Abstract
Within human sexuality three basic pillars are entwined: biological factors; individual personality or psychosexuality, which encompasses the sexual identity of the subject concerned, as well as the interaction and conveyance of the different types of affection for those closest to them (together with the relational aspects derived) and the life circumstances at each moment; and the socio-cultural environment in which it is lived.
The sexual development of an individual bears a resemblance to a relay race: genetic and chromosomal influences and hormonal, environmental, and psychosocial factors appear in a chronological sequence. Each of them, regardless of the opinion of different authors and schools, plays the main role at certain moments, although in the end all need the others to achieve the ultimate goal of being a grown, sexually mature, and healthy individual (according to an interactionist model), which in turn leads to the enhancement of the personal identity (including sexual identity and narcissism itself).
Sexuality is therefore a more general phenomenon than plain physical sex. In this regard a curious paradox is worth noting: human sexual behavior is scarcely known, at least from a scientific perspective and through epidemiological and gender-relevant studies. Finally, sexual dysfunctions represent a group of heterogeneous disorders and include an array of processes that affect the general population, generating a high impact at the quality of life and interpersonal relationship levels, and they are analyzed here from the perspective of the new DSM-5.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Damasio A. The feeling of what happens. New York: Harcourt Brace; 1999.
Latif EZ, Diamond MP. Arriving at the diagnosis of female sexual dysfunction. Fertil Steril. 2013;100(4):898–904.
Laumann E, Michael RT, Kolata G. Sex in America. A definitive survey. New York: Warner Books; 1995.
González-Torres MA, Salazar MA, Inchausti L, et al. Lifetime sexual behavior of psychiatric inpatients. J Sex Med. 2010;7(9):3045–56.
Money J. Handbook of sexology. New York: Elsevier/North Holland; 1977.
Rey RA. Fetal sex differentiation: from molecules to anatomy. Rev Chil Anat. 2001;19(1):75–82.
Rey RA, Grinspon RP. Normal male sexual differentiation and aetiology of disorders of sex development. Best Pract Res Clin Endocrinol Metab. 2011;25(2):221–38.
Kernberg O. Love relations. Normality and pathology. New Haven: Yale University Press; 1998.
Kernberg O. The sexual couple. A psychoanalytic exploration. Psychoanal Rev. 2011;98:217–45.
Stoller RJ. The transsexual experiment. London: Karnac Books; 1975.
Stoller RJ. Sex and gender. London: Karnac Books; 1984.
Stoller RJ. Presentations of gender. New Haven: Yale University Press; 1985.
Stoller RJ. Perversion, the erotic form of hatred. London: Karnac Books; 1986.
Bleichmar ED. La sexualidad femenina. Barcelona: Paidós; 1997.
Kernberg O. Limitations to the capacity to love. In: Kernberg O, editor. The inseparable nature of love and aggression. Washington, DC: American Psychiatric Publishing; 2012.
Kernberg O. Sexual pathology in borderline patients. In: Kernberg O, editor. The inseparable nature of love and aggression. DC: American Psychiatric Publishing. Washington; 2012.
Irigaray L. Das Geschlecht das nicht eins ist. Berlin: Merve Verlag; 1979. Spanish translation: Ese sexo que no es uno. Madrid: Akal; 2009.
Sadock VA. Normal human sexuality and sexual dysfunctions. In: Sadock BJ, Sadock VA, Ruiz P, editors. Kaplan & Sadock’s comprehensive textbook of psychiatry. 9th ed. Baltimore: Lippincott, Williams & Wilkins; 2009.
APA. Diagnostic and statistical manual of mental disorders, DSM 5. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
Basson R, Wierman ME, van Lankveld J, Brotto L. Summary of the recommendations on sexual dysfunctions in women. J Sex Med. 2010;7:314–26.
Shrifen JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112:970–8.
Hayes RD, Bennett CM, Fairley CK, Dennerstein L. What can prevalence studies tell us about female sexual difficulty and dysfunction? J Sex Med. 2006;3:589–95.
Potter JE. A 60-year-old woman with sexual difficulties. JAMA. 2007;297:620–33.
Hayes R, Dennerstein L. The impact of aging on sexual function and sexual dysfunction in women: a review of population-based studies. J Sex Med. 2005;2:317–30.
Corrêa LQ, Cozzensa da Silva M, Rombaldi AJ. Sexual dysfunction symptoms in men age 40 or older; prevalence and associated factors. Rev Bras Epidemiol. 2013;16(2):444–53.
Smith AM, Lyons A, Ferris JA, et al. Incidence and persistence/recurrence of men’s sexual difficulties: findings from the Australian longitudinal study of health and relationships. J Sex Marital Ther. 2013;39(3):201–15.
Corona G, Rastrelli G, Ricca V, et al. Risk factors associated with primary and secondary reduced libido in male patients with sexual dysfunction. J Sex Med. 2013;10(4):1074–89.
American Psychiatric Association. DSM-III: diagnostic and statistical manual of mental disorders. 3rd ed.Washington DC: American Psychiatric Press; 1980.
Masters WH, Johnson VE. Human sexual response. Boston: Little-Brown; 1966.
American Psychiatric Association. DSM IV TR: diagnostic and statistical manual of mental disorders. 4,text-revisionth ed. Washington, DC: American Psychiatric Press; 2000.
International Statistical Classification of Diseases and Health Related Problems. The ICD-10. Geneva: World Health Organization; 1992. Spanish translation: Trastornos Mentales y del Comportamiento, CIE 10. Madrid: Meditor; 1992.
López JM, Higueras A. Psicopatología de las tendencias instintivas y de las necesidades vitales. In: López JM, Higueras A, editors. Compendio de Psicopatología. 4th ed. Granada: Círculo de Estudios Psicopatológicos; 1996.
Ey H, Bernar P, Brisset Ch. Manuel de Psychiatrie. Spanish translation: Las psicosis delirantes crónicas. In: Ey H, Bernard P, Brisset Ch, editors. Tratado de Psiquiatría. 8th ed. Masson: Barcelona; 1978.
Joe Lee KC, Fahmy N, Brock GB. Sexual dysfunction in 2013: advances in epidemiology, diagnosis and treatment. Arab J Urol. 2013;11(3):194–202.
Giuliano F, Droupy S. Erectile dysfunction. Prog Urol. 2013;23(9):629–37.
Ludwig W, Phillips M. Organic causes of erectile dysfunction in men under 40. Urol Int. 2014;92(1):1–6. doi:10.1159/000354931.
Castilla del Pino C. Conductas paradigmáticas sexuales. In: Castilla del Pino C, editor. Introducción a la Psiquiatría. Tomo I. Problemas generales. Psico(pato)logía. 4th ed. Madrid: Alianza Editorial, S.A.; 1993. p. 215–62.
Fenichel O. The psychoanalytic theory of neurosis. New York: Routledge; 1999.
Althof SE, Schreiner-Engel P. The sexual dysfunctions. In: Gelder MG, López-Ibor JJ, Andreasen N, editors. New Oxford textbook of psychiatry. New York: Oxford University Press; 2001.
Santtila P, Jern P, Westberg L, Walum H, Pedersen CT, Eriksson E, et al. The dopamine transporter gene (DAT1) polymorphism is associated with premature ejaculation. J Sex Med. 2010;7:1538–46.
Janssen PK, Bakker SC, Réthelyi J, Zwinderman AH, Touw DJ, Olivier B, et al. Serotonin transporter promoter region (5-HTTLPR) polymorphism is associated with the intravaginal ejaculation latency time in Dutch men with lifelong premature ejaculation. J Sex Med. 2009;6:276–84.
IsHak WW, Tobia G. DSM-5 changes in diagnostic criteria of sexual dysfunction. Reprod Sys Sexual Disorders. 2013;2:122.
Graham CA, Sanders SA, Milhausen RR, McBride KR. Turning on and turning off: a focus group study of the factors that affect women’s sexual arousal. Arch Sex Behav. 2004;33:527–38.
Janssen E, McBride KR, Yarber W, Hill BJ, Butler SM. Factors that influence sexual arousal in men: a focus group study. Arch Sex Behav. 2008;37:252–65.
Binik YM. The DSM, diagnostic criteria for vaginismus. Arch Sex Behav. 2010;39:278–91.
Brotto LA. The DSM, diagnostic criteria for sexual aversion disorder. Arch Sex Behav. 2010;39:271–7.
Binik YM. The DSM, diagnostic criteria for dyspareunia. Arch Sex Behav. 2010;39:292–303.
Sarin S, Amsel RM, Binik YM. Disentangling desire and arousal: a classificatory conundrum. Arch Sex Behav. 2013;42(6):1079–100.
Clayton AH, DeRogatis LR, Rosen RC, Pyke R. Intended or unintended consequences? The likely implications of raising the bar for sexual dysfunction diagnosis in the proposed DSM 5 revisions: 1. For women with incomplete los of desire or sexual receptivity. J Sex Med. 2012;9:2027–39.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Segarra-Echebarría, R., Fernández-Pérez, I., García-Moncho, J.M., Delarze-Carrillo, L. (2015). Psychosexual Development and Sexual Dysfunctions. In: Sáenz-Herrero, M. (eds) Psychopathology in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-05870-2_2
Download citation
DOI: https://doi.org/10.1007/978-3-319-05870-2_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-05869-6
Online ISBN: 978-3-319-05870-2
eBook Packages: MedicineMedicine (R0)