Case 1 A frustrated and distressed man confides that every time he and his new wife attempt lovemaking she becomes hysterical and writhes in
Assignment 8. Theory and Treatment for Sexual Disorder Please read the following brief case histories and answer the questions for each case: Would this case be diagnosable as a sexual dysfunction? If so, what is the precise disorder? What factors might have contributed to the disorder? What treatment recommendations would you have?
Case 1 A frustrated and distressed man confides that every time he and his new wife attempt lovemaking she becomes hysterical and writhes in pain when he attempts vaginal penetration. They have successfully satisfied each other through other means, such as mutual masturbation, but he believes something is wrong or that he is doing something wrong.
Case 2 A 36-year-old man seeks advice because over the last 6 months he has been experiencing the occasional inability to become erect. His relationship is satisfying, and he usually enjoys the sexual aspects of his life. However, the man is concerned that the situation may worsen.
Case 3 A 26-year-old woman in a sexually exclusive relationship that has lasted for 1 year wants to know if she is normal because she does not always have orgasm but enjoys sex with her partner. Her friend told her that something may be wrong if she does not experience orgasm every time she has sex. Case 4 A 58-year-old woman wants to know why her partner, who is 10-years older than her, has lost his desire for sex. He is not always aroused like he used to be. Her partner enjoys sex but states that it just takes him longer to “get going”.
Case 5 A 49-year-old woman is concerned that her partner of the same age no longer initiates sexual activity. Her partner has been experiencing irregular menses and low energy for the past year. Nothing seems to stimulate her partner as it used to. When the woman extends foreplay to give her partner more time to respond, she does not respond as before, and it is beginning to affect their relationship in that they do not communicate like they used to.
Case 6 An 18-year-old man has sought advice on two occasions complaining of penile discharge. Both times the findings were negative for any infection, and he seems evasive about the nature of the discharge. It emerges that he has only recently had sex for the first time, and during that encounter he ejaculated almost immediately after vaginal penetration. His girlfriend asked him if “that was it?” He believes there is something wrong with him.
Answer preview for Case 1 A frustrated and distressed man confides that every time he and his new wife attempt lovemaking she becomes hysterical and writhes in
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