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The etiological significance of the primal scene in perversions.

The etiological significance of the actually observed primal scene in fetishism and other perversions is discussed. The impact of the primal scene on the pathology of part object relationships, self and object image, and on the development of superego structures in perversion is stressed.

Age Factors↗

"I want to be a daddy!": meanings of masculine identifications in girls.

This paper suggests revisions in our understanding of feminine identity formation, the girl's negative oedipus complex, and masculine identifications in girls. Analytic material from the cases of three girls is used to explore the various origins and intrapsychic functions of masculine identifications at each phase of the girl's development. Accounts of feminine development based on such concepts as castration shock, primary femininity, primary identification with mother, or core gender identity are seen as oversimplified. Feminine and masculine identifications are neither primary nor secondary, but the product of a long line of development, of ongoing conflict resolution, and of defensive transformations.

Child↗

[Psychosomatic aspects of adolescence].

During adolescence physical, psychic and social changes occure more rapidly and to a greater extent than during any other period of live. The marked changes concern not only the outern appearence, but also its intrapsychic representations, the body image. The complex integrative processes towards the identity as man or woman cannot be mastered without a certain emotional and physical instability. This is particularly the case if, in addition, nearly infantile disturbances in the socialisation or conflicts specific for this life period are, or have been, present. They can in the sense of a disposition lead to the manifestation of more or less severe crisis in adolescence. These crises interfere not only with the body image, but in many cases with the somatic functions as well. In the study three general aspects of this developmental problem are discussed as far they are relevant in the therapy of psycho-somatic disturbances in adolescents. 1. The implication of the adolescent phase in the course of psycho-somatic diseases. 2. Diseases which mainly occure in adolescence and are predominantly confined to this life period or are mainly influenced by it. 3. The influence which conflicts and phase-specific anxieties and fantasies exercise on the development and establishment of a mature body image and an adult identity.

Adolescent↗

The sexual development and life of female schizophrenic patients.

The sexual development of 51 female schizophrenics, their attitudes toward sex, and their sexual activity and arousability were investigated. The control group consisted of 101 gynecological patients. The sexual development of the female schizophrenics was significantly retarded, and their sexual activity and arousability significantly lowered in adult life compared with the control group. The hypothesis is advanced that the retarded development may be caused by some biological factor, while sexuality in adult life is negatively affected primarily by social isolation.

Adult↗

Clinical patterns among male transsexual candidates with erotic interest in males.

Male-to-female transsexuals who reported an erotic interest in males showed different patterns of sexual activity. Sexual history was used to categorize a transsexual sample into three groups: 44% abstained from sexual activity (Inactive group), 19% were sexually active but avoided using their penis in sexual activity (Avoidant group), and 37% were sexually active and derived pleasure from their penis (Pleasure group). The groups were compared for differences in gender identification, developmental patterns, and personality. Transsexuals in the Avoidant group showed patterns of traits and experiences that generally conformed to characteristics of the nuclear transsexual. They were dissimilar from the other two groups on measures of feminine functioning, heterosexual history, and fetishism. Transsexuals who interact with males in ways that are viewed as more classically homosexual shared more in common with the transsexual group which abstained from sexual activity with males. Both groups displayed more masculinity in development and more evidence of emotional disturbance. The implications of these findings for diagnosis and treatment are discussed.

Adult↗

The role of maternal stimulation in the development of sexual behavior and its neural basis.

Both sexual differentiation, which is a matter of individual development, and sexual dissimilation, which is a matter of individual differences, result from developmental processes that are open to input from the early maternal environment. There are reliable features in both the dam and the young that ensure that males receive more perineal stimulation from maternal licking than is necessary for survival and normal growth. This stimulation contributes toward the development of masculine sexual behavior and mechanisms in the central nervous system that control copulatory reflexes. Because of differences in signals that they produce, males receive more stimulation than females. This bias in early stimulation accounts for some of the dissimilarity between the sexes in nervous system morphology and behavior. The same processes that produce sex differences can also produce individual differences among males. These differences are likely to have significant functional consequences in rats, a species in which males have a high level of intrasexual reproductive competition. Future research will be directed toward testing this functional hypothesis and toward exploring the extent of stimulative effects on the development of the sexually dimorphic brain regions that function in sexual behavior.

Afferent Pathways↗

Homosexual identity formation: a theoretical model.

A six-stage model of homosexual identity formation is outlined within the framework of interpersonal congruency theory. Stages are differentiated on the basis of the person's perceptions of his/her own behavior and the actions that arise as a consequence of this perception. The person is seen to have an active role in the acquisition of a homosexual identity. Alternative paths of development are proposed within each stage. The notion that people can accept homosexuality as a positively valued status is assumed. Several factors believed to be influential in determining whether a person takes one line of development or another are discussed. The model is intended to be applied to both female and male homosexuals.

Adaptation, Psychological↗

Sexual intercourse, abuse and pregnancy among adolescent women: does sexual orientation make a difference?

CONTEXT: Although a limited amount of research has retrospectively explored the childhood and adolescent heterosexual experiences of lesbians, little is known about the prevalence of heterosexual behavior and related risk factors or about pregnancy histories among lesbian and bisexual teenagers. METHODS: A secondary analysis was conducted using responses from a subsample of 3,816 students who completed the 1987 Minnesota Adolescent Health Survey. Behaviors, risk factors and pregnancy histories were compared among adolescents who identified themselves as lesbian or bisexual, as unsure of their sexual orientation and as heterosexual. RESULTS: Overall, bisexual or lesbian respondents were about as likely as heterosexual women ever to have had intercourse (33% and 29%, respectively), but they had a significantly higher prevalence of pregnancy (12%) and physical or sexual abuse (19-22%) than heterosexual or unsure adolescents. Among sexually experienced respondents, bisexual or lesbian and heterosexual women reported greater use of ineffective contraceptives (12-15% of those who used a method) than unsure adolescents (9%); bisexual or lesbian respondents were the most likely to have frequent intercourse (22%, compared with 15-17% of the other groups). In the sample overall, among those who were sexually experienced and among those who had ever been pregnant, bisexual or lesbian women were the most likely to have engaged in prostitution during the previous year. CONCLUSIONS: Providers of reproductive health care and family planning services should not assume that pregnant teenagers are heterosexual or that adolescents who say they are bisexual, lesbian or unsure of their sexual orientation are not in need of family planning counseling. Further research should explore the interactions between adolescent sexual identity development and sexual risk behaviors.

Adolescent↗

[Dealing with (bypassing) the difference].

The author presents different psychoanalytic conceptualizations of gender difference. She reviews the controversy between Freud and Jones and discusses in detail the views put forward by Montrelay, a student of Lacan, who relates early linguistic development to gender-specific differences in closeness between the child and the "mother's body".

Female↗

Links between sex-typed time use in middle childhood and gender development in early adolescence.

The authors studied sex-typing in the kinds (e.g., sports, handicrafts) and social contexts (same- vs. other-sex companions) of children's free time activities, and the links between sex-typed activities and gender development over 2 years. Participants were 200 White, working- and middle-class children (103 girls, 97 boys; mean age = 10.86 years). In annual home interviews, children rated their self-esteem, gender role attitudes and sex-typed personality qualities, academic interests, and school grades. During 7 nightly phone interviews each year, children reported on their activities. Boys were more sex-typed than girls in their peer activities, and children were least sex-typed in their activities with siblings. Sex-typed activities in middle childhood predicted individual differences in gender development in early adolescence.

Adolescent↗