Advertisement

Sexual Dysfunctions and Deviations

  • Nathaniel Mcconaghy

Abstract

In interviewing subjects in order to reach a diagnosis of sexual dysfunction or deviation preliminary to the management of their condition, it is as important to determine the nature of their personalities as it is to diagnose the condition for which they sought help. This information is essential for the second function of the diagnostic interview, the establishment with the subjects of an appropriate therapeutic relationship to maximize their likelihood of remaining in and complying with treatment. Also, the nature of their personality is a major determinant of their response to treatment. In the diagnosis of patients’ complaints, the categories provided by the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R; American Psychiatric Association, 1987) are widely accepted, at least in the published literature, though it is necessary to be aware of their limitations, for which they are undergoing revision (DSM-IV draft criteria; American Psychiatric Association, 1993).

Keywords

Sexual Behavior Sexual Dysfunction Child Sexual Abuse Sexual Arousal Sexual Problem 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders, 3rd ed., revised. Washington, DC: Author.Google Scholar
  2. American Psychiatric Association (1993). Diagnostic and statistical manual of mental disorders, 4th ed., draft criteria. Washington, DC: Author.Google Scholar
  3. Armsworth, M. W. (1989). Therapy of incest survivors: Abuse or support? Child Abuse and Neglect, 13, 549–562.PubMedCrossRefGoogle Scholar
  4. AuBuchon, P. G., & Calhoun, K. S. (1985). Menstrual cycle symptomatology: The role of social expectancy and experimental demand characteristics. Psychosomatic Medicine, 47, 35–45.PubMedGoogle Scholar
  5. Bates, J. E., Bentler, P. M., & Thompson, S. K. (1973). Measurement of deviant gender development in boys. Child Development, 44, 591–598.PubMedCrossRefGoogle Scholar
  6. Becker, J. V, Skinner, L. J. Abel, G. G., & Treacy, E. C. (1982). Incidence and types of sexual dysfunctions in rape and incest victims. Journal of Sex and Mental Therapy, 8, 65–74.CrossRefGoogle Scholar
  7. Burgess, A. W., & Holmstrom, L. L. (1985). Rape trauma syndrome and post traumatic stress response. In A. W. Burgess (Ed.), Rape and sexual assault (pp. 46–60). New York: Garland Publishing.Google Scholar
  8. Byers, E. S., & Heinlein, L. (1989). Predicting initiations and refusals of sexual activity in married and cohabitating heterosexual couples. Journal of Sex Research, 26, 210–231.CrossRefGoogle Scholar
  9. Conte, H. R. (1983). Development and use of self-report techniques for assessing sexual functioning: A review and critique. Archives of Sexual Behavior, 12, 555–576.PubMedCrossRefGoogle Scholar
  10. Courtois, C. A., & Sprei, J. E. (1988). Retrospective incest therapy for women. In L. E. A. Walker (Ed.), Handbook on sexual abuse of children (pp. 270–308). New York: Springer.Google Scholar
  11. Crepault, C., & Couture, M. (1980). Men’s erotic fantasies. Archives of Sexual Behavior, 9, 565–581.PubMedCrossRefGoogle Scholar
  12. De Amicis, L. A., Goldberg, D. C., LoPiccolo, J., Friedman, J., & Davies, L. (1985). Clinical follow-up of couples treated for sexual dysfunction. Archives of Sexual Behavior, 14, 467–489.PubMedCrossRefGoogle Scholar
  13. Finkelhor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press.Google Scholar
  14. Frank, E., Anderson, B., & Rubinstein, D. (1978). Frequency of sexual dysfunction in “normal” couples. New England Journal of Medicine, 299, 111–115.PubMedCrossRefGoogle Scholar
  15. Freund, K., McKnight, C. K., Langevin, R., & Cibiri, S. (1972). The female child as a surrogate object. Archives of Sexual Behavior, 2, 119–133.PubMedCrossRefGoogle Scholar
  16. Gutheil, T. G. (1989). Borderline personality disorder, boundary violations, and patient-therapist sex: Medicolegal pitfalls. American Journal of Psychiatry, 146, 597–602.PubMedGoogle Scholar
  17. Hariton, E. B., & Singer, J. L. (1974). Women’s fantasies during sexual intercourse. Journal of Consulting and Clinical Psychology, 42, 313–322.PubMedCrossRefGoogle Scholar
  18. Helzer, J. E., Clayton, P. J., Pambakian, R., Reich, T., Woodruff, R. A., & Reverley, M. A. (1977). Reliability of psychiatric diagnosis: II. Archives of General Psychiatry, 34, 136–141.PubMedCrossRefGoogle Scholar
  19. Helzer, J. E., Robins, L. N., McEvoy, L. T., Spitznagel, E. L., Stoltzman, R. K., Farmer, A., & Brockington, I. F. (1985). A comparison of clinical and diagnostic interview schedule diagnoses. Archives of General Psychiatry, 42, 657–666.PubMedCrossRefGoogle Scholar
  20. Kagan, J., & Moss, H. A. (1962). Birth to maturity. New York: John Wiley.CrossRefGoogle Scholar
  21. Karacan, I. (1978). Advances in the psychophysiological evaluation of male erectile impotence. In J. LoPiccolo & L. LoPiccolo (Eds.), Handbook of sex therapy (pp. 137–145). New York: Plenum Press.CrossRefGoogle Scholar
  22. Kelly, M. P, Strassberg, D. S., & Kircher, J. R. (1990). Attitudinal and experiential correlates of anorgasmia. Archives of Sexual Behavior, 19, 165–177.PubMedCrossRefGoogle Scholar
  23. Knight, R. A., & Prentky, R. A. (1990). Classifying sexual offenders. In W. L. Marshall, D. R. Laws, & H. E. Barbaree (Eds.), Handbook of sexual assault (pp. 23–52). New York: Plenum Press.Google Scholar
  24. Lipman, R. S., Cole, J. O., Park, L. C., & Rickels, K. (1965). Sensitivity of symptom and nonsymptomfocused criteria of outpatient drug efficacy. American Journal of Psychiatry, 122, 24–27.Google Scholar
  25. LoPiccolo, J. (1990). Sexual dysfunction. In A. S. Bellack, M. Hersen, & A. E. Kazdin (Eds.), International handbook of behavior therapy and modification, 2nd ed. (pp. 547–564). New York: Plenum Press.CrossRefGoogle Scholar
  26. Malamuth, N. M. (1989). The attraction of sexual aggression scale: Part two. Journal of Sex Research, 26, 324–354.CrossRefGoogle Scholar
  27. Maletzky, B. M. (1980). Assisted covert sensitization. In D. J. Cox & R. J. Daitzman (Eds.), Exhibitionism: Description, assessment, and treatment (pp. 289–293). New York: Garland STPM Press.Google Scholar
  28. Matarazzo, J. D. (1983). The reliability of psychiatric and psychological diagnosis. Clinical Psychology Review, 3, 103–145.CrossRefGoogle Scholar
  29. McCombie, S. L., & Arons, J. H. (1980). Counselling rape victims. In S. L. McCombie (Ed.), The rape crisis intervention handbook (pp. 145–171). New York: Plenum Press.CrossRefGoogle Scholar
  30. McConaghy, N. (1988). Sexual dysfunction and deviation. In A. S. Bellack & M. Hersen (Eds.), Behavioral assessment, 3rd ed. (pp. 490–541). New York: Pergamon Press.Google Scholar
  31. McConaghy, N. (1989a). Validity and ethics of penile circumference measures of sexual arousal: A critical review Archives of Sexual Behavior, 18, 357–369.PubMedCrossRefGoogle Scholar
  32. McConaghy, N. (1989b). Psychosexual disorders. In L. K. G. Hsu & M. Hersen (Eds.), Recent developments in adolescent psychiatry (pp. 334–366). New York: John Wiley.Google Scholar
  33. McConaghy, N. (1991). Sexual disorders. In M. Hersen & S. M. Turner (Eds.), Adult psychopathology and diagnosis (pp. 323–359). New York: John Wiley.Google Scholar
  34. McConaghy, N. (1992). Validity and ethics of penile circumference measures of sexual arousal: A response. Archives of Sexual Behavior, 21, 187–195.CrossRefGoogle Scholar
  35. McConaghy, N. (1993). Sexual behavior, problems, and management. New York: Plenum Press.Google Scholar
  36. McConaghy, N., Blaszczynski, A., & Kidson, W. (1988). Treatment of sex offenders with imaginal desensitization and/or medroxyprogesterone. Acta Psychiatrica Scandinavica, 77, 199–206.PubMedCrossRefGoogle Scholar
  37. McConaghy, N., & Zamir, R. (in press). Sissiness, tomboyism, sex role, identity and orientation. Australian and New Zealand Journal of Psychiatry. Google Scholar
  38. McConaghy, N., Zamir, R., & Manicavasagar, V. (1993). Non-sexist sexual experiences survey and scale of attraction to sexual aggression. Australian and New Zealand Journal of Psychiatry, 27, 686–693.PubMedCrossRefGoogle Scholar
  39. Nelson, R. O., & Hayes, S. C. (1981). Nature of behavioral assessment. In A. S. Bellack & M. Hersen (Eds.), Behavioral Assessment, 2nd ed. (pp. 3–37). New York: Pergamon Press.Google Scholar
  40. Osborn, M., Hawton, K., & Gath, D. (1988). Sexual dysfunctions among middle age women in the community. British Medical Journal, 296, 959–962.PubMedCrossRefGoogle Scholar
  41. Paredes, A., Baumgold, J., Pugh, L. A., & Ragland, R. (1966). Clinical judgment in the assessment of psychopharmacological effects. Journal of Nervous and Mental Disease, 142, 153–160.PubMedCrossRefGoogle Scholar
  42. Person, E. S., Terestman, N., Myers, W. A., Goldberg, E. L., & Salvadori, C. (1989). Gender differences in sexual behaviors and fantasies in a college population. Journal of Sex and Marital Therapy, 15, 187–198.PubMedGoogle Scholar
  43. Reading, A. E. (1983). A comparison of the accuracy and reactivity of methods of monitoring male sexual behavior. Journal of Behavioral Assessment, 5, 11–23.CrossRefGoogle Scholar
  44. Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behavior in a male child. Journal of Applied Behavioral Analysis, 7, 173–190.CrossRefGoogle Scholar
  45. Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics and validity. Archives of General Psychiatry, 38, 381–389.PubMedCrossRefGoogle Scholar
  46. Robins, L. N., Helzer, J. E., Weissman, M. M., Orvaschel, H., Gruenberg, E., Burke, J. D., & Regier, D. A. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949–958.PubMedCrossRefGoogle Scholar
  47. Schatzberg, A. E, Westfall, M. P., Blumetti, A. B., & Birk, C. L. (1975). Effeminacy 1: A quantitative rating scale. Archives of Sexual Behavior, 4, 31–41.PubMedCrossRefGoogle Scholar
  48. Schiavi, R. C., Derogatis, L. R., Kuriansky, J., O’Connor, D., & Sharpe, I. (1979). The assessment of sexual function and marital interaction. Journal of Sex and Marital Therapy, 5, 169–224.PubMedCrossRefGoogle Scholar
  49. Segraves, R. T., Schoenberg, H. W, & Segraves, K. A. B. (1985). Evaluation of the etiology of erectile failure. In R. T. Segraves & H. W. Schoenberg (Eds.), Diagnosis and treatment of erectile disturbances (pp. 165–195). New York: Plenum Press.CrossRefGoogle Scholar
  50. Slag, M. E, Morley, J. E., Elson, M. K., Trence, D. L., Nelson, C. J., Nelson, A. E., Kinlaw, W. B., Beyer, H. S., Nuttall, E Q., & Shafer, R. B. (1983). Impotence in medical clinic outpatients. Journal of the American Medical Association, 249, 1736–1740.PubMedCrossRefGoogle Scholar
  51. Snyder, D. K., & Berg, P. (1983). Determinants of sexual dissatisfaction in sexually distressed couples. Archives of Sexual Behavior,12 237–246.Google Scholar
  52. Spector, I. P., & Carey, M. P. (1990). Incidence and prevalence of the sexual dysfunctions: A critical review of the empirical literature. Archives of Sexual Behavior, 19, 389–408.PubMedCrossRefGoogle Scholar
  53. Spitzer, R. L., Williams, J. B. W, Gibbon, M., & First, M. B. (1990). Structured Clinical Interview for DSMIII-R. Washington, DC: American Psychiatric Press.Google Scholar
  54. Strassberg, D. S., Mahoney, J. M., Schaugaard, M., & Hale, V. E. (1990). The role of anxiety in premature ejaculation: A psychophysiological model. Archives of Sexual Behavior, 19, 251–268.PubMedCrossRefGoogle Scholar
  55. Taylor, C. B., Agras, W. S., Schneider, J. A., & Allen, R. A. (1983). Adherence to instructions to practice relaxation exercises. Journal of Consulting and Clinical Psychology, 51, 952–953.PubMedCrossRefGoogle Scholar
  56. Templeman, T. L., & Stinnett, R. D. (1991). Patterns of sexual arousal and history in a “normal” sample of young men. Archives of Sexual Behavior, 20, 137–150.PubMedCrossRefGoogle Scholar
  57. van den Brink, W, Koeter, M. W. J., Ormel, J., Dijkstra, W, Giel, R., Slooff, C. J., & Wohlfarth, T. D. (1989). Psychiatric diagnosis in an outpatient population. Archives of General Psychiatry, 46, 369–372.PubMedCrossRefGoogle Scholar
  58. Walling, M., Andersen, B. L., & Johnson, S. R. (1990). Hormonal replacement therapy for postmenopausal women: A review of sexual outcomes and related gynecologic effects. Archives of Sexual Behavior, 19, 119–137.PubMedCrossRefGoogle Scholar
  59. Wasserman, M. D., Pollack, C. P., Spielman, A. J., & Weitzman, E. D. (1980). Theoretical and technical problems in the measurement of nocturnal penile tumescence for the differential diagnosis of impotence. Psychosomatic Medicine, 42, 575–585.PubMedGoogle Scholar
  60. Wincze, J. P., Bansal, S., & Malamud, M. (1986). Effects of medroxyprogesterone acetate on subjective arousal, arousal to erotic stimulation, and nocturnal penile tumescence in male sex offenders. Archives of Sexual Behavior, 15, 293–305.PubMedCrossRefGoogle Scholar
  61. Wing, J. K., & Sturt, E. (1978). The PSE-ID-Catego system: Supplementary manual. London: MRC Social Psychiatry Unit.Google Scholar
  62. Wyatt, G. E., & Peters, S. D. (1986). Issues in the definition of child sexual abuse in prevalence research. Child Abuse and Neglect, 10, 231–240.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Nathaniel Mcconaghy
    • 1
  1. 1.School of PsychiatryUniversity of New South WalesKensingtonAustralia

Personalised recommendations