Transvestic fethishism Research Proposal Example | Topics and Well Written Essays - 1250 words

Transvestic fethishism - Research Proposal Exampleosis, the nosology for sexual disorders is essentially identical to that of the third edition (DSM thirdAmerican Psychiatric Association, 1980) and the revised third edition (DSMIIIRAmerican Psychiatric Association, 1989) and is based on Kaplans (1977) triphasic model of the sexual response cycle (desire, excitement, orgasm). Kaplan (1979) has speculated that separately phase of sexual response is mediated by separate neuroanatomical pathways, although empirical support for this theory is lacking. Clinically, it has been established that individuals frequently present with comorbidity or multiple sexual dysfunction diagnoses. For example, one recent view of 588 anthropoid and female patients with a primary diagnosis of HSDD found that 41% of the female patients and 47% of the male patients had at least one other sexual dysfunction diagnosis (K.B. Segraves & R.T. Segraves, 1991). Additionally, 18% of the female patients in that stu dy had diagnoses in all three categories of sexual desire, arousal, and orgasmic dysfunction.DSMIV includes subtyping of the sexual disorders as lifelong or acquired, generalized or situational, and caused by psychological or medical factors. Unfortunately, little information is available regarding the preponderance or incidence of diagnostic subtypes or the relationship to treatment outcome. Emphasis has been added in the current dust on the role of psychological distress and interpersonal difficulty in the definition of sexual dysfunction, although the criteria anticipate subjective and relatively arbitrary in most instances. As noted by Wincze and Cargony (1991), there are no available studies of the reliability or validity of the DSMIIIR (American Psychiatric Association, 1989) or DSMIV diagnostic system for sexual disorders. Wincze and Carey also pointed out that the current system is based on a dichotomous view of sexual health as either functional or dysfunctional, whereas sexual run might better be represented on a