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Biomedical subjects

H M Bramley

Publications and source records attributed to H M Bramley.

4 recordsLinked to original sources

Non-consummation of marriage treated by members of the Institute of Psychosexual Medicine: a prospective study.

A prospective study of the treatment of unconsummated marriage was carried out by 16 doctors trained by the Institute of Psychosexual Medicine. This training stresses the development of skills in using the doctor/patient interaction therapeutically, rather than in the acquisition of knowledge. The 159 couples admitted to the study had a mean duration of symptoms of 4.2 years; 60% of them had consummated by 6 months and 72% by 24 months. Other improvements in sexual function occurred even among those failing to consummate; 135 couples had previously consulted 253 other agents. The average cumulative length of treatment at the 6-month review was 3 h. Partners attending alone did as well as couples who attended together.

Adolescent↗

Brief psychosomatic therapy for consummation of marriage.

We describe the treatment of sexual problems by Members of the Institute of Psychosexual Medicine who are trained to recognise and use therapeutically the doctor-patient interaction. A prospective study of long-standing cases of nonconsummation was chosen for evaluation of therapy as there was a definite outcome. Of 50 couples, most of whom had previously had many unsuccessful consultations, 64 per cent consummated within six months and 72 per cent in 14 months. Among those who had failed actually to consummate at six months, one third had increased their ability to enjoy sexual activity. The average number of attendances was six, involving altogether about four hours' work. These findings compare well with those reported in other studies and suggest that referral of such cases to a doctor specially trained in brief psychosomatic therapy tends to bring the best results.

Adolescent↗

Haemophilus vaginalis (Corynebacterium vaginale, Gardnerella vaginalis) in a family planning clinic population.

Vaginal specimens were obtained at 902 attendances from 522 women requiring vaginal examination at a family planning clinic. Haemophilus vaginalis was found in 8% of specimens either by culture or by at least two out of three microscopical tests; lactobacilli were seldom found in the presence of the organism. Increased signs and symptoms, especially an offensive odour, were found only when H vaginalis and staphylococcus were isolated together. The organism was found less often in patients using contraceptives methods which protected the vagina, thus suggesting sexual transmission. Treatment is advisable when H vaginalis is in contact with a vascular bed.

Adult↗