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6+ +sexuality
6+ +sexuality
SEXUALITY PERSONALITY
PSYCHOSEXUAL
Physiological Aspects of Human
Sexuality
• Influenced by hormonal changes during
pregnancy/ genetic predisposition
• Sexual Dysfunction:
– libido diminution
– erectile dysfunction
Social Aspects of Human
Sexuality
• Governed by rules of behavior and status
quo
• Influenced by social norms and vice versa
– Example: gender identity
Psychological Aspects of Human
Sexuality
Sexual Identity
• Gender Identity
• Orientation
• Intention
Sexual Function
• Sexual Desire
• Sexual Arousal
• Orgasm
Sexual Satisfaction
Gender Identity
• Sense of self as
masculine or feminine
• Gender in which a
person identifies
• Gender that other
people attribute to the
individual on the basis
of gender role
• Is affected by a variety
of social structures
Gender Identity and Sexual
Identity
• Majority it is
congruent
• Human beings are
cisgendered based
on their biological sex
• Gender is social and
sex is biological
Gender Role
• Usually related to and derived from gender
identity
• Includes all disclosures of a person as
having the status of a man or a woman
Sexual Orientation
• Describes the direction of an individual’s
sexuality
• AKA: sexual preference
• Markers:
– Self-labelling
– Actual sexual behavior
– Sexual fantasy
– Erotic arousal pattern
Sexual Orientation
• “dynamic and multi-variable process”
Klein, 1985 “The Bisexual Option”
Sexual Orientation and Mental
Illness
• Psychiatric disorders were more prevalent
among homosexually active people
– Depression/ anxiety
– Suicide
– Substance abuse (alcohol/ smoking)
• Sense of alienation predisposes them to
mental illness
Sexual Intention
• What a person wants to do to his/ her partner
during the sexual behavior and what is done
to him or her
Sexual Desire
• Interest that a person experiences
– Drive – biological aspects
– Motive – psychological aspects
– Wish – social aspects
Sexual Arousal
• The emotion of sexual excitement based on
pelvic vasocongestion and autonomic arousal
Orgasm
• Stimulated by high levels of arousal that
results to brief, intense pleasure and
release of pelvic congestion
Sexual Satisfaction
• Private judgment that sexual behavior is
pleasurable
Factors Affecting Sexuality
A. Developmental Considerations
- sexuality is the only distinguishing trait
present at conception
- gender, or sex, influences behavior
throughout life
Stages: Birth – 12 yrs = gender related
By 3 yrs. = gender identity
- obtain pleasure from
touching/fondling genitals
- toys are gender related
- able to identify own gender
Preschooler = increased awareness of body parts
- sexuality has been internalized and
preference for sexual partners determined
- enjoys exploring body parts of self and
playmates
- engages in masturbation
G. Medications
- some meds have side effects that affect sexual
functioning
- some people use illegal drugs because of their
reputed ability to heighten sexual experience,
but can have serious and even deadly side
effects
Sexual Dysfunction
Men – erectile failure (impotence) = history of diabetes,
spinal cord trauma, cardiovascular disease,
surgical procedure, alcoholism
- use of antihypertensions, antidepressants, or illicit
drugs
- mental depression that may be present premature
ejaculation = pt defines dysfunction and ability to
control
- causative relationship factors like anxiety, guilt,
lack of time, new partner
retarded ejaculation = history of neurologic
disorders, Parkinson’s disease, certain meds
Women – inhibited sexual desire = use of
oral contraceptives or hormonal therapy,
alcohol or certain meds
- history of sexual abuse, rape or incest,
depression, or other sexual dysfunctions
orgasmic dysfunction =
communication pattern between pt and
partner
- usual sexual pattern and behavior
• dyspareunia = history of diabetes,
hormonal imbalance, vaginal infection,
endometriosis, urethritis, cervisitis or rectal
lesions
- use of antihistamines, alcohol,
tranquilizers, or illicit drugs
- ability for vaginal lubrication during sex
- use of coital positions
- use of cosmetic or chemical irritants to
genitals
• vaginismus = pattern of sexual activity
(how often, level of arousal, orgasm)
- presence of other sexual
dysfunctions
- history of sexual abuse,
trauma or rape
- feelings regarding partner
- causative factors (fear of
pregnancy, anxiety, guilt)
The Sexual
Response Cycle
The sexual response cycle refers to the
sequence of physical and emotional changes
that occur as a person becomes sexually
aroused and participates in sexually
stimulating activities, including intercourse
and masturbation. Knowing how your body
responds during each phase of the cycle can
enhance your relationship and help you
pinpoint the cause of sexual dysfunction.
The Phases of the Sexual
Response Cycle
• Phase 1: Excitement
• Phase 2: Plateau
• Phase 3: Orgasmic
• Phase 4: Resolution
Human sexual response cycle
Normal Sexual Behavior
• Sexual response is a true psychophysiological
experience
• There is….
– Arousal
– Experience of tension
– Orgasm
• Four phase response cycle in relation to
stimulation
– Phase 1: Desire
– Phase 2: Excitement
– Phase 3: Orgasm
– Phase 4: Resolution
Physiologic Changes Associated
with the Sexual Response Cycle
Phase 1: Excitement
The excitement phase (also known as the
arousal phase or initial excitement phase) is
the first stage of the human sexual response
cycle. It occurs as the result of any erotic
physical or mental stimulation, such as kissing,
petting, or viewing erotic images, that lead to
sexual arousal. During the excitement stage, the
body prepares for coitus, or sexual intercourse.
Four Phase Response Cycle
• Phase 1: Desire
– Motivation, drives, and personality towards
the love object
– Sexual fantasies and desire to have sexual
activity
Phase 1: Excitement
Signs Present in Both Signs Present In Males Signs Present In Females
Sexes Only Only
Male Female
-Lasts several minutes to several hours -Lasts several minutes to several hours
-Penile tumescence (increase in diameter/ -Vaginal lubrication, nipple erection
length) -Clitoral enlargement, thickening of the labia
-Tightening & lifting of the scrotal sac and minora
elevation of the testes; 50% increase in the -Increase in breast size (25%)
size of the testes -Vaginal color change to dark purple; vaginal
-2-3 drops of mucoid fluid that contain viable transudate appears 10-30 secs after arousal
sperm are secreted at the height of -Labia minora changes color to bright and
excitement deep red
-Increase in heartbeat and respiration rates -Increase in the heartbeat and respiration
-Heightened excitement lasts 30 secs to rates
several minutes -Heightened excitement lasts 30 secs to
several hours
Phase 2: Plateau
Signs Present in Both Sexes Signs Present In Males Only Signs Present In Females Only
Male Female
-3-15 seconds -3-15 seconds
-Forceful emission of semen (ejaculation) (12- -Breasts may become tremulous
20 inches at age 18, decreasing with age to -Uterine contractions throughout orgasm
seepage at 70) -Contractions of the lower third of the vagina
-4-5 rhythmic spasms of the prostrate, seminal -Loss of voluntary muscle control (carpopedal
vesicles, vas, and urethra spasm; facial grimacing)
-Loss of voluntary muscle control (facial -Hyperventilation and tachycardia
grimacing; carpopedal spasm)
-BP up to 40-100 mm systolic, 20-50 mm
diastolic
-HR up to 180 beats per minute
-Respiration up to 40 respirations a minute
Phase 3: Orgasmic
Signs Present in Both Sexes Signs Present In Males Only Signs Present In Females Only
• Dating Behavior
• Pre-marital Sex
Definition: Dating Behavior
• DATE- is defined as any activity that
involved going out with someone of the
opposite sex whether in a group or as a
couple
– Group date
– Single date
Proportions ever Dated
• Most Filipino youth aged 15-24 years have
dated
• 60% or 3 out of 5 have experienced going
out on a date
• 49% of the teenagers claimed to have
gone out on a date
Proportions ever Dated
• Dating either in groups or alone with
someone of the opposite sex occurs quite
early 10-13 years for only a few youth
• By the age 15 the propensity to date picks
up
• At 16, more than a third of boys and 2 out
of 5 girls date
GROUP DATES OR SINGLE
DATES
• 3 out of five-group date
• Girls more likely to start with group date
• Boys immediately launched into a single
date
TIMING OF THE FIRST DATE
• First date can trigger a series of events
that might change the subsequent life of a
person
• During teens, boys date twice as much as
girls
• Age 15, 1/5 of the girls have dated while
only 1/10 in boys have dated
FIRST SINGLE DATE
PARTNER
• Irrespective of gender, the partner was a
classmate or officemate introduced by a
friend or a neighbor
• At the time of the first date:
• 46% already a boyfriend/girlfriend
• 28% friend
• 16% admirer or crush
• 10% acquaintance
DATING WITH A STEADY
PARTNER
• Boys revealed that their partners became
their girlfriends after only 3 months
• Girls report the same after 6 months
• Favorite dating places: movie houses,
restaurants, parks and shopping malls
CHAPERONES
• Traditional role: ensure that no untoward
incident happens during a date
• Nowadays: chosen to assuage and
persuade the parents or partner to agree
to the date and leaves the couple during
the actual date
BEHAVIOR DURING first
DATES
• 36% Kissed
• 3% sexual intercourse
• *17 % of the girls confided intercourse
happened without their consent
IN THE SUBSEQUENT DATES
• the number of those engaging in very
intimate behaviors (petting and
intercourse) increased dramatically from
15-28%
Dating and related events
• The urban youth have their first crushes at
14
• Admiring the opposite sex at 15
• Group date at 16
• Single dates with BF and GF at 17-18
Differentials in dating
behavior
• Those who have had exposure to urban
life were prone to date about a quarter
more than those who have always
remained in the rural setting.
• Having lived in a dorm, studied in a private
school and living away from parents
increase tendency to date
Determinants of dating
behavior
• Live away from parents
• Older age
• Lived in the city
• Attends private school
• Fathers are college graduates
• Less strict parents
• Unstable marriage of parents
Premarital Sex
Committed
Casual
Commercial
COMMERCIAL PREMARITAL
EXPERIENCE
• one pays for sexual favors usually with a
prostitute
• Prevalence:
• 1 in 14 single men
• 1 in 8 married men
CASUAL PREMARITAL SEX
• Sexual intercourse with acquaintance or
friend
• Most common first sexual experience of
boys
COMMITTED PREMARITAL
SEX
• Sexual experience before a union is
formed
• Experienced more equally between males
and females
INITIAL EXPERIENCE WITH
PREMARITAL SEX
• Occurs at 18 years old
• 18% of today’s youth engage in premarital sex
• Most popular venue for sexual encounters is the
HOME
• Majority of the youth did not use contraception
because they did not expect to have sex at that
time
• In those who practiced contraception, withdrawal
and condom were them most commonly used
• DESPITE THE ACCEPTANCE OF
PREMARITAL SEX, VIRGINITY IS STILL
GENERALLY VALUED.
» ZABLAN, 1995:
1. Ego-Dystonic Homosexuality
• Weak heterosexual arousal with desire to
have heterosexual relationship
• Client experience inappropriate
homosexual arousal pattern
ALTERATION IN SEXUAL
BEHAVIOR
1. Sexual Acting Out
- Disturbed conduct or poor impulse control
- May create a sexually provocative remarks
- Have extramarital affairs and promiscuous
- Have high sexual drive
- Presence of inadequate coping and
interpersonal skills
2. Paraphilias
- Sexual urges or fantasies that are
directed toward nonhuman objects pain to
self, partner, or children, or other non-
consenting individuals
- This may be asymptomatic
- Behavior often followed by guilt, shame.
low-esteem, or anxiety
- Not due to other mental disorder
Types of Paraphilias:
1. Fetishism- substitution of an inanimate
object for the genitals
2. Transvestism- wearing clothes of the
opposite sex to achieve sexual pleasure
3. Exhibitionism- sexual pleasure obtained
by exposing the genitals
4. Pedophilia- attraction to children as sex
objects
5. Voyeurism- sexual gratification obtained
by watching the sexual plays of others
6. Frotteurism- sexual obtained by touching
or rubbing against a non-consenting
person
7. Telephone Scatologia- sexual
gratification form during telephone
conversation
8. Dendrophilia – sexual gratification in
woods
ALTERATION IN SEXUAL FUNCTIONING