A patient admits to fondling his 3-year-old and 5-year-old ...

[Jipu 123]

A patient admits to fondling his 3-year-old and 5-year-old nieces. Which statement best indicates that the patient lacks an understanding of the impact of this behavior?
 
  a. There is absolutely nothing wrong with me.
  b. My babysitter used to do the same things to me.
  c. Their mother is going to hate me and it's your fault.
  d. The children always want me to hold them in my lap.

Question 2

Which comment would support the sexual diagnosis of dyspareunia?
 
  a. I experience genital pain during intercourse.
  b. I do not enjoy sexual intercourse and try to avoid it.
  c. I cannot maintain adequate lubrication during intercourse.
  d. My perineal muscles contract at the wrong times during intercourse.

[welcom1000]

Answer to Question 1

ANS: B
Exhibiting a lack of empathy or ability to express regret is a clear sign of distorted thoughts and lack of insight regarding the effects on the children. The other options show denial and poor insight in general.

Answer to Question 2

ANS: A
Genital pain is a manifestation of dyspareunia. Ineffective muscle contractions are consistent with female sexual arousal disorder. Avoiding sex is consistent with hypoactive sexual dis-order. Insufficient lubrication is consistent with vaginismus.