Chapter 24: Sexual Dysfunctions and Paraphilic Disorders : eta er Tres Beomintcncnroe tum cncuten wath tet caper INTRODUCTION * Sei tio nd gh cri ee ci ini pilin sl inking il suntan or soual beh paaph aces Muna sty peset ay complexion by cpg ch sets cale phslepeal panes Asering verysnpk ert suchas, replete ce ree eyem nt perp eu tem i medion aasbomane ete vr chars acne by cesepcaonspeoerlina.aidpohc oes ore thers of mens and susan late te pg process eau apes ais Aho thes sant rate onharan eat nena seal strc papi rca god ene bed tteaureonmost spect: sctersismos ack Thetis ef mre fom rele ole anmedeakatnal ran senalty Theiopcaliceces chan pharmaco ae cottted enrol deepen tht, Hone anes cally nd medial pel mar scusiyisuovaraued nd may iva a ey cane ethan hac Benth ey loge” watt porsche oualesneon may linear deta rcespclg ir Thi ecto the dere shayeconseal so, blogs ayenlpal nmin ngs atin ani se most cases the judicious combination of biological and psychological reatment approaches ule the most satsactory The diagnoses of sexual dysfunctions ane porapiiedscrders are mostly desespive; na diagnosis specif ess oF amination are usualy salable. The cassiletion of sowal dysfunctions was historicaly based onthe tion ot connected yet separate nd clearly defines phases of tesenual responce cyle—deste,arovsaloxcitement, ongsem, and ‘solution Homever this medelaf sual eespenseis no considered as tulyrelleting theinvcaces of Ferale sel response and thus hasbeen replacedby different, more complicated circular model Ashe inearity of sequal response in women vias abandoned he enti cseafcatin/leting of zensaldyfuntionsin DSM 5 was changed, end the dsfunctions ae sted alphabetically. Sewaldysunctionsia males restil diagnosed accotdig to impainments of oneof the fest ree “phases (noimpeinment cl the elation phase has been dente). n feral (ita iplitic way of explanation) the former este desifeané arousal recombined nto the diagnosis of female seal nterest/srousal order, the iognasc offerte orgasm dsorderis kept. However cna these ceturboncessre nats clesrly separated and ‘Hequentiy ovata orcs |e, lack obi with ipa erection or gas. In addition, the previous diagnoses of painful eau d plunction of dyspareunia and vgjismus are eplaced witha single diagnosis cl genitopeui penetration iorder and sexual aversion Fas heen removed as ul ledge cingrosis (Could be diagnosed as Other specified sev ‘ysfunctin) Interestingly the present classical defies and uses only oneend ofthe anual functioning spectrum. the “tec functioning | lack of bide}, though precisely