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Biomedical subjects

J Raboch

Publications and source records attributed to J Raboch.

At least 37 records · Page 2Linked to original sources

[Sexual development of Czech girls before and after the "Velvet Revolution"].

Sexual development and behavior of 771 Czech girls 16 to 18 years old had been investigated by two sexuologists during the period of 1986 till 1994. A standardized interview of 78 items had been applied in a setting of a rehabilitation facility in Franzensbad. The majority of probands were there for rehabilitation after appendectomy. There were 389 examinees (158 apprentices and 231 students) interviewed before "the velvet revolution" and 382 girls (159 apprentices and 223 students) in the course of the years 1990 to 1994. A comparison of these two groups revealed a definite change in the psychosexual development of girls in the Czech society after the "Velvet Revolution". Particularly the motivation for the first coitus had changed. After November 1989 it was noticed that the answer "obliged her partner" had significantly decreased and the answer "wished it for myself" has substantially increased. Also in the group of probands with multiple sexual partners (21.5% of the sample) their average number decreased unexpectedly after "the Velvet Revolution".

Adolescent↗

["Perpetrators" of sexual abuse].

One hundred men accused of sexual offences were, based on written documents, divided into three groups- "real" offences (n = 65), "false" offences (n = 18). The remaining 17 cases were evaluated as obscure. The "false" group was older, less frequently single, had a lower rate of sexual dysfunctions, paraphilias and personality disorders. Computer phalography differentiated the two groups rather well-about half the men in the "true" group suffered from paraphilias. This fact was associated with a higher femininity score during childhood in these patients. In the "false" group in the majority relatives or acquaintances of the victim and her mother were involved. The reason for the false accusation were most frequently property disputes or disputes regarding child custody, less frequently a mental disorder of the mother or iatropathogenic factors. All workers concerned with the above problem should take into account also possible non-substantiated indictments which may have an equally negative impact on the participating parties as real accusations.

Child↗

[First sexual intercourse in women].

Out of a group of 700 Czech girls aged 16 to 18 years questioned by means of interviews 344 (49.1%) already had their first heterosexual coitus. Thirty-three of them reached orgasm during their first sexual intercourse and during second and further intercourses they were orgasmic mostly or always. The second subgroup comprised 32 girls who were anorgasmic not only during their first sexual intercourse but also during their further sexual life. Statistically significant differences between these two subgroups were found in the following items: Orgasmic girls were more frequently longing for their first sexual intercourse whereas of the anorgasmic girls the motives were curiosity or the effort to satisfy their partners. The majority of these girls experienced the first sexual intercourse as unpleasant and reported frequent occurrence of bleeding. Furthermore, they had to regret more frequently the loss of their fathers during the first 6 years of their lives than the girls of the first subgroup had.

Adolescent↗

[Sexual development in urban and rural girls].

By means of interviews the sexual development of 16 to 18-year-old Czech girls was investigated: 163 lived in rural communities with less than 2,000 inhabitants and 271 lived in towns with more than 100,000 inhabitants. Comparison of these two groups, using Schofield's diagram, revealed that the difference in the course of sexual development was not statistically significant. However, when individual items of the examination were analyzed, significant differences were found in the education of probands and both their parents, education being higher in the group of urban girls. In urban girls the prevalence of broken marriages of their parents was also higher, the loss of the father before the child was 18 years was more frequent and the number of siblings was smaller. The age at the first sexual intercourse was lower in urban girls and they had more frequent experience with cunnilingus and fellatio.

Adolescent↗

[Educational status and sexual development in adolescent girls].

By means of interviews two sexologists examined in 1986-1994 771 Czech girls aged 16-18 years during their stay in the spa of Frantiskovy Láznĕ. Up to the end of 1989 the authors studied the sexual development of 158 girls apprentices and 231 girl students. After the "Velvet Revolution" 159 apprentices and 223 students were examined. Comparison of these sub-groups revealed that the sexual development of students was highly significantly retaried, as compared with the apprentices; this applied to the period before and after 1989. This difference is interpreted mainly by the higher education, expressed by the sum of years of school attendance of both parents of the examined girls and a higher standard of the education process in secondary schools as compared with schools for apprentices.

Adolescent↗

[Incest offenders].

BACKGROUND: Always raising attention has been devoted to sexual victimization of the juveniles and to its consequences lately. This report was aimed for learning frequency of the phenomenon in our country. METHODS AND RESULTS: Twenty-two men (mean age 22-45 years, mean year 37), are accused of sexual victimization of their step-daughters were examined. Contrary to other groups of sexual delinquents, their mean intellect was slightly above average, their sexual development was accelerated, sexual activity elevated. Three quarters of them were already previously prosecuted. Attention is drawn to the necessity to the evaluate "incestogenic families as a whole. In all instance it is necessary to make a considerate but detailed somatic and psychiatric examination of the victim with documentation which can be used also for criminal proceedings and psychiatric and sexuological assessment of the accused, incl. phallography. Accusations which indicate always grossly pathological relations are not necessarily always true. CONCLUSIONS: Incest and sexual victimization of children seem to be a little fashionable but even so a major affair we will probably face more frequently in next years.

Adult↗

[The first coitus as an outcome indicator].

BACKGROUND: For evaluation of the health status in specialized medical disciplines and comparisons in different regions (countries, world-wide comparisons) the World Health Organization recommends and uses so-called indicators. In the sphere of human sexuality the use of such indicators is difficult, because it cannot be assessed by objective data. The purpose of the present study was to assemble information on the time and course of the first sexual intercourse of contemporary Czech girls. METHODS AND RESULTS: A total of 700 Czech girls aged 16-18 years were interviewed; all menstruated already. 344 girls (49.1%) reported that they had heterosexual intercourse: in 24.1% the first intercourse occurred at the age of 15 years and in 75.9% between 16 and 18 years. As to the place where it occurred, in 64% it was the parents' apartment. For the contemporary Czech society it is typical that in cca 20% the place of the first intercourse was a weekend house. In 8.5% of the girls the intercourse was implemented by force or under the influence of abundant alcoholic drinks. As far as prevention of unwanted pregnancy is concerned, in 42.0% no contraception was used, coitus interruptus was practiced in 25.3%--i.e. unreliable contraception in 67.3% of sexual intercourse. A condom was used by 30.4% partners, hormonal birth control only by 2.3% girls. CONCLUSIONS: Information on "outcome indicators" on the time of the first sexual intercourse and the place where it occurred was assembled. The authors recorded also data on the use of force, the influence of alcohol and the use of contraception. These data make it possible to gain an idea on the sexual life during adolescence.

Adolescent↗

[The first sexual intercourse in girls].

The authors describe the course of the first sexual intercourse in 344 Czech girls examined at the age of 16-18 years. Attention was paid in particular to the following factors: age during first intercourse, period of preceding emotional relationship, age of coital partners, environment where first intercourse took place, motivation of probands, difficulties during first intercourse, contraception used, frequency of sexual intercourse during period following first coitus.

Adolescent↗

[Masturbation in adolescents].

Examination of a group of 602 Czech girls and group of 192 Czech boys aged 16 to 18 years revealed that differences in the occurrence of masturbation are in our population markedly greater than in German or American university students. In the examined groups cca 90% boys and only 6% of the examined girls masturbated. There were also marked differences in the frequency of masturbation. In our population so far the consequences of sexual liberalization after social changes at the end of 1989 are not yet manifest. It can be, however, assumed that in our country liberalization will also lead to a diminution of differences in the occurrence and frequency of masturbation between the two sexes. The authors hold the view that an important part is played also by biological factors, in particular those of a hormonal character.

Adolescent↗

[Coital anorgasmia in marriage].

Out of a sample of 2,425 gynecological patients aged 21-40 and married for at least one year, three groups were selected according to the frequency of coital orgasm. The first group contained 1,266 (52.2%) orgastic women, the second group included 172 (7.1%) patients who did not reach orgasm during coitus, and the third group consisted of 55 (2.3%) patients whose absent orgasms were felt by the examinees as distressing. Significant differences were found between the three groups concerning family environment and childhood, level of education and professional standing, sexual development and life, and in the incidence of psychopathological symptoms. It appears that the absent capacity of women to attain orgasm in sexual intercourse is caused by several factors of both biological and psychosocial nature.

Adult↗

[Menarche, orgasmic capacity and coitarche].

A group of 609 Czech 16 to 18 years old girls was divided according to the age of the first menses into three subgroups: first with menarche between 10 to 12 years, second in 13 and 14 years, third in 15 and 16 years. It was found that the age of menarche did not distinctly influence the course of their sexual development during the puberal period. The mean age of first rendezvous and coitarche did not significantly differ between the followed three subgroups. Out of the whole group of 609 probands 304 girls already had sexual intercourse. The percentage of coitally orgastic girls was highest in the subgroup with an early first menstrual bleeding between 10 and 12 years of age and the difference to the other two subgroups with a later menarche was statistically highly significant (p < 0.005). The opinion is expressed that changes in brain which enable girls to fall in love for the first time are from the point of view of biological prerequisites more important for the beginning of full sexual life in pubertal girls than hormonal development manifested by first menstrual bleeding.

Adolescent↗

[Sexual development in adolescent girls].

The authors investigated by interviews in Frantiskovy Láznĕ the sexual development and sex life in 614 Czech girls aged 16 to 18 years. It was revealed that the sexual development in 311 girls, where in the course of the year before convalescent treatment in Frantiskovy Láznĕ appendectomy was performed and in 89 probands who were operated twice or more frequently, was highly significantly retarded as compared with 163 probands who had no surgery so far. Comparison of the findings in 426 girls from complete and emotionally balanced families and 140 probands of divorced parents did not reveal a significant difference in their sexual development.

Adolescent↗

[Fertility in patients treated for malignant tumors before puberty].

35 patients with malignant tumours were examined. In 4 of them comprehensive therapy was initiated in the course of the first five years of life. In the remaining 31 cases the first symptoms of the disease appeared between the ages of 9 to 16 years. In the entire group spermiogenic function was insufficient in about 65% of the afflicted. Subnormal values of plasma testosterone were found only in 9%.

Adolescent↗

[Parental divorce and sexual development in girls].

Using interviews, the authors examined the course of sexual development during puberty in 614 girls aged 16-18 years. The group was divided into two sub-groups. The first was formed by 426 girls (69.4%) brought up in a complete and balanced family. The other sub-group was formed by 140 girls (22.8%) of divorced parents with the loss of the father or mother. Statistical evaluation of data did not reveal significant differences in the sub-groups as regards their sexual pubertal development.

Adolescent↗

Infrequent orgasms in women.

Out of a sample of 2,425 gynecological patients aged 21-40 and married for at least one year, three groups were selected according to the frequency of coital orgasm. The first, orgastic, group contained 1,266 (52.2%) orgastic women, the second group included 466 (19.2%) patients with infrequent orgasms, and the third group consisted of 151 (6.2%) patients whose infrequent orgasms were felt by the examinees as distressing. Significant differences were found between the three groups concerning family environment and childhood, level of education and professional standing, sexual development and life, and in the incidence of psychopathological symptoms. It appears that the insufficient capacity of many women to attain regular orgasms in sexual intercourse is caused by several factors of both biological and psychosocial nature.

Adult↗

History of sexology in eastern Europe.

Out of the eastern european countries the greatest development of medical sexology occurred and a new independent branch of medicine came about in the following three: Czechoslovakia, Poland and Soviet Union. The focus of the article will be dedicated to the state of sexology in the mentioned three countries.

Europe, Eastern↗

Sexuality of women with anorexia nervosa.

The sexual development and life of 30 adult women with anorexia nervosa and of 50 control women was investigated using a structured interview and 3 sexological questionnaires. Heterosexual development was found to be normal in the initial stages, but psychosexual adaptation in adulthood was impaired. Primary or secondary insufficiencies of sexual life were found for 80% of the anorectic patients. Biological and psychosocial factors may participate in this unfavourable state. Discussion of sexual problems should be part of the process of treating women with anorexia nervosa.

Adolescent↗