Coming to terms with your own sexuality first.
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Sexual activities and attitudes of a group of adolescents, who have been followed from early infancy as a part of the New York Longitudinal Study, are reported. Adolescents in the study evince a more matter-of-fact, less fearful attitude than that of previous generations, but do not seem more prone to casual sexual encounters. Sexual conflicts are seen to occur only in relation to overall psychological conflict.
A study of 132 autoerotic asphyxial deaths revealed that family members and friends, in addition to experiencing shock over the sudden aspect of the death, frequently were the ones to discover the decedent's body and were confused by the sexual nature of the death. Clinicians are urged to be alert for signs of such potentially lethal sexual activity among the young people they see, and to be prepared to assist bereaved family members.
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This paper asserts that homosexuality in adolescence should not be regarded in the same way it would be in adults. Different types of homosexuality emerge during adolescence according to the different psychodynamic conditions which occur at different stages of adolescence, particularly the changing relationship to the individual's parents, and these may subside or make an important contribution to the establishment and nature of an individuals' homosexuality in adulthood. The characteristic 'identificatory facility' of adolescence is discussed and it is suggested that this is retained in the make-up of the adult homosexual. Some comments on the clinical assessment of homosexuality in adolescence are briefly made.
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Androgen function was studied in twenty-five physically healthy "primarily" impotent males classified on clinical criteria into "psychogenic" or "constitutional" groups. The mean urinary testosterone level in the former was significantly higher than in the latter group (P<0.005). Important variables associated significantly with higher urinary testosterone levels (P<0.05) were (a) "late onset" impotence, (b) shorter duration than two years, (c) stronger "sex drive," and (d) an alternative sexual outlet to orgasm and ejaculation in the three months preceding referral; the last-mentioned appeared to be the single most important discriminatory feature.It is suggested that testosterone excretion patterns-namely, high, average, and low-may be one method of classifying impotence.
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The results of a short sexual health study of 75 male soldiers undertaking humanitarian aid relief in Africa are presented in an historical context relating to sexuality and soldiery.
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The syndrome of auto-erotic asphyxia (AEA) involves the deliberate induction of cerebral hypoxia to produce or enhance sexual excitement. This sexual practice is normally only discovered when death results from the act because these individuals rarely seek professional advice. The practice of AEA in the living case presented here was initially misinterpreted as parasuicidal behaviour. This type of sexual behaviour should always be considered a differential for parasuicidal activity involving asphyxia. Aetiology, treatment and the need for health professionals to be aware of this syndrome are discussed.