Until recent years therapeutic approaches to female sexual dysfunction (FSD) have relied mainly on cognitive behavioural sex therapy, couple counselling and psychotherapy. The success of the phosphodiesterase type 5 (PDE5) inhibitors in the treatment of erectile dysfunction in men prompted the notion that there may be a similar role for these drugs in thetreatment of female sexual dysfunction.
Sexual arousal is the experience of becoming sexually excited or turned on. Sexual arousal is a three-step process of: 1) tuning out all non-erotic experience 2) focusing on sexually pleasurable stimulation either generated or received by the brain 3) triggering of subjective arousal (feelings of erotic pleasure) and objective (physical) changes
Studies of body image concerns in men have largely neglected the influence that these concerns may have on the day-to-day social, professional and emotional lives of this group. Using quantitative data collection methods, the present study sought to measure the day-to-day body image concerns in a general population sample of men located in Sydney, Australia and how these may be affected by men’s legal and illegal drug use, exercise patterns, and sexual orientation. Two hundred and thirty one males comprised the final sample that participated in the study.
This report examines the results of The 6th National Survey of Youth Sexual Behavior. This survey has been conducted at intervals of six years since 1974 in Japan. Goals of presentation: Analyzing the data on contemporary Japanese youth’s sexual behavior and consciousness from the perspective of gender.
In a 2005 UCLA study, 85% of women said they were "very satisfied" with their romantic partner's size, but 45% of men responded they would prefer their penis size increased and 84% of respondents rated their penis size as average to above average. Penis size is of great concern to many people: some consider having a large penis a mark of masculinity; others are concerned that their penis is too small to satisfy their sexual partner(s).
There are three basic ingredients of an individual's sexual health: the development of their identity, their capacity for intimacy, and an enviornment which promotes sexual health. Barriers to identity and intimacy can come from family intimacy dysfunction and unhealthy cultural environments. Self identity and self esteem are essential ingredients for the capacity of intimacy. The self is formed in the context of interpersonal relationships and the cultural milieu. The failure to develop a postive identity and capacity to intimacy leads to identity and intimacy dysfunction. Lack of self esteem,sexual identity confusion and dysphoria, sexual dysfunctions and disorders, interpersonal violence are often symptoms of identity and intimacy function.
Victims of sexual abuse have been in therapists´ focus for several decades. Over the years couples have made countless adjustments to get around feelings of shame and pain caused by sexual trauma. Sexually traumatized persons often experience no ownership to their sexuality. Without adequate treatment, many have difficulties in establishing their sexuality on their own premises, even long time after the traumatic experience has taken place.
Who was the writer of Kamasutra? Which place did he come from? And when did he write Kamasutra? The date is not precise. It has been proven through epigraphic, literary, historical, numismatics and archaeological evidences, that Vatsyayana, the author of Kamasutra belonged to a place called “Nagarak” from South Gujarat and wrote Kamasutra between 351 and 375 A.D.
Recently Nobre and Pinto-Gouveia (2003, 2006) have emphasized the strong influence of the cognitive and emotional phenomena on sexual functioning in both men and women. Data from these studies is being replicated in different cultural settings. The aim of the study is to investigate the differences and similarities on cognitive and emotional variables between participants with and without sexual difficulties across six different countries (Portugal, United States, Turkey, Brazil, United Kingdom, and Italy).
Gynecological conditions are frequently associated with sexual difficulties which are often underdiagnosed. Patients feel that sexual problems are not important enough to be mentioned to their physicians and physicians may feel uncomfortable and sometimes incompetent. To facilitate access for patients and physicians we developed a tool for assessment and discussion of sexual problems for residents in gynecology. Based on our experience as a liaison-consultation sexological division of the university hospital of Basel we analized the sexological diagnostic workup performed with the following group of female patients: Family planning consultation, around menopause, women with benign gynecological conditions, with incontinence; Oncological patients ( mammary , genital carcinoma).
About 10-15 % of adults have the experience of not getting pregnant, when they have a wish to have a child. For some, this life situation is resolved spontaneously. Some undergo investigation, followed by varying treatments, resulting in a child, some adopt, and for others this situation is permanent, and without a solution. When this is the case, existential questions often arise. Earlier studies show that couples who become parent after IVF-treatment are just as content, or more, with their relationships and sexuality compared to parent who conceived spontaneously. Little is known about the couples who continue their relation without a child. Clinical experiences are that many women and men struggle with questions concerning the meaning of sexuality.
In the framework of the Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR) experience to promote sexual, bodily and reproductive health and rights, this paper will explore women's approach to sexuality, sexual health, sexual rights, and sexual pleasure based on the experience of the Human Rights Education Program for Women (HREP) in Turkey, implemented in 42 cities. The paper will contexualize sexual health and rights in Muslim societies through a human rights approach, drawn on experiences of grassroots movement for women in Turkey, in a context where efforts to promote SRHR contend with patriarchal norms and taboos around sexuality.
Legal education in rural India which circumscribes rights of women with special focus on reproductive rights, rape laws, female feticide, domestic violence, child marriage etc. has played a pivotal role in translating these rights into practice. This has been possible through innovative legal education drives which have identified a set of para-legal women who act as reservoirs of knowledge and are adequately equipped to handle instances of violation of such rights.
It is commonly accepted that sex education should start at early age. Most teachers hold positive attitudes towards programs on sex education, but some surveys showed a discrepancy between overt attitudes towards sex education and willingness to practice this as part of the professional duty.
In many school settings, adolescent sexuality has been discussed largely in terms of sexual behaviour and risk. Little attention has been given to the positive aspects of sexuality and sexual expression. This study sought to explore how key stakeholders in three secondary schools in the UK understand youth sexual behaviours.
Does circumcision reduce the risk of HIV transmission? Relationship between male circumcision and HIV infection based on randomized, controlled intervention trial in three
My presentation is dedicated to John Money, and it is an honor for me to give the first paper at this organization in his name and in his memory. John Money died in 2006, his death was considered by many as a great loss of a truly original thinker who had shaped the field for more than 50 years with his ideas, research and prolific writing. John Money was a pioneer in the true sense and committed himself to an area of research which previously had not existed - the field of psychoendocrinology. His studies with intersex patients and his research into the foundations of sexuality and gender changed the theoretical and clinical discourse world-wide. A tribute to John Money would fall short without mentioning his passionate commitment to the rights of the individual and the freedom of sexual behavior expression.
Parkinson’s disease (PD) has a number of psychiatric symptoms that should be notice. There is a high prevalence of psychopathologic symptoms and signs such as depression, anxiety, deliriums, hallucinations, apathy, cognitive impairment, and sexual dysfunctions (Ferreri, et al 2006). These symptoms can occur as a result of pathologic brain changes or as a reaction to the disease process and treatment related side effects.
My research of philosophical sexual ethics aims at morally neutral and transparent conceptions in the field of sexuality. The concept of “healthy sexuality” is nowadays widely used in context of sexual well-being. Unfortunately the concept also carries normative potential that can be used to control and confine both personal expressions of sexuality and sexual culture in general. I analyse the concept using philosopher Alan Soble's work as a basis.
Sexually traumatized patients often have problems with flashbacks, nightmares and avoidance. This workshop teaches an integrated method for trauma relief, combining knowledge from NLP, psycho dynamic therapy, cognitive therapy and modern trauma research. The method is based on the human memory storing system, which functions in the same way in all human beings. This means that the method easily can be used cross-culturally and for all gender combinations.
Looking at one region, Latin America, where sexuality education has a long history and is present in most countries of the region. This presentation will analyse some of the supporting factors at the policy and political level that have enabled scale-up of sexuality education programmes such as the Ministerial Declaration "Educating to Prevent". By understanding the political influences and the advocacy undertaken to ensure roll out of sexuality education, conclusions can be drawn about the different kinds of investments required, economic and political, to enable school-based programmes to be taken to scale.
This presentation will examine the way that key cost drivers that have an impact on the cost and cost-effectiveness of school-based sexuality education and the implications for scaling up the programme in different scenarios. The study, commissioned by UNESCO, looks at the cost of sexuality education (SE) programmes in four developing countries (Nigeria, Kenya, India and Indonesia), one country in transition (Estonia), and one developed country (The Netherlands). The cost-effectiveness is analysed Kenya and Estonia.
This presentation highlights a compelling example of how a nationwide school-based sexuality education programme combined with the availability of youth-friendly sexual and reproductive health services, has led to dramatic improvements in reproductive health indicators among young people over the past two decades in the country.
To explore how sexual health and sexual ethics are represented in the Bible and how these are relevant to the 21st century. God created humans as physical and relational beings. Sexuality is a good, healthy element of that created physical relatedness, with three functions: relational bonding; mutual pleasure; and procreation. The biblical pattern for sexual expression which best accords with these functions is heterosexual monogamy.
How should the Public Health Model be applied so it really contributes to improved sexual health for all? Public Health recognizes three levels of prevention - Primary, Secondary and Tertiary. Primary prevention involves prevention of the disease or injury itself, Fluoride, Immunization, Education to avoid smoking and substance abuse. Secondary prevention blocks the progression of an injury or disease from an impairment to a disability. An impairment has already occurred, but disability may be prevented through early intervention.
As a psychology and medicine student in the sixties and early seventies I realized that sexology was missing in the education and training curriculum for most health professionals. This concern encouraged me to ask my own department and the University of Gothenburg to modify the current curricula making sexology a compulsory subject in the academic training for physicians and psychologists in the first place.
The psychotherapy section of the WPATH Standards of Care for the Health of Transsexual, Transgender and Gender nonconforming People (SOC) is the most obvious component of the SOC that has to do with “heart”, the theme of this conference. Psychotherapy, to be good, requires empathy and imagination, connection and relatedness, and listening to story.
The LET'S TALK ABOUT SEX foundation coordinated an educational project ahead of the Euro 2012 Football Championship in Poland. This preventative and educational program
The medical sexology can be a significant domain for clinical Psychiatry. It is crucial to stress the importance of evaluating sexual life in the clinical global assessment of psychiatric patients/clients: Diagnoses, treatment and quality of their sexual life’s. It is stressed the sexological approach done by the psychiatrists or psychologists in the medical or surgical team in Liaison Psychiatry inside the general hospital.
Several studies have investigated the role of psychological processes on the etiology and maintenance of sexual dysfunction. Studies on dispositional factors have supported Barlow’s theory (2002) suggesting as well as infertility treatment are now finding themselves more heavily involved in the decision-making process concerning patients; Neuroticism and low Positive trait-affect are more prevalent in individuals with sexual dysfunction compared to controls (Oliveira & Nobre, in press; Quinta Gomes & Nobre, 2012).
Most programs aimed at sexual health promotion among adolescents are focused on abstinence. The conceptual framework for this approach has its foundation on the notion of adolescence developed by Stanley Hall which proposes that teen sexuality must be sublimated.
Sexual pleasure can be meaningfully distinguished from other forms of sexual experience– from sexual stimulation, arousal, preoccupation, satisfaction, gratification, and various other forms of sexual fulfillment. The human capacity for momentarily separating stimulus from response thus permitting symbolization of experience allows an infinite variety of sexual experiences unimaginable in any other species. Sexual pleasure can be cultivated in the human species as a psychological event– as an intersubjectively achieved sense of union not attainable by members of other species.
This presentation will review the history of the WAS declaration and the impetus for revising the declaration to meet the challenges of the UN deliberations related to Cairo +20 and beyond, and the MDGs. The impact of the original WAS declaration will be discussed followed by the process, methodology and rationale for the revised declaration. An overview of the new declaration will be presented.
Sexuality, as acted in the body and the mind, is the result of an integration between its biological, psychological and cultural components. We focus our attention on the understanding of specific individual psychological issues at the base of the sexual mind.
Objective: The aim of this study was to assess the degree of sexual dysfunction among infertile Indian men. Materials and Methods: 1103 infertile men who were referred to IVF centre for management of their infertility problems were assessed for their sexual dysfunction while excluding the criterion of unconsummated marriage. Distribution of sexual dysfunction and its relationship to infertility were analyzed through SPSS software.
A training modality which assists individuals to understand themselves and others as sexual beings. Human sexuality is so much more than ‘what’s in our pants’ and what we do with it ‘between the sheets’, especially for misunderstood sexual minorities in the African context.
The process for the UN system to take new themes depends very much on the current concerns of member countries. The International Conference on Population and Development (ICPD, Cairo, 1994) was a turning point in the possibility of introducing questions pertaining to sexuality. However, at that time, in spite of the efforts of progressive countries and civil society organization, it was mostly linked to reproduction. Thus, the Plan of Action that emerged from ICPD made great strides in the inclusion of reproductive health and rights.
Inability to consummate the marriage, usually suffered by the newly wedded couples, has been one of the most common sexual problems hindering conception and pregnancy. Unconsummated marriage can be defined as the inability to engage in successful coitus within the marital dyad. Unconsummated marriage is a devastating condition with far-reaching psychosocial consequences for the couples and families.
World Health Organization’s Diagnostic Manual, the International Classification of Diseases (ICD), is being revised, with ICD-11 currently due for approval in 2017. A WHO-appointed working group, of which the presenter is a member, has proposed a range of diagnostic reforms in the area of sexual disorders and sexual health. They are now being field-tested.
The concept of gender dysphoria is a subject of intense controversy and debate. Objectives: The aim of this study is to assess demographic and clinical characteristics, comorbid disorders and sexual behavior of 84 gender dysphoric (gender identity disorder) persons, diagnosed according to DSM-5 and divided into 54 female-to-male (FTM) and 30 male-tofemale (MTF).
Introduction and objectives: Homosexuality has been considered a mental health disorder and this pathological view was challenged four decades ago culminating in diagnostic systems (the ICD and DSM) regarding it as an alternative lifestyle rather than a pathological state. Homosexual individuals are prone to psychological distress, which may manifest as depression and suicidal ideation. This has been attributed to the lingering discrimination homosexual individuals are exposed to. There is a dearth of information in Nigeria with regards to this topic and this work is an attempt to fill this gap. The objectives of this study were to determine and compare the prevalence of depression and suicidal ideation in homosexual students and heterosexual controls in a Nigerian university.
Although the Conversational Model began as an approach to seeing difficult patients, often on the wards as well as outpatients and of varying length, it became more associated in Australia with intensive long term therapy for complex trauma. This talk will instead outline some of the various shorter term applications of the CM including: 1) ultra- brief work in the ED, clinic, wards or general practice; 2) Formal Psychodynamic Interpersonal Therapy (PIT) of 4-8 sessions and its evidence base; 3) the CM as a model of trauma-informed care for individual clinicians and team, including acute care teams and their supervision.
In 2015, a senior British judge, Sir James Munby, stated that nontherapeutic childhood male circumcision must be a “significant harm”. His reasoning was that the law currently treats all forms of nontherapeutic cutting or alteration of female genitalia as significantly harmful, including forms that are less invasive than male circumcision (such as “pricking” of the clitoral hood). In his words, “to dispute that the more invasive procedure [i.e., male circumcision] involves the significant harm involved in the less invasive [female] procedures would seem almost irrational”. Against this view, one could note that most men who were circumcised in infancy do not appear to regard themselves as “significantly harmed” by the procedure, seeing it instead as “normal” in their culture or community.
Introduction and objective: Women with disorder of sexual desire persistently manifest clinically significant discomfort with distress because of decreased sexual interest / arousal or due to significant interference with quality of life, well-being and their interpersonal relationships (1). Prevalence studies on sexual dysfunction in the general female population suggest that it affects 10% to 52% of women (2), and low sexual desire seems to be the most common sexual dysfunction, with a prevalence ranging from 8% to 30% (3,4). Its etiology is complex and may include biological, psychological and sociocultural factors. For this reason, when addressing this dysfunction, it is an important objective to know and consider the different factors that can affect it to make a correct diagnosis.
For many years, women with sexual pain were told that it is “in their heads” and were sent off for counselling sessions. These sessions were probably beneficial on many levels, but it seldom cured the pain. Scientific research and clinical practice have since taught us that there are, in most cases, very specific medical conditions causing the pain these women are experiencing. All over the world, more and more clinicians are taking the hands of their multidisciplinary team members and are starting to treat these women holistically and effectively.
Next year the World Health Organisation intends to approve the ICD-11 diagnostic manual; the first ICD revision in over a quarter century. Some of the changes proposed in areas of sexual disorder and sexual health are highly controversial. In this presentation I examine some of the proposals, drawing on my experience as a member of the WHO Working Group from which most of the proposals have come. Focussing on proposed revisions to the following ICD-10 diagnostic blocks; ’psychological and behavioural disorders associated with sexual development and orientation’ (proposal to remove the block entirely); ’disorders of sexual preference’ (proposals for significant revisions), and ’gender identity disorders’ (proposals for renaming and relocation). I adopt a critical perspective, and will share previously unavailable information with the audience.
Sexual Health includes the domains of sexual pleasure satisfaction as well as safety and consent; the ability to protect oneself from STI and HIV and access health services for these concerns; sexual literacy in eroticism and intimate relationships; and care access for sexual dysfunctions and concerns. Papua New Guinea (PNG) is a predominantly Christian Melanesian country in the South Pacific with three concurrent epidemics of the Human Immunodeficiency Virus (HIV), other sexually transmitted infections (STI), and violence. Populations vulnerable to sexual ill-health in PNG are the same as other countries, in terms of the sexual challenges arising due to ageing, menopause, diabetes, heart disease, and cancer.
From its very beginnings, the Czech sexology has been closely linked with the field of medicine. As early as 1921, the Institute for Sexual Pathology (later Institute of Sexology) was founded in Prague by Dermatovenerological clinic of the Faculty of Medicine of Charles University. In 1935, the main representative of the Czech sexological school, Professor Josef Hynie (1900-1989) was put in charge of the Institute for Sexology. In 1940, Hynie published his monography ‘Introduction to Medical Sexology’. Josef Hynie headed the Sexological Institute at the School of Medicine of Charles University until 1974.
The partial or complete removal of genital hair is common among women from many cultures. This practice may have clinical implications for genital health. The objective was to assess the relationship of female genital hair removal with genital symptoms. Cross-sectional internet-based survey which invited women over 18 years-old to participate. Women were asked to respond anonymously to an online questionnaire. The data were accessed through an internet based tool and stored in a database created with Microsoft Excel 360 software. Multiple correspondence analysis was performed to determine the relationships of different variables. The statistical analysis used the PROC CORRESP procedure of SAS software version 9.2.