Chapter 42. Sexual Dysfunctions

Richard Balon, M.D.
DOI: 10.1176/appi.books.9781585622986.260741



Sexual dysfunctions are characterized by "disturbance in sexual desire and in the psychophysiological changes that characterize the sexual response cycle and cause marked distress and interpersonal difficulty" (American Psychiatric Association 2000, p. 535). The sexual response is usually divided, somewhat artificially, into four phases: 1) desire, 2) excitement, 3) orgasm, and 4) resolution. Based on the delineation of the first three phases, DSM-IV-TR (American Psychiatric Association 2000) classifies sexual dysfunctions as follows:

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