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Biomedical subjects

D C Renshaw

Publications and source records attributed to D C Renshaw.

At least 19 recordsLinked to original sources

Treatment of sexual exploitation. Rape and incest.

At any age, the devastating experience of sexual exploitation requires physical treatment, comfort, and support. Then an explicit sexual history taking allows for evaluation of the crisis management and long-term treatment that will be needed. Sex education for children to aid in prevention of exploitation is discussed.

Adolescent

Is there (sex) life after coronary bypass?

The heart has been regarded throughout history as the central core of life and emotions, of kindness and generosity, courage and grief. Cardiac disease can be overwhelming for both the patient and for the partner, and fear of death is a common and quite normal response. Sexual activity after convalescence is a valuable incentive for patients to undergo rehabilitation. Self-confidence and satisfaction can be greatly enhanced by affectionate closeness, and prolonged foreplay can be savored at any age. Sex play is relaxing and healthful whereas anxious sexual preoccupation, frustration, and avoidance may actually be greater risk factors than the mild physical effort involved for coitus or coital alternatives. Male and female patients with cardiac disease expressed regret that their primary physician, cardiologist, or surgeon had not broached the subject of sexual function before or after the acute illness. They were interested, but both patients and physicians were probably uncomfortable with explicit sexual dialogue. Some common sense reminders to post-MI and post-CABS patients about sexual function may be given verbally or in written form, together with diet and exercise instructions. These should include: a heavy meal or heavy alcohol intake before coitus should be avoided; early morning can be an ideal time for coitus or sex play; moderate room temperature is best; a comfortable sexual position can be found with experimentation; chest pain or palpitations are signals to use appropriate medications; and coital death is rare in a stable, long-standing sexual relationship.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Sex and drugs.

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Bromocriptine

Sex and drugs.

Quackery has for centuries used aphrodisiacs to exploit vulnerable victims, 30% of whom, through the power of suggestion, have achieved sexual success from potions, powders and genital pomades. In the 1970s we still have no magical alchemy for sexual joy, but we are for the first time becoming aware of the complexity of human sexual functioning. We realize that new horizons of knowledge regarding cerebral as well as peripheral genital pathways and controls await discovery. Sexual side-effects requiring treatment must not only be noted but carefully and scientifically studied by physicians since these may offer important avenues of understanding of the many unsolved riddles of the neurophysiology of the human sexual response.

Amphetamine

Impotence--some causes and cures.

Transient organic causes of impotence include alcohol consumption, drug use or inflammatory genital disease. Many diagnoses of organic impotence, with diabetes, for example, have been premature and have resulted in iatrogenic, psychogenic impotence. After a stroke, heart attack or major surgery, depression may cause impotence. Anxiety and sexual ignorance are major etiologic factors. Thus, sex education and uncomplicated sex therapy can achieve a high percentage of cure. Penile plethysmography during sleep provides useful information. Penile prostheses are helpful for appropriately motivated couples when there is permanent impotence.

Depression

Sex and values.

Concerned professionals in the United States warn that sexuality is in danger of being dehumanized by a new frankness in the mass media as well as in sex therapy. However, with sensitivity and common sense responsible physicians realize that sexuality and moral values are inextricably interwoven for self as for patients, mandating that excellence of care take this fact into careful account. Sexual ignorance is neither innocence nor bliss. Physicians of all disciplines may make significant contributions by providing understanding leadership and sane sex education to patients as well as to communities in search of information and direction.

Adult

Sex and the cardiac patient.

Unfounded fears and misconceptions about postcoronary sex can cause much anxiety in an individual and his partner. Hypertension may complicate the clinical picture, and fear of a catastrophic episode may haunt partner as well as patient. Needed medications may further confuse them both by causing chemical impotence or ejaculatory problems in some cases. A good precoronary sexual history can lead to an open dialogue on plans, modifications, and concerns about resuming the patient's sexual exchange upon leaving the hospital. For holistic rehabilitation, good sex information is essential.

Adolescent

Adolescent psychiatric emergencies.

The adolescent in a psychiatric crisis is best seen alone first, to preclude observer bias. Emotionally charged areas of discussion must not be avoided. Suicidal and homicidal threats or attempts are challenging emergencies. Working with parents is essential for effective management. Is the fire-setter retarded or psychotic? Family therapy is often the treatment of choice in sexual "emergencies." Bizarre behavior should suggest drugs, severe anxiety or psychosis. School phobia is a particularly complex problem.

Adolescent

Physicians and sex therapy.

The physician's role in sex therapy is discussed. Problems of sexual dysfunction and guidelines for physicians who wish to engage in sex therapy are set out briefly.

Attitude of Health Personnel