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Response Regarding Existential Issues in Sexual Medicine: the Relation Between Death Anxiety and Hypersexuality
LETTERS TO THE EDITOR Response Regarding Existential Issues in Sexual Medicine: The Relation Between Death Anxiety and Hypersexuality The recent article published by Dr Watter, “Existential Issues confine themselves to the treatment of hypersexual behavior but, in Sexual Medicine: The Relation Between Death Anxiety and when and where possible, should include its intrapsychic and Hypersexuality,”1 deals with an interesting issue: the unique interpersonal roots.2 Therefore, a structural-developmental relation between death and sexuality. psychodynamic approach should be considered rather than a Existential psychotherapy is the main perspective on which the symptomatic one. article is focused, as can be seen in Dr Watter’s choice of words, To date, very few articles and mostly case reports and single- “on concerns rooted in the individual’s existence.” However, the group studies, particularly regarding cognitive behavioral psy- original background of the relation between death and sexuality chotherapies and pharmacologic treatments, have investigated derives definitively from psychoanalysis and the theoretical work the effectiveness and efficacy of therapies for hypersexuality.5 We of Sigmund Freud,2 as incidentally affirmed by Dr Watter when maintain that a psychotherapeutic approach, substantiated by writing that “Freud, too, recognized the powerful connection empirical research, should be a major goal, and we invite between the sex drive (Eros) and the death instinct existential psychotherapists and psychoanalysts to (Thanatos).” Moreover, we have reason to believe, although experimentally verify their therapies for hypersexual patients. with some critical positions, that a large part of post-Freudian Giacomo Ciocca1, Erika Limoncin1, Vittorio Lingiardi2, thought is based on the contraposition between Eros and Andrea Burri3, and Emmanuele A. -
Ethics After Hours the Bleeding Edge
Ethics After Hours The Bleeding Edge Documentary _________________________________________________________________ Summary1 Medical devices can save lives, help us live longer, and improve our quality of life. In The Bleeding Edge, Kirby Dick, Amy Ziering and Amy Herdy explore how lax regulations, corporate cover-ups and the drive for profit in the medical device industry may put patients at risk. The program features cases where medical devices such as Essure (a permanent birth control device), vaginal mesh, the DaVinci Surgical System, and chrome-cobalt hip- replacements have caused irrevocable harm to patients. Director: Kirby Dick Producer: Amy Ziering and Amy Herdy Released: April 21, 2018 Available on Netflix Duration: 1 hours 40 Mins. Discussion questions: • What was your initial reaction to this documentary? • In your opinion, what are the ethical responsibilities of the medical device industry, the medical community, and the government in ensuring patient safety regarding medical devices through approval, usage guidelines, and reporting of adverse events? • Should health care providers be better educated about the approval processes for drugs and medical devices? • According to the documentary, pre-market approval (PMA) for medical devices requires only one clinical trial or study. o Did it surprise you that the approval for medical devices requires fewer steps than the approval of new drugs? o Discuss various reasons for this difference in approval process. Do you believe that it is justified? • What type of regulatory and non-regulatory measures do you think could help alleviate the problems around patient safety outlined in the documentary? 1 This summary is adapted from Wikipedia https://en.wikipedia.org/wiki/The_Bleeding_Edge and Netflix’s website. -
1 the Bleeding Edge, An Independent Documentary Directed
1 The Bleeding Edge, an independent documentary directed by Kirby Dick and produced by Amy Ziering through their production company, Chain Camera Pictures, unearths systematic corruption within the “$400 billion medical device industry” (The Bleeding Edge 2018). The film takes a deep dive into the healthcare impacts of medical device “innovation” (Dick 2018). Both Dick and Ziering specialize in investigative journalism and documentary having produced the Emmy Award-winning and Academy Award-nominated documentary, The Invisible War (The Bleeding Edge 2018). In all of their documentaries, Dick and Ziering focus on issues of “breaking news,” aiming to inform public opinion, and influence policy (Fuchs 2018). According to Ziering, in an interview by No Film School, when she and Dick decide to make a film they “first get intrigued, then outraged, and then [they] decide to make a movie” (Buder 2018). In the case of The Bleeding Edge, the topic of the film arose when one of Chain Camera Picture’s producers, Amy Herdy, came forward with “this crazy story” about one of her neighbors, who had experienced complications due to an untested medical device (Buder 2018). The disbelief following the interview resulted in an in-depth investigation into this “breaking news,” where research was conducted, and interviews with survivors, professionals, scholars, and doctors were recorded (Fuchs 2018). This information was then synthesized and analyzed, before getting compiled into a commercially consumable film that informs the public of the fractured health system that “has devolved into [a] business” (Fuchs 2018) The Bleeding Edge is an independent film, meaning that,t was not produced in Hollywood and is not backed by any super PACs or the government (Grove 2014). -
COMMENTARY the State of Sexual Health Education in U.S. Medicine
American Journal of Sexuality Education, 9:65–80, 2014 Copyright © Taylor & Francis Group, LLC ISSN: 1554-6128 print / 1554-6136 online DOI: 10.1080/15546128.2013.854007 COMMENTARY The State of Sexual Health Education in U.S. Medicine S. CRINITI Drexel University College of Medicine, Philadelphia, PA, USA M. ANDELLOUX Center for Sexual Pleasure and Health, Pawtucket, RI, USA M. B. WOODLAND, O. C. MONTGOMERY, and S. URDANETA HARTMANN Drexel University College of Medicine, Philadelphia, PA, USA Although studies have shown that patients want to receive sexual health services from their physicians, doctors often lack the knowl- edge and skills to discuss sexual health with their patients. There is little consistency among medical schools and residency programs in the United States regarding comprehensiveness of education on sexual health. Sexuality education in U.S. medical schools and res- idency programs is reviewed, highlighting schools that go beyond the national requirements for sexuality education. Increasing the amount of sexuality instruction provided for medical education and training, standardizing sexuality education requirements in medical school and residency programs, incorporating different learning models, establishing means of consistently assessing and evaluating sexuality knowledge and skills, and creating national certification standards for the practice of sexual medicine are recommended. KEYWORDS Medical education, sexuality education, medical residency, medical curriculum, patient sexual health INTRODUCTION In 2001, the U.S. Surgeon General’s Call to Action to Promote Sexual Health and Responsible Sexual Behavior stated that physicians and other health care professionals are frequently a main point of contact for individuals Address correspondence to S. Criniti, PhD, MPH. E-mail: [email protected] 65 66 S. -
2020 Sundance Film Festival: 118 Feature Films Announced
FOR IMMEDIATE RELEASE Media Contact: December 4, 2019 Spencer Alcorn 310.360.1981 [email protected] 2020 SUNDANCE FILM FESTIVAL: 118 FEATURE FILMS ANNOUNCED Drawn From a Record High of 15,100 Submissions Across The Program, Including 3,853 Features, Selected Films Represent 27 Countries Once Upon A Time in Venezuela, photo by John Marquez; The Mountains Are a Dream That Call to Me, photo by Jake Magee; Bloody Nose, Empty Pockets, courtesy of Sundance Institute; Beast Beast, photo by Kristian Zuniga; I Carry You With Me, photo by Alejandro López; Ema, courtesy of Sundance Institute. Park City, UT — The nonprofit Sundance Institute announced today the showcase of new independent feature films selected across all categories for the 2020 Sundance Film Festival. The Festival hosts screenings in Park City, Salt Lake City and at Sundance Mountain Resort, from January 23–February 2, 2020. The Sundance Film Festival is Sundance Institute’s flagship public program, widely regarded as the largest American independent film festival and attended by more than 120,000 people and 1,300 accredited press, and powered by more than 2,000 volunteers last year. Sundance Institute also presents public programs throughout the year and around the world, including Festivals in Hong Kong and London, an international short film tour, an indigenous shorts program, a free summer screening series in Utah, and more. Alongside these public programs, the majority of the nonprofit Institute's resources support independent artists around the world as they make and develop new work, via Labs, direct grants, fellowships, residencies and other strategic and tactical interventions. -
Hypersexuality Or Sexual Addiction?
Hypersexuality or sexual addiction? Professor Kevan Wylie MD FRCP FRCPsych FRCOG FECSM FRSPH Consultant in Sexual Medicine Porterbrook Clinic NHS & Urology NHS, SHEFFIELD. UK. Honorary Professor of Sexual Medicine & Psychiatry, University of SHEFFIELD. UK. Visiting Professor, SHEFFIELD Hallam University, UK. Visiting Professor, University of LIVERPOOL, UK. Visiting Professor, YEREVAN State Medical University, Armenia. Adjunct Associate Professor, University of SYDNEY, Australia (2007-2014). President, World Association for Sexual Health (2012-2017). Hypersexuality or sexual addiction? INTRODUCTION 2 [email protected] Problematic Hypersexuality (PH) (Kingston & Firestone, 2008) PH is a clinical syndrome characterised by loss of control over sexual fantasies, urges and behaviours, which are accompanied by adverse consequences and/or personal distress (Gold & Heffner 1998; Kafka 2001) Controversial and elusive concept to define and measure (Rinehart & McCabe 1997) Some agreement on the essential features of PH Impaired control Continuation of behaviour despite consequences (Marshall & Marshall 2006; Rinehart & McCabe 1997) Types of Hypersexuality Behaviour (Kaplan & Krueger, 2010) Behavioural specifiers for hypersexuality Masturbation Pornography consumption Sexual behaviour with consenting adults Cybersex Telephone sex Strip club visits Hypersexual Behaviour (Kaplan & Krueger, 2010; Garcia & Thibaut, 2010) Men and women (much less frequently circa 5:1) with excessive sexual appetites Different terms to describe such behaviour; -
Journal of Sexual Medicine
PUBLISHED IN Journal of Sexual Medicine June 2016 Study Title: ERECTILE AND EJACULATORY FUNCTION PRESERVED WITH CONVECTIVE WATER VAPOR ENERGY TREATMENT OF LOWER URINARY TRACT SYMPTOMS SECONDARY TO BENIGN PROSTATIC HYPERPLASIA: RANDOMIZED CONTROLLED STUDY Author Block: Kevin T. McVary, MD, Steven N. Gange, MD, Marc C. Gittelman, MD, Kenneth A. Goldberg, MD, Kalpesh Patel, MD, Neal D. Shore, MD, Richard M. Levin, MD, Michael Rousseau, MD, J. Randolf Beahrs, MD, Jed Kaminetsky, MD, Barrett E. Cowan, MD, Christopher H. Cantrill, MD, Lance A. Mynderse, MD, James C. Ulchaker, MD, Thayne R. Larson, MD, Christopher M. Dixon, MD, and Claus G. Roehrborn, MD Introduction Most surgical treatments for male lower urinary tract symptoms and benign prostatic hyperplasia affect erectile and ejaculatory functions negatively, leading to patient dissatisfaction. Aim To determine whether water vapor thermal therapy, when conducted in a randomized controlled trial, would significantly improve lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia and urinary flow rate while preserving erectile and ejaculatory functions. Methods Men at least 50 years old with International Prostate Symptom Scores of at least 13, a peak flow rate of at least 5 to no higher than 15mL/s, and prostate volume of 30 to 80 cm3 were randomized 2:1 between Rezūm™ System thermal therapy and control. Thermal water vapor (103° C) was injected into lateral and median lobes as required for treatment of benign prostatic hyperplasia. The control procedure entailed rigid cystoscopy with simulated active treatment sounds. Main Outcome Measures Blinded group (active= 136, control= 61) comparison occurred at 3 months and the active arm was followed to 12 months for International Prostate Symptom Score, peak flow rate, and sexual function using the International Index of Erectile Function and the Male Sexual Health Questionnaire for Ejaculatory Function. -
The Impact of Social Stigmas on Sexual Health Seeking Behavior: a Review of Literature
McNair Scholars Research Journal Volume 13 Issue 1 Article 11 2020 The Impact of Social Stigmas on Sexual Health Seeking Behavior: A Review of Literature Jason O. Talley [email protected] Follow this and additional works at: https://commons.emich.edu/mcnair Recommended Citation Talley, Jason O. (2020) "The Impact of Social Stigmas on Sexual Health Seeking Behavior: A Review of Literature," McNair Scholars Research Journal: Vol. 13 : Iss. 1 , Article 11. Available at: https://commons.emich.edu/mcnair/vol13/iss1/11 This Article is brought to you for free and open access by the McNair Scholars Program at DigitalCommons@EMU. It has been accepted for inclusion in McNair Scholars Research Journal by an authorized editor of DigitalCommons@EMU. For more information, please contact [email protected]. Talley: The Impact of Social Stigmas on Sexual Health Seeking Behavior: A The Impact of Social Stigmas on Sexual Health Seeking Behavior: A Review of Literature Jason O. Talley Dr. Jefrey Schulz and Dr. Joan Cowdery, Mentors ABSTRACT Studies show a meaningful association between STI/HIV-related stigmas and low adherence to routine STI testing (Morris et al., 2014; Hull et al., 2017). Tese studies also show that healthcare workers help to facilitate a culture of stigmas among coworkers and patients. According to a national survey, only 16.6% of women and 6.1% of men who partic- ipated in the survey had been tested in the last 12 months (Cufe et al., 2016). Low rates of STI testing contribute to the spread of chlamydia, gonorrhea, HIV, and syphilis (Big-Ideas-HIV-STIs.pdf, n.d.). -
Evaluation of Medication to Manage Sexual Arousal
Evaluation of Medication to Manage Sexual Arousal Sexual Offences, Crime and Misconduct Research Unit (SOCAMRU), Department of Psychology, Nottingham Trent University [email protected] Sexual Preoccupation & Hypersexuality “an abnormally intense interest in sex that dominates psychological functioning” (Mann, Hanson & Thornton, 2010 pg. 198) Terms used include: • Sexual addiction (Marshall, Marshall, Moulden & Serran, 2008), • Hypersexual disorder (Krueger & Kaplan, 2002) • Hypersexuality (Kaplan & Krueger, 2010) Sex addiction is defined as: “a sexual desire disorder characterized by an increased frequency and intensity of sexually motivated fantasies, arousal, urges, and enacted behavior in association with an impulsivity component – a maladaptive behavioral response with adverse consequences” (Kafka, 2010, p. 385). These terms are not used in order to negate responsibility, however they are helpful when thinking about treatment Prevalence in the community • Discrepancies in the literature between the terms mean prevalence rates differ; some reasonable estimates are: o 3.0% for men and 1.2% for women on scores of compulsive sexual behaviour (used interchangeably with hypersexuality and sexual addiction; Odlaug et al., 2013) o 3.1% of women who responded to an online survey were characterised as hypersexual (Klein, Rettenberger & Briken, 2014; Reid, Garos & Carpenter, 2011) • More recent research has revealed this figure to be increasing: 12.1% of a community male sample (n=8,718) had a TSO of at least 7 (Klein, Schmidt, Turner -
Sexual Health in Undergraduate Medical Education: Existing and Future Needs and Platforms
INTERNATIONAL CONSULTATION ON SEXUAL MEDICINE REPORTS Sexual Health in Undergraduate Medical Education: Existing and Future Needs and Platforms Alan W. Shindel, MD,1 Abdulaziz Baazeem, MD,2 Ian Eardley, MA, MChir, FRCS (Urol), FEBU, FECSM,3 and Eli Coleman, PhD4 ABSTRACT Introduction: This article explores the evolution and current delivery of undergraduate medical education in human sexuality. Aim: To make recommendations regarding future educational needs, principles of curricular development, and how the International Society for Sexual Medicine (ISSM) should address the need to enhance and promote human sexuality education around the world. Methods: The existing literature was reviewed for sexuality education, curriculum development, learning strategies, educational formats, evaluation of programs, evaluation of students, and faculty development. Main Outcome Measures: The prevailing theme of most publications in this vein is that sexuality education in undergraduate medical education is currently not adequate to prepare students for future practice. Results: We identified components of the principles of attitudes, knowledge, and skills that should be contained in a comprehensive curriculum for undergraduate medical education in human sexuality. Management of sexual dysfunction; lesbian, gay, bisexual, and transgender health care; sexuality across genders and lifespan; under- standing of non-normative sexual practices; sexually transmitted infections and HIV, contraception; abortion; sexual coercion and violence; and legal aspects -
Let's Talk About Sex…Or Not…: Doctor- Patient
LET’S TALK ABOUT SEX…OR NOT…: DOCTOR- PATIENT COMMUNICATION ABOUT SEXUAL HEALTH by CASEY MICHELLE SCHROEDER Submitted in partial fulfillment of the requirements For the degree of Doctor of Philosophy Department of Sociology CASE WESTERN RESERVE UNIVERSITY May 2015 Case Western Reserve University School of Graduate Studies We hereby approve the dissertation of Casey Michelle Schroeder Candidate for the degree of Doctor of Philosophy*. Committee Chair Brian Gran, Ph.D. Committee Member Gary Deimling, Ph.D. Committee Member Jessica Kelley-Moore, Ph.D. Committee Member Kurt Stange, MD, Ph.D. Date of Defense March 17, 2015 *We also certify that written approval has been obtained for any proprietary material contained therein. i TABLE OF CONTENTS ACKNOWLEDGEMENTS vii ABSTRACT 1 CHAPTER 1: INTRODUCTION 2 STATEMENT OF PURPOSE 2 CHAPTER 2: A POSTMODERN EXAMINATION OF MEDICINE 12 WHAT IS POSTMODERNISM? 13 STRUCTURALIST CONSTRUCTIVISM 17 THE MEDICAL HABITUS 20 CAPITAL 25 DOCTORS LEARNING TO ACT LIKE DOCTORS 32 CAN WE TALK ABOUT SEX? 36 CONCLUSION 39 CHAPTER 3: DOCTOR-PATIENT COMMUNICATION THROUGH A MEDICAL SOCIOLOGY LENS 41 DOCTOR-PATIENT COMMUNICATION 43 PATIENT-CENTERED CARE 45 SEXUAL HEALTH AND PATIENT-CENTERED CARE 51 STRUCTURAL CONSTRAINTS OF MEDICINE 58 ii PATIENT INFLUENCES 60 CONCLUSION 71 CHAPTER 4: RESEARCHING DOCTOR-PATIENT COMMUNICATION ABOUT SEXUAL HEALTH 73 QUALITATIVE STUDY DESIGN 74 SAMPLE SELECTION AND JUSTIFICATION 77 INTERVIEW STRATEGY 79 INTERVIEW PROCEDURE 79 SEMI-STRUCTURED INTERVIEWS 80 MEASURES 81 INTERVIEW SAMPLE DESCRIPTION -
Hofstra University Film Library Holdings
Hofstra University Film Library Holdings TITLE PUBLICATION INFORMATION NUMBER DATE LANG 1-800-INDIA Mitra Films and Thirteen/WNET New York producer, Anna Cater director, Safina Uberoi. VD-1181 c2006. eng 1 giant leap Palm Pictures. VD-825 2001 und 1 on 1 V-5489 c2002. eng 3 films by Louis Malle Nouvelles Editions de Films written and directed by Louis Malle. VD-1340 2006 fre produced by Argosy Pictures Corporation, a Metro-Goldwyn-Mayer picture [presented by] 3 godfathers John Ford and Merian C. Cooper produced by John Ford and Merian C. Cooper screenplay VD-1348 [2006] eng by Laurence Stallings and Frank S. Nugent directed by John Ford. Lions Gate Films, Inc. producer, Robert Altman writer, Robert Altman director, Robert 3 women VD-1333 [2004] eng Altman. Filmocom Productions with participation of the Russian Federation Ministry of Culture and financial support of the Hubert Balls Fund of the International Filmfestival Rotterdam 4 VD-1704 2006 rus produced by Yelena Yatsura concept and story by Vladimir Sorokin, Ilya Khrzhanovsky screenplay by Vladimir Sorokin directed by Ilya Khrzhanovsky. a film by Kartemquin Educational Films CPB producer/director, Maria Finitzo co- 5 girls V-5767 2001 eng producer/editor, David E. Simpson. / una produzione Cineriz ideato e dirètto da Federico Fellini prodotto da Angelo Rizzoli 8 1/2 soggètto, Federico Fellini, Ennio Flaiano scenegiatura, Federico Fellini, Tullio Pinelli, Ennio V-554 c1987. ita Flaiano, Brunello Rondi. / una produzione Cineriz ideato e dirètto da Federico Fellini prodotto da Angelo Rizzoli 8 1/2 soggètto, Federico Fellini, Ennio Flaiano scenegiatura, Federico Fellini, Tullio Pinelli, Ennio V-554 c1987.