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Sexual and Gender Identity
Disorders
Sexual and Gender Identity Disorders
- Sexual Dysfunctions: Problems of inhibited sexual desire, arousal, and response.
- Gender-Identity Disorders: Incongruity or conflict between one’s anatomical sex and one’s psychological feeling of being male or female.
- Paraphilias: Sexual urges and fantasies about situations, objects, or people not part of the usual arousal pattern leading to reciprocal and affectional sexual activity.
What Is “Normal” Sexual Behavior?
- Merck Manual’s process for judging if a behavior constitutes a sexual problem: - Persistence/recurrence over long period of time. - Personal distress. - Negative effect on relationship with one’s sexual partner.
The Sexual Response Cycle
- Appetitive Phase: Characterized by desire for sexual activity.
- Arousal Phase: Moves out of appetitive phase when specific and direct (not necessarily physical) sexual stimulation occurs.
- Orgasm Phase: Characterized by involuntary muscular contractions throughout the body and eventual release of sexual tension.
- Resolution Phase: Characterized by relaxation of the body after orgasm.
Homosexuality: Research Findings
- No physiological differences in sexual arousal and response for homosexuals/heterosexuals.
- No significant differences on measures of psychological disturbance.
- Gender conflicts due to societal intolerance, not gender identity confusion.
- Sexual concerns differ because of societal context.
Theories of Homosexuality Is it a choice?
- Estradiol resulting from aromatization appears to be responsible for masculinizing the developing brain.
- In humans and many other mammals, the placenta normally blocks the mother’s estrogens.
- Prenatal exposure to synthetic estrogens may masculinize the female brain.
- The hyena placenta does not prevent masculinization.
Courtesy Dr. Stephen Glickman
Theories of Homosexuality Is it a choice?
- Early exposure to androgens may affect adult behavior in rats.
- Exposure to testosterone necessary for sexual dimorphism of SDN-POA in rats.
- Low-testosterone rats are more likely to engage in sexual activity with males.
- Unusual exposure to testosterone in females may promote sexual activity with females.
Theories of Homosexuality Is it a choice?
- Women exposed to high levels of prenatal androgens are more likely to engage in bisexual and lesbian behavior.
- Most women exposed to high prenatal androgens are heterosexual.
- The vast majority of lesbians and bisexual women have not experienced exposure to high prenatal androgens.
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Theories of Homosexuality Is it a choice?
Simon LeVay compared INAH-3 in heterosexual and homosexual males.
Courtesy Simon LeVay,Salk Institute
Theories of Homosexuality Is it a choice?
- The likelihood of a gay man having a gay brother is:
- 25% for fraternal twins.
- 50% for identical twins.
- Data for lesbians are less clear, leading LeVay and others to question a genetic role in female homosexuality.
Aging and Sexual Activity
- Physiologically based changes
- Illnesses affect sexual activity
- Medical procedures help minimize effects of organically-based problems.
- AARP survey (1999):
- Relationships more important than sex
- Sexual activity affected by “partner gap”
- Despite health-related declines in sexual activity, ~2/3 of men and women with sexual partners are satisfied with their sex lives docsity.com