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Chapter 13 - Problems of Sex and Gender (Disorders of sex and gender…

- - - - Nonhumans
      - Children
      - Nonconsenting adults
      - Experience of suffering or humilation
  - - - Aversion therapy
      - Masturbatory satiation
      - Orgasmic reorientation
      - Social skills training
      - Cognative-behavioral therapy
  - - - Aversion therapy
      - Masturbatory satiation
      - Orgasmic reorientation
      - Treatment with antianrogen drugs
      - Cognitive-behavioral treatment
- - - - Hormones produce desire
      - Sex drive can be lowered with medication
    - - General increase in anxiety, depression, or anger
      - Fears, attitudes, memories
      - Certain psychological disorder
        
        Depression
        
        OCD
    - - Sexual desire negatively viewed in a social context
      - Situational pressure and life stress
      - Trauma of molestation
- - - - Hormonal imbalance
      - Certain medication
    - - Performance anxiety
- - - - Persistent reaching an orgasm within 1 or 2 min
    - - Repeated inability to ejaculate
      - Biological Cause
        
        Low testosterone
        
        Neurological disease
        
        Head or spin cord injury
      - Psychological Cause
        
        Performance anxiety
        
        Spectator role
    - - Persistent failure to reach orgasm
      - Causes
        
        Biological
        
        Medication
        
        Post-menopausal changes
        
        Psychological
        
        Psychological causes
        Depression
        
        Childhood trauma
        
        Sociocultural
        
        Sexually restrictive cultural message
        
        Stressful events or relationships
        
        Linked orgasmic behavior to emotional intimacy
- - - - Reducing performance anxiety
      - Increasing stimulation
      - Viagra
    - - Self-exploration
      - Enhancement of body awareness
      - Directed masturbation training