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167 pages

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During the last years human sexuality has been the focus of interest and study by various disciplines. In this volume a multidisciplinary team of international experts discuss contemporary issues of human sexuality from updates on diagnosis to the management of various sexual dysfunctions. Reviews of the management of several female sexual dysfunctions, the impact of cancer on sexual functioning, the impact of trauma on sexual desire and function as well as the newest trends in sex therapy; androgen deprivation treatment of sexual behavior and autogynephilia are discussed in detail. Further, the complex interplay between the field of human sexuality and the Internet, psychological and cultural aspects of infertility are reviewed. A large amount of clinical material on topics rarely covered in other volumes will prove invaluable reading to clinicians from various disciplines such as psychiatry, psychology, urology, gynecology, sexology and sex therapy.

Sujets

Sexualité

sexualité

Sexualité

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Publié par	S. Karger AG
Date de parution	11 octobre 2011
Nombre de lectures	0
EAN13	9783805598255
Langue	English

Informations légales : prix de location à la page 0,0000€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

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Sexual Dysfunction: Beyond the Brain-Body Connection
Advances in Psychosomatic Medicine
Vol. 31
Series Editor
T.N. Wise    Falls Church, Va.
Editors
G.A. Fava    Bologna
I. Fukunishi    Tokyo
M.B. Rosenthal    Cleveland, Ohio
Sexual Dysfunction: Beyond the Brain-Body Connection
Volume Editor
Richard Balon Detroit, Mich.
2 figures and 4 tables, 2011
Advances in Psychosomatic Medicine
Founded 1960 by
F. Deutsch (Cambridge, Mass.)
A. Jores (Hamburg)
B. Stockvis (Leiden)
Continued 1972–1982 by F. Reichsman (Brooklyn, N.Y.)
Library of Congress Cataloging-in-Publication Data
Sexual dysfunction: beyond the brain-body connection / volume editor, Richard Balon.
p. ; cm. -- (Advances in psychosomatic medicine, ISSN 0065-3268 ; v. 31)
Includes bibliographical references and indexes.
ISBN 978-3-8055-9824-8 (hard cover: alk. paper) -- ISBN 978-3-8055-9825-5 (e-ISBN)
I. Balon, Richard. II. Series: Advances in psychosomatic medicine ; v. 31. 0065-3268
[DNLM: 1. Sexual Dysfunctions, Psychological -- diagnosis. 2. Sexual Dysfunctions, Psychological -- therapy. 3. Sex Counseling. 4. Sexual Dysfunction, Physiological -- diagnosis. 5. Sexual Dysfunction, Physiological -- therapy. W1 AD81 v. 31 2011 / WM 611]
LC-classification not assigned
616.85'83–dc23
2011031015
Bibliographic Indices. This publication is listed in bibliographic services, including Current Contents® and Index Medicus.
Disclaimer. The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publisher and the editor(s). The appearance of advertisements in the book is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
Drug Dosage. The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
© Copyright 2011 by S. Karger AG, P.O. Box, CH–4009 Basel (Switzerland) www.karger.com
Printed in Switzerland on acid-free paper by Reinhardt Druck, Basel
ISSN 0065–3268
ISBN 978–3–8055–9824–8
e–ISBN 978–3–8055–9825–5
Contents
1 Update on Diagnoses of Sexual Dysfunctions: Controversies Surrounding the Proposed Revisions of Existing Diagnostic Entities and Proposed New Diagnoses
Balon, R. (Detroit, Mich.); Wise, T.N. (Baltimore, Md./Falls Church, Va.)
16 Sexual Desire and Arousal Disorders in Women
Laan, E. (Amsterdam); Both, S. (Leiden)
35 Female Orgasmic Disorder
Rellini, A.H.; Clifton, J. (Burlington, Vt.)
57 Developments and Trends in Sex Therapy
Meana, M.; Jones, S. (Las Vegas, Nev.)
72 The Impact of Cancer on Sexual Function
Morreale, M.K. (Detroit, Mich.)
83 Management of Female Sexual Pain Disorders
Boyer, S.C.; Goldfinger, C.; Thibault-Gagnon, S.; Pukall, C.F. (Kingston, Ont.)
105 The Impact of Sexual Trauma on Sexual Desire and Function
McCarthy, B.; Farr, E. (Washington, D.C.)
121 The Complexity of Internet Sexuality
Daneback, K. (Gothenburg); Ross, M.W. (Houston, Tex.)
135 Autogynephilia: An Underappreciated Paraphilia
Lawrence, A.A. (Lethbridge, Alta.)
149 Androgen Deprivation Treatment of Sexual Behavior
Houts, F.W. (Jessup, Md./Baltimore, Md.); Taller, I. (Jessup, Md.); Tucker, D.E. (San Francisco, Calif.); Berlin, F.S. (Baltimore, Md.)
164 Psychological and Cross-Cultural Aspects of Infertility and Human Sexuality
Pacheco Palha, A. (Porto); Lourenço, M.F. (Guimarães)
184 Author Index
185 Subject Index
Balon R (ed): Sexual Dysfunction: Beyond the Brain-Body Connection. Adv Psychosom Med. Basel, Karger, 2011, vol 31, pp 1-15
______________________
Update on Diagnoses of Sexual Dysfunctions: Controversies Surrounding the Proposed Revisions of Existing Diagnostic Entities and Proposed New Diagnoses
Richard Balon a, b · Thomas N.Wise c, d
Departments of a Psychiatry and Behavioral Neurosciences and b Departments of bAnesthesiology, Wayne State University School of Medicine, Detroit, Mich., c Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Md., and d Department of Psychiatry, INOVA Health Care System, Falls Church, Va., USA
______________________
Abstract
The diagnosis of sexual dysfunction(s) or disorder(s) is paramount to the development of the field of sexual medicine. Historically, the diagnoses of these disorders have been considered reliable. The validity of diagnoses of sexual disorders (and the rest of our classification systems) has recently been questioned, especially from the point of clinical utility and homogeneity. This review discusses the issues involved in the development of valid and useful diagnoses of sexual disorders, reviews the proposed changes in the upcoming Diagnostic and Statistical Manual of Mental Disorders, 5th edition, as well as the problems inherent in the revision of this (and any) diagnostic system, and suggests some possible remedies to this process.
Copyright © 2011 S. Karger AG, Basel
As has happened several times in the past (e.g. during Kraepelin's time and during the third revision of the Diagnostic and Statistical Manual of Mental Disorders [ 1 ], DSM-III), the diagnosis and classification of mental disorders have recently become a central – and probably the most important – issue for psychiatry and the entire area of mental health including sexology/sexual medicine. After years of excitement and some satisfaction with our diagnostic system, we have started to notice its flaws and realized that we needed a new or, at least, more refined one.
The proposed next version of the DSM is expected to appear in 2013. The goals of this newest iteration have been summarized by Regier et al. [ 2 ] and expanded in a volume edited by Regier et al. [ 3 ] looking at various approaches to psychiatric diagnosis. The guiding principles of this endeavor, as well as of the two previous editions of the DSM, were originally laid out by Robins and Guze [ 4 ] and in the so-called Feighner diagnostic criteria [ 5 ] four decades ago. Definitions of discrete syndromes, the clinical course, genetic aggregation in families and laboratory testing as well as responses to treatments were factors considered to validate syndromes. This subsequently led to the well-defined DSM-III [ 1 ] and its diagnostic criteria in 1980, followed by the DSM-IV [ 6 ] in 1994. This was a fairly straightforward process of refining and defining the diagnostic criteria, with the main focus on their reliability rather than validity.
The current process, however, has been beset by significant controversy that could be best summarized by a fierce debate between Allen Frances, who led the DSM-IV initiatives, versus Darrel Regier and David Kupfer, who lead the current process. Frances basically believes that it is premature to develop a new diagnostic manual due to the lack of significant science to underpin the diagnoses. He and Robert Spitzer, the architect of the DSM-III, feel that the secrecy in the process has been destructive, and that the field trials will be rushed and insufficiently funded. The advocates of the DSM-5 process believe that there has been adequate transparency and the new iteration will advance both science and clinical utility. In one of his discussions, Frances focused on sexual disorders, noting that the ‘Sexual Disorders Work Group has strayed furthest off the reservation.’ [ 7 ] He believes that this work group has taken a full and reckless advantage of the mandate to be innovative. Although Frances recognizes that sexuality is ‘inherently difficult’ for psychiatric diagnoses, he does point out that there has been a remarkable lack of research and researchers in the area, and that there is no consensual basis for a normative sexual behavior that could provide a useful boundary to constitute what is a mental disorder and what is not. This is particularly evident in the literature review papers that do not cite Kendell and Jablensky [ 8 ], who set up the framework for the demarcation between various disorders and normality.
Archives of Sexual Behavior [ 9 – 31 ] has published various reviews of the sets of criteria, with suggestions for changes. These suggestions are posted on the DSM-5 website (DSM5.org). Before reviewing these suggestions, it may be useful to look briefly at specific problems with the process as a framework for further discussion. First is the process of DSM-5 development. A small group of people had ultimate executive authority in choosing members of the work g