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Androgyne becomes bisexual in sexological theory: Plato to Freud and neuroscience.

Plato conceptualized primordial humans as androgynes, the children of the moon. The primordial hermaphroditism of the mammalian embryo became known 2 1/2 millennia later in the mid-19th century. By 1864 Ulrichs had transposed the new knowledge from embryology to sexology to explain those to whom he gave the name Urnings (after Uranus who gave womanless birth to Venus from sea spume) as having "a woman's mind trapped in a man's body" (anima muliebris corpore virili inclusa). Urning became displaced by sexual inversion, and eventually by homosexual, a term coined together with heterosexual by Kertbeny as recently as 1869. The embryological principle of primordial hermaphroditism became linked to evolutionary Darwinism by way of Haeckel's principle of recapitulation, epitomized as "ontogeny recapitulates phylogeny." The recapitulation principle became linked, in turn, to the principle of intrapsychic primordial bisexuality, which became a cornerstone of Freud's psychoanalytic theory. Genetics influences the outcome of bipotentiality not directly but by way of hormonal programming of the brain, prenatally or neonatally, rather than pubertally and in maturity. Bipotentiality within the brain has been investigated chiefly in the hypothalamus where male/female dimorphism has been recognized, but its determinants and stages of differentiation, both prenatal and postnatal, remain to be fully ascertained. Neuroanatomical research on the outcome of male/female bipotentiality as gay, straight, or in between is politically and morally opposed by those who postulate a bipotential preference or voluntary choice. In stimulus-response associationism, to which behavior-modification theory belongs, bisexuality is equipotential, and either alternative may be evoked, ostensibly, dependent on the stimulus situation. In ethological theory, the effectiveness of stimulus-response bonding is confined chronologically to a critical period of development and is restricted phylogenetically by an innate recognition mechanism and an innate releasing mechanism. These limits are compatible, however, with some degree of both individual and ethnic variation.

Bisexuality↗

Female genital anxieties, conflicts and typical mastery modes.

This paper focuses on the female experience of her own body, the unique anxieties that arise from the nature of the female genitals and the role of the female body in female development. Following Freud's theories of the importance of integrating body experiences in the development of psychic structures, the girl's body and her efforts to integrate it are seen as uniquely feminine. Three anxieties are described--access, penetration and diffusivity. These represent dangers to body integrity comparable to, but different from, boys' experience of castration anxiety. Not only do different genitals give rise to different anxieties, the different body experiences give rise to different modes of mastery (defence) shaping different character structures. While males can readily form discrete, concrete mental representations of their genitals, females cannot. While the boy can rely on direct sensory experience, the developing girl must rely on proprioceptive experiences, symbolization, and on other people to aid her in defining her elusive genital experience. This interpretation of the female genital experience provides a psychoanalytic framework for the object embeddedness long observed as part of the feminine character.

Adult↗

[Age-related dynamics and conditions for developing male homosexuality].

A comprehensive clinical and psychological investigation was performed in 240 homosexual men. Various factors were established as playing a role in the development of homosexual drive. Therapeutic and preventive methods were designed. Homosexual men were found to have increased sexuality at the age of 5 to 7. First signs of homosexual settings were evident since the age 14-16 and their final shape acquired by 18-20. Parts played by individual partners were largely determined by personality traits (extroversion prevailing in "active" group and introversion in "passive" one). Homosexual orientation was primarily due to psychopathological development of the personality, asociality and external cues providing first sexual impression. In the forced confinement homosexual settings could be easily suppressed with chlorpromazine and then with sulfadiazine treatment. The prevention of homosexuality should be arranged as a complex of means effected through a differentiated medicolegal approach.

Adolescent↗

Timing of elective hypospadias repair in children.

Psychological concerns for the timing of medical procedures on children result from the longstanding realization that events and behavioral patterns of childhood have wide-ranging effects on the later behavior of the adult. A review of the literature regarding the effects of surgery on psychological development is presented. Particular reference is made to the impact of genitourinary surgery with specific emphasis on the repair of hypospadias, a congenital anomaly affecting 1:250 to 1:400 live male births. Studies of adults who underwent hypospadias repair as children suggest that they are psychologically different from their peers who did not have this surgery. Specifically, as adults they frequently have sexual difficulty despite erectile competence and they generally occupy less responsible, less competitive, and less independent professions than similarly intelligent cohorts. These findings imply that the experience of hypospadias or its surgical repair may in some way affect psychological development. By examining these experiences in light of emotional and cognitive development and the emergence of body image and sexual identity, predictions for psychologically optimal timing of surgery are made. Importance of the role of the family in the psychological outcome and a discussion of surgical considerations are also provided.

Age Factors↗

The importance of dreams and action in the adolescent process.

The author argues that after puberty dreams and action are indicators of the capacity of the psychic apparatus to perform the work of binding drive energy. He notes that the development of adult sexuality always involves risk and that effective dream activity affords a definitive solution to the problem of incestuous and parricidal temptations, which attain an unprecedented pitch of intensity with the onset of sexual and procreative potency in adolescence. The author illustrates his thesis by the case of an adolescent patient with particular sexual pathology who broke down at the age of 17 and who, once he became able to dream in the course of analysis, had less need to act out. A 'work of the negative' is presented as a paradoxical but important element in psychic development. Dreaming and action are stated to be inseparable and to constitute an essential safety valve that facilitates the developmental process. A discussion of the connections between dreams and initiation leads to some ethnological considerations on sexuality and society, and the paper ends with a plea not to overlook the death drive.

Adolescent↗

Gay and bisexual adolescent boys' sexual experiences with men: an empirical examination of psychological correlates in a nonclinical sample.

Over the last quarter century the incest model, with its image of helpless victims exploited and traumatized by powerful perpetrators, has come to dominate perceptions of virtually all forms of adult-minor sex. Thus, even willing sexual relations between gay or bisexual adolescent boys and adult men, which differ from father-daughter incest in many important ways, are generally seen by the lay public and professionals as traumatizing and psychologically injurious. This study assessed this common perception by examining a nonclinical, mostly college sample of gay and bisexual men. Of the 129 men in the study, 26 were identified as having had age-discrepant sexual relations (ADSRs) as adolescents between 12 and 17 years of age with adult males. Men with ADSR experiences were as well adjusted as controls in terms of self-esteem and having achieved a positive sexual identity. Reactions to the ADSRs were predominantly positive, and most ADSRs were willingly engaged in. Younger adolescents were just as willing and reacted at least as positively as older adolescents. Data on sexual identity development indicated that ADSRs played no role in creating same-sex sexual interests, contrary to the "seduction" hypothesis. Findings were inconsistent with the incest model. The incest model has come to act as a procrustean bed, narrowly dictating how adult-minor sexual relations quite different from incest are perceived.

Adaptation, Psychological↗

Women and a changing society: implications for transference/countertransference.

The word feminism conveys a variety of definitions, attitudes, and behaviours in contemporary society. Thus, the psychotherapist must clarify the woman's definition of this term and examine personal knowledge regarding the changing roles of women and men. Three categories of factors are discussed that affect the woman's self-determination, creativity, cooperativeness in therapy and her decision about goals. These factors include female identity formation within the family, level of autonomy development, and transference/countertransference issues. Four case histories illustrate the complex interactions of these factors. The vignettes emphasize the crucial importance of the psychotherapeutic alliance in a changing society where conflict exists about appropriate ways to express authenticity.

Adolescent↗

Emotional loneliness in sexual murderers: a qualitative analysis.

This study compared levels of emotional loneliness between sexual murderers and rapists who had not gone on to kill their victim/s. All participants were life-sentenced prisoners in the United Kingdom. Assessment consisted of a semistructured interview and was subjected to grounded theory analysis. This approach is defined as the breaking down, naming, comparing, and categorizing of data. As such, it is distinguished from other qualitative methods by the process of constant comparison. This continual sifting and comparing elements assists in promoting conceptual and theoretical development. The results of this process found that sexual murderers, compared to rapists, reported significantly higher levels of grievance towards females in childhood, significantly higher levels of peer group loneliness in adolescence, and significantly higher levels of self as victim in adulthood.

Adult↗

Latency to first naloxone-induced jump as a measure of precipitated abstinence intensity in morphine-dependent mice and the interaction of set on this test.

A method developed in this laboratory uses latency to time of first jump after injection of naloxone rather than the number of jumps in a specified period or the number of animals jumping as a measure of the degree of morphine physical dependence. For the test, mice are placed in a glass cylinder used as a test chamber, after being injected with the antagonist. During the development of this method it was observed that repeated exposures of dependent mice to both naloxone and the chamber yielded shorter latencies to first jump than did repeated exposures to naloxone alone in animals with the same degree of physical dependence. It appears that learning develops when naloxone injections are given repeatedly and followed by exposure to the test chamber and that this learned behavior is manifested by a reduced latency to first jump which may be confused with increased intensity of the opiate-withdrawal syndrome.

Animals↗

Self as the feminine principle.

In analytical psychology, ego is associated with consciousness and the masculine principle. Although the feminine principle generally characterizes the unconscious, it was not assigned a psychic structure equivalent to the ego. This paper proposes a model of the psyche where self and ego are the major modes of psychic experience. The self as the 'being' mode represents the feminine principle and functions according to primary process; the ego represents 'doing', the masculine principle and secondary process. Feminine and masculine principles are considered to be of equal significance in both men and women and are not limited to gender. Jung's concept of the self is related to the Hindu metaphysical concepts of Atman and Brahman, whose source was the older Aryan nature-oriented, pagan religion. The prominence of self in analytical psychology and its predominantly 'feminine' symbolism can be understood as Jung's reaction to the psychoanalytic emphasis on ego and to Freud's 'patriarchal' orientation. In Kabbalah, a similar development took place when the feminine principle of the Shekinah emerged in a central, redemptive role, as a mythic compensation to the overtly patriarchal Judaic religion. In the proposed model of the psyche neither ego nor self represents the psychic totality. The interplay of both psychic modes/principles constitutes the psyche and the individuation process.

Ego↗

The formation of homosexual identities.

This paper uses sociological theory to develop an ideal-typical model of homosexual identity formation. The four-stage model outlined here represents a synthesis and an elaboration on previous research and theorizing on homosexual identity development. The model describes how committed homosexuals, lesbians and gay males who see themselves as homosexual and adopt corresponding lifestyles, recall having acquired their homosexual identities. Often repeated themes in the life histories of gay males and lesbians, clustered according to life stages, provide the content and characteristics of each stage.

Adaptation, Psychological↗

Systemic lupus erythematosus in adolescents.

Once considered a rare, fatal illness in children and adolescents, systemic lupus erythematosus (SLE), or lupus, is now understood to be a relatively common chronic disorder in these age groups. This article provides a brief overview of the disease, describing its etiology, pathology, clinical manifestations, diagnosis, and treatment. A case history of an adolescent girl with lupus is presented, and the role of the nurse is discussed in relation to promoting four developmental tasks of adolescents: developing a positive body image, establishing a sexual identity, achieving independence, and acquiring formal thought processes. Since lupus interferes to some degree in the accomplishment of these tasks, we suggest methods of assessment and intervention that the nurse can use in each area to overcome these interferences.

Adolescent↗

[Sexually aggressive acts of an adolescent with Klinefelter syndrome].

Using the case of an average gifted 15 years old youth with Klinefelter-syndrome (ks), who acted in a sexually aggressive manner, first the characteristics of this syndrome are described. In the following personality development and family background are compared to three hitherto published case examples of youths with ks or similar symptomatics on the one hand, and forty other sexually aggressive acting youths without ks on the other hand. In closing the possible significance of a treatment with a testosterone substitute is discussed.

Adolescent↗

Predictors of father-son communication about sexuality.

Examining the factors that influence adolescents' sexual behaviors is crucial for understanding why they often engage in risky sexual behaviors. Using social cognitive theory, we examined predictors of father-son communication about sexuality. Fathers (N=155) of adolescent sons completed a survey measuring 12 variables, including self-efficacy and outcome expectations. We found that (a) son's pubertal development, father's sex-based values, father's education; father's communication with his father, outcome expectations, and general communication accounted for 36% of the variance in information sharing communication and (b) son's pubertal development, outcome expectations, general communication, and father-son contact accounted for 20% of the variance in values sharing communication. Study findings can aid professionals in designing guidelines for programs to promote father-son general communication and sex-based communication.

Adolescent↗

A critique of Bem's "exotic becomes erotic" theory of sexual orientation development.

A critique of Bem's "Exotic Becomes Erotic" theory (1996) on the development of male homosexuality was offered. Limitations were outlined in light of relevant research findings. The authors proposed an alternative model to explain male homosexuality, i.e., reparation of early boyhood trauma, which better accounts for significant psychodynamic elements and available research. Finally, comparisons were made between specific elements of the two models.

Adult↗

Beating fantasies in a latency girl: their role in female sexual development.

Detailed clinical material is presented from the analysis of a latency girl whose inner life revolved around a series of beating fantasies. The clinical data support Freud's 1925 formulation that the perception of sexual differences initiates the oedipus complex in the girl. Whether a girl experiences vaginal sensations before puberty has been a controversial issue; in this girl vaginal sensations and contractions appeared prior to puberty.

Anxiety, Castration↗

Identity, sexuality and the self in late adolescence.

This paper explores the concepts of identity, sexuality and the self within the context of adolescent development. The development of the identity concept in adolescence is traced in Jung's theoretical, clinical and autobiographical writings. Jung's adolescent development is viewed as the matrix out of which the identity concept emerged within analytical psychology. This was later elaborated theoretically by Jung in Symbols of Transformation (1912/1956). One of Jung's clinical cases of a late adolescent is discussed in which themes related to the development of identity and sexuality emerged. An adolescent case from the author's analytic practice is presented where similar themes of identity, homosexuality and self emerged. The developmental and symbolic themes which emerged in the analysis are viewed within the context of the transference/countertransference relationship.

Adolescent↗