Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^206) d. c. b.^ ●Sexual Arousal Disorders: ing experienced painful intercourse for any organic rea-attributed to doubts, fears, guilt, anxiety, shame, con-flmay be implicated.anger toward the partner, and puritanical or moralistic upbringing. A history of sexual abuse may also be an im-portant etiologic factor (Leiblum, 1999). The etiology of male erectile disorder may be related to chronic stress, anxiety, or depression. Early developmental factors that promote feelings of inadequacy and a sense of being un-loving or unlovable may also result in impotence. Dif-ficommitment, fear of pregnancy, or unexpressed hostility, Sexual Pain Disorders: son, after which involuntary constriction of the vagina Orgasmic Disorders: or interpersonal diffiplicated in the etiology of female orgasm disorders. They include fear of becoming pregnant, hostility toward men, negative cultural conditioning, childhood exposure to rigid religious orthodoxy, and traumatic sexual experi-ences during childhood or adolescence. Orgasm disorders in men may be related to a rigid, puritanical background where sex was perceived as sinful and the genitals as dirty; factor. culties in the relationship may also be a contributing ict, embarrassment, tension, disgust, resentment, grief,^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION culties, such as ambivalence about A number of factors have been im-Vaginismus may occur after hav-In the female these may be
2506_Ch11_201-217.indd 0206 2506 Ch 11 201 - 217 .ind 3. Feelings of disgust, anxiety, or panic responses to genital 4. Inability to produce adequate lubrication for sexual 1. Absence of sexual fantasies and desire for sexual activity. 2. Discrepancy between partners’ levels of desire for sexual 5. Absence of a subjective sense of sexual excitement during^ Symptomatology (Subjective and Objective Data)d 0 activity.sexual activity.contact.activity. 206 phobia; sexually transmitted disease phobia; or canceretiology of vaginismus include negative childhood con-psychosocial factors that have been implicated in the ditioning of sex as dirty, sinful, and shameful; early child-hood sexual trauma; homosexual orientation; traumatic & Sadock, 2007).occurs in anticipation and fear of recurring pain. Other phobia (Phillips, 2000; King, 2005; Leiblum, 1999; Sadock experience with an early pelvic examination; pregnancy 1 10/1/10 9:35:45 AM 0 / 1 / 10 9 : 35 : 45 AM