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Biomedical subjects

J Money

Publications and source records attributed to J Money.

At least 55 records · Page 3Linked to original sources
PubMed1986

Adolescent sexology and ephebiatric sexual medicine.

Ephebiatric sexual medicine is a specialty that still awaits its Vesalius. The age of onset of puberty has decreased by four years in the past two centuries, without a concordant change in social and legal institutions governing sexual and economic autonomy. Concomitant with the reintroduction of the ancient European betrothal system, the adolescent age of first coitus has lowered and averages two years earlier than first contraception. The hiatus is attributed to the moral sanctions against open access to contraception in adolescence. The neglect of sexual learning in teenage allows cases of suicidal and homicidal lovesickness to be undetected and likewise the mental template or "lovemap" of paraphilic pathology in adolescence lacks both preventive measures and treatment. The newest treatment of the paraphilias is with antiandrogen combined with counseling. Positive or negative preparedness for first orgasm or first coitus correlate with positive or negative outcome in subsequent sexuoerotic health. Knowing the sexology of syndromes, for example genetic and endocrine syndromes of childhood, expedites the delivery of sexological health care service in adolescence.

Adolescent↗
PubMed1985

The conceptual neutering of gender and the criminalization of sex.

Thirty years ago the term gender was borrowed from philology for use in sexological psychology in a paper on hermaphroditism (Money, 1955). As originally defined, gender role consists of both introspective and the extraspective manifestations of the concept. In general usage, the introspective manifestations soon became separately known as gender identity. The acronym, G-I/R, being singular, restores the unity of the concept. Without this unity, gender role has become a socially transmitted acquisition, divorced from the biology of sex and the brain. Sex and gender have been partitioned between body and mind, respectively. The desexualization of gender is in accord with the Zeitgeist of contemporary sexual politics together with victimology and an expanding criminalization of sex. The funding of sexological research is being diverted to victimology, which is, de facto, a branch of law enforcement. Victimologists--and sexological professionals among them--are vulnerable to a backlash of being themselves criminalized. This happens as a result of false accusations of various types of malpractice, including sexual abuse of clients, especially children. Under Hitler, there was an historical parallel when the destruction of sexology was effected by the application of the theory of social eugenics and racial purity with sexologists had endorsed. They were among the first of Hitler's victims.

Adult↗
PubMed1985

Pediatric sexology and hermaphroditism.

Lacking an empirically based theory of erotosexual development and health in childhood, pediatrics too easily falls back on reductionistic hypotheses of the nature versus nurture type. A new, three-term paradigm, namely, nature/critical-period/nurture, is needed to explain, for example, the phenomenology of hermaphroditism, and the differentiation of gender-identity/role (G-I/R) in individual cases. In 30 young women with a history of the early-treated, 46,XX congenital virilizing adrenal hyperplasia (CVAH) syndrome, 37% (N = 11) had a history of bisexual imagery or practice, as compared with 7% in the control patients (chi 2 = 17.7; p less than .001); and 5 of these 11 rated themselves as exclusively or predominantly lesbian. In Kinsey's sample, 15% of females reported homoerotic imagery by age 20, and 2 out of 3 of them also had homoerotic partner contact. The CVAH finding may be a function of prenatal and/or neonatal brain androgenization, but other variables, such as the history of juvenile erotosexual rehearsal play, cannot be ruled out. Among adolescents with a history of hermaphroditism, sex-reassignment applications are honored predominantly if they are made by 46,XY hermaphrodites assigned neonatally as girls and with nonfeminizing hormonal puberty, as medical and folk traditions both favor approval of such applicants more than others. Parthenogenic whiptail lizards that alternately simulate the male and female mating behavior of related diecious species provide an animal model that demonstrates the existence of both male and female sexual schemas in the same brain. In human beings, the irreducible sex differences are that males impregnate, and females menstruate, gestate, and lactate. Otherwise, sexual dimorphism that is programmed into the brain under the influence of prenatal hormones appears to be not sex-irreducible, but sex-shared and threshold-dimorphic. A complete theory of the differentiation of all the constituents of masculinity or femininity of G-I/R needs to be both multivariate and sequential in type. It must be applicable to all of the syndromes of hermaphroditism, and to the genesis of all the G-I/R phenomena, including transvestism and transsexualism, as well as to the genesis of a heterosexual G-I/R.

Adrenal Hyperplasia, Congenital↗
PubMed1985

Forensic and family psychiatry in abuse dwarfism: Munchausen's syndrome by proxy, atonement, and addiction to abuse.

The syndrome of abuse dwarfism is characterized by gross impairment of statural and intellectual growth and social maturation while the abused child remains in the domicile of abuse. The parents collude as child abusers, and are medical impostors regarding the symptoms of abuse. The syndrome as a whole is appropriately named Munchausen's syndrome by proxy. Though the mother typically initiates abuse, she cannot give a rational explanation for doing so. In her own history there is a sin that is expiated or atoned for symbolically by the sacrifice of the child--explainable in terms of the theory of opponent-process learning. In the two cases presented, the sin was the mother's own birth out of wedlock, in one case as a sequel to incest. The child's addiction to abuse is a challenge to the program of rehabilitation. With respect to parents at risk, the data of this paper are relevant to the prevention of a predisposition toward, or the actual implementation of child abuse, though a program of prevention needs still to be formulated. The sexological relevance of this paper is that the data demonstrate that the effects of sexual abuse may be transmitted to the next generation and manifested as child abuse which is not necessarily sexual in content.

Adolescent↗
PubMed1985

Gender: history, theory and usage of the term in sexology and its relationship to nature/nurture.

A person's sexual status is conventionally defined on the criterion of the external sex organs, and this criterion is presumed to be concordant with the other criteria of sex. When the sex organs are deformed, as in hermaphroditism, or mutilated, their sex role is to some extent affected, whereas all the other manifestations of the person's masculinity or femininity may be intact. Gender, not sex, is the umbrella term which refers to the totality of masculinity/femininity, genital sex included. Gender role and gender identity are two sides of the same coin, gender-identity/role (G-I/R). G-I/R may differentiate to be discordant with one or more of the basic sex variables which are now listed in the definition of sex in Dorland's Medical Dictionary. G-I/R is the product not of either nature or nurture acting alone, but of both in interaction at crucial periods of developmental differentiation. The new paradigm is nature/crucial-period/nurture, not nature/nurture. Social scientists and sexologists are among those who, for the most part, have not made the paradigm shift.

Animals↗
PubMed1984

Adult erotosexual status and fetal hormonal masculinization and demasculinization: 46,XX congenital virilizing adrenal hyperplasia and 46,XY androgen-insensitivity syndrome compared.

Among 30 young women with a history of the treated adrenogenital syndrome (CVAH), 11 (37%) rated themselves as bisexual or homosexual. Among a control group consisting of 15 women with the 46,XY androgen-insensitivity syndrome (AIS) plus 12 with the Rokitansky syndrome (MRKS), the corresponding figure was 2 (7%), both bisexual. Chi-square was significant beyond the 0.01 level. In Kinsey's 1953 sample 15% of women experienced homoerotic arousal imagery by age 20, and 10% had had homoerotic partner contact. The most likely hypothesis to explain the CVAH findings is that of a prenatal and/or neonatal masculinizing effect on sexual dimorphism of the brain in interaction with other developmental variables.

Adrenal Hyperplasia, Congenital↗
PubMed1984

Gender-transposition theory and homosexual genesis.

The genesis of homosexuality, and therefore of heterosexuality also, has traditionally been argued as either wholly biological or wholly social-environmental. The theory of gender transposition integrates findings regarding both prenatal hormonal programming of the sexual brain, and postnatal social programming.

Animals↗
PubMed1984

Micropenis: adult follow-up and comparison of size against new norms.

In eight cases of micropenis, the follow-up period was from childhood through adulthood (age range 22 to 31). Topical treatment of the penis with testosterone propionate in childhood increased its size relative to the rest of the body before adolescence. In adolescence and adulthood, the penis with a prior history of treatment with testosterone (N = 5) had no size advantage over the untreated one (N = 3). Topical testosterone postponed the age of developing a coping strategy, but not the necessity of developing one. New data (N = 65) for the stretched length of the adult penis give a M +/- SD of 16.69 +/- 1.90 cm, or 6.57 +/- .75 inches.

Adaptation, Psychological↗
PubMed1984

Five universal exigencies, indicatrons and sexological theory.

In sexology as science, except for the special case of introspection, on which the defense of mind-body dualism rests, raw data are obtained, like the raw data of all the other sciences, through the special senses and exteroceptive observation. In Table 1 are shown the verbs and nouns that are needed to relate the five special senses of the observer to the observed, as stimuli are transmitted to their destination from their source. Some of these terms sound somewhat unidiomatic, which is no accident. It is precisely because vernacular English was not designed for scientific usage that some needed terms have been lacking--to the detriment of theoretical mindbody unity. Another missing term in sexology as science is a generic one for any type of unit of raw data. The gap can be filled with the new term, indicatron, in recognition of the fact that sexology's units of raw data all serve to indicate something. Since exactly the same applies to the raw data of any science, then sexology and the other sciences share the same premise. The sociopsychological and the biomedical sciences from which sexology conjointly derives are not separated as being of the mind and the body respectively. They are unified in indicatronics, the science of indicatrons, in which the split between body and mind is semantically irrelevant. The indicatrons of sexology can be classified under five universal exigencies of being human: being pairbonded, troopbonded, abidant, yclept, and foredoomed.

Ecology↗
PubMed1984

Paraphilias: phenomenology and classification.

DSM-III incorrectly designates the majority of paraphilias as atypical. Only eight are named, and those because of their forensic history, rather than their pathology and therapeutic need. In this paper, thirty-odd paraphilias are subdivided into six categories on the basis of their phenomenological dynamics. The new concept of the developmental lovemap is introduced for the first time. A new treatment originated by the author in 1966 combines an androgen agonist with counseling therapy.

Combined Modality Therapy↗
PubMed1983

Psychology of syndromes. IQ and micropenis.

In 20 patients with a micropenis, IQs ranged from 81 to 137, with a mean of 117 +/- 14 and a median of 116. The distribution of IQs approximated a normal distribution except that the entire curve was skewed, with the majority (75%) of scores higher than 109. There was no clustering related to diagnosis, age, sex of rearing, or serial testing to account for the skew, which was stronger for verbal than for performance IQ. These findings negated the probability of an adverse intellectual prognosis for patients born with a micropenis.

Adolescent↗
PubMed1983

Growth of intelligence: failure and catch-up associated respectively with abuse and rescue in the syndrome of abuse dwarfism.

IQ change in association with change of environment occurred in a sample of 34 patients with a diagnosis of abuse dwarfism. Low and persistent impairment of IQ was associated with abuse. By contrast, IQ elevation was associated with rescue. Multiple regression analysis revealed that duration of rescue was the primary variable associated with IQ elevation; age and IQ level at rescue were secondary. IQ elevation was gradual and progressive over the years, as rescue was maintained. In abuse, the mean IQ was 66 (range, 36-101), and after rescue it was 90 (range 48-133). The greatest magnitude of change, from IQ 36 to 120, was in a girl between the ages of 3 yr 8 months and 13 yr 11 months.

Adolescent↗
PubMed1983

The genealogical descent of sexual psychoneuroendocrinology from sex and health theory: the eighteenth to the twentieth centuries.

In the aftermath of the inquisition, secular health theory became separate from sacred health theory. Both assimilated vital spirits or sympathies as explanatory concepts. Sympathies were progressively transformed into internal secretions and the hormones of endocrinology. The sexual genealogy of psychoneuroendocrinology traces back to the sexual transplantation experiments of John Hunger (1728 - 93). Sexology, the science, has the same genealogy, whereas sexosophy, the philosophy, does not. In sexosophy, the theory that vital spirits or sympathies lost by masturbation caused debility or degeneracy became, along with health-food and exercise theories, popular in 19th-century health doctrine. Graham crackers and kellogg's cornflakes were by-products of the diet/abstinence doctrine. With police power under the Comstock Law (1873), 19th-century sexosophy negated sexuality so effectively that human sexual psychoneuroendocrine research remains muffled and deprived of funds in 1983.

Alcohol Drinking↗
PubMed1983

New phylism theory and autism: pathognomonic impairment of troopbonding.

A phylism is a unit of existence, part of an individual's species heritage. It is neither nature nor nurture, but a phyletically dictated product of the interaction of both at a crucial developmental period which may be either prenatal, postnatal, or both. In the syndrome of autism, the phylism of troopbonding is specifically impaired, and other phylisms may be hypertrophic. The phylism of limerent (lover-lover) pairbonding is not impaired, and it may be the source of discordance with other members of the troop. Shyness is an attenuated manifestation of autism. The etiology of impaired troopbonding may be heritable, and almost certainly will prove to be neurochemical also, probably as an analogue of the Lesch-Nyhan syndrome. The lives of autistic children are subject to secondary shaping by the environment of living.

Autistic Disorder↗