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As a couple completes stage two of sensate focus therapy, they are instructed to


A) return to full, prior sexual activity.
B) slowly begin sexual activity, continuing nondemand pleasuring as they progress.
C) take a break from sexual activity for several weeks and then slowly return to normal sexuality.
D) begin the "genital pleasuring" stage of the treatment.

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

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Approximately ____% of men and ______% of women age 75 to 85 were found to be sexually active in a large survey.


A) 5; 4
B) 11; 6
C) 39; 17
D) 19; 32

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

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Children or young adults who experience sexual victimization are


A) no more likely to experience sexual dysfunction as adults than anyone else.
B) more likely to experience sexual dysfunction as adults if they are females.
C) more likely to experience sexual dysfunction as adults if they are males.
D) more likely to experience sexual dysfunction as adults.

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

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The typical adult who molests a child


A) is violent and aggressive.
B) threatens the child physically but is not violent.
C) does not use physical force.
D) is fully aware of the psychological damage that he is causing to the child.

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

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What is gender dysphoria?


A) Dissatisfaction with one's biological sex
B) The sense of identifying as more than one sex
C) Identifying as a gender other than male or female
D) Dissatisfaction of one's perceived sex

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

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A fetish is a


A) source of dysfunction.
B) attraction to nonconsenting individuals.
C) attraction to inanimate objects.
D) a sexual desire that dominates the personality.

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

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When the term paraphilia is used to describe the behavior of a rapist, it means that the rapist is aroused by


A) images of forced sex.
B) enjoyable intercourse.
C) underaged children.
D) unusual objects.

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

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Gender dysphoria is diagnosed when


A) a person's physical sex is inconsistent with the person's sense of who he or she really is.
B) an individual receives sexual pleasure from cross-dressing.
C) an individual is born with ambiguous genitalia.
D) all of these are correct.

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

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The procedure that is carried out entirely in the patient's imagination and used to reduce the inappropriate sexual arousal that exists in fetishistic behavior is called


A) classical conditioning.
B) sexual retraining.
C) sensate focus.
D) covert sensitization.

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

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One reason that it is difficult to provide a precise diagnosis of premature ejaculation is that


A) the concept of "too soon" is dependent on the individual and the couple.
B) most men are too ashamed to admit the problem.
C) women generally are reluctant to tell their partners of the problem.
D) men are often unaware of what is considered "normal."

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

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As reported in your textbook, as many as 30% of Viagra users have experienced


A) severe headaches.
B) addiction to the medication.
C) pelvic pain.
D) dizziness.

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

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A paraphilic disorder is defined as


A) a sexual dysfunction that inhibits pleasure.
B) an attraction to inappropriate or odd individuals or objects.
C) sexual disorders and deviations in which sexual arousal occurs almost exclusively in the context of inappropriate objects or individuals.
D) an extremely heightened sexual drive that causes distress.

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

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As a typical male with erectile dysfunction, we can expect Bill to show


A) avoidance of sexual cue awareness and an inaccurate sense of how aroused he is.
B) increased awareness of sexual cues and an accurate sense of how aroused he is.
C) increased awareness of sexual cues and an inaccurate sense of how aroused he is.
D) avoidance of sexual cue awareness and an accurate sense of how aroused he is.

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

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


A) create empathy for the victim of the behavior.
B) replace the immediate reinforcement of the behavior 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 behavior has previously produced.
D) improve family functioning, social skills, and overall effectiveness of appropriate adult relations.

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

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Treatment for paraphilic disorders 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 these are correct

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

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The percentage of women reporting significant difficulty reaching orgasm is ____%.


A) 5
B) 10
C) 25
D) 40

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

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In which paraphilia is sexual arousal associated with experiencing pain or humiliation?


A) Sexual sadism paraphilia
B) Transvestic paraphilia
C) Sexual masochism paraphilia
D) Voyeuristic paraphilia

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

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Stage two of sensate focus involves "genital pleasuring" but prohibits intercourse or orgasm. The main purpose of this stage is to


A) allow an individual to communicate his or her desires to a partner.
B) allow sexual experience without the anxiety of performance.
C) change the usual ways that the couple has tried to have sex.
D) provide increased anticipation of intercourse.

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

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Victims of incest tend to be________, and victims of nonincest pedophilia tend to be ________.


A) male; female
B) young children; girls who are beginning to mature physically
C) girls who are beginning to mature physically; young children
D) female; male

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

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All of the following statements about sex reassignment surgery are true EXCEPT


A) 2% attempt suicide after surgery.
B) 1% to 7% later regret surgery.
C) female-to-male conversions adjust better than male-to-female conversions.
D) all of these are correct

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

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