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PubMed1985

Wrapped to death. Unusual autoerotic death.

Despite the large population of New Orleans, including many homosexual and transsexuals, there have been relatively few cases of autoerotic deaths. The case reported here is an interesting one as it includes a bizarre form of autoerotic behavior from the standpoint of the method used. There have been no deaths reported in the literature in which the victim died as a result of jeopardizing himself by enclosing his body into plastic with an airway out of his "cocoon" in the form of a snorkel tube. He was engaged in masturbation when he apparently lost his mouth piece or airway. He attempted to use a knife to cut himself out.

Adult↗
PubMed1977

The clinical value of boredom. A procedure for reducing inappropriate sexual interests.

A combination of aversive therapy and orgasmic reconditioning failed to produce the expected changes in sexual activities and arousal patterns. A procedure that involved verbalizing deviant fantasies while engaged in continual masturbation for nine sessions each of 1 1/2 hours duration, led to marked changes in sexual interests in an appropriate direction.

Adult↗
PubMed2000

Sperm motility from the vas deferens of spinal cord injured men is higher than from the ejaculate.

PURPOSE: Recent evidence suggests that the seminal plasma of spinal cord injured men contributes to their distinctive semen profile of normal sperm concentration but low sperm motility and viability. This finding indicates that sperm in these men may be normal before exposure to the seminal and prostatic fluids. To investigate this question we compared vas aspirated to ejaculated sperm in 12 men with spinal cord injury and 14 healthy, age matched controls. MATERIALS AND METHODS: Ejaculate was collected by penile vibratory stimulation or electroejaculation in spinal cord injured men and by masturbation in controls. Sperm was aspirated via microsurgery from 1 hemisectioned vas deferens in spinal cord injured men and during routine elective vasectomy in controls. Ejaculated and aspirated specimens were compared. RESULTS: In men with spinal cord injury mean vas aspirated sperm motility and viability plus or minus standard error of mean were significantly higher than mean ejaculated sperm motility and viability (54.4% +/- 5.0% and 74.1% +/- 5.3% versus 14.1% +/- 2.6% and 26.1% +/- 4.9%, respectively). In controls mean vas aspirated sperm motility and viability were not significantly different from mean ejaculated sperm motility and viability (77.5% +/- 5.2% and 88.9% +/- 2.5% versus 74.3% +/- 5.2% and 85.0% +/- 3.5%, respectively). CONCLUSIONS: In spinal cord injured men sperm motility and viability were significantly higher before contact with seminal fluids. Although aspirated sperm from men with spinal cord injury generally had lower motility and viability than that of controls, implying that epididymal or testicular factors may also have a part, the greatest decrease was observed in the ejaculate. Further study of infertility in these men should focus on prostatic and seminal vesicle factors.

Adult↗
PubMed1983

Mood, sexuality, hormones, and the menstrual cycle. III. Sexuality and the role of androgens.

Sexual interest and activity at different stages of the menstrual cycle was recorded by 55 women with normal ovulatory cycles. In women with marked cyclical mood change, there was an associated cyclical pattern of sexual feelings. Subjective sexuality independent of mood change, was maximal in the mid-follicular (i.e., postmenstrual) and late luteal (i.e., premenstrual) phases. Sexual activity was maximal in the mid-follicular phase. There was no evidence of a periovulatory increase in sexual interest or activity. Mean testosterone levels were correlated with masturbation frequency but not with sexuality involving the partner. A weak association between testosterone and life style (i.e., in full-time work or a housewife) was also evident.

Adult↗
PubMedDate not supplied

Atypical sexual behavior during sleep.

OBJECTIVE: This article reports a case series of atypical sexual behavior during sleep, which is often harmful to patients or bed partners. METHODS: Eleven subjects underwent clinical evaluation of complaints of sleep-related atypical sexual behavior. Complaints included violent masturbation, sexual assaults, and continuous (and loud) sexual vocalizations during sleep. One case was a medical-legal case. Sleep logs, clinical evaluations, sleep questionnaires, structured psychiatric interviews, polysomnography, actigraphy, home electroencephalographic monitoring during sleep, and clinical electroencephalographic monitoring while awake and asleep were used to determine clinical diagnoses. RESULTS: Atypical sexual behaviors during sleep were associated with feelings of guilt, shame, and depression. Because of these feelings, patients and bed partners often tolerated the abnormal behavior for long periods of time without seeking medical attention. The following pathologic sleep disorders were demonstrated on polysomnography: partial complex seizures, sleep-disordered breathing, stage 3 to 4 non-rapid eye movement (REM) sleep parasomnias, and REM sleep behavior disorder. These findings were concurrent with morning amnesia. CONCLUSIONS: The atypical behaviors were related to different syndromes despite the similarity of complaints from bed partners. In most cases the disturbing and often harmful symptoms were controlled when counseling was instituted and sleep disorders were treated. In some cases treatment of seizures or psychiatric disorders was also needed. Clonazepam with simultaneous psychotherapy was the most common successful treatment combination. The addition of antidepressant or antiepileptic medications was required in specific cases.

Adolescent↗
PubMed1980

The effect of cyproterone acetate on serum testosterone, LH, FSH, and prolactin in male sexual offenders.

The anti-androgen, cyproterone acetate, was administered in a dose of 100 mg/day to eight adult male sexual offenders for 21-31 days. Serum testosterone fell to subnormal levels within 7 days and remained low for 6-28 days after treatment was stopped. The fall in testosterone was accompanied by a fall in serum luteinizing hormone (LH) and follicle stimulating hormone (FSH), and a rise in serum prolactin. All subjects experienced a decrease in libido and in frequency of masturbation. The probable mechanisms of action of cyproterone acetate are discussed, as is its potential role in the management of sexual offenders. These studies suggest that measurement of serum testosterone could be used as an index of compliance in sexual offenders treated with cyproterone acetate who are released on parole.

Adult↗
PubMed2006

The paraphilia-related disorders: an investigation of the relevance of the concept in sexual murderers.

Paraphilic disorders (PAs) and sexual preoccupation are known risk factors for recidivism in sexual offenders. Nonparaphilic sexual excessive behaviors-so-called paraphilia-related disorders (PRDs), like paraphilias, are also characterized by sexual preoccupation and volitional impairment and can be diagnosed in paraphilic men. The prevalence and clinical significance of PRDs in sexual homicide perpetrators, however, is unknown. We investigated the relationship between PAs and PRDs retrospectively in a sample of 161 sexual murderers. Four groups were compared: men without a PA or a PRD diagnosis, men with at least one PRD but no PA, men with at least one PA but no PRD, and finally, those with a combination of both (PA+PRD). The PA+PRD group had the most lifetime cumulative sexual impulsivity disorders, more developmental problems, the highest persistent frequency of sexual activity, the highest number of previous sexual offences, more sexual sadism, and compulsive masturbation. Men of the PRD subsample had suffered more from childhood sexual abuse, showed more promiscuity, psychopathy, and alcohol problems. The use of the PRD concept in this special offender group should be further investigated with prospectively designed studies.

Alcoholism↗
PubMed1984

Sexual function and dysfunction in younger married alcoholics. A comparative study.

Sexual dysfunction in male and female alcoholic addicts was evaluated in a comparative study of 60 married alcoholics and an age-matched control group from a general practitioner's clinic. 63% of the alcoholic men reported sexual dysfunction - mainly erectile and libido disorders - compared with 10% in the control group. The frequency of sexual dysfunction in alcoholic women did not differ from that in controls. Approximately 25% of the women who reported sexual dysfunction had reduced libido. The male alcoholics claim the aversive treatment, (Antabus), to be the causative factor, and considered their problem began as soon as they started treatment. There was no change in masturbation or coital frequency in the month before and after initiation of treatment. The study discusses present knowledge of relevant etiological factors in sexual function and dysfunction in alcoholics - implicating a multifacetted therapeutic approach.

Adult↗
PubMed2004

Disorders of orgasm in women.

INTRODUCTION: Orgasm is a sensation of intense pleasure creating an altered consciousness state accompanied by pelvic striated circumvaginal musculature and uterine/anal contractions and myotonia that resolves sexually-induced vasocongestion and induces well-being/contentment. In 1,749 randomly-sampled U.S. women, 24% reported an orgasmic dysfunction. AIM: To provide recommendations/guidelines concerning state-of-the-art knowledge for management of orgasmic disorders in women. METHODS: An International Consultation in collaboration with the major urology and sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various male and female sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. Concerning the Disorders of Orgasm in Women Committee, there were four experts from two countries. MAIN OUTCOME MEASURE: Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate. RESULTS: Female Orgasmic Disorder, the second most frequently reported women's sexual problem is considered to be the persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase that causes marked distress or interpersonal difficulty (DSM-IV). Empirical treatment outcome research is available for cognitive behavioral and pharmacological approaches. Cognitive-behavioral therapy for anorgasmia promotes attitude and sexually-relevant thought changes and anxiety reduction using behavioral exercises such as directed masturbation, sensate focus, and systematic desensitization treatments as well as sex education, communication skills training, and Kegel exercises. To date there are no pharmacological agents trials (i.e., bupropion, granisetron, and sildenafil) proven to be beneficial beyond placebo in enhancing orgasmic function in women diagnosed with Female Orgasmic Disorder. CONCLUSIONS: More research is needed in understanding management of women with orgasmic dysfunction.

Behavior Therapy↗
PubMed1995

Male genital self-mutilation: a case report.

A review of the literature on self-mutilation of male genitalia and/or auto-castration reveals that they are infrequent and usually related to psychoses or toxic states. In this report the authors present a case of a 17-year-old non-psychotic Japanese male who mutilated his genitalia under clear consciousness because of a conflict over his frequent masturbation.

Adolescent↗
PubMed1992

An unusual foreign body in the preputial sac.

A 28 year old Indian male presented with an unusual foreign body, a penicillin bottle containing tincture of iodine, in the preputial sac. The purpose of introducing the bottle was to tickle his glans penis as a form of masturbation. The bottle was so firmly impacted that it could be removed only under general anaesthesia.

Adult↗
PubMed1994

Sexual revolution and counter-revolution.

Adolescents of today inherit the conflicting legacies of the sexual reformation of the 1960s and the counter-reformation of the 1980s/1990s. Sexual mores are influenced by a younger age of puberty than in earlier generations and by the availability of effective contraception and antibiotics to combat sexually transmitted diseases. In the era of acquired immune deficiency syndrome, however, absolutely safe sex cannot be guaranteed, only relative degrees of safety and risk. Masturbation may be one way of achieving safe sex. Advancing technology also allows greater equality of opportunity and economic emancipation for women, enabling men and women to share equally in the care of older infants and children, also influencing sexual roles. Sex education for adolescents is provided sporadically and inconsistently, being seen by opposing factions as either encouragement to early pregnancy or a means of preventing it. In particular, the images delivered by the mass media are blatantly contradictory, ranging from endorsement of teenage sexual expression to condemnation of abortion and teenage pregnancy. Cultural traditions have strong influences on the acceptability of early pregnancy and on family structure. Black American culture is based on the three-generational family as opposed to the white tradition of the nuclear, two-generational family. It is important to realize a social policy that will respect not only the sexual rights of young people, but also the sexual health of the community.

Adolescent↗
PubMed1997

Characteristics of 36 subjects reporting compulsive sexual behavior.

OBJECTIVE: The authors describe the sociodemographic features, phenomenology, and psychiatric comorbidity of 36 subjects reporting compulsive sexual behavior. METHOD: Twenty-eight men and eight women who responded to advertisements for "persons ... who have a problem with compulsive sexual behavior" completed structured and semistructured assessments, including the Diagnostic Interview Schedule for DSM-III-R disorders (axis I) and the Structured Interview for DSM-III-R Personality Disorders, Revised (axis II). RESULTS: The typical subject was a 27-year-old man who reported experiencing compulsive sexual behavior for nearly 9 years. Sexual behavior was described as excessive and poorly controlled and was associated with either subjective distress or impairment in interpersonal or occupational functioning or as overly time-consuming. Fourteen subjects (39%) reported a history of major depression or dysthymia, 15 (42%) a history of phobic disorder, and 23 (64%) a history of substance use disorder. Personality disorders were quite frequent, particularly the paranoid, histrionic, obsessive-compulsive, and passive-aggressive subtypes. The compulsive sexual behavior was quite varied and included both paraphilic (e.g., cross-dressing) and nonparaphilic (e.g., compulsive masturbation) types. CONCLUSIONS: Compulsive sexual behavior may be a clinically useful concept, but it describes a heterogeneous group of individuals with substantial psychiatric comorbidity and diverse behavioral problems.

Adolescent↗
PubMed1976

Amplification of the erotic enema deviance.

Use of enemas for sexual stimulation has been observed and named klismaphilia. Some klismaphiliacs indulge their taste for enemas in other wise normal sexual settings. Others combine it with fetishes, excretory and otherwise or with masturbation. Still others practice klismaphilia in homosexual or sadomasochistic settings or in group sex.

Ego↗
PubMed1991

Semen-loss syndrome: a comparison between Sri Lanka and Japan.

In some cultures semen loss is associated with illness, anxiety, and loss of energy and power. Thirty-five nonpsychotic patients attending a psychiatric clinic in Sri Lanka during one month, attributed their complaints of sexual dysfunction, lethargy, thinness, and miscellaneous aches and pains to semen loss resulting from masturbation or nocturnal emissions. Similar complaints are rare among psychiatric patients in Japan. A survey questionnaire designed to measure negative attitudes and beliefs regarding semen loss was used to measure such attitudes in a patient population and a general university population in Sri Lanka and Japan. The survey disclosed that unlike in Japan, people in Sri Lanka consider semen loss to be detrimental to mental and physical health. Attitudes regarding semen loss were the most negative in the patient population. These results indicate the possibility that culturally held negative attitudes and beliefs may contribute to the high incidence of semen-loss complaints in Sri Lanka, and suggest that attitudes and beliefs may play a role in the way patients express psychopathological symptoms in different societies.

Adult↗
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↗
PubMed2005

As the wheel turns: a centennial reflection on Freud's Three Essays on the Theory of Sexuality.

Freud's theories of psychosexual development, while highly original, were anchored in the explosion of scientific studies of sex in the nineteenth century. Most of these studies were based on masturbation, homosexuality, and deviance, with little attention given to normal sexuality. Around the turn of the century, the narrow interest in pathological sexuality and sexual physiology gradually gave way to a broader interest in normal sexuality. It was in the context of these expanding studies of sexuality that Freud proposed the first psychological view of sexuality, a theory that defined sex as being at the interface between soma and psyche. Libido theory, which Freud developed, is a theory of drives and conflicts. For Freud, libido was the major force in personality development, and he posited sexual conflicts as the heart of neuroses, sexual fixations as the essence of perversions. This article traces the way Freud's libido theory has served as one of the mainsprings in the development of psychoanalytic theory. It also addresses the major revisions that have taken place in libido theory, with a focus primarily on object relations theory, and the impact of culture on the way sex and sexual mores are parsed.

Freudian Theory↗
PubMed1982

The symbol of telephoning.

Two clinical excerpts illustrate the patient's use of telephoning as an equivalent for and a symbol of masturbation. Some of the many and multidetermined latent meanings of telephoning are indicated.

Anxiety↗