Human Sexuality: Augusto "Jojo" Cruz JR, MD DPBP UERMMMC Department of Psychiatry
Human Sexuality: Augusto "Jojo" Cruz JR, MD DPBP UERMMMC Department of Psychiatry
involves feelings of
desire, behavior that
brings pleasure to
oneself and one’s
partner…. Devoid of guilt
or anxiety… and not
compulsive
Human Sexuality
SEXUALITY PERSONALITY
PSYCHOSEXU
AL
Physiological Aspects of Human Sexuality
Sexual Identity
• Gender Identity
• Orientation
• Intention
Sexual Function
• Sexual Desire
• Sexual Arousal
• Orgasm
Sexual Satisfaction
Gender Identity
• Majority it is congruent
• Human beings are cisgendered
based on their biological sex
• Gender is social and sex is
biological
Gender Role
Sexual Desire
• Interest that a person experiences
– Drive – biological aspects
– Motive – psychological aspects
– Wish – social aspects
Sexual Arousal
Orgasm
• Stimulated by high levels of arousal that
results to brief, intense pleasure and
release of pelvic congestion
Sexual Satisfaction
• Phase 1: Desire
– Motivation, drives, and personality
towards the love object
– Sexual fantasies and desire to have
sexual activity
Four Phase Response Cycle
•Phase 2: Excitement
–Subjective sense of pleasure from
•Psychological stimulation (fantasy, presence of the love
object)
•Physiological stimulation (Stroking or kissing)
•Combination of both
Male Female
-Lasts several minutes to several hours -Lasts several minutes to several hours
-Penile tumescence (increase in diameter/ length) -Vaginal lubrication, nipple erection
-Tightening & lifting of the scrotal sac and elevation of the -Clitoral enlargement, thickening of the labia minora
testes; 50% increase in the size of the testes -Increase in breast size (25%)
-2-3 drops of mucoid fluid that contain viable sperm are -Vaginal color change to dark purple; vaginal transudate
secreted at the height of excitement appears 10-30 secs after arousal
-Increase in heartbeat and respiration rates -Labia minora changes color to bright and deep red
-Heightened excitement lasts 30 secs to several minutes -Increase in the heartbeat and respiration rates
-Heightened excitement lasts 30 secs to several hours
Four Phase Response Cycle
•Phase 3: Orgasm
–Peaking of sexual pleasure with subsequent
release of sexual tension and rhythmic
contraction of the perineal muscles and the
pelvic organs
Male Female
-3-15 seconds -3-15 seconds
-Forceful emission of semen (ejaculation) (12-20 inches at -Breasts may become tremulous
age 18, decreasing with age to seepage at 70) -Uterine contractions throughout orgasm
-4-5 rhythmic spasms of the prostrate, seminal vesicles, -Contractions of the lower third of the vagina
vas, and urethra -Loss of voluntary muscle control (carpopedal spasm;
-Loss of voluntary muscle control (facial grimacing; facial grimacing)
carpopedal spasm) -Hyperventilation and tachycardia
-BP up to 40-100 mm systolic, 20-50 mm diastolic
-HR up to 180 beats per minute
-Respiration up to 40 respirations a minute
Four Phase Response Cycle
• Phase 4: Resolution
– Disgorgement of blood from the
genitalia (detumescence)
– With subjective feelings of well-being,
general relaxation and muscle
relaxation
– If it does not occur, may take 2-6 hours
associated with irritability and
discomfort
– Women do not have a refractory period
Masturbation
Masturbation
•Homosexuality is a
disorder…..?
•Not a disorder
–In 1973, was
eliminated as a
diagnostic category by
the APA
–In 1980, was removed
from the DSM
–ICD
•If not a disorder,
what?
Homosexuality
•An alternative
lifestyle
•A variant of human
sexuality
•Definition:
–A person’s overt
behavior, sexual
orientation, and a
sense of personal or
social identity.
•Lesbian or gay men
•Same sex or male female
Homosexuality
• Prevalence
– 1948 : 10% of men
5% of women
37% had a homosexual
experience
– 1988 : 2-3% of men
– 1989 : < 1% of either sex
– 1993 : 1% exclusively homosexual
Expression of Human Sexuality
Adolescent age group
REVIEW: ERIK ERIKSON’S STAGES OF THE
LIFE CYCLE
STAGE 5: Identity vs. Role Diffusion
– 11 years through end of adolescence
– Struggle to develop ego identity
– Danger of role confusion, doubts about
sexual and vocational identity
Some of the expressions of human
sexuality in adolescents are the following:
• Dating Behavior
• Pre-marital Sex
Definition: Dating Behavior
• 36% Kissed
• 3% sexual intercourse
• *17 % of the girls confided
intercourse happened without their
consent
IN THE SUBSEQUENT DATES