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Biomedical subjects

B W McCarthy

Publications and source records attributed to B W McCarthy.

12 recordsLinked to original sources

Treating sexual dysfunction associated with prior sexual trauma.

Negative, confusing, guilt-inducing, or traumatic sexual experiences are almost universal for both females and males. Guidelines are presented for assessing sexual trauma using the medium of the detailed sexual history. The cognitive-behavioral treatment strategy considers past trauma in the context of the present sexual dysfunction rather than an issue to be dealt with first or separately. The guiding principles are to teach the person to be a "survivor" rather than a "victim" and to help the couple develop a functional and satisfying sexual style because "living well is the best revenge."

Adult

Developing positive intimacy cognitions in males with a history of nonintimate sexual experiences.

Traditional male sexual socialization is based on assumptions and cognitions which are antithetical to adult intimate relationships. The double standard scenario, initial sexual experiences, the way of talking about sex with peers, cognitions around automatic and autonomous functioning, the criterion of perfect performance, orgasm-orientation, and emotional separateness from females are strongly overlearned and reinforced in the young male subculture. A cognitive-behavioral strategy is used to increase intimacy among couples as well as males without partners. The focus is on increasing comfort, self-disclosure, and increasing the range of emotional and sexual expression.

Cognition

A cognitive-behavioral approach to understanding and treating sexual trauma.

This paper presents a cognitive-behavioral model for conceptualizing and intervening in the area of sexual trauma. A central theme is understanding and modifying the process of victimization. The survivor of sexual trauma can regain a positive sexual self-esteem and view sexuality as a planful, choiceful activity which can enhance her life.

Adaptation, Psychological

Use and misuse of behavioral homework exercises in sex therapy.

This paper examines uses of sexual exercises and their role in effecting changes in attitudes, behaviors, and feelings. In reaction to the charge that exercises are overly mechanistic, clinicians now underutilize exercises and/or give only general suggestions. The common errors of nonspecificity, use as a cookbook, quick abandonment, and setting performance criterion are discussed. The use of semistructured, written exercises which function as in vivo desensitization, facilitate development of verbal and stimulation skills, and provide a positive model of sexuality are most efficacious. A case example illustrating the multiple therapeutic benefits of exercises is presented.

Attitude

[Mechanism of delta-aminolevulinic acid neurotoxicity].

The neurotoxicity of delta-aminolaevulinic acid (ALA), porphobilinogen (PBG), glutamic acid, gamma-aminobutyric acid and kainic acid was compared in order to investigate the possibility of a common neurotoxic mechanism. Only ALA (10 microM) and glutamic acid (1 mM) were toxic towards neurons in culture, as measured by cell survival after 5 days' exposure. 3H-kainic acid binds to striatal membranes with an equilibrium dissociation constant (KD) of 57 nM and the number of binding sites was found to be 20 pmol/g striatal tissue. However, neither of the porphyrin precursors could displace kainic acid from these binding sites. Kainic acid alone caused neuronal degeneration after intrastriatal administration, as determined by 3H-spiroperidol binding to striatal membranes. The porphyrin precursors ALA and PBG thus do not share a common neurotoxic mechanism with the well-known neurotoxin kainic acid.

Aminolevulinic Acid

Strategies and techniques for the reduction of sexual anxiety.

In this paper 14 anxiety-reduction techniques are discussed: use of bibliotherapy, use of audiovisual materials, in vivo desensitization via written, programmed exercises; self-exploration/masturbation training; orgasmic reconditioning; simulated orgasm experiences; implosion techniques; sex word desensitization; sexual assertion training; therapist modeling/self-disclosure; systematic desensitization; and cue-controlled relaxation. The sex therapist can integrate these techniques into the sex therapy contract with individuals or couples and use them either singly or in a sequential multiple technique format to reduce sexual anxiety.

Anxiety