Journal of sex education and therapy最新文献

{"title":"Overview: Cancer Survivorship and Sexual Function","authors":"D. Jeffery","doi":"10.1080/01614576.2001.11074410","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074410","url":null,"abstract":"I n 1975 Mrs B, a 52-year-old woman receiving her last dose of immune suppressant chemotherapy for leukemia, hesitantly asked me, \"What about, you know, relations with my husband?\" She had been instructed to avoid potential sources of infection-such as fresh flowers, pets, and crowds-but had received no information about resuming sexual activity. \"Let me find out,\" I responded, and sought out her medical oncologist who likewise had no empirical evidence on which to base his advice: \"When she feels well enough.\" An entire journal issue devoted to sexual function and cancer survivorship is possible because of recent advances in biologic and social sciences, changes in sexual attitudes and behaviors, and demographic changes in cancer survivors. Twenty-five years ago, survival from cancer was typically measured in months, not years; bone-marrow transplant was not an option; radical mastectomy and radical prostatectomy were standard treatments; and the psychosocial focus of cancer care was death and dying. In contrast, we now have better cancer detection, cancer treatments tailored to individual needs and preferences, and improved management of treatment side effects. Newly diagnosed individuals and their families actively participate in treatment decisions and balance the risks of cancer recurrence with treatment side effects. Consequently, some men with early-stage prostate cancer may prefer the wait-and-see approach instead of losing erectile function; others will insist on unilateral or bilateral nerve-sparing surgery. Currently, there are an estimated 8.9 million cancer survivors in the US population, with survivorship being defined as the moment of diagnosis onward (Office of Cancer Survivorship, 2001). Many survivors live long, productive, cancer-free lives, and consider sexual function to be an important aspect of quality of","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"170 - 171"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and Treatment of Sexual Issues. Audiotapes, 5 hours total, presented by Marty Klein, $39.95. Information about purchase of this and other materials by Marty Klein is available through .","authors":"K. Todd","doi":"10.1080/01614576.2001.11074426","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074426","url":null,"abstract":"","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"16 1","pages":"245 - 245"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074426","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guest Editor's Note: Ask and Tell","authors":"M. Schiffman","doi":"10.1080/01614576.2001.11074409","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074409","url":null,"abstract":"In 1987, the American Cancer Society sponsored the first Workshop on Psychosexual and Reproductive Issues Affecting Patients with Cancer. I was halfway through a joint postdoctoral fellowship in psycho-oncology and human sexuality at the time (at Memorial Sloan-Kettering Cancer Center and New York Hospital/Cornell Medical Center, respectively). Since then, we have become more sophisticated with medical techniques, measurement devices, and medication to treat the psychosexual sequelae of cancer. Not surprisingly, the medical advances precede our ability to handle the subtler emotional repercussions. Sexual problems after cancer, depending on how you measure them, the type and severity of the cancer, its treatment, and the gender of the patient may occur in as few as 10% or as many as 90% of cancer survivors (Syrjala et al., 2000). Patients who talk about their sexual problems are probably treated more appropriately and with more respect than in the past. However, given the extent to which sexual problems are hypothesized to exist among this population, too few patients are being asked or told about sexual side effects. My colleagues in the field and I have continued to see too many patients who mourn the loss of sexual function after cancer treatment, claiming that \"no one told me.\" These patients often feel betrayed by their doctors as well as their own bodies. For most patients, only brief intervention is required to get their sex lives back on track. For example, since the advent of sildenafil (Viagra), somewhere between 40% and 70% of men treated for prostate cancer are getting help from just a little pill (Kaufman, 2001). Knowing this and having an open mind should lead each and every cancer professional to prepare all patients and their partners for the likelihood that cancer will impact their sexual lives, and how and where to get help. My hope in organizing this special issue titled Cancer and Sexuality is to mobilize cancer professionals to","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"168 - 169"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex and Sensibility: The Thinking Parent's Guide to Talking Sense About Sex. By Deborah Roffman. Cambridge, MA: Perseus, 2001. xviii+325 pages, chapter notes. Hardback, ISBN 0-7382-0293-2, $26.00.","authors":"Lorna C. Littner","doi":"10.1080/01614576.2001.11074421","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074421","url":null,"abstract":"","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"238 - 239"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cybersex: The Dark Side of the Force. Edited by Al Cooper. Philadelphia, PA: Brunner-Routledge, 2000. v+149 pages, figures, tables, references, index. Paperback, ISBN 1-58391-305-X, $19.95.","authors":"P. J. Aletky","doi":"10.1080/01614576.2001.11074419","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074419","url":null,"abstract":"just knowing about lubricants or a position change is enough. But more often, in my experience, feelings have already been hurt, sexual contact has diminished, and it takes some subtlety and patient management to help a couple to attempt to reconnect sexually. I only point this out because I don't feel it was spelled out enough for the patients-who, I worry, may give up if I when their awkward attempts to better their situation fail. In stark contrast is Ralph and Barbara Alterowitz's The Lovin' Ain't Over: The Couple's Guide to Better Sex After Prostate Disease. From the title alone, we see that this book deals with couples facing prostate cancer only. It is one of many books now on bookstore shelves dedicated to one form of cancer or another, and important in that re\"gard. Unfortunately, I found this book to be simplistic, presumptuous, self-righteous, and poorly organized, and noninclusive of the variety of couples or individuals facing this disease. Given that this book is about a couple who faced prostate disease and its sexual aftermath and who apparently conquered it, it is odd that we are never told this couple's story. So that while this book would seem to be far more personal and less clinical than Dr Schover's, it is only superficially so. Colloquialisms for body parts or sexual acts are never used, and definitions are omitted where less sophisticated readers might need them. For example, ejaculate is the only word used for cum. Endorphin highs are mentioned, but endorphin is never defined. There are no anatomy diagrams. \"It is not necessary to have an erection for either partner to have an orgasm\" (p. 14). This is important information, but it is embedded in a paragraph and not emphasized in a logical or prominent place where one might expect to find it. Moreover, it is poorly worded. Another instance of some really useful information being buried in the text is the recommendation to take nasal decongestants to reduce urine leaks after treatment. The caveat that men with enlarged prostates should not use nasal decongestants is noted, but could easily be missed since it doesn't follow immediately after the recommendation. Still worse is that a (relatively harmless) medical complication of prostate cancer treatment is explained in a way to frighten readers. On page 20, retrograde ejaculation is said to occur when \"the ejaculate flows back into the body instead of flowing out of the penis\"! It is more correct, and far less scary, to say that semen is ejaculated backward into the bladder and then expelled during urination. (Dr Schover covers this point far more sensitively, letting patients know that they can still father children using alternative reproductive methods.) Several times in the prostate book, the Alterowitz team exhorts couples to change their behavior: \"If taking street drugs, stop immediately\" (p. 13); and \"Stay in shape or risk heart attack or stroke\" (p. 57). If only merely telling people to quit their addictions, or exe","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"235 - 236"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the Needs of Lesbian Patients","authors":"C. Fields, Scout","doi":"10.1080/01614576.2001.11074412","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074412","url":null,"abstract":"The visibility of lesbians and lesbian health care issues has increased over the past few years. Health care institutions and health-related federal agencies are beginning to recognize lesbian health disparities as well as the unique needs of this vulnerable population. Although lesbians' health care needs are fundamentally women's health care needs, there are factors specific to lesbians that place them at greater risk for diseases such as cancer. Perhaps the most important issue affecting lesbian health in this country is access to health care services. Barriers to health care access include heterosexual assumptions by health care providers, exclusion of lesbian experience, homophobia and discrimination, and misinformation about screening needs for lesbians. These barriers—be they real or perceived—impact health-seeking behaviors and utilization of important screening services. As the body of literature on lesbian health grows, we are better able to define lesbianism and identify the needs of this population as well as the barriers to meeting those needs. Much work needs to be done in communicating strategies to remove the barriers to care. Dismantling access barriers and creating inclusive, culturally competent health care settings are important steps in eliminating health disparities for lesbians.","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"182 - 188"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's Sexualities: Generations of Women Share Intimate Secrets of Sexual Self-Acceptance. By Carol Rinkleib Ellison. Oakland, CA: New Harbinger, 2000. vii + 330 pages, references, index. Paperback, ISBN 1-57224-196-9, $15.95.","authors":"C. Cassell","doi":"10.1080/01614576.2001.11074423","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074423","url":null,"abstract":"lematic. Understanding the foundations of the censure of homosexuality with Krafft-Ebing in the 19th century, developed further with Freud, Havelock Ellis and-in the 1950s-Frank Caprio, is crucial to understanding how sexual development has been shaped. (Somehow John Money ends up on her list, too. Money is a prolific researcher of many aspects of sexuality and certainly does not censure homosexuality.) However, pages are spent describing their theories. Very little space or effort is devoted to more current research, much of which could have clarified the pressures under which lesbians currently develop their identities. Although Ms Menasche does provide many footnotes with resource information, she is by no means consistent. Too often, she tends to express herself in extreme statements for which she provides no research support, or the statements reveal that she doesn't understand which area of study (i.e., sociology, women's studies, psychology, etc.) would undertake certain types of research. For example, she says \"Mainstream sexology, even the more liberal among them [sic], has focused almost exclusively on 'what went wrong' theories of homosexuality, while avoiding any study of heterosexuality and gender in political institutions that help maintain the subordination of women\" (p. 151). In another example, she makes a sweeping statement about women who marry and later come out as lesbian, a statement for which she cites no research support. She says that \"some women who love women need to do what is expected of them before they reject society's demands ... that is why a large number of lesbians come out in middle age or beyond after having done a heterosexual 'stint' through marriage and child rearing\" (p. 195). I have done research myself that reveals that women may marry without being aware of their woman-lovingwomen identification until much later in their lives. If you have read this far, you can tell that although I am pleased to see research being done in this important area, I can't recommend this book. In addition to the significant concerns already stated, word choices tend to be confusing and sentences are often grammatically poor-for example, \"And as long as these [heterosexist] structures are in place, we are not safe and we are certainly no where near liberated\" (p. 218). Moreover, I had to keep too many numbers in my head. For example, she states that 24 former lesbians (over 89%) reported that they continued to feel attached to, or had problems separating from, the lesbian community. Since I did recall that there were 64 interviews of former lesbians and could deduce that 24 was not 89% of 64, I began to wonder what the statistics meant or if I could trust their meaning. I also had difficulty with the concept of choice as the author seemed to represent it. Repeatedly, the author describes the process of her interviewees as \"the woman decided to be a lesbian, she decided not to be a lesbian anymore, she put off being a lesbian ","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"240 - 241"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074423","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Viagra: How the Miracle Drug Happened and What It Can Do for You. By Jonathan Jarow, Robert A. Kloner, and Ann M. Holmes. New York: M. Evans, 1998. 150 pages, illustrations, bibliography, index. Hardback, ISBN 0-87131-877-6, $19.95.","authors":"W. Maurice","doi":"10.1080/01614576.2001.11074420","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074420","url":null,"abstract":"Introducing a new hobby for other people may inspire them to join with you. Reading, as one of mutual hobby, is considered as the very easy hobby to do. But, many people are not interested in this hobby. Why? Boring is the reason of why. However, this feel actually can deal with the book and time of you reading. Yeah, one that we will refer to break the boredom in reading is choosing viagra how the miracle drug happened and what it can do for you as the reading material.","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"237 - 238"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074420","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59229121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Cancer and Sexuality","authors":"Megan P. Fleming, E. Kleinbart","doi":"10.1080/01614576.2001.11074416","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074416","url":null,"abstract":"Sexuality is often a neglected component of treatment for an individual diagnosed with cancer. Research suggests that many long-term cancer survivors experience global and profound sexual dysfunction. Common sexual difficulties associated with breast cancer and its treatment include decreased sexual desire, sexual arousal difficulties, change in responsiveness to physical sensations, experience of pain during intercourse, and loss of pleasure from sex. Chemotherapy, radiation therapy, fatigue, medications, and other comorbid medical illnesses may impair the female sexual response. As patients experience increased disease-free survival time, they require more attention to be directed to this important quality-of-life issue. In response to the need for professional education and clinical services for individuals who experience sexual difficulties as the result of medical illness, a unique multidisciplinary program was developed: The Sexual Health and Rehabilitation Program (SHARP) at Beth Israel Medical Center, NY. The unique contribution of sex therapy techniques to ameliorate discomfort and optimize pleasure of the patient and the partner are essential for treatment. When sexual difficulties result from a combination of psychological and physical factors, sex therapy focused on relieving the sexual symptom, in combination with other medical interventions may be most effective.","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"215 - 224"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59228914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HIV, Barebacking, and Gay Men's Sexuality, Circa 2001","authors":"A. Carballo-Diéguez","doi":"10.1080/01614576.2001.11074417","DOIUrl":"https://doi.org/10.1080/01614576.2001.11074417","url":null,"abstract":"Of all the chronic illnesses that affect sexuality, HIV disease is probably the most dramatic since it carries the possibility of transmission of a chronic and probably lethal disease to an uninfected partner. Although the risk of transmission is minimized with consistent condom use, many gay men find this practice difficult to uphold. This is evidenced by recent epidemiological reports from US urban centers that show an increase in STDs, including new HIV infections, among men who have sex with men. The author contrasts the gloom of the first decade of the AIDS epidemic with the more hopeful outlook that gay men have at the dawn of the new millennium. In the latter context, the phenomenon of barebacking, defined as intentional condomless anal sex in HIV-risk contexts, is analyzed through the stories of gay men involved in the practice. The stories highlight specific sexual scenarios that the informants find erotic, meanings attributed to sex, circumstances associated with unprotected sex, assumptions about partners' HIV status, emotions, and risk awareness. Reference is also made to the early life histories of informants as they relate to their current experiences, especially their early awareness of same-sex attraction and feelings of guilt, the reactions they faced in the coming-out process, their histories of multiple partnerships and STDs, and their initial adoption and later progressive abandonment of safer sex. The stories point out the need to move beyond simplistic epidemiological models of sexual risk behavior determination and understand gay men's sexuality in all its multifaceted complexity.","PeriodicalId":83768,"journal":{"name":"Journal of sex education and therapy","volume":"26 1","pages":"225 - 233"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01614576.2001.11074417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59228981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}