Inleiding tot de klinische seksuologie (BKULE09L1B)
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Katholieke Universiteit Leuven (KU Leuven)
Dit document bevat de PPT slides + lesnotities voor het vak 'Klinische Seksologie' gegeven door Prof. Enzlin. Ik neem hierbij de inhoud/afbeeldingen van de slides over en voeg hier mijn eigen notities aan toe zodat het document één mooi geheel vormt en makkelijker te studeren is. Ik behaalde voor...
Inleiding tot de klinische seksuologie (BKULE09L1B)
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SAMENVATTING: INLEIDING TOT DE KLINISCHE SEKSUOLOGIE
Inhoud
Les 1: Inleiding + definitie(s) van seksualiteit..................................................................................................................5
Definitie van seksualiteit.............................................................................................................................................6
Wat is seksualiteit?..................................................................................................................................................6
Seks(e): ethymologie...............................................................................................................................................7
Sekse(e): definitie....................................................................................................................................................7
seksualiteit: ethymologie.........................................................................................................................................7
Seksualiteit: definitie...............................................................................................................................................8
seksualiteit: definitie(s)...........................................................................................................................................8
seks = seksueel gedrag?...........................................................................................................................................8
seksualiteit: definitie(s)...........................................................................................................................................9
dimensies van seksualiteit – van emde boas zei:...................................................................................................11
Seksualiteit: definitie(s).........................................................................................................................................13
seksualiteit – cross cultureel perspectief...............................................................................................................15
seksuologie................................................................................................................................................................16
methodologie............................................................................................................................................................16
psychosomatische cirkel van seks..............................................................................................................................17
Les 2: seksuele anatomie...............................................................................................................................................18
seksuele anatomie en psychologie............................................................................................................................19
onze (complexe) relatie met onze genitalen.........................................................................................................20
vrouwelijke seksuele anatomie.............................................................................................................................21
mannelijke seksuele anatomie..............................................................................................................................26
Les 3: seksuele fysiologie...............................................................................................................................................29
methodologie............................................................................................................................................................30
seksuele responscyclus..............................................................................................................................................31
epor-model............................................................................................................................................................32
fasen van de seksuele responscyclus.....................................................................................................................32
seksuele responscyclus..........................................................................................................................................33
Les 4: seksuele dysfuncties............................................................................................................................................36
indeling van seksuele disfuncties...............................................................................................................................39
verhaal en vraag....................................................................................................................................................41
Seksuele dysfuncties - Kleinplatz...........................................................................................................................41
seksuele problemen en zorgen..............................................................................................................................42
seksuele dysfuncties..............................................................................................................................................42
Les 5: klassieke Sekstherapie.........................................................................................................................................44
Charlotte T.
, evolutie...................................................................................................................................................................... 44
sekstherapie..............................................................................................................................................................46
Seksuele disfuncties: een kritische analyse...............................................................................................................51
objectieve benadering...........................................................................................................................................52
functionele benadering.........................................................................................................................................53
Seksueel verlangen, opwinding en vaginisme: een kritische analyse........................................................................54
fase 1: Verlangen...................................................................................................................................................54
fase 2: opwinding..................................................................................................................................................59
vaginisme...............................................................................................................................................................60
Les 6: pijnstoornissen: een kritische analyse.................................................................................................................61
voorbeelden..............................................................................................................................................................61
definitie..................................................................................................................................................................... 62
Dyspareunia: classification....................................................................................................................................62
dyspareunie: prevalentie.......................................................................................................................................63
Standaard behandeling..........................................................................................................................................63
nieuwe behandeling?............................................................................................................................................64
Dyspareunie: etiologie...........................................................................................................................................64
Dyspareunie: etiologie...........................................................................................................................................65
Dyspareunie: gevolgen..........................................................................................................................................67
Dyspareunie: therapie...........................................................................................................................................68
Les 7: seksualiteit en (chronische) ziekte:.....................................................................................................................73
doel........................................................................................................................................................................... 73
wat is ziekte?.............................................................................................................................................................73
wat is seksualiteit?....................................................................................................................................................73
wat kunnen we weten over seksualiteit?..............................................................................................................74
seksuele responscyclus..............................................................................................................................................74
methodologie........................................................................................................................................................74
Seksuele responscyclus..........................................................................................................................................75
ziekte en (echtelijke) seksualiteit: eenvoudig of complex?.......................................................................................76
chronische ziekte en seksualiteit...............................................................................................................................77
ziekte en seksualiteit in de literatuur?...................................................................................................................77
ziekte......................................................................................................................................................................... 81
voorwaarden voor seksueel functioneren.............................................................................................................82
chronische ziekte, aandoening of handicap...........................................................................................................82
psychologische aspecten...........................................................................................................................................84
relationele aspecten..................................................................................................................................................85
psychologische aspecten voor de ‘anderen’..........................................................................................................85
Charlotte T.
, relationele aspecten..............................................................................................................................................87
conclusie................................................................................................................................................................87
ziekte en seksualiteit: aandachtspunten in de klinische praktijk...............................................................................88
Les 9: seksuele problemen............................................................................................................................................89
zes soorten van seksuele problemen.........................................................................................................................89
interventie principes..................................................................................................................................................90
‘balansmethode’ van Gianotten............................................................................................................................90
interventie principes..............................................................................................................................................91
principles of intervention – 2.................................................................................................................................91
principles of intervention – 2.................................................................................................................................92
‘balansmethode’ van gianotten.............................................................................................................................92
principles of intervention – 2.................................................................................................................................93
‘balance method’ of gianotten..............................................................................................................................93
principles of intervention – 2.................................................................................................................................93
‘quantum model’ of schnarch................................................................................................................................94
‘quantum model’ of schnarch in case of idd..........................................................................................................94
principles of intervention – 3.................................................................................................................................95
besluit........................................................................................................................................................................ 95
Les 8: seksuele problemen van mannen – pillen of praten…?!......................................................................................96
de praktijk..................................................................................................................................................................96
casus 1 – pillen en dan toch praten.......................................................................................................................96
casus 2 – praten… en dan toch pillen....................................................................................................................96
casus 3 – praten… of pillen....................................................................................................................................97
Les 10: Seksuele problemen..........................................................................................................................................98
Les 10: seksuele problemen van mannen – pillen of praten…?!..................................................................................100
impact op de patiënt...........................................................................................................................................100
impact op de partner...........................................................................................................................................100
impact op de relatie.............................................................................................................................................100
de theorie over seksualiteit ….................................................................................................................................101
inhoud................................................................................................................................................................. 101
seksuele responscyclus (Master & Johnson, 1966)..............................................................................................101
indeling van seksuele functiestoornissen................................................................................................................101
verminderd seksueel verlangen...........................................................................................................................102
Les 11: Voortijdige zaadlozin (pe)................................................................................................................................104
voortijdige zaadlozing..........................................................................................................................................104
erectiestoornissen...............................................................................................................................................111
conclusie… seksuele problemen van mannen – pillen én praten…!........................................................................114
Charlotte T.
, seksuele geneeskunde en seksuologie....................................................................................................................114
Les 12: DSM V en seksuele disfuncties: gemorrel in zijlijn, of toch niet?.....................................................................116
context.................................................................................................................................................................... 116
sEKSUELE DISFUNCTIES........................................................................................................................................116
de seksuele responscylcus.......................................................................................................................................118
overzicht seksuele stoornissen – DSM IV.................................................................................................................119
Algemene opmerkingen – DSM V............................................................................................................................120
Voorstellen voor de dsm-5 classificatie van seksuele problemen – eruit –.............................................................120
sexual aversion disorder......................................................................................................................................120
voorstellen voor de dsm-5 classificaie van seksuele problemen – ERIN –...............................................................121
hyperseksuele stoornis........................................................................................................................................121
seksuele dysfunctie t.g.v. een algemene medische conditie...................................................................................122
parafiele stoornis.................................................................................................................................................122
DSM-5 Classificatie van seksuele problemen van vrouwen.....................................................................................122
sexual dysfunctions – DSM IV..............................................................................................................................123
context................................................................................................................................................................ 123
seksuele interesse/opwindingsstoornis (FSIAD)..................................................................................................123
sexual dysfunctions – DSM IV..............................................................................................................................124
orgasmestoornis bij de vrouw.............................................................................................................................124
sexual dysfunctions – dsm iv...............................................................................................................................125
dyspareunia: classification...................................................................................................................................125
genito-pelviene pijn/ penetratie stoornis (GPPPS)..............................................................................................125
de DSM-5 classificatie van seksuele problemen van mannen.................................................................................126
sexual dysfunctions – DSM iv...............................................................................................................................126
hypoactief seksueelverlangenstoornis bij de man...............................................................................................127
sexual dysfunctions – DSM iv...............................................................................................................................127
erectiestoornis.....................................................................................................................................................127
Sexual dysfunctions – DSM IV..............................................................................................................................128
premature // vroegtijdige ejaculatie...................................................................................................................128
sexual dysfunctions – DSM iv...............................................................................................................................128
Vertraagde ejaculatie..........................................................................................................................................129
SD t.g.v. een algemene medische conditie..........................................................................................................129
Charlotte T.
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