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Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders

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Psychiatric Disorders Late in Life

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Abstract

Sexual disorders are highly prevalent in the elderly, yet little is known about them. They include sexual dysfunctions, paraphilic disorders, and gender dysphoria. Sexual dysfunctions are characterized by diminished or absent sexual interests and imbalance in physiological and psychological patterns. Paraphilias represent deviant or perverse sexual behavior, while gender dysphoria is the condition of a person feeling that their gender identity is opposite to their biological sex. These problems can get aggravated by the process of aging or by the presence of multiple stressors and chronic conditions. Physicians should give these patients the opportunity to voice their concerns regarding sexual functions and offer alternatives for evaluations and treatment. In this chapter we review the epidemiology, neurobiology, diagnosis, and treatments for these important disorders.

The behavior of a human being in sexual matters is often a prototype for whole of his other modes of reactions in life.

—Sigmund Freud

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Author information

Authors and Affiliations

  1. Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH, USA

    Raman Marwaha M.D. & Poorvanshi Alag M.D.

  2. Primary Health Center, Rampur, Himachal Pradesh, India

    Amit Thour M.B.B.S.

Authors
  1. Raman Marwaha M.D.
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  2. Poorvanshi Alag M.D.
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  3. Amit Thour M.B.B.S.
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Corresponding author

Correspondence to Raman Marwaha M.D. .

Editor information

Editors and Affiliations

  1. Professor of Psychiatry, Case Western Reserve University School of Medicine, Vice Chairman for Education and Faculty Development, Residency Program Director and Chief of Geriatric Psychiatry, MetroHealth, Cleveland, Ohio, USA

    Rajesh R. Tampi

  2. Executive Vice President, Clinical Services, Diamond Healthcare, Richmond, Virginia, USA

    Deena J. Tampi

  3. Associate Clinical Professor of Psychiatry, University of Wisconsin School of Medicine and Public Health Program Director, Geriatric Psychiatry Fellowship, Madison, Wisconsin, USA

    Lisa L. Boyle

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Marwaha, R., Alag, P., Thour, A. (2018). Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders. In: Tampi, R., Tampi, D., Boyle, L. (eds) Psychiatric Disorders Late in Life. Springer, Cham. https://doi.org/10.1007/978-3-319-73078-3_22

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  • DOI: https://doi.org/10.1007/978-3-319-73078-3_22

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