Sexual disorder
- 1. PRESENTATION ON SEXUAL DISORDER PRESENTED BY UJJWAL SHARMA Mental Health Nursing Dept M.Sc. NURSING 2ND YEAR
- 2. Sexual disorder can be classified into four main types • Gender identity disorder • Psychological and behavioral disorders associated with sexual development and maturation • Paraphilias (disorders of sexual preferences) • Sexual dysfunction
- 3. CAUSES • Physical issues- Medical conditions such as cancer, heart disease and medications such as blood pressure medications or antidepressants can contribute to the issue. • Hormonal issues- Decreased levels of estrogen during pre-menopause and menopause can cause multiple issues, including vaginal dryness. • Psychological issues- such as untreated depression or anxiety; the stresses associated with early motherhood; marital issues; and cultural or religious issues. • Lifestyle issues- Smoking and excessive alcohol and recreational drug use can lead to sexual dysfunction.
- 4. Gender Identity Disorder • Transsexualism: Male and Female; Primary and secondary • Gender identity disorder of childhood • Dual- role transvestism • Intersexuality.
- 5. TRANSSEXUALISM • The individual desires to live and be accepted as a member of the opposite sex, usually accompanied by the wish to make his or her body as congruent as possible with the preferred sex through surgery and hormonal treatment. • The transsexual identity has been present persistently for at least 2 years. • The disorder is not a symptom of another mental disorder, such as schizophrenia, nor is it associated with chromosome abnormality.
- 6. Dual-role transvestism • The individual wears clothes of the opposite sex in order to experience temporarily membership of the opposite sex. • There is no sexual motivation for the cross- dressing. • The individual has no desire for a permanent change to the opposite sex.
- 7. Gender identity disorder of childhood • For girls: The individual shows persistent and intense distress about being a girl, and has a stated desire to be a boy (not merely a desire for any perceived cultural advantages to being a boy), or insists that she is a boy. • For boys: The individual shows persistent and intense distress about being a boy, and has an intense desire to be a girl or, more rarely, insists that he is a girl.
- 12. PARAPHILIAS
- 14. SYMPTOMS In men: • Inability to achieve or maintain an erection suitable for intercourse (erectile dysfunction) • Absent or delayed ejaculation despite adequate sexual stimulation (retarded ejaculation) • Inability to control the timing of ejaculation (early or premature ejaculation)
- 15. • In women: • Inability to achieve orgasm • Inadequate vaginal lubrication before and during intercourse • Inability to relax the vaginal muscles enough to allow intercourse • In men and women: • Lack of interest in or desire for sex • Inability to become aroused • Pain with intercourse
- 16. TREATMENT • Medication • Mechanical aids • Sex therapy • Behavioral treatments • Psychotherapy • Education and communication
- 17. Role of Nurse • Assessment Anxiety level Depression level • Stress level of family related to the dysphoric gender identity • Coping strategies of the patient and the family and the available services in mental health
- 18. NURSING MANAGEMENT • Inability to distinguish between self and non-self related to parenting patterns that encourage culturally unacceptable behaviors for assigned gender or unresolved conflict • Short-Term Goals 1. Client will verbalize knowledge of behaviors that are appropriate and culturally acceptable for assigned gender. 2. Client will verbalize desire for congruence between personal feelings and behavior assigned gender. • Long-Term Goals 1. Client will demonstrate behaviors that are appropriate and culturally acceptable for assigned gender. 2. Client will express personal satisfaction and feelings of being comfortable in assigned gender
- 19. Interventions 1. Spend time with client and show positive regard. 2. Be aware of own feelings and attitudes toward this client and his or her behavior. 3. Allow client to describe his or her perception of the problem. 4. Discuss with the client the types of behaviors that are more culturally acceptable. Practice these behaviors through role-playing or with play therapy strategies (e.g., male and female dolls). Positive reinforcement or social attention may be given for use of appropriate behaviors. No response is given for stereotypical opposite-gender behaviors.
- 20. THANK YOU