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Biomedical subjects

J LoPiccolo

Publications and source records attributed to J LoPiccolo.

6 recordsLinked to original sources

A study on the mechanical reliability of the Dacomed snap gauge: implications for the differentiation between organic and psychogenic impotence.

Two experiments were conducted testing reliability of expansion chamber determined gauge element breakage ranges; 20 trials with sexually functional males provided comparative data on the gauge in actual application. Circumference of the expansion chamber and increases in penile circumference were simultaneously monitored via a mercury strain gauge. Results for both experiments indicated considerable overlap at gauge element breakpoints, and yielded an overall misdiagnosis rate of 15.5% in a young, healthy population.

Adult

Counseling and therapy for sexual problems in the elderly.

The case of Bill and Emily dramatically illustrates that stereotypes about aging and sexuality can be very wrong and can negatively influence how elderly patients both think and act sexually. These stereotypes can also lead to gross errors in clinical management of the sexual concerns of elderly patients and to treatment of the elderly with less than humanistic concerns for their sexual needs. It is to be hoped that in the future, helping professionals will consider sexuality as a priority in their work with elderly patients.

Aged

Assessing sexual behavior in couples.

The role of formal assessment in the practice of sex therapy with couples is discussed. A case is made for the use of behaviorally oriented paper-and-pencil tests of the self-report variety, in clinical settings, at two points in time: prior to any therapist-client contact and following completion of therapy. Such procedures are both efficient and effective, yielding information relevant to diagnosis, treatment planning, and development of clinical skills. Assessment procedures used routinely at the Stony Brook Sex Therapy Center are described and illustrated using sample cases. The authors suggest that behavioral assessment approaches have considerable clinical potential which has yet to be fully realized.

Adult

Secondary orgasmic dysfunction. I. Analysis and strategies for treatment.

Following treatment of six cases of primary orgasmic dysfunction and six cases of secondary orgasmic dysfunction, an analysis of assessment and outcome data indicated that (1)clients with secondary orgasmic dysfunction and those with primary orgasmic dysfunction did not differ significantly in most aspects of sexual behavior before treatment; (2) before treatment, secondary orgasmic dysfunction tended to be associated with a disturbed marital relationship, while primary orgasmic dysfunction did not; (3) following a behavioral treatment program focused on anxiety reduction and sexual skill training, organism in coitus was attained by clients with primary orgasmic dysfunction but not by clients with secondary orgasmic dysfunction. Based on these findings, suggestions for effective treatment of secondary orgasmic dysfunction are made.

Adult

Secondary orgasmic dysfunction. II. Case study.

The treatment of a case of secondary orgasmic dysfunction is described. In this case, a direct behavioral retraining program was employed to increase the couple's repertoire of effective sexual behaviors. An extinction and successive approximation procedure was used to transfer ortasmic responsiveness from solitary masturbation to heterosexual coitus. Since other data have indicated that nonsexual marriage problems contribute to the maintenance of secondary orgasmic dysfunction, a direct, confrontive intervention into the marital relationship was made concurrent with the sexual retraining program. Outcome data are presented to illustrate the effectiveness of the reatment procedures.

Adult