Human Sexuality Essay
James and Mary experience an unsatisfactory sexual relationship due to James’ dysfunction of maintaining an erection half the time. James could be experiencing Performance Anxiety.
Performance anxiety is the anxiety a man has when he thinks he is not getting an erection fast enough, or his erection is not firm enough, or does not seem to last long enough. Once a man experiences even a single case of ED, he may continue a cycle of anxiety about repeated episodes of unsatisfactory erections. He will anticipate erectile problems, fixating on performance rather than the pleasurable aspects of sexual arousal.
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His ability to relax is hampered, increasing negative self-talk, and his perceptions of self-worth and partner are negative. James is getting frustrated and becoming uninterested in sex.
He is also embarrassed about his problem. Mary is also frustrated with his dysfunction. Mary is the one who initiates intimacy but her husband does not respond like she wants him to. He has no desire for intimacy and can mostly keep an erection when he masturbates in the shower and so he avoids intimacy with his wife.
He feels that his sexual relationship with his wife is hopeless and does not want to discuss the issue with her.
The Dynamics of the Relationship
The couple’s relationship is strained and there is no communication when it comes to talking about desires and intimacy. Their sexual relationship is distant and frustrating. J…………………………..s such as cardiovascular disease are more likely to develop erectile dysfunctio
Diagnostic Impressions
A “multi-axial” system for assessment provides a comprehensive holistic diagnosis that includes a complete picture of not just acute symptoms but all of the factors that makes up mental health. The client in question is James who is having a problem with his sexual dysfunction issue.
He was raised in a traditional white neighborhood in the south where his family that did not discuss any intimate subjects like sex, feelings or display affection. The World Association of Sexual Health states that dysfunction can lead to anxiety and effect self-esteem which James has. He is embarrassed about not being able to have an erection or keep one during intimacy with his wife.
Sexual Response Cycle
Sexual response cycle is a way in which to understand the process of sexual behavior. It includes both the physical as well as the emotional changes a person experiences during sexual involvement (Capella University). Areas of sexual dysfunction may include: erectile dysfunction (ED), premature ejaculation, and performance anxiety etc. The human sexual response cycle has four phases which include; excitement, plateau, orgasm, and resolution. If there is a problem in one of these phases then sexual functioning is lacking. Sexual response is due to changes in ones’ mind and body. Psychologically there are erotic thoughts during arousal and there are changes in the body.
Analysis and comparison of the sexual response cycle and the concept of sexual normality
Professionals need to be able to discuss sexual functioning, sexual normality and dysfunction with the client. It is important to know about the sexual response cycle, sexual dysfunction problems, gender and cultural issues concerning sexuality. The sexual response cycle helps highlight where sexual dysfun……………….xual arousal is not of primary importance. The sexual response cycle is characterized by physiological and psychological shifts.
Psychologically, there is an increase in erotic thoughts (the specific content of which is highly individualized) and a heightened awareness of pleasure sensations from erogenous body zones. With increasing physiological arousal, there is a narrowing of attention such that focal cues are processed intensely whereas non-focal cues are less likely than usual even to be noticed. Physically, the heart rate increases as well as respiration which also shallows blood flow to the extremities increases, and primary sex organs engorge with blood. Erectile dysfunction happens when there is not enough blood flows to the penis, preventing an erection. Erectile dysfunction, or ED, is the medical term for difficulties obtaining and keeping an erection. It is a sexual health problem that affects about 30 million men. Erectile disorder is common occurrence in men…………..
