SEMINAR TRAINING FOR CONTRACEPTIVE CARE – DOCTOR AND PATIENT’S AGENDA REVISITED
April 7th, 2009
Thinking about the consultation makes the doctor aware of the differences between his or her agenda and that of the patient. Opportunities can then be made for the patient to express her or his own ideas and anxieties. The patient’s agenda may consist of fairly straightforward questions that are easily asked provided the doctor allows [...]
PSYCHOSEXUAL PROBLEMS IN THE CONTRACEPTIVE CONSULTATION – FURTHER TREATMENT OR REFERRAL? (INTRODUCTION)
April 7th, 2009
It is not always possible to identify and deal with problems as they arise in the consultation although such immediate management would be ideal. The constraints of time are inevitable: the average appointment in general practice is seven to ten minutes in length, and in a clinic the pressure from the other staff to keep [...]
STERILIZATION: SENSIBLE CHOICE OR SERIOUS TROUBLE? – A SUCCESSFUL OUTCOME? (INTRODUCTION)
April 7th, 2009
It is clear from the continued upward trend in requests for sterilization, from the experience of doctors and from the literature, that the procedure is seen as safe and as having a successful outcome. In the great majority of instances both sterilization and vasectomy are safe and satisfactory operations. They remove both the fear of [...]
THE SEXUAL NEEDS OF PEOPLE WITH DISABILITIES – PHYSICAL/PRACTICAL NEEDS (INCONTINENCE 2)
April 7th, 2009
Although there is a general impression that having sex means sexual intercourse, it is a fact that for some people it is not physically possible due to severe disability. Some exploration of the concept that there can be more to sex than sexual intercourse may then be indicated, and people can be encouraged to develop [...]
THE OFFENCE BEHAVIOR: USE OF THREAT OR FORCE
March 30th, 2009
The percentages in Table 149 show the extent of coercion in nine offense groups. Because physical force was always used in the aggression offenses they are not included in the table. There was no force in the exhibition or peeping offenses, obviously. Since the heterosexual nonincest offenses were originally classified on the basis of force [...]
SEX OFFENDERS: JUVENILE CRIMINALITY
March 30th, 2009
All studies of juvenile criminality are handicapped by the policy of law-enforcement agencies to protect juveniles by not recording their troubles or by disguising the nature of the trouble through some vague all-inclusive term. Therefore all juvenile records err on the conservative side. Employing our usual definition that adult life begins with the sixteenth birthday, [...]
MARRIAGE: INCIDENCE OF MARRIAGE
March 30th, 2009
Since the various groups we are comparing differ in age, we must use an accumulative rather than a simple ever-never incidence tabulation. We find that early and frequent premarital coitus is associated with early marriage: the groups most active in premarital coitus have the largest proportions of their members married by age eighteen. By age [...]
PREPUBERTAL SEX PLAY: SOCIALIZATION
March 30th, 2009
Discussion of prepubertal sociosexual activity is incomplete without some reference to general social relationships with other children. We ascertained from our interviewees the quantity and relative proportions of boy and girl companions they had at ages ten to eleven. A tabulation of those reporting numerous companions of both sexes provides only a few items of [...]
PEEPERS: OTHER FACTORS
March 30th, 2009
]n their sexual response to the thought or sight of persons of the opposite or same sex and in terms of response to pornography, the peepers are unusual in only one respect. A large percentage (38 per cent) of them reported strong or frequent sexual arousal from thinking of or seeing females; this finding, of [...]
TREATMENT OF PEOPLE WITH SIGNIFICANT RISK OF INFECTION
March 27th, 2009
If a person has experienced a significant exposure to a body fluid known to present a risk for HIV transmission, then a decision must be made about whether to start medications, such as zidovudine, that may prevent that person from becoming infected. The decision must be reached in consultation with a health care provider and [...]