Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction
Week 11: Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction
I have been under a lot of stress lately. Between my job, the house and kids, and my wife complaining, I don’t seem to have the “staying power” I used to. Our sex life used to be perfect, but now I cannot perform as well or as often as I used to. My wife does not seem to understand and now I am feeling inadequate. I have a long life in front of me and I don’t want to live without feeling like a true man.”
Larry, age 40
This week’s topics include gender dysphoria, paraphilic disorders, and sexual dysfunction. The term gender dysphoria is the diagnosis describing those persons who experience incongruence between their gender assigned at birth and their experienced gender. Paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism, for example. Sexual dysfunction disorders include, most commonly, male erectile disorder, female orgasmic disorder, and other disorders. These diagnoses may be treated with pharmacologic and psychotherapy modalities.
This week, you will explore ways to assess and care for persons with gender dysphoria, paraphilic disorders, and sexual dysfunction disorders as outlined in the DSM-5.
Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
- Standard 16 “Environmental Health” (pages 84-85)
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 17, “Human Sexuality and Sexual Dysfunctions” (pp. 564–599)
- Chapter 18, “Gender Dysphoria” (pp. 600–607)
Note: This is review from the Learning Resource in Week 3.
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
- Chapter 37, “Sexual Dysfunctions”
- Chapter 38, “Paraphilias and Paraphilic Disorders”
- Chapter 39, “Gender Dysphoria”
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
- “Gender Dysphoria”
- “Paraphilic Disorders”
- “Sexual Dysfunctions”
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
Note: All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.
To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.
| Sexual dysfunction |
|---|
| bupropion |
Johnson, L., Shipherd, J., & Walton, H. M. (2016). The psychologist’s role in transgender-specific care with U.S. veterans. Psychological Services, 13(1), 69–76. doi:10.1037/ser0000030
Levenson, J. S., & Grady, M. D. (2016). The influence of childhood trauma on sexual violence and sexual deviance in adulthood. Traumatology, 22(2), 94–103. doi:10.1037/trm0000067
Hawes, S. W., Boccaccini, M. T., & Murrie, D. C. (2013). Psychopathy and the combination of psychopathy and sexual deviance as predictors of sexual recidivism: Meta-analytic findings using the Psychopathy Checklist—Revised. Psychological Assessment, 25(1), 233–243. doi:10.1037/a0030391
Required Media
Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.
Note: The approximate length of this media piece is 1 hour 55 minutes.
Scott, R. (Producer). (2005). Relationships, Families and Couples Counseling [Video file]. Psychotherapy.net.
Note: The approximate length of this media piece is 38 minutes.
Discussion: Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction
Sexuality is an important part of each person’s quality of life. Research indicates that awareness of sexual identity and its importance may begin as early as age 3. However, individuals with varying diagnoses, disorders, or dysfunctions may grapple with issues related to their sexuality in their teen years, as well as into adulthood.
In this Discussion, you will explore the assessment and treatment of gender dysphoria, paraphilic disorders, and sexual dysfunction.
Learning Objectives
Students will:
- Analyze diagnostic criteria for gender dysphoria, paraphilic disorders and sexual dysfunction
- Analyze evidence-based psychotherapy and psychopharmacologic treatments for gender/sexual disorders
- Compare differential diagnostic features of gender/sexual disorders
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!
To prepare for this Discussion:
- Select a gender dysphoria, paraphilic disorder, or sexual dysfunction that interests you.
- Review the Learning Resources.
By Day 3
Post:
- Explain the diagnostic criteria for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.
- Explain the evidenced-based psychotherapy and psychopharmacologic treatment for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.
- Support your rationale with references to the Learning Resources or other academic resource.
By Day 6
Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you selected to the diagnostic features of the disorder your colleagues were assigned.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 11 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 11 Discussion
Name: NURS_6670_Week11_Discussion_Rubric
| Outstanding Performance | Excellent Performance | Competent Performance | Proficient Performance | Room for Improvement | |
|---|---|---|---|---|---|
| Main Posting: Response to the discusion question is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources. |
Points Range: 44 (44%) – 44 (44%)
* Thoroughly responds to the discusion question(s) *is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources. * supported by at least 3 current, credible sources
|
Points Range: 40 (40%) – 43 (43%)
* Responds to the discusion question(s) *is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. * 75% of post has exceptional depth and breadth * supported by at least 3 credible references
|
Points Range: 35 (35%) – 39 (39%)
* Responds to most of the discusion question(s) *is somewhat reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. * 50% of post has exceptional depth and breadth * supported by at least 3 credible references
|
Points Range: 31 (31%) – 34 (34%)
* Responds to some of the discusion question(s) * one to two criteria are not addressed or are superficially addresed *is somewhat lacking reflection and critical analysis and synthesis *somewhat represents knowledge gained from the course readings for the module. * post is cited with fewer than 2 credible references
|
Points Range: 0 (0%) – 30 (30%)
* Does not respond to the discusion question(s) * lacks depth or superficially addresses criteria *lacks reflection and critical analysis and synthesis *does not represent knowledge gained from the course readings for the module. * contains only 1 or no credible references
|
| Main Posting: Writing |
Points Range: 6 (6%) – 6 (6%)
* Written clearly and concisely * Contains no grammatical or spelling errors * Fully adheres to current APA manual writing rules and style
|
Points Range: 5.5 (5.5%) – 5.5 (5.5%)
* Written clearly and concisely * May contain one or no grammatical or spelling error * Adheres to current APA manual writing rules and style
|
Points Range: 5 (5%) – 5 (5%)
* Written concisely * May contain one to two grammatical or spelling error * Adheres to current APA manual writing rules and style
|
Points Range: 4 (4%) – 5 (5%)
*Writtten somewhat concisely * May contain more than two2 spelling or grammatical errors * Contains some APA formatting erros
|
Points Range: 0 (0%) – 4 (4%)
* Not written clearly or concisely * Contains more than two spelling or grammatical errors * Does not adhere to current APA manual writing rules and style
|
| Main Posting: Timely and full participation |
Points Range: 10 (10%) – 10 (10%)
* meets requirements for timely and full participation * posts main discussion by due date
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 6 (6%)
* does not meet requirement for full participation
|
| First Reponse Post to colleague’s main post that is reflective and justified with credible sources. |
Points Range: 9 (9%) – 9 (9%)
* response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
|
Points Range: 8.5 (8.5%) – 8.5 (8.5%)
* response exhibits critical thinking and application to practice settings
|
Points Range: 7.5 (7.5%) – 8 (8%)
* response has some depth and may exhibit critical thinking or application to practice setting
|
Points Range: 6.5 (6.5%) – 7 (7%)
* response is on topic, may have some depth
|
Points Range: 0 (0%) – 6 (6%)
* reponse may not be on topic, lacks depth
|
| First Reponse: Writing |
Points Range: 6 (6%) – 6 (6%)
* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English
|
Points Range: 5.5 (5.5%) – 5.5 (5.5%)
* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English
|
Points Range: 5 (5%) – 5 (5%)
* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English
|
Points Range: 4.5 (4.5%) – 4.5 (4.5%)
* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited
|
Points Range: 0 (0%) – 4 (4%)
* Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited
|
| First Reponse: Timely and full participation |
Points Range: 5 (5%) – 5 (5%)
* meets requirements for timely and full participation * posts by due date
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
* does not meet requirement for full participation
|
| Second Reponse: Post to colleague’s main post that is reflective and justified with credible sources. |
Points Range: 9 (9%) – 9 (9%)
* response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
|
Points Range: 8.5 (8.5%) – 8.5 (8.5%)
* response exhibits critical thinking and application to practice settings
|
Points Range: 7.5 (7.5%) – 8 (8%)
* response has some depth and may exhibit critical thinking or application to practice setting
|
Points Range: 6.5 (6.5%) – 7 (7%)
* response is on topic, may have some depth
|
Points Range: 0 (0%) – 6 (6%)
* reponse may not be on topic, lacks depth
|
| Second Reponse: Writing |
Points Range: 6 (6%) – 6 (6%)
* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English
|
Points Range: 5.5 (5.5%) – 5.5 (5.5%)
* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English
|
Points Range: 5 (5%) – 5 (5%)
* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English
|
Points Range: 4.5 (4.5%) – 4.5 (4.5%)
* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited
|
Points Range: 0 (0%) – 4 (4%)
* Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited
|
| Second Reponse: Timely and full participation |
Points Range: 5 (5%) – 5 (5%)
* meets requirements for timely and full participation * posts by due date
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
* does not meet requirement for full participation
|
Assignment: Final Exam
This exam is designed to assess how well you have synthesized the information from all your PMHNP courses. It draws upon the material from all the textbooks from NURS 6630, NURS 6640, NURS 6670, NURS 6660, and NURS 6670. It is very similar to what you will experience in your certification exam.
Learning Objectives
Students will:
Students will:
- Assess knowledge of adult and older adult psychotherapy concepts and principles (E)
This exam will cover the following topics:
- Obsessive-Compulsive Disorders
- Neurocognitive Disorders
- Schizophrenia Spectrum and Other Psychotic Disorders
- Sleep/Wake Disorders, Parasomnias
- Gender Dysphoria, Paraphilic Disorders, & Sexual Dysfunction
By Day 7
Complete the Final Exam by. Prior to starting the exam, you should review all of your materials. There is a 2-hour time limit to complete this 75-question exam. You may only attempt this exam once.
This exam is a test of your knowledge in preparation for your certification exam. No outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.
Submission and Grading Information
Submit Your Exam by Day 7
To submit your Exam:
Week 11 Exam
Making Connections
This week, you explored ways to assess and care for persons with gender dysphoria, paraphilic disorders, and sexual dysfunction disorders as outlined in the DSM-5.
Congratulations! After you have finished all of the assignments for this week, you have completed the course. Please submit your Course Evaluation by Day 7.
