sodium-ethylxanthate and Sexual-Dysfunctions--Psychological

In this article, the author suggests a classification of psychosexual disorders. Intersexual dysphorias and love life disorders are also included with various anomalies of genderality and of the erotic function. New nosographic categories are suggested to improve differential diagnosis in clinical sexology.

Topics: Diagnosis, Differential; Female; Humans; Male; Sex; Sexual Dysfunctions, Psychological

Headache associated with sexual activity is an idiopathic headache disorder and regarded to be a vascular headache but no pathophysiological studies have been performed to date to elucidate the underlying mechanisms. We investigated 12 patients with the explosive type of sexual headache according to the criteria of the International Headache Society during a headache-free state by means of acetazolamide test and of stress Doppler sonography. Twelve age-matched migraine patients and 14 healthy subjects served as control groups. Changes of blood pressure, cerebral blood flow velocity (CBFV), and pulsatility index (PI) were evaluated. Patients with sexual headache showed a significantly higher increase of blood pressure during standardized physical exercise as compared to healthy subjects and migraine patients. Changes of CBFV by physical exercise were not different between the three examination groups. After 1g acetazolamide, CBFV showed a significantly higher increase in patients with sexual headache (plus 66%+/-16%) than in healthy subjects (plus 46%+/-18%), and PI showed a significantly lower decrease as compared to healthy subjects and migraine patients. These data suggest that in patients with sexual headache the metabolic rather than the myogenic component of the cerebral vasoneuronal coupling is impaired.

Topics: Acetazolamide; Adult; Anticonvulsants; Case-Control Studies; Cerebral Cortex; Female; Headache Disorders; Hemodynamics; Humans; Male; Middle Aged; Migraine Disorders; Sex; Sexual Dysfunctions, Psychological; Ultrasonography, Doppler, Transcranial

This paper challenges the rapidly re-emerging medicalised model of women's sexual problems, or female sexual dysfunction, particularly those concerned with problems of orgasm. It reports a qualitative in-depth interview study of 33 women between the ages of 19 and 60 years (mean age 28.6 years) where the data analysis particularly focused upon their subjective perceptions of what constituted 'normal' sexual satisfaction for themselves and other women. The data comprised taped interviews which were fully transcribed and analysed using an interpretive framework based on both symbolic interactionist and psychodynamic concepts. The results indicated that these women's desires and expectations differed appreciably from those reported in the typical clinical and sexological literature. Women interviewed here seemed less concerned with achieving orgasm through heterosexual intercourse for themselves than the literature suggested they might be. There was however, evidence of a strong desire to experience orgasm in this way for the sake of their male partners. Thus, it is suggested that there is probably a closer relationship between popular beliefs about what is 'normal' based upon the medical model with women placing themselves in a dysfunctional category, than there is between the everyday enjoyment of sex and women identifying themselves as being sexually healthy.

Topics: Adult; Aged; Diagnostic and Statistical Manual of Mental Disorders; Drug Industry; Female; Heterosexuality; Humans; Libido; Male; Middle Aged; Orgasm; Personal Satisfaction; Qualitative Research; Sex; Sexual Dysfunctions, Psychological; United Kingdom; Women

This study was conducted to assess the effects of stroke on sexual functioning of patients with mild or no disability and to explore the associations of clinical and psychosocial factors with post-stroke changes in sexual functions. Consecutive stable Chinese patients were invited to complete a self-administered questionnaire concerning their pre- and post-stroke sexual functions and habits. Results from this cohort of 63 men and 43 women revealed a post-stroke decrease in libido, coital frequency, sexual arousal, orgasm and sexual satisfaction in 54.3%, 43.8%, 25.0% (women) to 51.6% (men), 20.0% (women) to 45.9% (men) and 28.6% of patients, respectively. Logistic regression indicated unwillingness for sex and a belief in an adverse effect of stroke on sexuality as explanatory factors for decreased sexual satisfaction. Thus, sexual dysfunctions are common in Chinese stroke patients with mild or no disability.

Topics: Adult; Age Factors; Aged; Asian People; Cohort Studies; Disabled Persons; Female; Follow-Up Studies; Hong Kong; Humans; Libido; Male; Middle Aged; Personal Satisfaction; Quality of Life; Severity of Illness Index; Sex; Sexual Behavior; Sexual Dysfunctions, Psychological; Stroke; Surveys and Questionnaires

Topics: Humans; Sex; Sexual Dysfunctions, Psychological

Topics: Female; Humans; Libido; Male; Sex; Sex Factors; Sexual Dysfunction, Physiological; Sexual Dysfunctions, Psychological

Topics: Female; Humans; Male; Quality of Life; Sex; Sexual Dysfunctions, Psychological; Sexuality

The importance of a medical sexological diagnosis, carried on with methodological and clinical rigour by specialists competent in the andrological as well as in the sexological field and the need of a close collaboration with the uro-andrologist is analyzed. From the diagnostic point of view, the priority role of the medical sexologist in the diagnosis of andrological problems with a functional etiology, in the evaluation of negative NPT, VSS and pharmaco-injection tests, secondary advantages of the symptom and of the partner's role in the genesis and in the maintenance of the problem is finally discussed.

Topics: Diagnosis, Differential; Ejaculation; Erectile Dysfunction; Humans; Male; Sex; Sexual Dysfunctions, Psychological; Urology

Topics: Female; History, 20th Century; Humans; Male; Publishing; Research; Sex; Sexual Dysfunctions, Psychological

This paper presents a classification of sexual behaviors bases on Foa and Foa's resource exchange theory. They postulated six classes of resources: information, services, possessions, money, love, and status. We expanded and applied this theory to sexual behavior through three modalities: 1) Doing (information and services), which relates to sex as performance; 2) Having (possessions and money), which relates to sex as product; and 3) Being (love and status), which relates to sex as presence. Implications of this framework for sexual deviations, empirical verification, diagnostic evaluation, and therapeutic interventions are discussed.

Topics: Humans; Love; Models, Psychological; Paraphilic Disorders; Psychotherapy; Sex; Sexual Behavior; Sexual Dysfunctions, Psychological

Topics: Female; Humans; Male; Prognosis; Prospective Studies; Psychotherapy; Sex; Sexual Dysfunctions, Psychological

Topics: Behaviorism; Character; Death; Defense Mechanisms; Drive; Humans; Love; Psychoanalytic Theory; Psychoanalytic Therapy; Sex; Sexual Dysfunctions, Psychological

A person's sexual status is conventionally defined on the criterion of the external sex organs, and this criterion is presumed to be concordant with the other criteria of sex. When the sex organs are deformed, as in hermaphroditism, or mutilated, their sex role is to some extent affected, whereas all the other manifestations of the person's masculinity or femininity may be intact. Gender, not sex, is the umbrella term which refers to the totality of masculinity/femininity, genital sex included. Gender role and gender identity are two sides of the same coin, gender-identity/role (G-I/R). G-I/R may differentiate to be discordant with one or more of the basic sex variables which are now listed in the definition of sex in Dorland's Medical Dictionary. G-I/R is the product not of either nature or nurture acting alone, but of both in interaction at crucial periods of developmental differentiation. The new paradigm is nature/crucial-period/nurture, not nature/nurture. Social scientists and sexologists are among those who, for the most part, have not made the paradigm shift.

Topics: Animals; Disorders of Sex Development; Environment; Female; Gender Identity; Genitalia; Humans; Identification, Psychological; Macaca mulatta; Male; Politics; Sex; Sex Differentiation; Sexual Dysfunctions, Psychological; Terminology as Topic

A hundred patients referred to an alcoholism service were assessed in terms of sexual jealousy by interview and with a Sexual Jealousy Questionnaire. The overall incidence of sexual jealousy was 35% in men and 31% in women as judged by the interview. Twenty-seven per cent of the men and 15% of the women had morbid jealousy. There was no relationship between sexual jealousy, as measured by the questionnaire, and sexual dysfunction. However, in the men there were inverse relationships between the scores for sexual jealousy and measures of sexual satisfaction and marital stability, and in the women sexual jealousy scores correlated negatively with duration of the marriage and positively with severity of alcohol dependence.

Topics: Adult; Alcoholism; Extramarital Relations; Female; Humans; Jealousy; Male; Marriage; Personal Satisfaction; Sex; Sexual Dysfunctions, Psychological

With the exception of work by Semmens (1979), the clinical value of physiologic measures of female sexual response has not been demonstrated; it almost seems that controlled attempts to apply measures of vaginal muscular tone or blood flow to clinical settings has been jinxed. Hence, this author takes issue with Hatch (1980), who gives the impression that physiologic measures can now be used in clinical applications. The reasons for failure in sex therapy or biofeedback are uncertain, but it may be useful to speculate briefly. Sexual arousal in women is too personal a phenomenon to be objectively assessed during waking states in an "artificial" laboratory context. Orgasmic response is not related to genital muscle tone, but to other unknown anatomic, learning-history, and psychological components. The circumstances under which there is agreement between physiologic and either psychometric or self-reports of arousal or pleasure are complex and interactive. Therefore, physiologic measures of female sexual response may not reflect the subjective experience of women and, taken alone, may be misleading. This conclusion should not surprise anyone, for human beings are truly a "cognitive" species with representational imagery and language. Sexuality is very much "in the frontal lobes," and what we perceive eroticism to mean in a given context is probably much more important than the physiologic and behavioral aspects of actual sexual expression. Despite these problems of employing physiologic measures of female response in clinical settings, research into more basic issues has been quite profitable and heuristic. For example, several common assumptions about female sexuality are now open to question: women are more arousable just prior to menses; Kegel exercises improve orgasm consistency; sex therapy for inhibited arousal and desire is efficacious; there is usually agreement between the physiologic intensity of sexual response and a patient's subjective estimate of that intensity. On the other hand, there is evidence that vaginal engorgement in women remains at a high level after an initial orgasm, thus setting the physiologic stage for consecutive orgasmic responses; sexual arousal can be measured physiologically with acceptable degrees of reliability and specificity; muscle contractions in women during orgasm can be measured with high levels of precision; women respond to direct representations of erotic activity much the way men do; there are cortical "physi

Topics: Biofeedback, Psychology; Fantasy; Female; Genitalia, Female; Humans; Libido; Menstruation; Orgasm; Regional Blood Flow; Sex; Sexual Behavior; Sexual Dysfunctions, Psychological; Sleep; Vagina

Topics: Counseling; Humans; Neoplasms; Sex; Sexual Dysfunctions, Psychological

Topics: Adolescent; Adult; Aged; Aging; Humans; Libido; Male; Middle Aged; Sex; Sexual Dysfunctions, Psychological

During the past 20 years, there has been described a group of profoundly anxious and phobic patients, who are not amenable to psychological forms of treatment or to the major and the minor tranquilizers, but who respond dramatically to tricyclic and MAO inhibitor medication. The separation of this drug-responsive syndrome from other anxiety disorders constitutes a major advance in psychiatry. This paper discusses the implications of these findings for the treatment of psychosexual disorders. To illustrate the hypotheses and discussion, the case histories of three patients with sexual phobias are described. All had been treatment failures with sex therapy and psychotherapy but responded to a combination of tricyclic medication and sex therapy which was modified to accommodate the special needs of sexually phobic patients.

Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety; Female; Humans; Imipramine; Male; Monoamine Oxidase Inhibitors; Panic; Phobic Disorders; Psychological Theory; Psychotherapy; Sex; Sexual Dysfunctions, Psychological

The elderly tend to be victims of "age-ism," a false concept that discourages consideration of sexual activity in old age. Geriatric sexual activity is a vital issue, however, and proper management of attendant problems has great bearing upon mental and physical health. The inevitable processes of aging necessitate adjustments, but these can be accomplished satisfactorily by enlightened understanding between sexual partners.

Topics: Aged; Aging; Female; Humans; Male; Middle Aged; Sex; Sexual Dysfunctions, Psychological

Topics: Humans; Psychiatry; Sex; Sexual Dysfunctions, Psychological

Topics: Contraception; Contraceptives, Oral; Female; Humans; Love; Mental Disorders; Sex; Sexual Dysfunctions, Psychological

Topics: Adult; Catholicism; Emigration and Immigration; Erectile Dysfunction; Ethnicity; Female; Homosexuality; Humans; Judaism; Male; Marriage; Maryland; Neurotic Disorders; Personality Disorders; Psychoanalytic Therapy; Religion; Religion and Psychology; Sex; Sex Factors; Sexual Dysfunctions, Psychological; Surveys and Questionnaires

Topics: Biological Evolution; Clitoris; Coitus; Culture; Disorders of Sex Development; Female; Genitalia, Female; Humans; Male; Menstruation; Psychoanalytic Theory; Sex; Sexual Behavior; Sexual Dysfunction, Physiological; Sexual Dysfunctions, Psychological; Vagina; Women

Topics: Female; Humans; Sex; Sexual Dysfunctions, Psychological

Topics: Sex; Sexual Dysfunctions, Psychological

Topics: Erectile Dysfunction; Female; Humans; Male; Sex; Sexual Dysfunctions, Psychological

Topics: Female; Humans; Male; Sex; Sexual Dysfunctions, Psychological

Topics: Sex; Sexual Dysfunctions, Psychological

Topics: Sex; Sexual Dysfunctions, Psychological

Topics: Androgens; Hormone Replacement Therapy; Sex; Sexual Dysfunctions, Psychological

Topics: Erectile Dysfunction; Female; Humans; Male; Sex; Sexual Dysfunctions, Psychological

Topics: Disease Management; Female; Humans; Sex; Sexual Dysfunctions, Psychological; Term Birth

Topics: Sex; Sexual Dysfunctions, Psychological

Topics: Female; Humans; Sex; Sexual Dysfunctions, Psychological

Topics: Disease; Emotions; Female; Humans; Sex; Sexual Dysfunctions, Psychological; Vulva

Topics: Female; Humans; Infertility; Sex; Sexual Dysfunctions, Psychological; Spouses