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A technique of sexual counselling.

A method of sexual counselling based on the technique originally proposed by Masters and Johnson but modified to suit local conditions is described. The method is basically "client-centred" and depends on interviewing both partners of a sexually inadequate relationship so that the clients themselves set the level of desired sexual achievement. Factors which may inhibit a sexual relationship are explored, particularly those involving cultural, moral, religious, education or financial matters. Ejaculatory problems and orgasmic dysfunction are treated in the manner described by Masters and Johnson, whilst other interpersonal and communicative problems are handled by making use of Kagan's Interpersonal Recall snselling clinics are discussed.

Communication↗

Benign sexual headache within a family.

The occurrence of the vascular type of benign sexual headache (BSH) is described within members of a family. The most severely affected of the four sisters was successfully treated with propranolol hydrochloride prophylaxis. The literature on headache related to sexual activity is reviewed and the clinical features of BSH are formulated. The familial occurrence is put forth as further evidence to consider the vascular type of BSH as a migraine variant.

Adolescent↗

Female sexual response patterns. Interactions of physiological, affective, and contextual cues.

This study examined physiological, affective, and contextual components of female sexual responsiveness and satisfaction. Fifty-five women, aged 21 to 58, 27 of whom were married participated in two psychophysiological laboratory sessions and completed a questionnaire. During each laboratory session, physiological and self-reported sexual arousal were measured in response to an erotic tape, film, and self-generated fantasies. Vaginal pulse amplitude responses showed married women to be less aroused to erotic materials during session 1 but not session 2. Self-reported sexual arousal was correlated with vaginal response only in the unmarried sample and only during the tape and film of session 1. Subjectively reported sexual arousal was also correlated with a constellation of positive affective states. Generally, negative correlations were found between vaginal response in the laboratory and reported sexual responsiveness at home. The patterning of the affective-physiological relationships suggests several interpretations with regard to female sexuality and models to human emotion.

Adult↗

Diabetes mellitus and female sexuality: a review of 25 years' research.

Diabetes mellitus may cause debilitating somatic complications and a high psychosocial burden. Impaired sexual function (erectile dysfunction) is a well-established complication in men. Does diabetes also have an effect on sexuality of women? Since the first publication in 1971, only 15 studies in this area have been published and their results are contradictory. The purpose of this article is to offer a review of these results. As a conclusion, a new hypothesis on the specific influence of diabetes on female sexuality and suggestions for further research are formulated.

Adolescent↗

Sexual problems in rheumatoid arthritis and ankylosing spondylitis.

In this study, scores on the sexual motivation scale (which measures the tendency to engage in sexual interaction versus the tendency to be averse to sexual interaction) were determined, by interview, in ankylosing spondylitis (AS) and rheumatoid arthritis (RA) patients and compared with the scores of healthy matched controls. AS patients did not score differently from the healthy population, but scores of men and women with RA were more in the direction of sexual aversion than those of healthy men and women. In female RA patients, some relationship was found between disease variables such as joint index and erythrocyte sedimentation rate and the score on the sexual motivation scale. In the second part of the interview, preference for certain coital positions was investigated, and the demand for help with sexual problems was explored. The percentage of RA patients expressing a need for advice was considerably greater than the percentage of AS patients.

Adolescent↗