Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Psychosexual Disorders


Related Terms

  • Exhibitionism
  • Female Sexual Arousal Disorder
  • Fetishism
  • Frotteurism
  • Gender Identity Disorder
  • Hypoactive Sexual Desire Disorder
  • Male Erectile Disorder
  • Orgasmic Disorders
  • Paraphilia
  • Pedophilia
  • Premature Ejaculation
  • Sexual Arousal Disorders
  • Sexual Aversion Disorder
  • Sexual Disorder Not Otherwise Specified
  • Sexual Dysfunction
  • Sexual Masochism
  • Sexual Pain Disorders
  • Sexual Sadism
  • Transvestic Fetishism
  • Voyeurism

Differential Diagnosis

Specialists

  • Clinical Psychologist
  • Gynecologist
  • Internal Medicine Physician
  • Psychiatrist
  • Urologist

Comorbid Conditions

  • Endocrine disorders
  • Mood disorders
  • Personality disorder
  • Phobias
  • Side effects of medication
  • Substance abuse

Factors Influencing Duration

Most treatment for psychosexual disorders consists of outpatient appointments that should not affect ability to stay on a normal work schedule. After sexual reassignment surgery, individuals may have a decreased level of function if they suffer from poor social support, poor surgical outcome, poor self-esteem, suicidal thoughts, or noncompliance with treatment plans.

Medical Codes

ICD-9-CM:
302.0 - Ego-dystonic Sexual Orientation; Ego-dystonic Lesbianism; Sexual Orientation Conflict Disorder
302.1 - Zoophilia; Bestiality
302.2 - Pedophilia
302.3 - Transvestism Fetishism
302.4 - Exhibitionism
302.50 - Trans-sexualism with Unspecified Sexual History
302.51 - Trans-sexualism with Asexual History
302.52 - Trans-sexualism with Homosexual History
302.53 - Trans-sexualism with Heterosexual History
302.6 - Psychosexual Identity, Disorders of
302.70 - Psychosexual Dysfunction, Unspecified; Sexual Dysfunction NOS
302.79 - Psychosexual Dysfunction, Unspecified; Sexual Dysfunction NOS; with Other Specified Psychosexual Dysfunctions; Sexual Aversion Disorder
302.81 - Fetishism
302.82 - Voyeurism
302.83 - Sexual Masochism
302.84 - Sexual Sadism
302.85 - Gender Identity Disorder in Adolescents or Adults
302.89 - Psychosexual Disorders, Other; Frotteurism; Nymphomania; Satyriasis
302.9 - Psychosexual Disorder, Unspecified; Fetishism, Voyeurism, Sexual Masochism, Sexual Sadism, Gender Identity Disorder of Adolescent or Adult Life

Treatment

Once potential medical causes underlying psychosexual disorders are ruled out, sex therapy may be helpful if the individual is involved in a relationship. Both members of the relationship are treated simultaneously. Sex therapy may be combined with supportive psychotherapy either individually or with the couple. Behavioral therapy may also involve desensitization and assertiveness training. Hypnotherapy may be helpful, focusing on the distressing symptoms. Group therapy can help support those with guilt, shame, or anxiety concerning a sexual problem. Family and marital therapy can be helpful.

Androgen blockers can be useful for sexual perversions such as pedophilia or exhibitionism. Selective serotonin reuptake inhibitors (SSRIs) are used for sexual perversions including voyeurism, exhibitionism, pedophilia, frotteurism, and also for rapists. Estrogen, progesterone, and anti-androgens are given for compulsive sexual behavior in men. Behavior therapy is also used in sexual perversions and cognitive therapy addresses self-beliefs that sex leads to deviant behavior. Peer groups such as Sex Addicts Anonymous can be helpful. Psychodynamic psychotherapy and psychoanalysis are not usually effective.

Gender identity disorders can be treated with hormone therapy and sex change surgery to help the individual physically resemble the opposite sex. These measures are generally taken only after rigorous psychological evaluation.

Source: Medical Disability Advisor






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