Nursing Care of Clients with Sexual and Gender Identity Disorders
Overview
A Changing social and cultural mores have removed many of the sexual behaviors that were once considered deviations from the list of “abnormal practices”
B Today sexual activities are considered abnormal only if they are directed toward anyone or anything other than consenting adults or are performed under unusual circumstances
General Nursing Care of Clients with Sexual and Gender Identity Disorders
A Reflect on own sexual values and mores
B Accept individual as a person in emotional pain
C Create a safe, nonjudgmental environment that permits open communication
D Begin with less sensitive topics and move gradually to more personal issues
E Avoid punitive or judgmental remarks or responses; maintain a matter-of-fact manner
F Provide for privacy and protect individual from others
G Set limits on sexual acting out behavior
H Report suspected child or elder abuse to appropriate protective service agencies
Major Disorders Associated with Sexual and Gender Identity Conditions
Paraphilias
Data Base
1. Paraphilias: sexual urges or fantasies that are directed toward nonhuman objects or infliction of pain to self, partner, children, or other nonconsenting individuals
2. Concurrent overt or covert emotional problems
B Behavioral/clinical findings are based on type of paraphilia
1. Exhibitionism: sexual pleasure by exposing the genitals
2. Pedophilia: attraction to children as sex objects; acting on impulses results in child abuse
3. Voyeurism: sexual gratification by watching sexual play of others
4. Sadism: sexual gratification through cruelty to others; acting on impulses may result in abuse of vulnerable person (e.g., child, older adult, significant other)
5. Masochism: sexual gratification obtained from self-suffering
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