Orgasmic difficulties: the role of the gynecologist.
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The basic principles of those behaviourist approaches are: - Treatment of the couple, no matter which partner is apparently "responsible" for the sexual problem, and mutual involvement of both partners. - Sexual information and education regarding the cycle of sexual response, anatomy, biology, and sexual techniques. - Changing negative attitudes vis-à-vis sexuality. - Elimination of sexual anxieties. - Improvement of verbal and corporal communication within the couple. - Learning to know oneself and others better--Initiation to psychological attention and observation.
The author attempts the difficult task of summarising the attitude of Catholicism, the Protestant religion, Jehovah's Witnesses, the Greek Orthodox and the Jewish Churches, as well as Islam, to artificial insemination, especially by donor. He discusses reasons for forbidding artificial insemination even from the husband because of onanism. He shows that the Protestant religion alone does not object to AIH and that its role as far as AID is flexible. As far as other religions AID is absolutely proscribed.
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Sexual functioning after myocardial infarction is a primary concern for patients, yet many physicians fail to discuss this part of rehabilitation. Even with instructions, more than one-fourth of previously active patients fail to resume intercourse after a coronary event. Patients with a healthy sexual relationship before the infarction have a much better chance for full recovery of sexual activity.
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There has been and continues to be some degree of failure to recognize the effects of the introduction of the ego-id-superego model on the drive construct. In particular, some of the criticisms of drive theory fail to take cognizance of the structural position of drives. Drives, as an aspect of id, are more clearly separated from behavior conceptually than many discussions imply. Drive energy is a different concept from drive. Especially in the area of the governance of drives by the regulatory principles of mental functioning some improvement in clarity and utility seems possible through the use of different, more sophisticated models. Difficulties in the concept of objects appear to underlie considerable controversy in psychoanalysis today. I have here attempted to clarify the concept of drive objects, as a step in resolving the broader issues.
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A case of accidental death resulting from an autoerotic episode involving a high abdominal ligature is reported. Pathologic findings, physical evidence, and the psychological investigation are discussed.
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The effect of sexual activity on vaginal atrophy was investigated in a group of 52 postmenopausal women (mean age, 57 years). Subjects were divided into two groups: sexually active (intercourse frequency, three or more times monthly) and sexually inactive (intercourse frequency, less than ten times yearly). Two gynecologists examined all subjects and completed an index of vaginal atrophy that assessed six genital dimensions. Blood samples were also analyzed by radioimmunoassay for levels of circulating estrone, estradiol, androstenedione, testosterone, follicle-stimulating hormone, and luteinizing hormone (LH). As predicted, less vaginal atrophy was apparent in the sexually active women as opposed to the sexually inactive women. Further, women with less vaginal atrophy had significantly higher mean levels of androgens (androstenedione and testosterone) and gonadotropins (particularly LH). We discuss herein the implications of this study, particularly the importance of androgens in reducing atrophy and maintaining sexual interest.
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