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Masturbatory-orgasmic extracephalic pain.

Two single men, one with compressive spondylitic cervical myelopathy and another with tethered cord and intraspinal lipoma, experienced severe paroxysmal ice pick-like pains, solely referred to the neck in the first and to the groin and genitalia in the second, that were precipitated by masturbation and masturbatory orgasms. Continuous, but less intense, background pain was reported by both patients over the same anatomic areas. Neither had intracranial lesions, epilepsy, or suffered from migraine. Recently, extratrigeminal ice pick status was reported in this journal. These two unusual cases represent examples of extracephalic ice pick-like pain triggered by sexual activity, in the absence of orgasmic cephalgia.

Headache↗

Sex in prisons--a management guide.

Prisons are invariably unisex institutions where, besides many deprivations, heterosexual expression in its normal sense is absent. It is this characteristic that make prisons settings potentially fertile grounds for sexual aberrations. Since definite and accurate data concerning sexual activities among prison inmates are difficult to obtain, the phenomenon of sexual practices in prisons has traditionally been a topic of much speculation. However, the descriptions and explanations of most authors on the subject are often contradictory, and some of the best information are from unpublished sources. This article is an attempt to subsume many fragmented explanations about seven main types of sexual issues in prisons (i.e. consensual homosexuality, masturbation, transsexualism, prostitution, conjugal visits, sex between prisoners and prison staff, and rape among prison inmates) under more general criminological and management concepts. Suggestions for prison administrators on how to manage these complex issues in the best interests of security and inmates' health are also provided.

Family Relations↗

Sexual functioning and self-reported depressive symptoms among college women.

We conducted an exploratory study comparing 47 college-aged women reporting depressive symptoms but not receiving antidepressant medication to 47 age-matched controls. We examined various dimensions of sexual functioning, including sexual desire, arousal, orgasm, pain, pleasure, and satisfaction. The women with depressive symptoms reported more inhibited sexual arousal, more inhibited orgasm, more sexual pain problems, and less sexual satisfaction and pleasure than control participants. Novel to this study, the women with depressive symptoms reported greater desire for sexual activity alone (masturbation) than the nondepressed women. The findings are discussed in terms of primary reinforcers and depressive symptomology.

Adult↗

Enactment and play following medical trauma. An analytic case study.

This paper on the four-year analysis of a five-year-old girl with a school phobia details the playroom enactments of medical trauma and its sequelae. Early in the analysis the patient expressed herself almost exclusively through play. Gradually she connected her conflicts, including those over her compulsive masturbation, to her hospital experiences. Only after the traumatic medical experiences were no longer the major issue did other important conflicts become available for analytic work. Physical activity remained prominent in the analysis and generated pressure for mutual enactment. This case again draws our attention to the complex overlap of play, enactments, and verbalization in child analysis.

Child, Preschool↗

Are orgasms in the mind or the body? Psychosocial versus physiological correlates of orgasmic pleasure and satisfaction.

We investigated the hypothesis that the subjective experience of orgasmic pleasure and satisfaction depends more on psychological and psychosocial than on physical factors. Male and female participants rated adjectives to describe orgasm attained during either solitary masturbation (n = 356) or sex with a partner (n = 442). Orgasmic pleasure and satisfaction were related more to (a) the cognitive-affective than sensory aspects of the orgasm experience; (b) the overall physical and psychological intensity of orgasm but not to anatomical location of orgasm sensations; and (d) relationship satisfaction. These findings emphasize the importance of psychosocial determinants of the orgasm experience.

Adult↗

Issues and dilemmas in sexual treatment.

Five concrete issues and dilemmas typically confronted in the practice of treatment of sexual problems are discussed. These are: (a) the issue of therapeutic values and conflict in values that may arise for the therapist; (b) the phenomenon of the desperation of the impotent male and its relationship to coping techniques and cultural expectations; (c) masturbation as a development stage in sexual responsiveness, based on evidence from historical, cross-cultural, human, and animal studies and clinical practice; (d) the positive aspects of the self-concept of nonorgasmic women that may serve as resistance to sexual responsiveness; and (e) a specific value conflict for women therapists that is a reflection of the change in values promoted by the women's movement.

Conflict, Psychological↗

Effects of erotic stimulation and masturbatory training upon situational orgasmic dysfunction.

Six single women, aged 22 to 29 years, were treated in a laboratory situation through erotic stimulation with masturbatory training for the disorder of situational orgasmic dysfunction. With single subject designs, three conditions of treatment were counterbalanced to estimate component effects. Intervention conditions included exposure to selected erotic stimuli, self-masturbation, and the preceding simultaneous combination. Frequency of orgasm was monitored via heart rate and verbal confirmation. Erotic stimulation with masturbatory training proved adequate to establish and maintain orgasmic responsiveness. Follow-up measures, conducted 6 to 12 months thereafter, partially supported generalization of treatment effects across environments and into existing heterosexual patterns of behavior.

Adult↗

Retarded ejaculation as a function of non-aversive conditioning and discrimination: a hypothesis.

Learning theory formulations of the development of retarded ejaculation have, so far, been confined to the conditioning of anxiety as the principal aetiological factor. A preliminary study of nine patients with ejaculatory failure suggests that positive reinforcement associated with self-masturbation may play a more central role. Some preliminary clinical observations consistent with this hypothesis, and the implications for treatment are discussed.

Adult↗

The treatment of anorgasmia: long-term effectiveness of a short-term behavioral group therapy.

A long-term follow-up of 19 women who participated in short-term group therapy for anorgasmia using masturbation and assertiveness training showed that the majority of women maintained treatment gains and progressed further in orgasm response and other aspects of sexual functioning, including assertiveness and liberalness of sexual attitudes. However, several women regressed, and four additional women who dropped out of treatment also improved dramatically in orgasm response, suggesting that other patient characteristics and factors affect apparent treatment outcome. Independent evaluations, standardized assessment scales, long-term, in-person follow-ups and multidimensional assessment are useful in evaluating treatment effectiveness.

Adolescent↗

Treatment of sexual dysfunctions in male-only groups: predicting outcome.

Forty men complaining of sexual dysfunctions were treated in male-only groups, using RET, masturbation exercises and social skills training. Sexual functioning improved and social anxiety decreased. Combining these data with previously reported data on 21 men, we tried to predict treatment outcome. Sexual functioning of men with a steady partner and men with varying partners improved; in men without partner(s) no effect could be demonstrated, probably due to a methodological artifact. Inhibited sexual desire was associated with a poor outcome. Several other variables (among them type of dysfunction, social anxiety, age, educational level) did not predict improvement of sexual functioning. This method seems to provide adequate treatment for various complaints of men with quite different backgrounds.

Adult↗

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↗

Patterns of exposure to sexually explicit material among sex offenders, child molesters, and controls.

The Meese Commission Report claimed exposure to sexually explicit material leads to sex offenses and recommended examining developmental patterns and pornography experiences of offenders. This second phase of our study examines developmental patterns and sexually explicit material experiences of sex offenders, a subgroup of child molesters, and controls. Results indicate sex offenders (but not the child molester subgroup) began masturbating at a significantly younger age than controls. Sexually explicit material was used during the first masturbatory experience of 33.3% of sex offenders and 14% of controls. Child molesters were significantly older than controls when exposed to sexually explicit material. Frequency of adult use of sexually explicit material does not differ significantly among groups.

Adult↗

Sexual functioning and attitudes of eating-disordered women: a follow-up study.

The sexual experiences and attitudes of eating disorder patients are receiving increased professional attention. However, empirical work in this area has generally focused on these patients at the point of initial evaluation. In the current study we report the results of a follow-up questionnaire completed by women who had been treated in our clinic (N = 42) for either anorexia nervosa (restricting type) or bulimia nervosa (purging type). We found that former anorectic patients were less likely to return the questionnaire and, of those who did, there was a trend toward anorectic women's being less likely to be in a romantic/erotic relationship. Almost all of the women had engaged in sexual intercourse, and former anorectic patients did not differ from bulimics with regard to age at first coitus. Anorectics were less likely than bulimics to have engaged in masturbation and also scored lower on a measure of sexual esteem. Although there were no differences between the two groups with regard to current level of sexual functioning, erotophobia/erotophilia, or sexual satisfaction, the women in our sample exhibited less sexual interest and more negative affect during sex than did a normative sample. Also, nearly 40% of our sample indicated clinically significant levels of sexual discord with their current partner. Results are discussed with regard to prior research, interventions, and further study.

Adolescent↗

Novel low-risk commercial sex practices in the parks of Vietnam.

This is a paper about a novel form of commercial sex practice recorded in Vietnam, and its implications for HIV/AIDS prevention strategies. Female commercial sex workers occupy urban parks in the evenings, offering on-site masturbation services to clients at cheap prices even by local standards. All sex acts are performed in public by workers who sit on benches, path edges or stools,often behind bicycles or open umbrellas in the quest for some semblance of privacy. Clients are local men, with only an occasional foreigner involved Many sex workers were involved, some having 15 to 20 or more clients a night. Sex workers and clients in Vietnam, a s elsewhere, operate at high risk of HIV/AIDS infection. As a service which minimizes risks, this form of commercial sex practice should perhaps be given serious consideration by policy makers and authorities for formal deployment in the fight against AIDS.

Female↗

Parental desire and acceptability of spermatogonial stem cell cryopreservation in boys with cancer.

BACKGROUND: In the near future, a substantial proportion of adults will be childhood cancer survivors. The cryopreservation and transplantation of spermatogonial stem cells (SSCs) is currently successful in animals; application in humans seems likely in the near future. Cryopreserving SSCs might become an important issue in childhood cancer. Because this might require testicular biopsies or hemicastration, parental desire/acceptability for SSC collection was enquired for. METHODS: Three hundred eighteen parents of boys surviving at least 2 years after the diagnosis of cancer were asked about collecting SSCs by biopsy or hemicastration and collecting sperm by masturbation or electrostimulation. Opinions were assessed as if at the time of diagnosis and at the present time. RESULTS: Sixty-three per cent of parents responded. At diagnosis, SSC collection by means of biopsy was approved by 61%, hemicastration by 33% and collecting sperm by 70% (P < 0.013). The acceptability of performing hemicastration was significantly lower than all other forms of SSC/sperm collection. No differences were observed between parents' present opinion and opinion at diagnosis. No differences related to treatment intensity, presumed negative fertility effects and pubertal state were found. CONCLUSIONS: Infertility is a major topic for parents. For prepubertal boys, the collection of SSCs might be a great relief in respect of the fertility issue. Collecting SSCs by biopsy is desired and accepted by the majority of parents; hemicastration is accepted by one-third of parents. The translation of SSC cryopreservation and transplantation from animal models to humans is eagerly awaited.

Adolescent↗

Social and behavioural aspects of venereal disease among resident male university students.

A study of 1500 male students at Banaras Hindu University, Varanasi, India was conducted to establish the prevalence and related social and behavioural aspects of venereal diseases. The prevalence was found to be 3.93 per cent. The majority of the students (86.4 per cent) belonged to the Hindu religion which is based on the caste system. Students from the Vaishya caste were more affected with venereal diseases. The social acceptability of having more than one wife had a definite impact on the incidence of venereal diseases. Students who practised masturbation and homosexuality were also more affected with venereal diseases. Prostitutes were the main source of infection. It was found that 28.8 per cent of these students had been infected on a previous occasion.

Adolescent↗

Sexual behaviour during ovarian cycles, pregnancy and lactation in group-living stumptail macaques (Macaca arctoides).

Sexual interactions were studied in a large, well-integrated group of stumptail macaques, continuously living together. Copulations with the highest-ranking male and with young males were equally distributed over the ovarian cycle. Copulations with other adults males also occurred during all cycle phases, but were most frequent peri-ovulatory. This was most distinct in conceptive cycles. Copulatory activity continued during early pregnancy, but was virtually absent during the middle and latter part of pregnancy and during lactation. Fluctuations in copulation frequency could be attributed to fluctuations in female attractivity (as measured by directed male masturbations), but not in proceptivity (spontaneous presents) or receptivity (acceptance ratios). However, hormonal influences on attractivity could be overruled by social factors. With regard to the expression of heterosexual behaviour, stumptail macaques seem to be less hormone-dependent than other primate species studied, both in the laboratory and under more natural circumstances.

Animals↗

A male with autoerotic asphyxia syndrome.

Approximately 250 deaths per year in the United States are attributed to the dangerous sexual paraphilia of autoerotic asphyxia. There are few studies of live practitioners of this practice which includes the act of self-asphyxiation, usually by hanging, while masturbating. Common features of the syndrome is the adoption of the role of a female transvestite, the use of pornographic material, the special kind of location for the hanging ritual, and the dynamics arising out of having a dominant mother and physically ill father. With adolescent males the ritual tends to be solitary, while in adults the tendency is to move into a homosexual couple practice that has sadomasochistic features. The source of such a practice is an enigma to researchers in spite of the long-known history of its occurrence. Few practioners have been studied while alive, and most practitioners have been studied by psychological autopsy. The authors report the history of a 24-year-old male, with a 10-year practice of autoerotic asphyxia who was first seen for a conversion reaction which affected his ability to walk. His symptoms began soon after a vigorous and repetitive engagement in his hanging ritual which left him very light-headed and weak-kneed. He believed he had caused himself permanent physical damage and he sought professional assistance at that time.

Adult↗