The 9 main sexual and psychosexual disorders

the sexual behavior it is one of the areas of human behavior in which it is most difficult to draw the line between the normal and the pathological.

A classification of major sexual disorders can give us an idea of ​​the organization of this aspect of our behavior. Therefore, we will talk a bit about each sexual behavior disorder to better understand.

Sexual disorders: what are they and how do they appear?

the sexual disturbances they have been divided into three major groups such as paraphilias, sexual dysfunctions and gender identity disorders. This way of classifying them gives us a basic overview of the types of sexual and psychosexual disorders.

Below, we’ll go through each of these broad groups to better understand the nature of each sexual disorder, as well as its most common manifestations.

1. Paraphilias

Paraphilias are characterized by intense and repeated sexual fantasies, sexual impulses involving non-human objects, suffering or humiliation own or children or people who do not consent, and who are therefore considered unsuitable, because they affect the quality of life of the individual and / or people who concern him. Several of them are as follows:

1.1. Exhibitionism

It is a behavior characterized by a high level of arousal by exposing the genitals to a person spontaneously and successively. It is usually predominant in children and adolescents up to 20-30 years. It occurs more frequently in men and in public places. These people have been described as shy, withdrawn and dependent.

1.2. Voyeurism

It is characterized by arousal of a person by gazing at naked people or performing some type of sexual activityThe risk of being discovered acts as a stimulant of arousal. It begins in adolescence and can be transient or chronic. They are generally shy and have difficulty establishing or maintaining relationships. A practice has recently been reported in some cities of people frequenting places where couples are going to have relations. This practice derived from voyeurism is called dogging or cancaneo.

1.3. Froteurism

consists of erotic arousal by rubbing the genital organ with another person’s body without their consent. These activities usually take place in public places such as the subway, nightclubs or the bus. The froteurism is accompanied by masturbation before the memory. It affects men between the ages of 15 and 20.

1.4. fetishism

It is the person who she gets aroused by observing and handling inanimate objects like female underwear. They usually masturbate while playing the song in question. They are usually straight men. Within that we can define the transvestite fetish of putting on underwear of the opposite sex when alone or when performing the act with their partner. In another article, we define the rarest and most curious fetishes.

1.5. Paidophilia

Also known as pedophilia. It’s called ‘ disorder characterized by sexual arousal or pleasure through fantasies and behaviors involving sexual activity between an adult and a child between 8-12 years old.

1.6. sadism

is the need to inflict harm on another person in order to sexually arouse. These are sexual impulses and behaviors that involve actual acts with or without the victim’s consent. The person who exercises sadism may or may not rape the victim, even masturbate or penetrate with objects.

1.7. masochism

Masochism involves the need to be humiliated, attacked, or abused for sexual pleasure. This is one of the most clearly harmful paraphilias, because it limits the freedom of people.

Sadomasochism, as a clinical category disorder, should not be confused with the idea of ​​sadomasochism related to certain types of sexual games based on mutual agreement and which do not limit the person’s ability to find sexual pleasure in other trends.

2. Sexual dysfunctions

the sexual dysfunctions they include all the alterations that occur during sexual intercourse, they can occur at the beginning of sexual life or even later. The causes can be physical, psychological, or both. Within it we have several:

2.1. Sexual desire disorders

The main disorders of sexual desire are:

  • Inhibited sexual desire: Characterized by a deficit of sexual fantasies and a lack of sexual desire. This apathy includes not only disinterest in sex but also in any sexual behavior such as masturbation. It is generally much more common in women.
  • Sexual aversion disorder: People with this disorder avoid genital contact. They usually have a high level of anxiety and panic before sex. It occurs more frequently in women.
  • Sexual arousal disorder: Arousal disorder in women, inability to maintain the lubrication of sexual arousal until the end of sexual activity. And the problem of erection in men, the total or partial failure to get or maintain an erection until the end of sexual intercourse. The most common is impotence.
  • Orgasm disorders: Includes male and female sexual dysfunction and premature ejaculation. In this category we can also find female orgasmic dysfunction (anorgasmia) is defined as an absence or delay of orgasm during normal sexual activity. Psychological factors generally predominate over organic factors. There is also male orgasmic dysfunction, which is characterized by the absence or delay of orgasm in men after normal arousal.
  • Pain disorders: In women, we find female dyspareunia: 12% of women suffer from it. It is usually associated with problems with vaginismus. Pain can occur with all attempts at sex or in certain postures. Possible causes are usually vaginal disturbances or deformities. In men, there may be pain during ejaculation or urethral infections.
  • Vaginismus: This can occur even if the woman responds appropriately to sexual arousal. The problem occurs during intercourse, there is a reflex spasm which causes the muscles of the vagina to contract, thus causing the vaginal opening to close.

3. Gender identity disorders

Finally we have the gender identity disorders, Which refers to the discomfort that a person feels about their sexual condition alongside the desire to be of the opposite sex. Among these people there is a frequent desire to undergo plastic surgery which can turn into a person with sexual visibility that matches their identity.

In this area, there is a long debate as to whether gender identity conflicts should be viewed as disorders, or simply as sexual preferences, as would be the case with homosexuality.

In fact, although the DSM’s Psychiatric Diagnostic Manual incorporated it in its first four editions, starting with the DSM-V, it made the decision to remove gender identity disorder from the list of mental illnesses. However, the WHO continues to view transsexualism as a disorder.

Bibliographical references:

  • Balon R, Segraves RT, eds. (2005). Manual of sexual dysfunction. Taylor and Francis.
  • Basson, Rosemary (March 2000). “Report of the International Conference on Consensus Building on Female Sexual Dysfunction: Definitions and Classifications.” The Journal of Urology (United States of America).
  • Nolen-Hoeksema, Susan (2014). Abnormal psychology. 2 Penn Plaza, New York, NY 10121: McGraw-Hill. pages 366-367.

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