current identified gender. Transgender individuals have similar problems to other LGBT individuals.
10. How would you go about assessing for the etiology of erectile dysfunction in a patient? Refer the patient to a medical provider so that the medical provider can conduct the assessment. Assess for anxiety, depression, and other psychological causes of erectile dysfunction. Bring in the patient’s partner and assess for problems existing within the relationship. Assess for organic causes, such as aging and hypertension, and for psychological causes, such as performance anxiety and relationship problems.
11. Which of the following factors are predictors of female sexual dysfunction? older age at marriage, poor physical health, and stress relationship satisfaction, poor mental health, and poor physical health being religious, poor mental health, and history of abortion being non-religious, poor physical health, and history of female genital mutilation
12. Which of the following is a CBT intervention for female sexual dysfunction? Challenging biased critical thoughts about the client’s sexuality Encouraging the client to engage in a series of exercises focusing on non sexual sensation Using mindfulness skills such as acceptance Engaging the patient in pelvic muscle exercises
13. What is the role of physical therapy in sexual dysfunctions? Physical therapists assist both men and women in strengthening physical ability required for performing sex, which can reduce anxiety and increase confidence. Physical therapists provide pelvic floor therapy, which can help men maintain erections and delay ejaculation. Physical therapists provide pelvic floor therapy, which can reduce pain with sex. Physical therapists do not have a role in the treatment of sexual dysfunctions.
14. Which of the following is true regarding the relationship between race/ethnicity and sexual dysfunction? People of color as a whole are more likely to experience sexual dysfunction than white people. Black and indigenous people are more likely to experience sexual dysfunction than Asian, Latinx, or white people. The relationship between race/ethnicity and sexual dysfunction is unclear. White people are more likely to experience sexual dysfunction than people of color.
15. How might you treat a female client who is presenting with distress about her inability to achieve an orgasm? Provide interventions focused on analyzing and validating self-critical thoughts regarding difficulty achieving orgasm. Provide interventions focused on increasing efforts to achieve orgasm. Provide interventions focused on acceptance, on reducing performance anxiety, and on increasing mindful sensation. Provide interventions focused on poor body image and relationship problems.