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    Psych - Taking The Sexual History 2006

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    api-3856051
    This document discusses taking a thorough sexual history from patients. It outlines the purposes of doing so, which include assessing risk for STDs, history of sexual abuse, and quality of relationships. Barriers to taking a sexual history like lack of experience, fear of arousal, and discomfort with sexual language are addressed. Guidelines are provided around timing, approach, and content, including developmental history, current sexual functioning, and relationships.

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    Psych - Taking The Sexual History 2006

    Uploaded by

    api-3856051
    140 views10 pages
    This document discusses taking a thorough sexual history from patients. It outlines the purposes of doing so, which include assessing risk for STDs, history of sexual abuse, and quality of relationships. Barriers to taking a sexual history like lack of experience, fear of arousal, and discomfort with sexual language are addressed. Guidelines are provided around timing, approach, and content, including developmental history, current sexual functioning, and relationships.

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    Psych - Taking the Sexual History 2006

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    This document discusses taking a thorough sexual history from patients. It outlines the purposes of doing so, which include assessing risk for STDs, history of sexual abuse, and quality of relationships. Barriers to taking a sexual history like lack of experience, fear of arousal, and discomfort with sexual language are addressed. Guidelines are provided around timing, approach, and content, including developmental history, current sexual functioning, and relationships.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    140 views10 pages

    Psych - Taking The Sexual History 2006

    Uploaded by

    api-3856051
    This document discusses taking a thorough sexual history from patients. It outlines the purposes of doing so, which include assessing risk for STDs, history of sexual abuse, and quality of relationships. Barriers to taking a sexual history like lack of experience, fear of arousal, and discomfort with sexual language are addressed. Guidelines are provided around timing, approach, and content, including developmental history, current sexual functioning, and relationships.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 10

    TAKING THE SEXUAL

    HISTORY
    ANNA JOSEFINA VAZQUEZ-
    GENUINO, M.D.
    CHILD, ADOLESCENT & ADULT
    PSYCHIATRIST
    TAKING THE SEXUAL
    HISTORY
     PURPOSE
     Assess the Ff:
     Risk for STD
     Hx of Sex Abuse
     Quality of Intimate Relationships
     Symptom of Psych D/O
    BARRIERS TO TAKING THE
    SEXUAL HISTORY
     LTD PERSONAL FRAME OF REFERENCE

     The inexperienced feels at a disadvantage

     Can’t rely on own sexual background as clinical


    point of reference

     Gain Experience & Broaden Frame of Reference


    BARRIERS TO TAKING THE
    SEXUAL HISTORY
     FEAR OF AROUSAL
     If Talk Sex  Invite Intimacy  Exciting,
    Disturbing, Scared, Guilty
     Flgs might show: What if ptt senses I am too
    curious or aroused? What if I get attracted to ptt?
     What if ptt gets aroused by my questions? What if
    I give wrong msg?
    BARRIERS TO TAKING THE
    SEXUAL HISTORY
     AWKARDNESS WITH SEX LANGUAGE
     Penis, Erection, Ejaculation
     Vagina, Orgasm
     Testes, Sperm, Seminal Vesicles
     Clittoris, Egg, Ovary, Uterus
    TAKING THE SEXUAL
    HISTORY
     TIMING- CC, HPI, Past Personal & Social Hx,
    ROS

     APPROACH – relaxed, interested, comfortable,


    non-judgmental

     CONTENT – Childhood Sexual Development,


    Current Functioning, Relationships
    TAKING THE SEXUAL
    HISTORY
     DEVELOPMENTAL
     Acquisition of Sexual K
     How did you learn about sex?
     What were your parents’ attitudes toward sex?
     Child hood Gender Id? Sexual Feelings?
    TAKING THE SEXUAL
    HISTORY
     DEVELOPMENTAL
     Sexual Experiences
     When did you first begin dating?
     When was your first time to engage in sex? STD?
     Were you attracted to men, women or both?
     Have you ever been sexually abused?
    TAKING THE SEXUAL
    HISTORY
     CURRENT SCREENING QUESTIONS
     Are you sexually active? Frequency? With whom?
    Have you noticed any changes or problems with sex
    lately?
     How do you feel about sex? Are you satisfied with
    your sex life?
    TAKING THE SEXUAL
    HISTORY
     CLARIFICATION OF SEXUAL PROBLEM
     Desire- Fantasies? Object? Initiate?
     Excitement- Arousal? Erection? Lubrication?
    Foreplay?
     Orgasm- Ejaculation? Satisfied?
     Resolution- Feelings?
     Paraphilias?

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