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  • Print publication year: 2008
  • Online publication date: August 2009

17 - Sexual problems

from Section 2 - Psychiatric Disorders


This chapter concerns emotional, behavioural and developmental disorders that arise in the first two decades of life. Few formal tests or assessments can contribute to the clinical assessment for common behavioural and emotional disorders. Clinical physiological assessments can provide helpful information for neuropsychiatric disorders. Risks for psychopathology occur from a variety of sources both internal and external to the child. Many children and adolescents demonstrate an ability to withstand exposure to risk processes and not develop psychiatric disorders. Disturbances in parent-child relationships in infancy significantly influence the development of psychopathology. Hyperactivity and impulsivity are more closely associated with each other than either is to attentional difficulties. Autistic syndromes are lifelong disorders even in those who show real improvements by young adult life. Child psychiatrists should continue to contribute to basic research aimed at understanding the causes of mental illness and behavioural syndromes.
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Essential Psychiatry
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Abdel-Hamid, I. A. (2004). Phosphodiesterase 5 inhibitors in rapid ejaculation: potential use and possible mechanisms of action. Drug 64:13–26.
Angst, J. (1998). Sexual problems in healthy and depressed persons. Int Clin Psychopharmacol 13(Suppl. 6):S1–S4.
Araujo, A. B., Durante, R., Feldman, H. A., et al. (1998). The relationship between depressive symptoms and male erectile dysfunction: cross-sectional results from the Massachusetts Male Aging Study. Psychosom Med 60:458–65.
Bagley, C., & Tremblay, P. (1997). Suicidal behaviors in homosexual and bisexual males. Crisis 18:24–34.
Bailey, M. J. (1999). Homosexuality and mental illness. Arch Gen Psychiatry 56:883–4.
Bancroft, J. (1989). Human Sexuality and Its Problems, 2nd ed. Edinburgh: Churchill Livingstone.
Bancroft, J. (1991). The sexuality of sexual offending: the social dimension. Crim Behav Ment Health 1:181–92.
Bancroft, J. (1999). Central inhibition of sexual response in the male: a theoretical perspective. Neurosci Biobehav Rev 23:763–84.
Bancroft, J. (2002). Sexual effects of androgens in women: some theoretical considerations. Fertil Steril 77(Suppl 4):S55–S59.
Bancroft, J. (2005a). Normal sexual development. In H. L. Barbaree & W. M. Marshall, eds. The Juvenile Offender. New York: Guilford Press, pp. 19–57.
Bancroft, J. (2005b). Starling review: the endocrinology of sexual arousal. J Endocrinol 186:411–27.
Bancroft, J. (2006). Sex therapy. In S. Bloch, ed. An Introduction to the Psychotherapies, 4th ed. Oxford: Oxford University Press.
Bancroft, J., Herbenick, D., & Reynolds, M. (2003). Masturbation as a marker of sexual development. In J. Bancroft, ed. Sexual Development in Childhood. Bloomington: Indiana University Press, pp. 156–85.
Bancroft, J., & Janssen, E. (2000). The dual control model of male sexual response: a theoretical approach to centrally mediated erectile dysfunction. Neurosci Biobehav Rev 24:571–9.
Bancroft, J., Janssen, E., Carnes, L., et al. (2004). Sexual activity and risk taking in young heterosexual men: the relevance of personality factors. J Sex Res 41:181–92.
Bancroft, J., Janssen, E., Strong, D., et al. (2003a). The relation between mood and sexuality in heterosexual men. Arch Sex Behav 32:217–30.
Bancroft, J., Janssen, E., Strong, D., & Vukadinovic, Z. (2003b). The relation between mood and sexuality in gay men. Archives of Sexual Behavior 32:231–42.
Bancroft, J., Janssen, E., Strong, D., et al. (2003c). Sexual risk taking in gay men: the relevance of sexual arousability, mood, and sensation seeking. Arch Sex Behav 32:555–72.
Bancroft, J., Loftus, J., & Long, J. S. (2003). Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav 32:193–208.
Bancroft, J., & Vukadinovic, Z. (2004). Sexual addiction, sexual compulsivity, sexual impulse disorder or what? Towards a theoretical model. J Sex Res 41:225–34.
Beck, A. T. (1967). Depression: Clinical, Experimental and Theoretical Aspects. London: Staples Press.
Bem, D. (2000). The exotic17-60408-erotic theory of sexual orientation. In J. Bancroft, The Role of Theory in Sex Research. Bloomington: Indiana University Press, pp. 67–80.
Bergeron, S., Binik, Y. M., Khalife, S., et al. (2001). Vulvar vestibulitis syndrome: reliability of diagnosis and evaluation of current diagnostic criteria. Obstetr Gynecol 98:45–51.
Black, D. W., Kehrberg, L. L. D., Flumerfelt, D. L., & Schlosser, S. S. (1997). Characteristics of 36 subjects reporting compulsive sexual behavior. Am J Psychiatry 154:243–9.
Bradford, J. M. W., & Greenberg, D. M. (1996). Pharmacological treatment of deviant sexual behaviour. Annu Rev Sex Res 7:283–306.
Browning, C. R., & Laumann, E. O. (1997). Sexual contact between children and adults: a life course perspective. Am Sociol Rev 62:540–60.
Browning, C. R., & Laumann, E. O. (2003). The social context of adaptation to childhood sexual maltreatment: a life course perspective. In J. Bancroft, ed. Sexual Development in Childhood. Bloomington: Indiana University Press, pp. 383–402.
Cassidy, W. L., Flanagan, N. B., Spellman, M., & Cohen, M. E. (1957). Clinical observations in manic depressive disease. JAMA 164:1535–46.
Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental services use among lesbian, gay, and bisexual adults in the United States. J Consult Clin Psychol 71:53–61.
Cooper, A. J. (1968). Hostility and male potency disorders. Compre Psychiatry 6:621–6.
Costa, P. T., Fagan, P. J., Piedmont, R. L., et al. (1992). The five-factor model of personality and sexual functioning in outpatient men and women. Psychiatr Med 2:199–215.
Crenshaw, T. L., & Goldberg, J. P. (1996). Sexual Pharmacology: Drugs That Affect Sexual Functioning. New York: Norton.
Croft, H., Settle, E., Jr., Houser, T., et al. (1999). A placebo-controlled comparison of the antidepressant efficacy and effects on sexual functioning of sustained-release bupropion and sertraline. Clin Ther 21:643–58.
Cutler, A. J. (2003). Sexual dysfunction and antipsychotic treatment. Psychoneuroendocrinology 28:69–82.
Dixson, A. F. (1998). Primate Sexuality. Oxford: Oxford University Press.
Ehrhardt, A. A., & Meyer-Bahlburg, H. F. L. (1981). Effects of prenatal sex hormones on gender-related behavior. Science 211:1312–18.
Eysenck, H. J. (1976). Sex and Personality. London: Open Books.
Fergusson, D. M., Horwood, J. L., & Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people? Arch Gen Psychiatry 56:876–80.
Figueira, I., Possidente, E., Marques, C., & Hayes, K. (2001). Sexual dysfunction: a neglected complication of panic disorder and social phobia. Arch Sex Behav 30:369–77.
Finkelhor, D. (1988). The trauma of child sexual abuse: two models. In G. E. Wyatt & G. J. Powell, eds. Lasting Effects of Child Sexual Abuse. Newbury Park, CA: Sage, pp. 61–84.
Garofalo, R. A., Wolf, R. C., Kessel, S., et al. (1998). The associations between health risk behaviors and sexual orientation among a school-based sample of adolescents. Pediatrics 101:895–902.
Gilman, S. E., Cochran, S. D., Mays, V. M., et al. (2001). Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Co-morbidity Survey. Am J Public Health 91:933–9.
Gittleson, N. L., & Dawson-Butterworth, K. (1967). Subjective ideas of sexual change in female schizophrenics. Br J Psychiatry 113:491–4.
Gittleson, N. L., & Levine, S. (1966). Subjective ideas of sexual change in male schizophrenics. Br J Psychiatry 112:779–82.
Graham, C., & Bancroft, J. (2006). Assessing the prevalence of female sexual dysfunction with surveys: what is feasible? In I. Goldstein, C. Meston, S. Davis & A. Traish, eds. Women's Sexual Function and Dysfunction: Study, Diagnosis and Treatment. London: Taylor & Francis, pp. 52–62.
Graham, C. A., Sanders, S. A., & Milhausen, R. (2006). The sexual excitation/inhibition inventory for women: psychometric properties. Arch Sex Behav 35:397–409.
Green, R., & Fleming, D. T. (1990). Transsexual surgery follow-up: status in the 1990's. Annu Rev Sex Res 1:163–74.
Gregorian, R. S., Jr., Golden, K. A., Bahce, A., et al. (2002). Antidepressant-induced sexual dysfunction. Ann Pharmacother 36:1577–89.
Halbreich, U., Kinon, B. J., Gilmore, J. A., & Kahn, L. S. (2003). Elevated prolactin levels in patients with schizophrenia: mechanisms and related adverse effects, Psychoneuroendocrinology 28:53–67.
Heiman, J. R., Verhulst, J., & Heard-Davison, A. R. (2003). Childhood sexuality and adult sexual relationships. In J. Bancroft, ed. Sexual Development in Childhood. Bloomington: Indiana University Press, pp. 404–20.
Herdt, G. (2000). Why the Sambia initiate boys before age 10. In J. Bancroft, ed. The Role of Theory in Sex Research. Bloomington: Indiana University Press, pp. 82–104.
Herrell, R., Goldberg, J., True, W. R., et al. (1999) Sexual orientation and suicidality: a co-twin control study in adult men. Arch Gen Psychiatry 56:867–74.
Hull, E. M., Lorrain, D. S., Du, J., Matuszewich, L., et al. (1998). Organizational and activational effects of dopamine on male sexual behavior. In L. Ellis & L. Eberty, eds. Male/Female Differences in Behavior: Toward Biological Understanding. New York: Greenwood Press.
Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002). The Sexual Inhibition (SIS) and Sexual Excitation (SES) Scales: I. Measuring sexual inhibition and excitation proneness in men. J Sex Res 39:114–26.
Kagan, J., & Moss, H. A. (1962). Birth to Maturity: A Study in Psychological Development. New York: Wiley.
Kennedy, S. H., Dickens, S. E., Eisfeld, B. S., & Bagby, R. M. (1999). Sexual dysfunction before antidepressant therapy in major depression. J Affect Disord 56:201–208.
Kruger, T. H., Haake, P., Hartmann, U., et al. (2002). Orgasm-induced prolactin secretion: feedback control of sexual drive? Neurosci Biobehav Rev 26:31–44.
Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunctions in the United States: prevalence and predictors. JAMA 281:537–44.
Levin, R. (2007). The human sexual response – similarities and differences in the anatomy and function of the male and female genitalia: are they a trivial pursuit or a treasure trove? In E. Janssen, ed. The Psychophysiology of Sex. Bloomington: Indiana University Press, pp. 35–56.
Lilleleht, E., & Leiblum, S. R. (1993). Schizophrenia and sexuality: a critical review of the literature. Annu Rev Sex Res 4:247–76.
Loeb, T. B., Williams, J. M. K., Carmona, J. V., et al. (2002). Child sexual abuse: associations with the functioning of adolescents and adults. Annu Rev Sex Res 13:307–45.
Lykins, A. D., Janssen, E., & Graham, C. A. (2006). The relationship between negative mood and sexuality in heterosexual college women and men. J Sex Res 43:136–43.
Masters, W. H., & Johnson, V. E. (1970). Human Sexual Inadequacy. Boston: Little, Brown.
Mathew, R. J., & Weinman, M. L. (1982). Sexual dysfunction in depression. Arch Sex Behav 11:323–8.
McKenna, K. E. (2000). Some proposals regarding the organization of the central nervous system control of penile erection. Neurosci Biobehav Rev 24:535–40.
Mercer, C. H., Fenton, K. A., Johnson, A. M., et al. (2003). Sexual function problems and help seeking behaviour in Britain: national probability sample survey. BMJ 327: 426–7.
Meyer-Bahlburg, H. F. L. (2000). Discussion paper: sexual orientation—discussion of Bem and Herdt from a psychobiological perspective. In J. Bancroft, ed. The Role of Theory in Sex Research Bloomington: Indiana University Press, pp. 110–24.
Modell, J. G., Katholi, C. R., Modell, J. D., & DePalma, R. L. (1997). Comparative sexual side effects of bupropion, fluoxetine, paroxetine, and sertraline. Clin Pharmacol Ther 61:476–87.
Mohr, J. W., Turner, R. E., & Jerry, M. B. (1964). Paedophilia and Exhibitionism. Toronto: University of Toronto Press.
Montgomery, S. A., Baldwin, D. S., & Riley, A. (2002). Antidepressant medications: a review of the evidence for drug-induced sexual dysfunction. J Affect Disord 69: 119–40.
Mouras, H., & Stoleru, S. (2007). Functional neuroanatomy of sexual arousal. In F. Kandeel, T. Lue, J. Pryor, & R. Swerdloff, eds. Male Sexual Dysfunction: Pathophysiology and Treatment. New York: Marcel Dekker, pp. 39–54.
Mustanski, B. S., Chivers, M. L., & Bailey, J. M. (2002). A critical review of recent biological research on human sexual orientation. Annu Rev Sex Res 13:89–140.
Nofzinger, E. A., Thase, M. E., Reynolds, C. F., et al. (1993). Sexual function in depressed men: assessment by self-report, behavioral, and nocturnal penile tumescence measures before and after treatment with cognitive behavior therapy. Arch Gen Psychiatry 50:24–30.
Reissing, E. D., Binik, Y. M., & Khalife, S. (1999). Does vaginismus exist? A critical review of the literature. J Nerv Ment Dis 187:261–74.
Remafedi, G., French, S., Story, M., et al. (1998). The relationship between suicide risk and sexual orientation: results from a population-based study. Am J Public Health 88:57–60.
Reynolds, M. A., Herbenick, D. L., & Bancroft, J. (2003). The nature of childhood sexual experiences: two studies 50 years apart. In J. Bancroft, ed. Sexual Development in Childhood. Bloomington: Indiana University Press, pp. 134–55.
Rooth, F. G. (1971). Indecent exposure and exhibitionism. Br J Sex Med April: 521.
Rosen, R. C., Lane, R. M., & Menza, M. (1999). Effects of SSRIs on sexual function: a critical review. J Clin Psychopharmacol 19:67–85.
Rowland, D. L., Tai, W., & Brummett, K. (2007). Interactive processes in ejaculatory disorders: psychophysiological considerations. In E. Janssen, ed. The Psychophysiology of Sex. Bloomington: Indiana University Press, 227–243.
Sandfort, T. G. M., de Graaf, R., Bijl, R. V., & Schnabel, P. (2001) Same-sex sexual behavior and psychiatric disorders. Arch Gen Psychiatry 58:85–91.
Santelli, J., Lindberg, L. D., Abma, J., et al. (2000). Adolescent sexual behavior: estimates and trends from four nationally representative surveys. Fam Plann Perspect 32:156–66.
Savin-Williams, R. C. (2001). A critique of research on sexual-minority youths. J Adolesc 24:5–13.
Schreiner-Engel, P., & Schiavi, R. C. (1986). Lifetime psychopathology in individuals with low sexual desire. J Nerv Ment Dis 174:646–51.
Segraves, R. T. (1998). Psychiatric illness and sexual function. Int J Impot Res 10(Suppl 2):S131–S133.
Shapira, N. A., Goldsmith, T. D., Keck, P. E., et al. (2000). Psychiatric features of individuals with problematic Internet use. J Affect Disord 57:267–72.
Skegg, K., Nada-Raja, S., Dickson, N., et al. (2003). Sexual orientation and self-harm in men and women. Am J Psychiatry 160:541–6.
Slater, E. (1945). Neurosis and sexuality. J Neurol Neurosurg Psychiatry 8:12–14.
Smith, S. M., O'Keane, V., & Murray, R. (2002). Sexual dysfunction in patients taking conventional antipsychotic medication. Br J Psychiatry 181:49–55.
Summit, R. C. (1983). The child sexual abuse accommodation syndrome. Child Abuse Neglect 7:177–193.
Thase, M. E., Reynolds, C. F., Glanz, L. M. et al. (1987). Nocturnal penile tumescence in depressed men. Am J Psychiatry 144:89.
Ware, J. E., Kosinski, M., & Keller, S. (1996). A 12-tem Short-Form Health Survey (SF-12): construction of scales and preliminary tests of reliability and validity. Med Care 34:220–33.
Ware, M. R., Emmanuel, N. P., Johnson, M. R., et al. (1996). Self-reported sexual dysfunctions in anxiety disorder patients. Psychopharmacol Bull 32:530.
Warwick, H. M. C., & Salkovskis, P. M. (1990). Unwanted erections in obsessive-compulsive disorder. Br J Psychiatry 157:919–21.
Wichstrom, L., & Hegna, K. (2003). Sexual orientation and suicide attempt: a longitudinal study of the general Norwegian adolescent population. J Abnorm Psychol 112:144–51.
Zillman, D. (1983). Transfer of excitation in emotional behavior. In J. T. Cacioppo & R. E. Petty, eds. Social Psychophysiology: A Sourcebook. New York: Guilford Press, pp. 215–40.