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The basic concept behind the covert sensitisation method of treating unwanted sexual arousal is to


A) create empathy for the victim of the behaviour.
B) replace the immediate reinforcement of the behaviour with the unpleasant consequences that ordinarily take longer to be experienced.
C) create a physically painful experience to replace the immediate reinforcement that the unwanted behaviour has previously produced.
D) improve family functioning, social skills and overall effectiveness of appropriate adult relations.

E) C) and D)
F) A) and B)

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Papaverine and prostaglandin, vasodilating drugs used in the treatment of erectile dysfunction, are delivered to the patient


A) in a capsule taken orally.
B) as a dietary supplement.
C) by injection directly into the penis.
D) by injection into the arm or hip.

E) A) and D)
F) None of the above

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Sensate focus and nondemand pleasuring were designed by Masters and Johnson to treat sexual dysfunctions primarily through


A) improving a couple's sexual skills.
B) identifying medical conditions that contribute to sexual dysfunction.
C) involving an objective third party.
D) the elimination of psychologically based performance anxiety.

E) A) and C)
F) C) and D)

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All of the following are factors that may play a role in gender nonconformity EXCEPT


A) excessive attention on the part of the mother.
B) high levels of foetal testosterone.
C) lack of male playmates.
D) excessive physical contact on the part of the mother.

E) A) and C)
F) None of the above

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Gender differences in attitudes toward premarital sex have been _____ over time.


A) shrinking
B) increasing
C) fluctuating
D) unreliable

E) C) and D)
F) B) and D)

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Gender dysphoria is characterised by dissatisfaction with


A) sexual experiences.
B) gender role expectations.
C) one's biological sex.
D) media portrayals of gender.

E) A) and C)
F) B) and C)

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The development of sexual dysfunction can be viewed as a negative cycle that involves a variety of factors, since the typical case progresses in the following manner:


A) Initial dysfunction may be triggered by an event such as substance use; concern about the dysfunction then leads to more dysfunction, and sex itself becomes associated with negative feelings.
B) Initial dysfunction may be triggered by an event such as substance use; this causes a strain on the relationship and reduces the intimacy in the relationship, which then leads to anxiety about one's desirability.
C) Initial dysfunction occurs through slow and gradual deterioration, possibly due to a medical condition; as the medical condition develops, the individual's concern with failing sexuality increases, resulting in relationship problems.
D) A general medical condition triggers the first dysfunction, which is followed by increased anxiety; as the anxiety increases, the sexual dysfunction becomes more severe over time and causes loss of interest in sex.

E) All of the above
F) B) and D)

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The most accurate description for the condition called erotophobia is


A) negative feelings toward sexuality.
B) negative feelings about other people.
C) fear of sex.
D) fear of being raped.

E) A) and D)
F) None of the above

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One reason that your text suggests questionnaires be used when assessing sexual behaviour is that


A) people may provide more sexual information in writing than during an interview.
B) written information regarding sexuality has been shown to be more accurate than a verbal report.
C) therapists are often uncomfortable asking questions regarding sexual behaviour.
D) the therapist needs a written record in the patient's own words to demonstrate progress as the patient improves.

E) A) and B)
F) None of the above

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Recent twin studies suggest that the majority of the vulnerability for gender dysphoria comes from


A) genetic factors.
B) environmental factors.
C) medical accidents.
D) media exposure.

E) None of the above
F) B) and D)

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Inappropriate sexual arousal (e.g.fetishism) appears to be learnt through


A) exposure to pornography.
B) masturbatory fantasies about the object.
C) social 'scripts' that are transferred from one generation to the next.
D) poor social skills.

E) A) and D)
F) B) and D)

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The specific treatment found effective in the management of female orgasmic disorder is ____________.


A) anti-anxiety medication.
B) sensate focus.
C) explicit training in masturbation procedures.
D) increased sexual relations.

E) B) and C)
F) B) and D)

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Which of the following is TRUE regarding drugs currently available for the treatment of paraphilias?


A) The drugs eliminate sexual desire but are only effective while they are being taken.
B) The drugs reduce sex drive and continue to be effective long after the patient stops the medication.
C) The drugs dramatically reduce sex drive but have side effects that make them harmful to many patients.
D) They produce a 'chemical castration' that effectively eliminates all sex drive permanently so that the patient will never desire sex even after discontinuing the medication.

E) A) and B)
F) A) and C)

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Gender dysphoria is diagnosed when


A) a person's physical sex is inconsistent with the person's gender identity.
B) an individual receives sexual pleasure from cross-dressing.
C) an individual is born with ambiguous genitalia.
D) all of the above

E) B) and C)
F) A) and C)

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The largest difference in sexual behaviour for men versus women is that


A) men are more likely to engage in premarital sex.
B) women are more likely to engage in premarital sex.
C) men are more likely to masturbate.
D) women are more likely to masturbate.

E) None of the above
F) A) and B)

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Treatment for paraphilias is considered successful when someone has


A) completed all treatment sessions.
B) demonstrated no deviant sexual arousal on objective physiological testing.
C) had no legal record of any charges of deviant sexual activity.
D) all of the above

E) None of the above
F) All of the above

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Sexual problems are difficult to diagnose when


A) dysfunction is present and the person is distressed about it.
B) dysfunction is present but the person is not distressed about it.
C) the couple has been together a long time.
D) the couple is sexually inexperienced.

E) All of the above
F) A) and B)

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Of the following, the individual most likely to receive an appropriate diagnosis of male hypoactive sexual desire disorder is


A) Charl, who fantasises about sex often, but is so exhausted when he gets home that he only has sex about twice a month.
B) John, who thinks about sex, but does not have sexual relations because he thinks it is morally wrong to do so unless the goal is procreation.
C) Philemon, whose wife wishes he thought about sex more often because he seems satisfied having sex a few times a month.
D) Fred, who has sex at least once a week to satisfy his wife, but would prefer to be left alone since he is rarely interested in sex.

E) C) and D)
F) A) and D)

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Differences in male and female attitudes toward sexuality have generally ___________ over the past 40 years.


A) decreased
B) increased
C) remained the same
D) disappeared completely

E) A) and C)
F) A) and D)

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Our current understanding of the psychological causes of sexual dysfunction suggests that the primary psychological factor in sexual dysfunction is ________________.


A) anxiety
B) distraction
C) relationship issues
D) unreasonable expectations

E) A) and B)
F) B) and C)

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