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Phase 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 the partner.
B) change the usual ways that the couple has tried to have sex.
C) allow sexual experience without the anxiety of performance.
D) provide increased anticipation of intercourse.

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

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"Opportunistic" rape differs from sadistic rape in that the rape in the latter is committed by an individual


A) who meets the criteria for antisocial personality disorder.
B) with a particular pattern of sexual arousal.
C) who rarely masturbates.
D) during an unplanned assault.

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

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Which of the following is TRUE about most rapists?


A) They are sexually aroused only by violence.
B) They are aggressive and have little regard for others.
C) They are either hyposexual or asexual.
D) They are hypersexual and generally obsessed with sex.

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

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The largest difference in sexual behavior 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) C) and D)
F) A) and D)

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Sexual behavior surveys suggest that


A) almost all men have more than 20 sexual partners.
B) most men have very little sexual experience.
C) about 23% of men have had more than 20 sexual partners.
D) about 11% of men have had more than 20 sexual partners.

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

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All of the following statements are correct about gender nonconformity EXCEPT


A) a higher proportion of gender-nonconforming children develop a homosexual orientation as adults.
B) gender nonconformity was related to psychological distress for gay men only.
C) gender nonconformity was related to psychological distress for lesbians only.
D) gender nonconformity was related to psychological distress for gay men and lesbians.

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

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What is the percentage of men in their 70s with at least some impairment of erectile function?


A) 10%
B) 30%
C) 50%
D) 70%

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

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The percentage of men with erectile dysfunction who take Viagra and are then able to maintain an erection sufficient for intercourse is between .


A) 5% and 40%
B) 50% and 80%
C) 80% and 90%
D) 90% and 100%

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

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An unusually high concern with nocturnal emissions has been reported in where there is a strong culturally held belief that loss of semen causes depletion of physical and mental energy.


A) Ireland
B) Indonesia
C) India
D) Iceland

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

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The procedure called orgasmic reconditioning works according to the principle of .


A) punishment of inappropriate patterns of arousal
B) extinction of inappropriate patterns of arousal
C) reinforcement of appropriate patterns of arousal
D) reinforcement of self-control

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

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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) None of the above

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


A) Charles, who fantasizes 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) Phil, 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) None of the above
F) All of the above

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A woman is sent home from sex therapy with an assignment to purchase a vibrator and practice masturbating. She is likely being treated .


A) for vaginismus
B) for hypoactive sexual desire disorder
C) for female orgasmic disorder
D) by a sex therapist with little or no formal training in psychology

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

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Describe the impact of culture on the definition of a sexual disorder. What cross-cultural evidence suggests that "normal" sexual behavior is culturally defined?

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Cultural influences affect what people a...

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Patients undergoing the procedure called orgasmic reconditioning are instructed to


A) masturbate to their usual fantasies but to substitute more desirable ones just before ejaculation.
B) masturbate to their usual fantasies but substitute images of the consequences associated with their behavior (such as getting caught, hurting someone else, etc.) just before ejaculation.
C) substitute images of the consequences associated with their behavior (such as getting caught, hurting someone else, etc.) every time they feel aroused by thoughts of their inappropriate desires.
D) watch video tapes of normal adult sexuality repeatedly until such images result in arousal.

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

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All of the following are true statements regarding transvestic disorder EXCEPT


A) all people with transvestic disorder are either homosexual or transsexual.
B) a significant percentage of individuals with this disorder are married or have been married at some time.
C) there are cross-dressing clubs and newsletters for individuals with this fetish.
D) some transvestic fetishists compensate by joining macho or paramilitary organizations.

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

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Belief in common sexual myths such as are more commonly held by men


A) who do not have sexual disorders.
B) with conservative sexual attitudes.
C) who have sexual disorders.
D) who are homosexual.

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

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A boy who consistently behaves in feminine ways is exhibiting


A) gender non-activation.
B) gender experimentation.
C) gender crises.
D) gender nonconformity.

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

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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 the child.

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

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Those with are individuals who receive a sexual thrill from inflicting pain on others, and people with are individuals who receive a sexual thrill from receiving physical pain.


A) sexual sadism; sexual masochism
B) sexual masochism; sexual sadism
C) transvestic disorder; pedophilic disorder
D) pedophilic disorder; transvestic disorder

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

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