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At least 19 recordsLinked to original sources

[Sex anamnesis, sex counseling, sex therapy].

About each forth patient consulting a general practitioner because of any health problem suffers from a sexual dysfunction since longer time. The criterion for the necessity of treatment of sexual dysfunctions are caused by psychosocial factors. A good and exact exploration of the sexual symptoms provides informations both for psychological and organic causes of the dysfunction. One part of sexual dysfunctions can be improved by sexual counselling, if possible including the spouse/partner of the patient. If there are more severe conflicts, the indication for sexual, couple or individual psychotherapy has to be clarified. In addition to the medical treatment, there exist several suitable books of sexual information which can be recommended to the patients.

Female↗

Sex counseling: comparison of attitudes of disabled and nondisabled subjects.

The present study compared the views on sex counseling of a group of 103 orthopedically disabled persons and a group of 124 nondisabled persons. Subjects responded to a specially constructed questionnaire covering several issues related to sex counseling. Disabled persons preferred that the counseling be by a physician, rather than by a psychologist or social worker and that the counseling begin as late as ages 16-18, and they were less interested than nondisabled persons in counseling on sexual functioning and establishing a family. The responses of disabled persons were interpreted as indicating their greater anxiety toward the sensitive issue of sex. It was concluded that training programs for professionals--particularly physicians--who deal in sex counseling should include instruction about disabled persons and about the influence of cultural background on clients' attitudes towards sex counseling.

Adolescent↗

[Pleasure and pain in sexual relations. The basis and reasons for sex counseling by the general practitioner].

An essential factor for successful sex counseling by the family doctor is an atmosphere of openness and trust between physician and patient. However, few patients will begin to talk about their sexual problems of their own accord. The physician should therefore allow himself sufficient time for such counseling, be aware of his own limitations, and develop an ear attuned to involuntary remarks by the patient. During talks, only sparse use should be made of technical terms, the better to encourage the patient. The problems most commonly described in the doctor's office are functional disorders with a psychosomatic cause, and triggering factors may vary considerably (a high level of stress at the workplace, social or financial crises, monotonous leisure activities). In view of this, a somatic investigation should always be preceded by careful history-taking.

Adult↗

Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: a multi-clinic assessment.

OBJECTIVE: To test the efficacy of brief, safer-sex counseling by medical providers of HIV-positive patients during medical visits. SETTING: Six HIV clinics in California. DESIGN: Clinics were randomized to intervention arms evaluated with cohorts of randomly selected patients measured before and after the intervention. PARTICIPANTS: Five-hundred and eighty-five HIV-positive persons, sexually active prior to enrollment. INTERVENTIONS: Prevention counseling from medical providers supplemented with written information. Two clinics used a gain-framed approach (positive consequences of safer-sex), two used a loss-frame approach (negative consequences of unsafe sex), and two were attention-control clinics (medication adherence). Interventions were given to all patients who attended the clinics. OUTCOME MEASURE: Self-reported unprotected anal or vaginal intercourse (UAV). RESULTS: Among participants who had two or more sex partners at baseline, UAV was reduced 38% (P < 0.001) among those who received the loss-frame intervention. UAV at follow-up was significantly lower in the loss-frame arm [odds ratio (OR), 0.42; 95% confidence interval (CI), 0.19-0.91; P = 0.03] compared with the control arm. Using generalized estimating equations (GEE) to adjust for clustering did not change the conclusions (OR, 0.34; 95% CI, 0.24-0.49; P = 0.0001). Similar results were obtained in participants with casual partners at baseline. No effects were seen in participants with only one partner or only a main partner at baseline. No significant changes were seen in the gain-frame arm. CONCLUSIONS: Brief provider counseling emphasizing the negative consequences of unsafe sex can reduce HIV transmission behaviors in HIV-positive patients presenting with risky behavioral profiles.

Adult↗

Sex problems after menopause: a study of fifty married couples treated in a sex counseling programme.

This is a study of the sexuality of 50 couples among whom all of the women were post-menopausal. The population was seen in the Sex Counseling Service at Yale for treatment of sexual problems. The impact of biological changes accompanying the menopause appears to influence sexual interest, behaviour and response of both women and their male partners. The possible importance of oestrogen effects on perception and the significance of perceptual changes at menopause to the functioning of the sex response cycle is reported. Findings also include male emotions generated by female biological changes which inhibit male sexuality.

Adult↗

[Questions directed to the open-line telephone sex counseling service].

Inquiries to the open telephone-counselling service of the sexological clinic were registered from January 1st 1988 to January 1st 1990; a total of 168 calls, 29 of which were from professional therapists. The P-LI-SS-IT (Permission, Limited Information, Specific Suggestions, Intensive Therapy) model can be used to classify the calls, which fall within the first three categories of this model. Examples of these are given. The pattern and complaints in the inquiries are, by and large, identical with those in a Swedish sexological telephone-counselling. Contrary to a Dutch counselling service only a few telephonesex calls were registered. The use of resources is minimal and the capacity is estimated to fulfil the need. The inquiries correspond entirely to the original intentions of a telephone-counselling service.

Adult↗