Sexual Dysfunctions Test Bank Docx Chapter 16 1st Edition

Chapter 16 : Sexual Dysfunctions

Test Bank

Type: multiple choice question

Title: Chapter 16 Question 01

1. Erin has difficulty talking about sex with her partner and during a discussion where her partner was urging her to talk about sex more Erin said, "My parents never talked about sex and they get along. Why do you need me to be so open about private things?" Which category of sexual problem best explains Erin's response?

a) socio-cultural

b) intrapsychic

c) organic

d) interpersonal

Type: multiple choice question

Title: Chapter 16 Question 02

2. Jasmine and Calvin have been dating for six months and have recently been arguing about how often Calvin plays video games. Jasmine thinks that Calvin should play less but Calvin doesn't see the problem and refuses to change his habits. Jasmine and Calvin have been having sex less frequently. Which category of sexual problem best explains the decline in Jasmine and Calvin's sex life?

a) socio-cultural

b) intrapsychic

c) organic

d) interpersonal

Type: multiple choice question

Title: Chapter 16 Question 03

3. Your best friend has been having problems with her husband who sometimes wouldn't orgasm at all during penetration. She's been organizing special nights with candles and lingerie, when she would tell him, "Now you'll orgasm for sure with all this sexy atmosphere." He eventually told her she made him suffer from "performance anxiety." She thinks he made that up. It's not a thing! What do you say to that?

a) It is a thing—he feels a lot of pressure to orgasm quickly when you have put so much effort in creating the mood and you have these strict expectations.

b) He's making it up. He's looking for excuses because he's probably masturbating and watching porn too much to be turned on by a regular woman.

c) It is a thing in general, but it shouldn't be in his case since you're giving him all this extra stimulation with the candles and sexy lingerie.

d) It is a term in sex therapy, but it has nothing to do with your situation. It refers to performing gender roles in society, not to having sex with someone.

Type: multiple choice question

Title: Chapter 16 Question 04

4. Your close friend is getting married in a church wedding. She and her fiancé are taking preparatory lessons with the priest, required in their religion. The priest has advised them that when they have children, they should avoid raising the subject of sex with them so as not to awaken any sinful desires. What would a sex therapist say in response to this statement?

a) Taboo around sexuality in childhood may make it difficult to communicate freely about their sexuality in adulthood.

b) Taboo around sexuality in childhood is the most common risk factor in sexual abuse in early adolescence.

c) Taboo around sexuality in childhood helps individuals appreciate the gravity of sexual decisions later in life and respect their sexual partners.

d) none of the above

Type: multiple choice question

Title: Chapter 16 Question 05

5. At a bachelorette party, the bride-to-be asks all guests for advice on a good relationship. One guest says, "You better learn how to fight with your husband right." The bride-to-be is surprised that someone would wish her fights with her beloved husband. Is the guest onto something, though?

a) Learning good conflict-resolution skills helps express normal anger that surfaces in every relationship.

b) Not being able to express anger safely and effectively in an intimate relationship may lead to being unable to express or feel passion as well.

c) Not being able to resolve fights effectively may lead to power struggles that can be played out in bed.

d) all of the above

Type: multiple choice question

Title: Chapter 16 Question 06

6. What can be said about the influence of specific religious teaching on the prevalence of sexual dysfunction in Canada?

a) Most Canadians are influenced by the Christian value system and their sexual dysfunctions can be linked back to Christian values related to feeling shameful about sex and only having sex for reproduction.

b) In Canada, most people are raised Christian and no link has been found between Christian upbringing and sexual dysfunction.

c) In Canada, where the population varies a great deal in religion and religiosity, it is not possible to compute the influence of specific religious teachings on sexual dysfunction rates.

d) The sexual practices of Canadians have never been found to be influenced by religious teachings.

Type: multiple choice question

Title: Chapter 16 Question 07

7. "Never go to bed angry," is good advice for someone who wants to avoid which source of sexual dysfunction?

a) organic

b) intrapsychic

c) socio-cultural

d) interpersonal

Type: multiple choice question

Title: Chapter 16 Question 08

8. In Canada, what do most parents teach their children about sex?

a) nothing

b) topics related to pregnancy but not topics related to pleasure

c) topics related to following social rules, like not being naked or touching yourself in public, and nothing related to pregnancy or pleasure

d) how to follow a gender role but nothing about reproduction or pleasure

Type: multiple choice question

Title: Chapter 16 Question 09

9. After Fifty Shades of Grey by E.L. James became a bestseller, people have been talking a lot about BDSM. When you open your Facebook one day, you see a growing discussion on your wall started by a strict Christian friend who quotes The Diagnostic and Statistical Manual of Mental Disorders to prove that BDSM is a pathology. You decide to reply, saying, "Actually, the latest, Fifth Edition from 2013 defines sadism and masochism as pathology only when they are accompanied by ________."

a) distress and dysfunction

b) sodomy

c) physical marks such as bruises

d) pain

Type: multiple choice question

Title: Chapter 16 Question 10

10. Which of the following is a myth about sex that can lead to sexual dysfunction?

a) "Sexual intercourse does not have to involve penile penetration of a vagina."

b) "Talking during sex improves pleasure."

c) "If sexual activity doesn't end in orgasm, it's okay."

d) "Sex should be natural and spontaneous."

Type: multiple choice question

Title: Chapter 16 Question 11

11. Your friend from Europe heard the news that Canada has introduced a new sexual education curriculum that includes lessons about consent. He finds it very progressive that students get such a rounded education. You reply, "Yeah, well, that's kind of new in only one province now. In general, in Canada, we don't learn for example about ________ in school."

a) sexual feelings, desire, or pleasure

b) contraception other than condoms and the pill

c) reproductive biology

d) sexually transmitted infections

Type: multiple choice question

Title: Chapter 16 Question 12

12. When Canadian youth see sex portrayed in the media, including on the Internet, what do most young people conclude?

a) that what they see in the media is reflective of how "normal" people experience sex and sexuality

b) that media are not as good a source on information as sex education in the schools

c) that what they see in the media is not reflective of reality

d) that what they see in the media is heavily biased towards promoting traditional Christian values and ideals about sex

Type: multiple choice question

Title: Chapter 16 Question 13

13. Your friend Jenny calls you in tears. She's sure her boyfriend, who works for a renovation company, is cheating on her because she wanted to have sex when he came home from work but he didn't. He claimed to be completely wiped after eight hours of sanding floors in the summer heat and he just wanted to collapse in bed. He did look sweaty, dirty, and tired and he said he loved her very much, but Jenny is sure that a man never says no to sex. What can you tell her?

a) It's a myth that men always want sex and are always ready. Sometimes they're simply too tired to think about it.

b) He most likely is cheating on her. Men are genetically designed to be sex-ready and willing regardless of circumstances.

c) It's a myth that men always want sex, but it's true that they're always ready. So he could have gotten an erection just to please her.

d) none of the above

Type: multiple choice question

Title: Chapter 16 Question 14

14. At a family dinner you say you're studying human sexuality. Your cousins are immediately interested and, against your aunt's nervous protests, start asking questions about what's true and what isn't in common knowledge about sex. You tell them, "Actually it is not a myth that ________."

a) the clitoris is the only human organ whose sole function is pleasure

b) women's sexuality is more complicated than men's

c) sex goes downhill after marriage

d) a man is always ready to have sex

Type: multiple choice question

Title: Chapter 16 Question 15

15. Taylor and Tom met at a diabetes fundraiser and have been dating for a year. They're both diabetic. Tom's doctor has warned him that he might develop erectile dysfunction, but so far he hasn't had problems with erection. Taylor, however, has been uncomfortable during sex recently, saying penetration hurt her, though she still is very much attracted to Tom and would like to have sex a lot. Her doctor never mentioned potential sex problems, so she is confused. What could be the problem?

a) Diabetes can affect both men and women's genitals in the same negative way, but doctors tend to pay attention only to its effects on erection and ignore lubrication in females.

b) While diabetes affects erection in men, it does not have an effect on lubrication or sensation in women, so Taylor's problem must be caused by a different condition.

c) Diabetic men produce an antibody that has been proven to cause vaginal dryness in women who exchange body fluids with them. Diabetic women don't produce it and are not immune to it.

d) none of the above

Type: multiple choice question

Title: Chapter 16 Question 16

16. There is very little evidence that ________ can cause problems in sexual desire.

a) low testosterone

b) anemia

c) cardiovascular disease

d) hypothyroidism

Type: multiple choice question

Title: Chapter 16 Question 17

17. Which of the following can seem to increase sexual desire while actually decreasing sexual performance in men?

a) anti-depressants

b) vitamin supplements

c) viagra

d) alcohol

Type: multiple choice question

Title: Chapter 16 Question 18

18. Monica is on birth control and is experiencing low sexual desire. Which form of birth control is Monica likely using?

a) Depo-Provera

b) an intrauterine device

c) condoms

d) a diaphragm

Type: multiple choice question

Title: Chapter 16 Question 19

19. Melanie is experiencing vaginal dryness because of a prescription medication she is taking. The dryness is causing her to avoid sexual activity. What is the term for the cause of Melanie's dysfunction?

a) psychogenic

b) iatrogenic

c) pharmogenic

d) aphrogenic

Type: multiple choice question

Title: Chapter 16 Question 20

20. Which of the following is true about aphrodisiacs?

a) Researchers have yet to find an aphrodisiac that actually induces sexual desire more than a placebo.

b) Viagra is the most effective aphrodisiac currently known.

c) Alcohol is the most effective aphrodisiac currently known.

d) Effective aphrodisiacs have been used throughout history and vary from culture to culture.

Type: multiple choice question

Title: Chapter 16 Question 21

21. At a work Christmas party, John (23) got drunk and hit on his boss's daughter, Alexis. They slept together, but John regretted it the next morning, realizing that he didn't find her attractive after all. Alexis told her father that they were dating, and now John is looking for a new job to get out of this relationship. He has to stay with her until he lands a new job, but he's having trouble getting an erection when they're in bed together. His friend advises him to just pop Viagra and soldier on. Will that help?

a) Viagra enables blood flow to the penis but only when a man is subjectively aroused, so it won't work if Alexis doesn't turn John on.

b) Viagra enables blood flow to the penis that causes an instant physiological erection independent of the mood, so John can use it to feign arousal.

c) Viagra enables blood flow to the penis that causes an instant physiological erection, but after about 20 minutes subjective arousal is necessary to sustain it, so John would have to be quick with Alexis.

d) It is irrelevant because no doctor would prescribe Viagra to a healthy male in his twenties, and it's impossible to obtain the drug in any other way than through a prescription.

Type: multiple choice question

Title: Chapter 16 Question 22

22. What was the intended purpose of the prescription drug called Diane (which can be prescribed to women with severe cystic acne) when it was first created?

a) birth control

b) chemical castration

c) to increase sexual desire

d) to treat symptoms of menopause

Type: multiple choice question

Title: Chapter 16 Question 23

23. Which of the following is true concerning drugs like Viagra?

a) They automatically cause erections by increasing blood flow to the penis.

b) The vast majority of men prescribed these drugs fill and refill their prescriptions.

c) They are most effective if combined with sex therapy.

d) They are popular because they are safe to take if a person has cardiovascular problems (a leading cause of erectile dysfunction).

Type: multiple choice question

Title: Chapter 16 Question 24

24. What is a PDE-5 inhibitor?

a) an erectogenic drug

b) an anti-depressant that inhibits serotonin reuptake

c) a type of antiretroviral drug

d) the morning-after pill

Type: multiple choice question

Title: Chapter 16 Question 25

25. Malcolm usually comes before his girlfriend does, and then he usually makes her come with his hand. He believes he could give her orgasm by penetration if he only lasted longer, but he obviously is suffering from premature ejaculation. What would be the best first step for him to take to address this problem?

a) He should use two condoms at the same time to limit sensation in his penis.

b) He should imagine during penetration a scene from any of the Saw movies to get his mind off the arousal.

c) He should ask his family doctor for a selective serotonin reuptake inhibitor drug to delay his reactions to arousal.

d) none of the above

Type: multiple choice question

Title: Chapter 16 Question 26

26. What is the most commonly reported male sexual dysfunction?

a) erectile dysfunction

b) rapid ejaculation

c) delayed ejaculation

d) dyspareunia

Type: multiple choice question

Title: Chapter 16 Question 27

27. Recent critiques of the notion that the "point" of sexual intercourse is for the male to perform until the female reaches orgasm have led to a rejection of which of the following terms?

a) premature ejaculation

b) delayed ejaculation

c) ejaculatory incompetence

d) retarded ejaculation

Type: multiple choice question

Title: Chapter 16 Question 28

28. Which of the following can be a prescribed medical treatment for men who feel they ejaculate too quickly?

a) topical lidocaine

b) topical estrogen

c) SSRI anti-depressants

d) Botox injections in the base of the scrotum

Type: multiple choice question

Title: Chapter 16 Question 29

29. Mark experiences delayed ejaculation. Which of the following scenarios may explain Mark's problem?

a) Mark has problems maintaining an erection because of a blood pressure medication he is taking.

b) Mark has recently stopped taking SSRIs.

c) Mark is worried about "getting caught" having sex with his girlfriend in his parents' house.

d) Mark has been using erectogenic drugs.

Type: multiple choice question

Title: Chapter 16 Question 30

30. Based on the DSM-5, a man can be diagnosed with premature (early) ejaculation if he meets which set of criteria?

a) He ejaculates within 30 seconds of penetration 75 per cent of the time for three months.

b) He ejaculates within 60 seconds of penetration 75 per cent of the time for six months.

c) He ejaculates within 30 seconds of penetration 75 per cent of the time for six months.

d) He ejaculates within 60 seconds of penetration 90 per cent of the time for three months.

Type: multiple choice question

Title: Chapter 16 Question 31

31. Which of the following best describes the evidence related to the cause of rapid ejaculation?

a) Rapid ejaculation usually occurs because of anxiety.

b) Rapid ejaculation usually occurs because of penile hypersensitivity.

c) There is a rapid ejaculation gene.

d) There is no consistent evidence for a cause of rapid ejaculation.

Type: multiple choice question

Title: Chapter 16 Question 32

32. What often provides instant relief to men who report rapid ejaculation due to performance anxiety?

a) wearing multiple condoms

b) taking SSRI anti-depressants

c) psychoeducational counselling

d) using a numbing agent on the penis

Type: multiple choice question

Title: Chapter 16 Question 33

33. What two factors may have been conflated in men reporting delayed ejaculation?

a) arousal and anxiety

b) performance and arousal

c) performance and anxiety

d) arousal and pleasure

Type: multiple choice question

Title: Chapter 16 Question 34

34. Which of the following is true of most men who have delayed ejaculation?

a) There is an underlying organic cause for their problem.

b) They never experience orgasm.

c) They are able to experience orgasm while masturbating but not in partnered sex.

d) They do not want their "dysfunction" treated because they enjoy being able to brag about how long they can stay hard.

Type: multiple choice question

Title: Chapter 16 Question 35

35. Julia, your new sex therapy client, is distressed that her husband doesn't find her attractive, because he achieves orgasm rather quickly when he masturbates, but hardly ever when he penetrates her. She says that usually during sex she spreads her legs, tells him to go on, and lies there waiting for him to finish, because she's exhausted after a long day. Shouldn't it be enough for him that she's offering her vagina when he's hard? What can you tell her?

a) Often an erection means that the man is somewhat aroused, but not enough to achieve orgasm. Spending some time and attention on increasing arousal before penetration may help.

b) Often an erection means that the man is aroused and ready to penetrate until orgasm. If he is not ejaculating, there must be a physiological cause; e.g., a new drug that he has been taking.

c) Often an erection means that the man is aroused and ready to penetrate until orgasm. If he is not ejaculating, there must be a psychological cause; e.g., he's thinking about work or another sexual partner.

d) both B and C

Type: multiple choice question

Title: Chapter 16 Question 36

36. What does Binik's approach to treating dyspareunia emphasize?

a) treating the pain but ignoring the association with sex

b) focusing on the sexual relationship and ignoring the pain because it will eventually dissipate

c) conditioning women with dyspareunia to have a more positive opinion of sexual intercourse by pairing intercourse with other sensual pleasures including fragrances and soothing music

d) having women complete "Binik's inventory," which assesses whether dyspareunia is the result of vulvar, vaginal, or psychological problems

Type: multiple choice question

Title: Chapter 16 Question 37

37. Anne is not aroused during sex so she is not producing lubrication, making sexual penetration difficult. What should the first step be in Anne's attempt to correct this problem?

a) trying a plant-based non-petroleum lubricant

b) trying a water-based lubricant

c) examining why she is not aroused by her partner

d) stopping all medications linked to lubrication (e.g., anti-depressants and oral contraceptives)

Type: multiple choice question

Title: Chapter 16 Question 38

38. When using condoms, it is important to use which type of lubricant?

a) oil-based lubricant

b) water-based lubricant

c) plant-based lubricant

d) almond oil lubricant

Type: multiple choice question

Title: Chapter 16 Question 39

39. Why did Lonnie Barbach recommend changing the disorder named "anorgasmia" to "preorgasmia"?

a) because the main problem is not that they can't have an orgasm, but that they have yet to have an orgasm

b) because the main problem women report is that they have orgasms too soon, not that they don't have orgasms

c) because the main group of females who report not having orgasms are not yet sexually mature

d) because the physiological response of women who report not having orgasms is very similar to the physiological response of "normal women" about to have an orgasm

Type: multiple choice question

Title: Chapter 16 Question 40

40. Your friend Jeff, a college student, started dating Allison, and they had their first sexual intercourse together. During penetration, Jeff noticed that Allison started rubbing her clitoris. He tells you that he feels cheated because Allison basically masturbated when he was inside her, and this is not how a woman should orgasm when with a man. What can you say to that?

a) Most women need clitoral stimulation for orgasm, so she might not have had an orgasm at all without it. It's natural.

b) Most women achieve orgasm through vaginal stimulation, but they sometimes use clitoral stimulation when their partner does not arouse them enough with penetration, so Jeff should think about that.

c) Many women who can't achieve orgasm through vaginal penetration can do it through anal penetration, so Jeff and Alison should try that.

d) Most women need clitoral stimulation for orgasm when their sexual responses are not developed fully. Alison should work on moving on to the next stage—vaginal orgasm.

Type: multiple choice question

Title: Chapter 16 Question 41

41. A few college friends are having a girls-only night in a residence room. Two bottles of Moscato embolden them to start sharing stories of the best orgasm ever, to a lot of excited giggles. Only one girl, Ashley, isn't joining in the fun, sitting quietly with an embarrassed expression. When the others question her, she admits she's never masturbated or had an orgasm in her life. A barrage of advice ensues. Which suggestion would be the most reasonable for Ashley to start with?

a) You should totally check out this book, For Yourself: the Fulfillment of Female Sexuality by Lonnie Garfield Barbach. It will really help you get to know your body.

b) You should get a boyfriend and lose your virginity as soon as possible. A guy will know how what make you tick. He'll know how and where to touch you.

c) What you need is a good vibrator! I'll go shopping with you! Just put it in, turn it on, and wait—you'll orgasm before you know it.

d) Oh, no! You might be frigid! My sister had that. Go see a doctor—you can get one of those new pink Viagra pills, right?

Type: multiple choice question

Title: Chapter 16 Question 42

42. What is the recommended treatment for most women with anorgasmia?

a) finding a new sexual partner

b) the use of lubricants

c) hormone therapy

d) bibliotherapy

Type: multiple choice question

Title: Chapter 16 Question 43

43. What is thought to be the primary cause of anorgasmia in women?

a) circulatory problems

b) side effects from medications

c) lack of knowledge about her own body

d) low estrogen

Type: multiple choice question

Title: Chapter 16 Question 44

44. Milena is looking forward to having sex with her partner, but as soon as his body comes in contact with hers, she panics. Which sexual disorder that was removed from the DSM-5 is Milena experiencing?

a) sexual aversion disorder

b) dyspareunia

c) hypoactive sexual desire disorder

d) anorgasmia

Type: multiple choice question

Title: Chapter 16 Question 45

45. You're catching up over coffee with your good friend, Linda, who confesses in a whisper that she's been recently feeling pain during intercourse with her long-time boyfriend, Juan. She hasn't told anyone yet. She's hasn't noticed bleeding or anything out of the ordinary, and it doesn't hurt at other times, only when she has sex. Juan likes to thrust quite hard, and she's not always into it. What would you advise her?

a) Try to find a good doctor who will listen to you and take time to reproduce the pain during examination. It can be anything from an infection to not being aroused.

b) Try lube. It looks like a typical case of too much friction. It'll feel really good when you get the right lubrication.

c) Go to a drugstore and get an over-the-counter vaginal cream. It's a yeast infection. A week of treatment and you'll be back to normal.

d) none of the above

Type: multiple choice question

Title: Chapter 16 Question 46

46. Andrea is receiving treatment for a sexual dysfunction that involves the insertion of a vaginal dilator in combination with relaxation training. What disorder is Andrea likely being treated for?

a) dyspareunia

b) anorgasmic disorder

c) vaginismus

d) preorgasmic disorder

Type: multiple choice question

Title: Chapter 16 Question 47

47. You're a sex therapist. Your new client came to you because her family doctor told her she had vaginismus and prescribed dilators, but she isn't so sure about the treatment. You know that vaginismus stems from a woman's fear or reluctance to engage in intercourse. What areas of her experience would you explore to understand the reasons for her fear?

a) Is she afraid of unwanted pregnancy?

b) Has she been sexually abused or assaulted?

c) What does she know and think about sex and her own body?

d) all of the above

Type: multiple choice question

Title: Chapter 16 Question 48

48. A new and popular treatment for vaginismus involves which of the following?

a) Botox injections into the pelvic floor muscles

b) hypnotherapy to decrease a woman's anxiety about sexual penetration

c) a surgical ring-shaped implant that prevents the vagina from closing completely

d) introduction of anal penetration as an alternative to vaginal penetration

Type: multiple choice question

Title: Chapter 16 Question 49

49. You're looking through the mail in your sex therapy office. Among the letters is a glossy invite to a seminar on Dr. Peter Pacik's new vaginismus treatment using Botox. As you read through the description of the treatment, you start questioning it. How?

a) Is it in the woman's best interest to ignore her underlying fear of penetration and force open her vagina when she's unconscious?

b) How is the Botox going to affect the nerves in the clitoris and vulva, which are responsible in most part for sexual stimulation?

c) Considering how sensitive the area around the vaginal opening is, can the numerous injection sites become painful and infected after the procedure?

d) none of the above

Type: multiple choice question

Title: Chapter 16 Question 50

50. What sexual problem causes the most couples to seek sex therapy?

a) rapid ejaculation

b) erectile dysfunction

c) anorgasmic disorder

d) sexual desire discrepancy

Type: multiple choice question

Title: Chapter 16 Question 51

51. Tracy and Charles, a young married couple, come to you, a sex therapist, with this problem: Charles wants to have sex "too often," and Tracy just "can't keep up." Charles blames Tracy for being "frigid," and she blames him for being a "sex addict." What's the solution?

a) There is no simple solution. You have to find out what's going on in their relationship to start seeing possible causes of their disagreement.

b) It's normal for men to have a higher sex drive than women do. Charles can masturbate on those days when Tracy doesn't want to have sex.

c) Men and women's sex drives are similar, but women are socialized to express it less. Tracy can experiment with masturbation more to increase her sex drive.

d) Low sex drive in women is usually hormone based. Tracy can start taking testosterone pills to boost her sexual desire.

Type: multiple choice question

Title: Chapter 16 Question 52

52. Why do many women with no sexual desire "just do it" with their partner?

a) Couples who "just do it" eventually show an increase in sexual satisfaction.

b) The woman wants to show a commitment to her partner even though she doesn't want to have sex.

c) Low sexual desire usually goes away on its own.

d) Having sex with low sexual desire is better than not having sex at all.

Type: multiple choice question

Title: Chapter 16 Question 53

53. Masters and Johnson developed their approach to therapy based on what observation regarding couples seeking therapy?

a) Couples seeking therapy were usually very angry at each other.

b) Couples seeking therapy were usually both suffering from low desire.

c) Couples seeking therapy usually avoided all touching so as to avoid dealing with the sexual problem they were having.

d) Couples seeking therapy usually had a problem linked to physiology.

Type: multiple choice question

Title: Chapter 16 Question 54

54. Masters and Johnson's approach to sex puts an emphasis on which of the following?

a) sex as a bodily/physical function

b) sex as a psychological phenomenon

c) sex as a subject of philosophical debate

d) sex as an expression of intimacy

Type: multiple choice question

Title: Chapter 16 Question 55

55. The goal of therapy outlined by Masters and Johnson is to do which of the following?

a) to improve communication in order to improve sexual functioning

b) to reveal unconscious desires and wishes that can impede sexual functioning

c) to teach couples how to stimulate each other as a means of improving sexual satisfaction

d) to eliminate obstacles to sexual functioning

Type: multiple choice question

Title: Chapter 16 Question 56

56. In the midst of work, childrearing, and financial problems, Kate and Jason have completely stopped having sex. Now that their situation is more stable, they want to rediscover their intimacy, but they feel anxious about it. A therapist who uses the Masters and Johnson method tells them to start from the very beginning and gives them their first assignment: ________.

a) touch each other while avoiding breasts and the genitals

b) touch each other, genitals and breasts included, but with no focus on one spot

c) stimulate each other's genitals without leading to orgasm

d) stimulate each other's genitals without engaging in intercourse

Type: multiple choice question

Title: Chapter 16 Question 57

57. Which of the following is NOT part of the early stages of Masters and Johnson's approach to sex therapy?

a) touching with no genital contact

b) touching with genital contact

c) non-demand genital pleasuring

d) intercourse to orgasm

Type: multiple choice question

Title: Chapter 16 Question 58

58. Masters and Johnson's approach to sex therapy has been critiqued for which of the following reasons?

a) for focusing on unconscious desires that weren't directly measurable or observable

b) for focusing on the couple as a pair instead of on each individual with their own individual problems

c) for having sexual penetration as the goal of the therapy

d) for defining sexual functioning as a matter of subjective experience and not biology

Type: multiple choice question

Title: Chapter 16 Question 59

59. You're a sex therapist, and you have your first appointment with Leila regarding her problems achieving orgasm with her long-term boyfriend. You practice therapy based on the Masters and Johnson's paradigm, so at the end of the session, you tell her, "For our next meeting ________, because ________."

a) come with your boyfriend; this kind of issue is best tackled as a couple

b) bring your sex toys; we need to examine how you have been trying to achieve orgasm so far

c) write down how often you had sex between now and the next visit; we need to analyze your sexual response

d) interview your partner with the questionnaire I'll give you; we need to know his side of the story as well

Type: multiple choice question

Title: Chapter 16 Question 60

60. Which of the following is an example of an intrapsychic factor that can contribute to sexual problems?

a) performance anxiety

b) poor communication

c) diabetes

d) religious teachings

Type: multiple choice question

Title: Chapter 16 Question 61

61. Performance anxiety is an example of a(n) __________ factor that can contribute to sexual problems.

a) intrapsychic

b) interpersonal

c) cultural

d) organic

Type: multiple choice question

Title: Chapter 16 Question 62

62. Which of the following is an example of an interpersonal factor that can contribute to sexual problems?

a) performance anxiety

b) hostility

c) diabetes

d) religious teachings

Type: multiple choice question

Title: Chapter 16 Question 63

63. Poor communication in a relationship is an example of a(n) __________ factor that can contribute to sexual problems.

a) intrapsychic

b) interpersonal

c) cultural

d) organic

Type: multiple choice question

Title: Chapter 16 Question 64

64. Which of the following is an example of a psychosocial factor that can contribute to sexual problems?

a) performance anxiety

b) hostility

c) misinformation

d) poor communication

Type: multiple choice question

Title: Chapter 16 Question 65

65. Misinformation is an example of a(n) __________ factor that can contribute to sexual problems.

a) intrapsychic

b) interpersonal

c) cultural

d) organic

Type: multiple choice question

Title: Chapter 16 Question 66

66. By the mid-1980s, what percentage of sexual problems were thought to be psychogenic in nature?

a) 20 per cent

b) 40 per cent

c) 60 per cent

d) 80 per cent

Type: multiple choice question

Title: Chapter 16 Question 67

67. By the mid-1980s, what percentage of sexual problems were thought to be caused by organic or iatrogenic factors?

a) 20 per cent

b) 40 per cent

c) 60 per cent

d) 80 per cent

Type: multiple choice question

Title: Chapter 16 Question 68

68. What consequence of diabetes can lead to sexual problems in men?

a) peripheral neuropathy

b) loss of interest in sex

c) low testosterone

d) high blood sugar

Type: multiple choice question

Title: Chapter 16 Question 69

69. Norm takes Effexor to help with his anxiety. Ever since he started taking the medication, his interest in sex has disappeared. Norm's lack of interest in sex may be best categorized as a(n) __________ disorder.

a) organic

b) iatrogenic

c) psychosocial

d) intrapsychic

Type: multiple choice question

Title: Chapter 16 Question 70

70. All of the following are examples of possible iatrogenic sources of sexual problems EXCEPT __________.

a) depression

b) surgery

c) medication

d) medical treatment

Type: multiple choice question

Title: Chapter 16 Question 71

71. All of the following are diagnoses related to orgasm EXCEPT __________.

a) premature (early) ejaculation

b) delayed ejaculation

c) hypoactive sexual desire disorder

d) female orgasmic disorder

Type: multiple choice question

Title: Chapter 16 Question 72

72. Which of the following disorders is related to sexual arousal?

a) erectile disorder

b) female orgasmic disorder

c) delayed ejaculation

d) hypoactive sexual desire disorder

Type: multiple choice question

Title: Chapter 16 Question 73

73. Which of the following disorders is related to sexual desire?

a) sexual interest/arousal disorder

b) female orgasmic disorder

c) erectile disorder

d) delayed ejaculation

Type: multiple choice question

Title: Chapter 16 Question 74

74. Which of the following sexual problems arises only in the context of a relationship?

a) female orgasmic disorder

b) erectile disorder

c) sexual desire discrepancy

d) penetration disorder

Type: multiple choice question

Title: Chapter 16 Question 75

75. For how long must a man ejaculate within 60 seconds of penetration 75 per cent of the time in order to meet the criteria for premature (early) ejaculation?

a) 2 weeks

b) 2 months

c) 6 weeks

d) 6 months

Type: multiple choice question

Title: Chapter 16 Question 76

76. Which of the following disorders is most likely to be caused by a lack of sexual knowledge?

a) premature (early) ejaculation

b) female orgasmic disorder

c) erectile disorder

d) dyspareunia

Type: multiple choice question

Title: Chapter 16 Question 77

77. Allison talked to a therapist about a sexual problem she is having. The therapist recommended bibliotherapy. What disorder does Allison MOST likely suffer from?

a) female orgasmic disorder

b) dyspareunia

c) genito-pelvic pain/penetration disorder

d) sexual desire discrepancy

Type: multiple choice question

Title: Chapter 16 Question 78

78. Historically, female genital pain during intercourse has been referred to as __________.

a) vaginismus

b) dyspareunia

c) peripheral neuropathy

d) hysteria

Type: multiple choice question

Title: Chapter 16 Question 79

79. Historically, female genital muscle tightening that prevents penetration has been referred to as __________.

a) vaginismus

b) dyspareunia

c) peripheral neuropathy

d) hysteria

Type: multiple choice question

Title: Chapter 16 Question 80

80. All of the following may be part of sex therapy based on guidelines set by Masters and Johnson EXCEPT __________.

a) genital touching

b) sexual intercourse

c) face touching

d) stroking breasts

Type: multiple choice question

Title: Chapter 16 Question 81

81. What is the third phase of sexual therapy as outlined by Masters and Johnson?

a) sensate focus exercises

b) non-demand genital pleasuring

c) touching the body from head to toe

d) sexual intercourse

Type: multiple choice question

Title: Chapter 16 Question 82

82. What is the first phase of sexual therapy as outlined by Masters and Johnson?

a) sensate focus exercises

b) non-demand genital pleasuring

c) touching all parts of the body from head to toe

d) sexual intercourse

Type: multiple choice question

Title: Chapter 16 Question 83

83. What is the second phase of sexual therapy as outlined by Masters and Johnson?

a) sensate focus exercises

b) non-demand genital pleasuring

c) touching all parts of the body from head to toe

d) sexual intercourse

Type: multiple choice question

Title: Chapter 16 Question 84

84. How does the amount of time currently spent training medical students on sexual matters compare to how much time was spent prior to the 1990s?

a) Less time is spent on sexual matters.

b) There has been no change in the amount of time spent on medical matters.

c) Slightly more time is spent on sexual matters.

d) Significantly more time is spent on sexual matters.

Type: multiple choice question

Title: Chapter 16 Question 85

85. Gina and Dave are receiving sex therapy from a therapist who bases their program on the work of Masters and Johnson. About how much time each day will the couple spend on sensate focus exercises at the beginning of treatment?

a) 10 minutes

b) 20 minutes

c) 30 minutes

d) one hour

Type: multiple choice question

Title: Chapter 16 Question 86

86. Neil and his partner are receiving sex therapy based on the work of Masters and Johnson. Their main concern is Neil's performance anxiety. The therapist thinks she can reduce Neil's anxiety by reducing his __________.

a) orgasms

b) spectatoring

c) arousal

d) erections

Type: multiple choice question

Title: Chapter 16 Question 87

87. Effective treatment of dyspareunia must focus on __________.

a) finding the underlying cause of the pain

b) having the woman come to accept her pain as normal

c) finding the underlying cause of the muscle spasms

d) having the woman come to accept the muscle spasms as normal

Type: multiple choice question

Title: Chapter 16 Question 88

88. Which of the following disorders is most closely associated with a fear response?

a) erectile disorder

b) vaginismus

c) female orgasmic disorder

d) desire discrepancy disorder

Type: multiple choice question

Title: Chapter 16 Question 89

89. Diabetes is a relatively common __________ cause of sexual problems.

a) organic

b) intrapsychic

c) cultural

d) interpersonal

Type: multiple choice question

Title: Chapter 16 Question 90

90. Which of the following is the most under-reported male sexual difficulty?

a) delayed ejaculation

b) premature ejaculation

c) rapid ejaculation

d) erectile dysfunction

Type: essay/short answer question

Title: Chapter 16 Question 01

1. The most common interpersonal problem that results in sexual dysfunction is poor __________ in a relationship.

Feedback: communication

Type: essay/short answer question

Title: Chapter 16 Question 02

2. __________ is a disease that can impact sexual functioning by affecting both hormones and sensation.

Feedback: Diabetes

Type: essay/short answer question

Title: Chapter 16 Question 03

3. Since the advent of Viagra in the late 1990s, many people argue that erectile disorder is 90 per cent __________ and 10 per cent __________.

Feedback: organic; psychogenic

Type: essay/short answer question

Title: Chapter 16 Question 04

4. When a sexual problem is the result of surgery, prescription medication, or medical treatment, its cause is described as __________.

Feedback: iatrogenic

Type: essay/short answer question

Title: Chapter 16 Question 05

5. The most under-reported sexual problem in men is __________ __________.

Feedback: delayed ejaculation

Type: essay/short answer question

Title: Chapter 16 Question 06

6. The technical term for pain during sexual activity is __________.

Feedback: dyspareunia

Type: essay/short answer question

Title: Chapter 16 Question 07

7. The term for a physical response in the vagina resulting from a fear of penetration is __________.

Feedback: vaginismus

Type: essay/short answer question

Title: Chapter 16 Question 08

8. Due to its complexity, __________ __________ desire disorder is arguably the most difficult sexual dysfunction to treat effectively.

Feedback: hypoactive sexual

Type: essay/short answer question

Title: Chapter 16 Question 09

9. Chris is concerned about the timing of ejaculation and is constantly thinking about his performance during sex. Chris' behaviour is known as __________.

Feedback: spectatoring

Type: essay/short answer question

Title: Chapter 16 Question 10

10. The name for the therapeutic activities Masters and Johnson recommend for couples experiencing sexual dysfunction is __________ __________ exercises.

Feedback: sensate focus

Type: essay/short answer question

Title: Chapter 16 Question 11

11. Worries about early ejaculation are a form of __________ anxiety.

Feedback: performance

Type: essay/short answer question

Title: Chapter 16 Question 12

12. Misinformation is an example of a(n) __________/cultural factor that can lead to sexual problems.

Feedback: psychosocial

Type: essay/short answer question

Title: Chapter 16 Question 13

13. Jen was diagnosed with hypoactive sexual desire disorder 10 years ago and Jane was diagnosed with sexual aversion disorder 15 years ago. Today both women would be diagnosed as having __________ __________/__________ __________.

Feedback: sexual interest arousal disorder

Type: essay/short answer question

Title: Chapter 16 Question 14

14. The most common issue that causes couples to seek sex therapy is __________ __________ __________.

Feedback: sexual desire discrepancy

Type: essay/short answer question

Title: Chapter 16 Question 15

15. A simple approach to treating female orgasmic disorder is __________, which includes information on female anatomy.

Feedback: bibliotherapy

Type: essay/short answer question

Title: Chapter 16 Question 16

16. If a man exhibits genuine anorgasmia, it will have a(n) __________ cause.

Feedback: organic

Type: essay/short answer question

Title: Chapter 16 Question 17

17. Many women experience female orgasmic disorder because of a lack of __________.

Feedback: knowledge

Type: essay/short answer question

Title: Chapter 16 Question 18

18. Vaginismus is most closely associated with __________-related emotions.

Feedback: fear

Type: essay/short answer question

Title: Chapter 16 Question 19

19. Graduated plastic cylinders may be used in the treatment of __________.

Feedback: vaginismus

Type: essay/short answer question

Title: Chapter 16 Question 20

20. In __________-__________ __________ __________, the couple focuses on stimulating each other's genitals without engaging in intercourse.

Feedback: non-demand genital pleasuring

Type: essay/short answer question

Title: Chapter 16 Question 01

1. Describe the controversy concerning including sadism and masochism as a diagnosis in the DSM.

Feedback: The APA requires empirical evidence of a disorder to include it on the DSM; however, out of millions of doctor's visits sadomasochism was not mentioned even once. Thus there isn't empirical support that sexual sadism or sexual masochism is a "disorder" in and of itself, and it was recommended that these issues be included in the section on variations in sexual behaviour, not as pathological. This is controversial because members of the BDSM community report that they sometimes suffer distress due to the stigma associated with "kink" preference and wish for psychological issues related to BDSM to be included somewhere on the DSM-5 as a result. The result is that the DSM-5 recognizes sexual sadism and sexual masochism as pathological only if a person is suffering distress because of the preference for these sexual behaviours.

Type: essay/short answer question

Title: Chapter 16 Question 02

2. What are three "normal" physical factors that can contribute to low sexual desire six months after giving birth?

Feedback: 1. Prolonged bleeding during childbirth can cause low hemoglobin level.

2. Breastfeeding produces prolactin which can cause vaginal dryness.

3. New parents may be too exhausted for sex, as most newborns don't sleep through the night.

4. The mother may have been prescribed the hormonal contraceptive Depo-Provera, which can reduce sexual desire.

Type: essay/short answer question

Title: Chapter 16 Question 03

3. What are five myths about sexuality that, if believed, can lead to sexual dysfunctions?

Feedback: Students may mention any five of the following:

1. "Real" sex equals intercourse.

2. Sexual satisfaction equals orgasm.

3. Bigger is better (when it comes to breasts and penises).

4. A man always wants and is always ready to have sex.

5. Women's sexuality is more complicated than men's.

6. Sex should be natural and spontaneous.

7. Talking ruins the mood.

8. You shouldn't start anything you can't finish.

9. Sex goes downhill after marriage; it gets even worse after you have children.

Type: essay/short answer question

Title: Chapter 16 Question 04

4. Describe Masters and Johnson's sensate focus exercises. Explain the goal of the therapy as well as the criteria for determining if the therapy has been successful.

Feedback: In the initial stage, the sex therapist asks the couple to spend time each day touching each other, for approximately 20 minutes each, with no breast, genital, or anal contact permitted. This phase allows couples to reconnect physically without having the expectation that sex will follow. Thus, performance anxiety is circumvented and the individuals are able to attend to the sheer sensations of touching and being touched without having to wonder if their genitals will function adequately.

In the second phase, couples are instructed to touch one another from head to toe, including the genitalia, without focusing on any particular area and with no particular aim, other than enjoying the pleasure of touch.

The third phase consists of a variety of different exercises specific to a given difficulty, but in most cases the couple is instructed to engage in on-demand genital pleasuring. The objective at this point is to allow the couple to experience heightened sexual pleasure as well as to target the sexual symptom for elimination without triggering the anxiety and spectatoring engendered by the expectation of intercourse. The goal of the therapy is to reduce anxiety related to performance.

Therapy is considered successful when penetration is successful.

Type: essay/short answer question

Title: Chapter 16 Question 05

5. Describe both sides of the debate regarding whether pharmaceutical companies should be allowed to market "Viagra for women."

Feedback: Pro: Some argue that the medication will help women and that women have the right to access drugs that may help them with a sexual problem.

Con: The drugs have not been shown to be effective and allowing them may cause widespread misunderstanding about desire in women. Objections include the assumption that low desire is problematic, the assumption that low desire is biochemical in origin, whether a disease model of low desire is appropriate, whether low desire can even be treated, and whether low desire should be treated, etc. Women could take a medication that does harm to solve a problem that either doesn't really exist or is not actually treatable.