Common Myths About Sexual Assault
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Hypersexuality in Neurological Disorders
HYPERSEXUALITY IN NEUROLOGICAL DISORDERS NATALIE AHMAD MAHMOUD TAYIM A thesis submitted to the Institute of Neurology in fulfilment of the requirements for the degree of Doctor of Philosophy (PhD) University College London January 2019 Declaration of originality I, Natalie Ahmad Mahmoud Tayim, confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis. _________________________________ Natalie Ahmad Mahmoud Tayim ii Abstract The issue of hypersexuality in neurological disorders is grossly underreported. More research has been done into sexual dysfunction (outside of hypersexuality) in neurological disorders such as erectile dysfunction and hyposexuality (loss of libido). Furthermore, in Parkinson’s disease research, most mention of hypersexuality has been in conjunction with other impulse control disorders and has therefore not been examined in depth on its own. Although in recent years hypersexuality has become more recognized as an issue in research, there is still very limited information regarding its manifestations, impact, and correlates. It is therefore important to explore this area in detail in order to broaden understanding associated with this sensitive issue. Perhaps in doing so, barriers will be broken and the issue will become more easily discussed and, eventually, more systematically assessed and better managed. This thesis aims to serve as an exploratory paper examining prevalence, clinical phenomenology, impact, and potential feasible psychological interventions for hypersexuality in patients with neurological disorders and their carers. The thesis is divided into three main studies: 1. Study I: systematic review assessing prevalence, clinical phenomenology, successful treatment modalities, implicated factors contributing to the development, and assessment tools for hypersexuality in specific neurological disorders. -
Sexual Disorders and Gender Identity Disorder
CHAPTER :13 Sexual Disorders and Gender Identity Disorder TOPIC OVERVIEW Sexual Dysfunctions Disorders of Desire Disorders of Excitement Disorders of Orgasm Disorders of Sexual Pain Treatments for Sexual Dysfunctions What are the General Features of Sex Therapy? What Techniques Are Applied to Particular Dysfunctions? What Are the Current Trends in Sex Therapy? Paraphilias Fetishism Transvestic Fetishism Exhibitionism Voyeurism Frotteurism Pedophilia Sexual Masochism Sexual Sadism A Word of Caution Gender Identity Disorder Putting It Together: A Private Topic Draws Public Attention 177 178 CHAPTER 13 LECTURE OUTLINE I. SEXUAL DISORDERS AND GENDER-IDENTITY DISORDER A. Sexual behavior is a major focus of both our private thoughts and public discussions B. Experts recognize two general categories of sexual disorders: 1. Sexual dysfunctions—problems with sexual responses 2. Paraphilias—repeated and intense sexual urges and fantasies to socially inappropri- ate objects or situations C. In addition to the sexual disorders, DSM includes a diagnosis called gender identity dis- order, a sex-related pattern in which people feel that they have been assigned to the wrong sex D. Relatively little is known about racial and other cultural differences in sexuality 1. Sex therapists and sex researchers have only recently begun to attend systematically to the importance of culture and race II. SEXUAL DYSFUNCTIONS A. Sexual dysfunctions are disorders in which people cannot respond normally in key areas of sexual functioning 1. As many as 31 percent of men and 43 percent of women in the United States suffer from such a dysfunction during their lives 2. Sexual dysfunctions typically are very distressing and often lead to sexual frustra- tion, guilt, loss of self-esteem, and interpersonal problems 3. -
Prostatitis and Premature Ejaculation: Two Enemies of Masculinity
The Journal of Medical Research 2020; 6(5): 255-261 Review Article Prostatitis and premature ejaculation: two enemies of masculinity JMR 2020; 6(5): 255-261 1 2 3 4 September- October Salome Agudelo Yepes , Jenniffer Puerta Suárez , Alejandro Carvajal , Walter D. Cardona Maya . 1, 2, 4 ISSN: 2395-7565 Reproduction Group, Department of Microbiology and Parasitology, School of Medicine, University of Antioquia, © 2020, All rights reserved Medellín, Colombia. 3 www.medicinearticle.com CES University, Departament of Urology, Medellín, Colombia Received: 06-08-2020 Accepted: 19-09-2020 Abstract Prostatitis and premature ejaculation are urological problems that impact sexual and reproductive health in males frequently. The aim of this narrative review is to provide an overview of the relationship between premature ejaculation and prostatitis. A narrative review literature was performed in the PubMed and SCOPUS databases. The most relevant aspects of the etiology of premature ejaculation were detailed, and the causal relationship between prostatitis and premature ejaculation was explored. Treatment should consider the pathophysiology and diagnosis; this is a significant challenge for the urologist. A total of 45 original articles were compiled in a table within the main findings. Both alterations are associated with a decrease in the quality of life and have a negative impact on the couple's relationship. The timely treatment offers improvement or complete recovery for the patients. Keywords: Prostatitis, Premature ejaculation, Chronic pelvic pain syndrome, Fertility. INTRODUCTION Prostatitis and premature ejaculation (PE) are highly frequent genitourinary problems that negatively affect the quality of life of men and their partners, causing anxiety, sexual dysfunction, and even fertility problems [1]. -
Extraversion and Neuroticism in Sexually
y: Open log A o cc r e d s n s A Andrology-Open Access Silvaggi et al., Andrology (Los Angel) 2017, 6:1 DOI: 10.4172/2167-0250.1000181 ISSN: 2167-0250 Research Article Open Access Extraversion and Neuroticism in Sexually Dysfunctional Men Suffering from Erectile Dysfunction and Premature Ejaculation: A Cross-Sectional Study Marco Silvaggi*, Paolo Maria Michetti, Roberta Rossi, Adele Fabrizi, Costantino Leonardo, Francesca Tripodi, Filippo Maria Nimbi and Chiara Simonelli Department of Psychosexologist, Institute of Clinical Sexology, Rome, Italy *Correspondence author: Silvaggi Marco, Department of Psychology, Institute of Clinical Sexology, Rome, Italy, Tel: +39 3294193242; E-mail: [email protected] Received date: March 23, 2017; Accepted date: May 02, 2017; Published date: May 06, 2017 Copyright: © 2017 Silvaggi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract The role of personality traits in sexual complaints and dysfunctions is ever more evident. However, the literature is very scarce as to the possible relationships between such personality traits and specific sexual dysfunctions like ED, PE or both, their subtypes as to time of onset and severity levels. The main aim of the present study was to investigate if Neuroticism and Extraversion have different roles and trends in men suffering from PE and/or ED, both lifelong and acquired. Moreover, we verified if, by adopting DSM-IV-TR and DSM-5 criteria for diagnosing PE, some differences emerged in percentages of diagnosed cases. -
Emerging Issues in Male Adolescent Sexual and Reproductive Health Care Laura K
CLINICAL REPORT Guidance for the Clinician in Rendering Pediatric Care Emerging Issues in Male Adolescent Sexual and Reproductive Health Care Laura K. Grubb, MD, MPH, FAAP,a Makia Powers, MD, MPH, MSc, FAAP,b COMMITTEE ON ADOLESCENCE Pediatricians are encouraged to address male adolescent sexual and abstract reproductive health on a regular basis, including taking a sexual history, discussing healthy sexuality, performing an appropriate physical examination, providing patient-centered and age-appropriate anticipatory guidance, and administering appropriate vaccinations. These services can be provided to male adolescent patients in a confidential and culturally appropriate manner, can promote healthy sexual relationships and responsibility, can and involve parents in age-appropriate discussions about sexual health. Departments of aAdolescent Medicine, Pediatrics, and Public Health and Community Medicine, Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts; and bDepartments of Pediatrics and Public Health and Community Medicine, Morehouse INTRODUCTION School of Medicine and Children’s Healthcare of Atlanta, Atlanta, Georgia During adolescence, several transitions occur for boys, including the Clinical reports from the American Academy of Pediatrics benefit from physical, psychological, and social changes associated with puberty, with expertise and resources of liaisons and internal (AAP) and external 1,2 reviewers. However, clinical reports from the American Academy of most male adolescents reporting the initiation of sexual behavior. Many Pediatrics may not reflect the views of the liaisons or the emerging behaviors, including sexual initiation, are associated with organizations or government agencies that they represent. preventable negative health consequences such as sexually transmitted All clinical reports from the American Academy of Pediatrics infections (STIs), unintended pregnancies, and nonconsensual sexual automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time. -
Incestuous Abuse: Its Long-Term Effects
DOCUMENT RESUME ED 390 010 CG 026 765 AUTHOR Russell, Diana E. H. TITLE Incestuous Abuse: Its Long-Term Effects. SPONS AGENCY Human Sciences Research Council, Pretoria (South Africa). REPORT NO ISBN-0-7969-1651-9 PUB DATE 95 NOTE 111p. PUB TYPE Books (010) Reports Research/Technical (143) EDRS PRICE MF01/PC05 Plus Postage. DESCRIPTORS Adult Children; *Child Abuse; *Family Violence; Females; Foreign Countries; *Incidence; Interviews; Parent Child Relationship; Qualitative Research; *Sexual Abuse; *Victims of Crime; Violence IDENTIFIERS South Africa ABSTRACT Despite the growing recognition of the prevalence of incest which is challenging-traditional views about the family as a safe haven for children, there is a serious paucity of scientific research on incest in South Africa in the new field of family violence. Almost a century after Sigmund Freud dismissed most women's reports of incest victimization as wishful fantasy, the extent of the damage done by this form of abuse remains controversial in South Africa, with some researchers maintaining that incest victims often suffer no severe effects. This report presents the findings of a qualitative study designed to explore the short- and long-term effects of incestuous abuse experienced by 20 adult women ince:-.t survivors. Although all but one of the in-depth interviews were conducted with women who at the time were residing in Cape Town, the places in which the incestuous abuse had occurred are dispersed throughout South Africa. The purpose of this study is to inform policy discussions on incestuous abuse, violence in South Africa, and violence against women in general. Includes information on prevalence of incestuous abuse, study methodology, characteristics of incestuous abuse, initial effects abuse; and long-terms effects. -
Erectile Dysfunction and Premature Ejaculation
GUIDELINES ON MALE SEXUAL DYSFUNCTION: Erectile Dysfunction and Premature Ejaculation (Text update April 2014) K. Hatzimouratidis (chair), I. Eardley, F. Giuliano, D. Hatzichristou, I. Moncada, A. Salonia, Y. Vardi, E. Wespes Eur Urol 2006 May;49(5):806-15 Eur Urol 2010 May;57(5):804-14 Eur Urol 2012 Sep;62(3):543-52 ERECTILE DYSFUNCTION Definition, epidemiology and risk factors Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection sufficient to permit satisfactory sex- ual performance. Although ED is a benign disorder, it affects physical and psychosocial health and has a significant impact on the quality of life (QoL) of sufferers and their partners. There is increasing evidence that ED can be an early mani- festation of coronary artery and peripheral vascular disease; thus, ED should not be regarded only as a QoL issue but also as a potential warning sign of cardiovascular disease includ- ing lack of exercise, obesity, smoking, hypercholesterolaemia, and the metabolic syndrome. The risk of ED may be reduced by modifying these risk factors, particularly taking exercise or losing weight. Another risk factor for ED is radical prostatec- tomy (RP) in any form (open, laparoscopic, or robotic) because of the risk of cavernosal nerve injury, poor oxygenation of the corpora cavernosa, and vascular insufficiency. 130 Male Sexual Dysfunction Diagnosis and work-up Basic work-up The basic work-up (minimal diagnostic evaluation) outlined in Fig. 1 must be performed in every patient with ED. Due to the potential cardiac risks associated with sexual activity, the three Princeton Consensus Conference stratified patients with ED wanting to initiate, or resume, sexual activity into three risk categories. -
CHILD SEXUAL ABUSE FACTS Child Sexual Abuse Is a Crime That Happens Across Race, Religion and Class and Has Lifetime Effects
CHILD SEXUAL ABUSE FACTS Child sexual abuse is a crime that happens across race, religion and class and has lifetime effects. It includes any interaction between a child and an adult (or another child) in which the child is used for the sexual stimulation of the perpetrator or an observeri. Child sexual abuse is often predicated on silencing the victim, and as a result, reporting and disclosure is low. Even without knowing the full scope of child sexual abuse instances, most experts will agree that 500,000 children will be impacted by child sexual abuse per yearii. Annually, YWCA associations provide nearly 980,000 women and children with gender based violence services. At YWCA, we know that not all violence is acknowledged or responded to equally and that some victims go unrecognized altogether. Child sexual abuse survivors are often left out of the mainstream dialogue about gender-based violence altogether despite their heightened risk. YWCA is the largest network of domestic violence service providers in the country and is also dedicated to promoting women’s and children’s health and safety through a variety of local programs, legislative advocacy, and issue education. FACTS • A common myth is that child sexual abuse is perpetrated by strangers and pedophiles. But most people who sexually abuse children are our friends, partners, family members, and community members. About 93 percent of children who are victims of sexual abuse know their abuseriii. Less than 10 percent of sexually abused children are abused by a stranger. • Children are at heightened risk for sexual violence. Nearly 70 percent of all reported sexual assaults occur to children ages 17 and underiv. -
Acquaintance Rape Is a Sexual Assault Crime Committed by Someone Who Knows the Victim
If you have issues viewing or accessing this file contact us at NCJRS.gov. ~ ___________________________________ -L~~D WHEN THE RAPIST IS SOMEONE YOU KNOW 146610 U.S. Department of Justice National Institute of Justice This document has been reproduced exactly as received from the person or organization originating it. Points of view or opinions stated in this document are those of the authors and do not necessarily represent the official position or policies of the Natlonallnstilute of Justice. Permission to reproduce this copyrighted material has been granted by Illinois Criminal Justice Information Authority to the National Criminal Justice Reference Service (NCJRS). Further reproduction outside of the NCJRS system requires permission of the copyright owner. • Published by the Illinois Coalition Against Sexual Assault Updated 1993 "I " , illinoiS Coalillon Agaiml Sexual Assault (J123 South Seventh Streel, Swto 500 Sprlngfiald. IL 62701-1302 (217) 753-41~7 TERMS Victim - The words "victim" and "survivor" are both commonly used to describe a person who is raped. In this booklet, the word "victim" is used, as it is more often associated with a person who • was recently assaulted. Attacker - In this booklet, the person who raped the victim is referred to as the "attacker." "She" - In this booklet, the sexual assault victim is referred to as "she" because women are most commonly the victims of sexual assault. Men are also sexual assault victims, and this booklet is for both male and female victims. Sexual Assault and Rape - The terms "sexual assault" and "rape" are used interchangeably in this booklet. Photos by Ginny Lee ILLINOIS CRlMINAL JUSTICE INFORMATION AUTHORITY Funding for the printing of this booklet was provided through the Victims of Crime Act of 1984 by the Illinois Criminal Justice Information Authority. -
Statutory Rape: a Guide to State Laws and Reporting Requirements
Statutory Rape: A Guide to State Laws and Reporting Requirements Prepared for: Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services Prepared by: Asaph Glosser Karen Gardiner Mike Fishman The Lewin Group December 15, 2004 Acknowledgements Work on this project was funded by the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services under a contract to The Lewin Group. This report benefited greatly from the oversight and input of Jerry Silverman, the ASPE Project Officer. In addition, we would like to acknowledge the assistance of a number of reviewers. Sarah Brown, Eva Klain, and Brenda Rhodes Miller provided us with valuable guidance and insights into legal issues and the policy implications of the laws and reporting requirements. Their comments improved both the content and the organization of the paper. At The Lewin Group, Shauna Brodsky reviewed drafts and provided helpful comments. The Authors Table of Contents I. EXECUTIVE SUMMARY ..........................................................................................................ES-1 A. Background...........................................................................................................................ES-1 1. Criminal Laws............................................................................................................... ES-1 2. Reporting Requirements............................................................................................. -
Delayed Ejaculation & Anorgasmia
Delayed ejaculation & anorgasmia EMMANUELE A. JANNINI Chair of Endocrinology & Sexual Medicine Tor Vergata University of Rome, Italy It Soc Androl & Sex Med – President-elect Taxonomy of ejaculatory disorders Epidemiology of ejaculatory disorders 25 a) timing 20 – PREMATURE EJACULATION 15 – DELAYED EJACULATION 10 Percentage 5 b) modality 0 E N IA R PE DE IO M AS ‐ RETROGRADE EJACULATION LAT G U R O JAC ‐ ANEJACULATION (impotentia ejaculationis) E AN AN Taxonomy of ejaculatory disorders • EMISSION PHASE DISORDERS: – Retrograde ejaculation • EJACULATION PHASE DISORDERS: – Premature ejaculation – Deficient ejaculation: • Delayed ejaculation • Anejaculation • ORGASM DISORDERS: – Anorgasmia – Postorgasmic illness syndrome Standard Operating Procedures (SOP) in Diagnosis and Treatment of Delayed Ejaculation/Anejaculation ISSM Standards Committee Meeting June 23-25, 2010 Hotel Agneshof Nürnberg, Germany Pierre Assalian Canada Emmanuele A. Jannini Italy Chris G McMahon (Chairman) Australia David Rowland USA Marcel Waldinger (Chairman) The Netherlands DELAYED EJACULATION Delayed ejaculation • Much less frequent than PE • A rare reason for medical help seeking • Underdiagnosed • Undertreated Is DE a disease? • girls are happy… …where is the problem? …but girls are not happy… Why so poor science? • Low prevalence • Few studies • Classically considered A new psychogenic in nature • Classically treated with behavioral therapies challenge • Definition(s) lacking • Etiologies largely unknown for • Pathogenesis obscure • Lack of awareness and Sexual acknowledgements -
Statistics About Sexual Violence
National Sexual Violence Resource Center z Info & Stats For Journalists Statistics about sexual violence Sexual violence in the U.S. y 81% of women and 35% of men report significant short-term or long-term impacts such as Post- y One in five women and one in 71 men will be raped Traumatic Stress Disorder (PTSD) (a) at some point in their lives (a) y Health care is 16% higher for women who were y 46.4% lesbians, 74.9% bisexual women and 43.3% sexually abused as children (m) heterosexual women reported sexual violence other than rape during their lifetimes, while 40.2% gay Child sexual abuse men, 47.4% bisexual men and 20.8% heterosexual men reported sexual violence other than rape during y One in four girls and one in six boys will be sexually their lifetimes. (p) abused before they turn 18 years old (f) y Nearly one in 10 women has been raped by an y 34% of people who sexually abuse a child are family intimate partner in her lifetime, including completed members (n) forced penetration, attempted forced penetration y 12.3% of women were age 10 or younger at the time or alcohol/drug-facilitated completed penetration. of their first rape/victimization, and 30% of women Approximately one in 45 men has been made to were between the ages of 11 and 17 (a) penetrate an intimate partner during his lifetime. (b) y 27.8% of men were age 10 or younger at the time y 91% of the victims of rape and sexual assault are of their first rape/victimization (a) female, and 9% are male (o) y More than one-third of women who report being raped y In eight out of 10 cases of rape, the victim knew the before age 18 also experience rape as an adult (a) person who sexually assaulted them (l) y 96% of people who sexually abuse children are y 8% of rapes occur while the victim is at work (e) male, and 76.8% of people who sexually abuse children are adults (n) Cost and Impact y 325,000 children are at risk of becoming victims of y Each rape costs approximately $151,423 (d) commercial child sexual exploitation each year (m) y Annually, rape costs the U.S.