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Biomedical subjects

J Money

Publications and source records attributed to J Money.

At least 19 recordsLinked to original sources
PubMed1992

Sexuality and menopause.

Postmenopausal sexuoerotic health is multivariately determined by both intrinsic and extrinsic variables, some of which may predate the menopause. In a pilot study of 20 postmenopausal women, even when deterioration in sexual well-being was anticipated beforehand, it did not inevitably materialize, but if it did so, it was not inevitably correlated with diminished partner availability. Postmenopausal ratings of erotosexual ideation, imagery, and practices indicated nondeterioration markedly more often than they did deterioration. There is increasing professional agreement that androgen maintains erotosexual functioning in women as well as men; and that, in minimal nonmasculinizing dosage, it can be included with good therapeutic effect in postmenopausal steroid replacement therapy.

Estrogen Replacement Therapy↗
PubMed1991

A case of autoerotic asphyxia associated with multiplex paraphilia.

During the past 20 years, the sensational aspects of autoerotic fatalities have captured the attention of medical examiners, psychiatrists, law enforcement agents, and the public, as well as the individuals themselves who engage in these dangerous practices. Reports of deaths related to sexual asphyxia have been presented numerous times at national and international meetings and have been the topic of discussion on television talk shows and in the press. Autoerotic fatalities and all the sexual curiosities related to these activities have prompted death scene investigators to publish case reports, and even textbooks, on the subject. The case presented herein is one of a multicomponent paraphilia in which self-asphyxiation (autoasphyxiophilia) led to a fatal autoerotic event.

Accidents↗
PubMed1991

Semen-conservation doctrine from ancient Ayurvedic to modern sexological theory.

The ancient doctrine of semen conservation has a long philosophical history in Europe and Asia. In Sanskrit, semen is equated with sukra, the life force. As early as 600 B.C., the Caraka Samhita taught the importance of sukra, and gave prescriptions to augment it. In the 18th century, semen conservation theory reentered Western medicine through Tissot's Treatise on the Diseases Produced by Onanism. It became the basis of the degeneracy theory of all disease, and of the masturbation hysteria of the 19th and 20th centuries.

Europe↗
PubMed1990

Forensic sexology: paraphilic serial rape (biastophilia) and lust murder (erotophonophilia).

Forensic sexology is not synonymous with either forensic psychiatry or forensic psychology. It is a specialty in its own right, and is needed in the courtroom. Paraphilic sex offenders on trial are misrepresented as being, by their own choice, psychopathic or sociopathic deviates. They are unable to explain their paraphilic criminality to either themselves or society. In a case of serial rape and serial lust murder here presented, the contributory causes are examined and differentiated as hereditary predisposition, hormonal functioning; pathological relationships, sexual abuse; and syndrome overlap with bipolar disorder, schizoid disorder, antisocial personality disorder, epilepsy, and multiple personality. The precipitating causes were differentiated as childhood head injuries, and adult head injury at age 20. Left impact trauma and sexological trauma were sequelae of the adult injury. The full range of diagnostic resources was not available for a prisoner on death row. Capital punishment has not prevented the reemergence in each new generation of serial rape and serial lust murder as an epidemiological, public health problem. Punishment is an ineffectual substitute for epidemiological research into cause, effect, and prevention.

Brain Damage, Chronic↗
PubMed1990

Androgyne becomes bisexual in sexological theory: Plato to Freud and neuroscience.

Plato conceptualized primordial humans as androgynes, the children of the moon. The primordial hermaphroditism of the mammalian embryo became known 2 1/2 millennia later in the mid-19th century. By 1864 Ulrichs had transposed the new knowledge from embryology to sexology to explain those to whom he gave the name Urnings (after Uranus who gave womanless birth to Venus from sea spume) as having "a woman's mind trapped in a man's body" (anima muliebris corpore virili inclusa). Urning became displaced by sexual inversion, and eventually by homosexual, a term coined together with heterosexual by Kertbeny as recently as 1869. The embryological principle of primordial hermaphroditism became linked to evolutionary Darwinism by way of Haeckel's principle of recapitulation, epitomized as "ontogeny recapitulates phylogeny." The recapitulation principle became linked, in turn, to the principle of intrapsychic primordial bisexuality, which became a cornerstone of Freud's psychoanalytic theory. Genetics influences the outcome of bipotentiality not directly but by way of hormonal programming of the brain, prenatally or neonatally, rather than pubertally and in maturity. Bipotentiality within the brain has been investigated chiefly in the hypothalamus where male/female dimorphism has been recognized, but its determinants and stages of differentiation, both prenatal and postnatal, remain to be fully ascertained. Neuroanatomical research on the outcome of male/female bipotentiality as gay, straight, or in between is politically and morally opposed by those who postulate a bipotential preference or voluntary choice. In stimulus-response associationism, to which behavior-modification theory belongs, bisexuality is equipotential, and either alternative may be evoked, ostensibly, dependent on the stimulus situation. In ethological theory, the effectiveness of stimulus-response bonding is confined chronologically to a critical period of development and is restricted phylogenetically by an innate recognition mechanism and an innate releasing mechanism. These limits are compatible, however, with some degree of both individual and ethnic variation.

Bisexuality↗
PubMed1989

Paleodigms and paleodigmatics: a new theoretical construct applicable to Munchausen's syndrome by proxy, child-abuse dwarfism, paraphilias, anorexia nervosa, and other syndromes.

A paleodigm is a formulation of ancient folk wisdom that encodes a causal explanation in a saying or story that penetrates the idiom of everyday language and influences behavior. Although paleodigms are not, per se, causative, they have diagnostic, prognostic, and therapeutic significance in syndromes like Munchausen's syndrome by proxy.

Adolescent↗
PubMed1988

Matched pair of siblings concordant for 46,XY hermaphroditism with female sex assignment, and discordant for erotosexual outcome.

The two siblings in this comparison constitute a matched pair on the basis of concordance not only for prenatal history and diagnosis but also for assigned sex as girls, and for spontaneous hormonal puberty that was not feminizing, but masculinizing. They were further concordant in being surgically and hormonally feminized, with their own informed consent, early in adolescence. Subsequently, they became discordant, for the younger one has lived continuously as a woman, with a feminine gender-identity/role (G-I/R) socially and erotosexually, whereas the older one became self-reassigned to live as a man with a masculine G-I/R socially and erotosexually, hormonally supported on testosterone replacement therapy. Flattening of the chest was readily accomplished by plastic surgery, but phalloplasty was not attempted, primarily because of the technical obstacles and, to a lesser extent, the cost.

Adolescent↗
PubMed1988

The ethics of pornography in the era of AIDS.

Since the inception of sexology as an academic discipline a century ago, the boundary between sexology, the science, and sexosophy, the philosophy of sex, has been poorly demarcated, especially with respect to the principles of sex-reform movements. Several early 20th centruy sexologists overtly espoused the principles of eugenics reform, which, in the 1930s, Hitler used against them. A large proportion of today's sex therapists, researchers, and educators are among "those who cannot remember the past" and are, therefore, according to Santayana, "condemned to repeat it." That is to say, they follow the example of eugenics reformers by adhering to explanatory principles as if they were apolictically indisputable; whereas, they are, in fact, dangerously political professional platitudes for the criminalization of sex. One such platitude is that pornography is dehumanizing and a socially contagious criminal offense. Social-contagion theory had its origin in Tissot's 18th century revival of semen-conservation theory. In America, Tissot's antisexual health-reform ideas were transmitted by Graham to Kellogg and Comstock. The Comstock Laws of 1873 are still extant and are the basis of contemporary judicial, academic, and public misconceptions regarding the social contagiousness of pornography. These misconceptions render the nation incapable of using pornography constructively in a program of sex-safety to prevent AIDS infection, especially among newly pubertal adolescents and young adults. The model to follow has already been provided by gay JACK and JO masturbation clubs.

Acquired Immunodeficiency Syndrome↗
PubMed1988

Pedagogical handicap associated with micropenis and other CHARGE syndrome anomalies of embryogenesis: four 46, XY cases reared as girls.

Genital hypoplasia (micropenis) and CNS impairments are among multiple anomalies of embryogenesis that are found in association in a syndrome for which the acronym CHARGE has recently been coined. The CNS anomalies are either peripheral or central or both. Their various manifestations are impaired hearing and vision; impaired motor performance and visual-motor coordination; IQ deficit either overall or specific to verbal reasoning or praxic reasoning; and social ineptitude consequent on impaired social maturation. These various impairments constitute a pedagogical handicap which, even though of major severity, is not refractory to clinical treatment and educational therapy.

Abnormalities, Multiple↗
PubMed1987

Gender identity and gender transposition: longitudinal outcome study of 24 male hermaphrodites assigned as boys.

The longitudinal case histories of 24 male-assigned male hermaphrodites aged 18 or older were indexed and abstracted for the presence or absence of variables related to gender transposition, namely, bisexualism, homosexuality, or sex reassignment to live as a female. The sample was biased in favor of cases (N = 20) not showing signs of gender transposition. In these cases, there was no gender transposition even if the following variables were in evidence; neonatal ambivalence in announcing the sex; cosmetic inadequacy of masculine genital appearance; sitting posture for urination; and feminizing (N = 9) instead of virilizing (N = 11) puberty. Despite the small size of the minority subsample (N = 4), it showed a trend toward an association between gender transposition and sitting to urinate, and being stigmatized in childhood. This trend is consistent with the association between stigmatization and gender transposition found in a counterpart study of male hermaphrodites announced and reared as girls. Freedom from gender transposition did not prevent suicidal depression, drug or alcohol addiction, marital failure, or death from testicular cancer.

Adolescent↗
PubMed1987

Treatment guidelines: antiandrogen and counseling of paraphilic sex offenders.

Paraphilic syndromes, of which there are at least 40, are known legally as perversions and on the street as kinky and bizarre sex. Paraphilia accounts for a very high proportion of sex-offending that is prosecuted as criminal. A new treatment which combines a hormonal antiandrogen with sexological counseling therapy is becoming widely adopted in America and Europe. The treatment is available also to noncriminal paraphiliacs whose syndrome is a source of interpersonal suffering and crisis.

Arousal↗
PubMed1987

Genital examination and exposure experienced as nosocomial sexual abuse in childhood.

Three pediatric cases of girls, one with idiopathic precocious puberty and two with a birth defect of the sex organs, exemplify the proposition that genital exposure and the physical examination of the genitals may be experienced subjectively as nosocomial sexual abuse. Negative sequelae persisted into adulthood. The dogma of the new victimology industry is that children never lie about sexual abuse. Consequently providers of pediatric and ephebiatric (pubertal and adolescent) sexual health care already are progressively at risk of being falsely accused of nosocomial (from the Greek nosokomeion, from nosos, disease, + komeion, to take care of: pertaining to or originating in a hospital, as nosocomial disease) sexual abuse.

Adolescent↗
PubMed1987

Bisexually concordant, heterosexually and homosexually discordant: a matched-pair comparison of male and female adrenogenital syndrome.

Prenatal hormonal experiments in subprimate species demonstrate conclusively that the pattern of adult mating behavior is masculinized or feminized as a function of prenatal hormonalization of the brain. In primates, especially human beings, postnatal socialization is superimposed on prenatal hormonalization. The syndrome of congenital virilizing adrenal hyperplasia [CVAH] is an experiment of nature in which the fetal brain is prenatally hormonalized by a masculinizing excess of androgen from abnormally functioning adrenal cortices. The syndrome was diagnosed in two children, one a chromosomal, 46,XX female, and one a 46,XY male, who amongst many others were psychoendocrinologically followed into adulthood. Each was able to fall in love exclusively with a female as a partner in sexuoerotic activity, though each experienced also, on an investigative basis, at least one genitosexual encounter with a male. On a behavioral technicality, therefore, each had a history of bisexual practices, whereas subjectively the woman identified herself as a lesbian, and the man as a Kinsey-one heterosexual. Hormonally, it may be inferred that in prenatal life both were ultramasculinized to such a degree that it was impossible for any postnatal interventions to permit the man to become a bona fide homosexual, or the woman a bona fide heterosexual. The full implication of these findings and those of similar cases for homosexual/heterosexual theory remains to be ascertained.

Adaptation, Psychological↗
PubMed1986

Sexological theory, H-Y antigen, chromosomes, gonads, and cyclicity: two syndromes compared.

The androgen-insensitivity syndrome (AIS) and Rokitansky syndrome (RS) are clinically similar except for H-Y antigen, chromosomal sex, gonadal sex, and the cyclicity of sex hormonal functioning. Nine AIS women and nine RS women could not be distinguished systematically on any of the following variables: romantic and genitoerotic imagery/ideation; sensory channels of erotic arousal; gender orientation; satisfaction with feminine status; self-rating of sexual frequency and interest; masturbation experience; orgasm experience; attitude toward marriage; and attitude toward infant and child care. These findings indicate that neither H-Y antigen status, chromosomal sex, nor hormonal cyclicity directly determines the differentiation of gender-identity/role (G-I/R) as male, female, or ambiguous. By implication, these findings are relevant to heterosexual/homosexual theory.

Adolescent↗
PubMed1986

Transcultural sexology: formicophilia, a newly named paraphilia in a young Buddhist male.

Children whose species-specific, juvenile sexual rehearsal play is thwarted or traumatized are at risk for developing a compensatory paraphilia. The case of a Buddhist male exemplifies the cross-cultural application of this principle. His syndrome, formicophilia, was endogenously generated without reference to or influence by commercial pornography. The complete causal explanation of paraphilia will require both a phylogenetic (phylismic) and an ontogenetic (life-history) component. The treatment of paraphilia may combine an antiandrogenic hormone with sexological counseling.

Adult↗
PubMed1986

Gender identity and gender transposition: longitudinal outcome study of 32 male hermaphrodites assigned as girls.

The longitudinal case histories of 32 female-assigned male hermaphrodites aged 18 or older were indexed and abstracted for evidence of variables related to gender transposition, i.e., bisexualism, lesbianism, or sex reassignment to live as male. The prevalence of transposition was biased because of the referral of cases selected for reassignment. Childhood stigmatization, either subtle or blatant, because of the birth defect of the sex organs correlated with gender transposition (p less than .001) and was related to the age of feminizing surgery (p less than .05), which often coincided with the age of gonadectomy. Variables not significantly correlated with gender transposition were: neonatal ambivalence regarding the sex of announcement; feminizing or masculinizing puberty; presence or absence of mullerian organs; and gross family pathology. Physicians encountered no moral problem with sex reassignment as the chromosomal and gonadal sex were male.

Anti-Mullerian Hormone↗